Long, the first consultation of the newborn baby after the exit of motherhood represents a contact first of all with the mother and her baby, a valuation of weight and of feeding of the baby, a catch of knowledge of the modalities of delivery and the occasion to remind of advice of childcare given to motherhood.

The exit

The normal exit is made from now on the 4th day after delivery, if it is about a delivery by low way, and in 6e / 7e day in case of Caesarian section. This exit can be made only if some clinical conditions are satisfactory: stabilisation of weight loss or weighty resumption, taken up by ongoing milk (Primipares), absence of jaundice (no exit in the immediate waning of phototherapy), absence of digestive not controlled pathology (gastro-oesophagien low tide, oesophagite), absence of pathology intercurrente spare absence in the course of treatment (antibiotics), spare absence on relational mother-child, on the care of childcare.

Book

The day of the exit, the health record must be delayed to the mother (test of made Guthrie and noted result), the examination of eyes accomplished (new obligation in search of a r tinoblastome or of a cataract), medical information were given to mother if necessary and filled and explained prescriptions.

Recalls

One reminds of some important points: sleeping arrangements of the child on the back, tears not implicating inevitably a nursing bottle or a bet in the breast; precautions to be taken in relation to the bronchiolite in winter; notions of prevention: falls (bed, table to be wrapped in swaddling clothes, pushchair), transport by car, animals, passive tobacco addiction

Finally, signs that have to lead to see patients fast must be specified: the upper temperature in 38 C (no administration antipyr tiques without consulting your doctor, any fever before the age of 2 months requires bacteriological samples in search of a materno-foetal infection), digestive disorders, bad weighty catch, respiratory discomfort, disturbances of behaviour (refusal to eat, change of complexion, hypotonie).

Initial contact

At the exit of motherhood, the first consultation of the newborn baby can indifferently be accomplished in PMI, by a pediatrician, by the family practitioner, or even in certain cases in HAD. On the occasion of this initial contact, the doctor is sure that the child does not have jaundice, acquaints himself with the health record (Guthrie, examinations of eyes), the report of hospitalisation, circumstances of birth, modalities of feeding.

The physiological digestive disorders often require to give some information: what is a normal transit (of a saddle after every suckling in a saddle by 24 hours), what is a gastro-oesophagien low tide requiring a treatment if he has a pathological character with major medical ringing (child who does not drink, who howls in position lengthened) and interest in that case of a thickened milk or digestive dressings; finally, some advice is given if the baby suffers from gas and from colics: massage, baths, patience. The use of the "harness" is from now on officially against pointing out; if the child supports lengthened position hardly, it can be useful to put him some hours in a transat or "Maxi-cosi".

Breast and medicaments

Although very few medicaments are against pointing out at a mother who nurses, this first consultation must, nevertheless, be a chance to explain that not necessary medicaments must be proscribed and to respect great caution most.

Particular situations

Some situations require them other modalities of taking care: jaundice, difficulty of feeding, positive Guthrie, unobserved congenital crossed heart disorder in motherhood, vulnerable parents (bad socioeconomic condition, the only mom, parents in the long past of barrenness), aggressive mother