Newborn Follow Ups
General health examination is performed by the pediatrician with the birth of the baby in our hospital.
Detailed physical examination such as weight, height, head circumference, heart, lung, etc. is performed. In the first week after birth, she is called back for follow-up. The doctor examines the condition of diseases such as jaundice, if any, by physically checking the baby during the examination. The increase in bilirubin (jaundice) level in the blood and its ceiling take approximately five days. . For this reason, the first examination takes place in the first week.
Following the birth of the baby, tests such as hip ultrasound and eye examination are performed in the first month.
Newborn Screening Tests
Newborn screening tests are performed 48-72 hours after the birth of the baby (after good nutrition). These tests, which are examined by taking heel blood from the baby, are used in the early diagnosis of developmental problems and in the diagnosis of some serious health problems.
Phenylketonuria (PKU) is a test performed to determine the level of phenylalanine in the blood taken from the heel by bacterial inhibition method in newborn infants. The purpose of this test is to ensure that the level of phenylalanine is high in the development of infants. If the phenylalanine level is high, problems (mental disability, autism) occur in the development of the baby. For this reason, heel blood is taken to check whether there is a risk for the baby.
Biotinidase deficiency (BD) is detected by blood drawn from the baby's heel. It is another screening test performed on newborn babies. Biotin is a vitamin that helps break down fat, carbohydrates and proteins in the human body. Biotinidase is important for the reuse of biotin. In case of deficiency of biotinidase in the baby, skin diseases and problems in brain development (growth retardation, convulsion, etc.) occur.
Congenital hypothyroidism is detected in newborn babies by blood drawn from the heel. It is a disease that occurs with little work of the thyroid gland. If it is not screened, conditions such as mental disability and low IQ may be encountered. If it is detected, the treatment process begins.
Cystic Fibrosisis the condition of the production of sticky mucus in the body. This disease very often manifests itself with symptoms such as upper respiratory tract infections, wheezing, pneumonia, etc. Dysfunctions in the exocrine glands lead to problems such as growth retardation.
Apart from the tests given above, screening test is performed for the diagnosis of SMA disease in the first 24 hours after birth.
Approximately 60% of newborn babies have jaundice. It is determined by the increase in bilirubin level in the blood of infants. As a result of the breakdown of red blood cells, bilirubin is produced. With the increase of bilirubin in the blood, yellowing occurs on the white part of the eye and on the skin. Infants with jaundice are needed to be fed often. If yellowing progresses and becomes darker in the baby and the baby has nutritional problems and weakness occurs, it is recommended that you see a pediatrician.
Phototherapy is the most common treatment when the bilirubin level exceeds certain valu es considering the risk factors of the baby. Phototherapy is a device that gives light at a certain wavelength. The baby with jaundice is treated lying down in this specially adjusted incubator for approximately 6-8 hours.