Frequent questions He asks the doctor Beginning  
THE NORMAL NEWBORN BABY: CARE IN THE FIRST DAYS OF LIFE
PROFIT AND LOSSES OF WEIGHT UMBILICAL CORD PREPUCE SKIN MICTURITION DEFECATION DETECTION OF ILLNESSES TO CONSULT

PROFIT AND LOSSES OF WEIGHT

The profit of weight waited in a nursing one comes to be one kilo per month, so that at the age of 5 months, approximately, it duplicates his weight on having been born, trebles it a year and quadruples it at the age of 2.

Nevertheless, the loss of 5 to 7 % of the weight to the birth during the first days of life is considered to be normal, and happens in most of the newborn babies. Most owes to the water losses, for the urine and the perspiration, especially.

UMBILICAL CORD

The tweezer of plastic of the drawstring must move back at 12 p.m. of the birth.
The daily alcohol application in the end of the stump does to 70 % that this one dries off more rapid, and reduces the infection risk. 
The drawstring must be observed every day to verify the absence of redness or pus, since it is a door of excellent entry for the infections. It is the first area colonized by the bacteria. 

PREPUCE

The circumcision (although often requested by the parents), in fact is not indicated for medical reasons.
The males not circunsisos can have more urinal infections in the first days of life.
In general it is practised during the first days of life, under local anesthesia.

SKIN

The poisonous eritema, the most frequent injury of the skin neonatal, is a benign exanthema, which can appear in any moment of the 1.th one; week of life, although it usually does it on the 2.th day. It talks each other of ronchas in the areas in which the clothes rub the arms, the legs and the back and, more rarely, in the face. If it exists, to avoid the use of lotions, dust, perfumed soaps and nappies of plastic. 

Injuries of the childbearing. There can take place a necrosis (death) of the subcutaneous greasy textile on any protrusion submitted to traumatism or pressure, especially in the head, the cheeks and the neck, where the forceps are applied during the childbearing.

Jaundice. (yellow dye). The light jaundice is normal in the newborn baby, but if it appears before 12 p.m. h of age and if the bilirrubina is major than 12 mg/dl it must be a worry motive. (To see "JAUNDICE NEONATAL AND FOTOTERAPIA").

MICTURITION

The first urine expressed by a newborn baby is very concentrated, and often it contains uratos, that dye of pink color the nappy.

The micturition absence during the first 24 h of life forces to a detailed exploration of the child for the pediatrician. The delay of the emission of urine is more frequent in the males and it can collaborate to a tight prepuce or to the edema and tumefaction of the penis in a newborn baby circumcised recently.

DEFECATION

Any new-born debit to have expelled meconio (a green and sticky substance that contains remains of fetal hair or lanugo, and undone proceeding from the amniotic liquid deglutido for the fetus and of his intestinal secretions), at 12 p.m. of life.

The delay of this defecation of meconio is usually a consequence of a stopper of thick meconio, which it will be necessary to detach by means of soft enemas, to criterion of the pediatrician.

DETECTION OF METABOLIC ILLNESSES AND HEMATOLÓGICAS

In the first week of life there is detected, in a sample of capillary blood extracted from the heel of the newborn baby, the presence or absence of some metabolic illnesses (fenilcetonuria, hipotiroidismo, tirosinosis, homocistinuria, galactosemia, etc)

The newborn babies of mothers whose blood type is O and/or negative Rh must be put to a test in blood called test of Coombs, and be watched especially if there appears jaundice (yellow dye).

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Writing: Medical equipment   Update: June, 2009


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