Definitions
  • Term baby – between 37 – 41 weeks
  • Pre-term baby – before 37 weeks
  • Post term baby – after 42 weeks
  • Neonate – <28 days old
  • Stillbirth – dead baby delivered after 24 weeks
  • Perinatal mortality – stillbirths + deaths within first week of life
  • Neonatal mortality – deaths between 1-4 weeks
  • Low birthweight – <2500g
  • Very low birthweight- <1500g
  • Extremely low birthweight – <1000g
  • Small for age – <10th centile
  • Large for age – >90th centile
Post-natal care will vary within the UK, depending on the area, but below is a general outline of care offered. Of course, services are open at any time for concerned parents to attend. Those with identified problems are likely to attend reviews and follow-ups periodically.
For detailed info on immunisations, see Vaccinations

Newborn

Screening

Examination

  • Weight, length, head circumference (all plotted)

Health promotion / advice

  • Offer BCG and hep B vaccination if at risk
    • Hep B vaccination should be repeated at 1, 2 and 12 months
  • Feeding and nutrition advice
  • Preventing SIDS – avoid overheating, cessation of parental smoking

5-6 days old

  • Screening
    • Midwife will perform the Guthrie test
    • Detects raised levels of the amino acid phenylalanine; which indicates metabolic disease

12 days old

  • Midwife visits to check general baby and family wellbeing (both physical and mental needs, chance to ask any questions)

8 weeks

  • Screening
    • The GP performs screening – pretty much identical to the new baby screening test
  • Immunisations – 2 jabs:
  • Examination
    • Length, weight, head circumference
    • Ask parents about vision / hearing
  •  General
    • Any parental concerns?

3 Months

  • Immunisations – 2 jabs:
  • Examination
    • Length, weight, head circumference
    • Ask parents about vision / hearing
  • General
    • Any parental concerns?
    • Discussion about weaning (should begin at about 6 months)

4 Months

  • Immunisations – 3 jabs:
  • Examination
    • Length, weight, head circumference
    • Ask parents about vision / hearing
  • General
    • Any parental concerns?

8 months

  • Screening
    • Health visit team will asses child’s development (physical, emotional, social)
    • If parents worried, hearing and vision will also be assessed.
  • General
    • Any parental concerns?
  • Examination
    • Length, weight, head circumference
    • Ask parents about vision / hearing

12 Months

  • Immunisations – 1 jab
    • [HiB + Men C]
  • General
    • Any parental concerns?
    • Discussion about weaning
  • Examination
    • Length, weight, head circumference
    • Ask parents about vision / hearing

13 Months

  • Immunisations – 1 jab
    • MMR
  • General
    • Any parental concerns?
  • Examination
    • Length, weight, head circumference
    • Ask parents about vision / hearing

2-3 years

  • Examination
    • If indicated, the health visiting team can visit to check development

3 years 4 months

  • Immunisations – 2 jabs
  • General
    • Any parental concerns?
  • Examination
    • Height, weight, head circumference
    • Ask parents about vision / hearing

4-5 years (preschool)

  • Screening
    • Orthoptists for visual problems
  • General
    • Any parental concerns?
  • Examination
    • Height, weight, head circumference
    • Ask parents about vision / hearing

5 years (school entry)

  • Screening
    • Vision
    • Hearing
  • General
    • Any parental concerns?
  • Examination
    • Height, weight, head circumference
    • Furthur examination only if parental concerns

Girls 12-12

  • Immunisations

Age 13-18

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