Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.
-
Upload
vernon-semon -
Category
Documents
-
view
217 -
download
2
Transcript of Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.
![Page 1: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/1.jpg)
Well baby clinic
Dr. Khalid D. Al-HarbyMBBS,ABFM,SBFM
CONSULTANT FAMILY PHYSICIAN
![Page 2: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/2.jpg)
DR/KHALID ALHARBY 2
INFANT CARE
The health services given to a baby during the first year of life.
It is a function of the MCH centers ( in PHCC, and in some hospitals)
It is done through the “well baby clinics” = the clinics that are concerned with health care for all children under the age of 5 y.(started 1404 )
![Page 3: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/3.jpg)
DR/KHALID ALHARBY 3
Well baby clinic
Frequency of visits: (15) seven visits in first year (including visits at time
of vaccination) Two visits each year from 2-5 years Wt.,and Ht. For each p.r.n visit Every infant has a health card kept in the
PHCC containing the following information :
1) Name of parents2) Date of birth
![Page 4: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/4.jpg)
DR/KHALID ALHARBY 4
Cont…
3) Place of delivery4) Attendance at labor5) Type of delivery (NSVD, forceps, C.S,…)6) Health condition at birth (weight, length, and
any congenital anomalies)7) Social data of the family8) PMH, PSH9) Immunizations10) Measurements of wt., length, ? H.C and
comparison with the normal
![Page 5: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/5.jpg)
DR/KHALID ALHARBY 5
كررت يتناصرون جمعهم أقبل القوم رأيت لمامذمم غير
في سد جدران كأنه والدفاع مارادونا يدعونمهاجم طريق
![Page 6: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/6.jpg)
DR/KHALID ALHARBY 6
Equipments of WBC
Newborn baby weighing scales Weighing scales for older children Height scale fixed on the wall Measuring tape Infantometer Stethoscope and sphygmomanometer with
small cuff (pediatric) Torch
![Page 7: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/7.jpg)
DR/KHALID ALHARBY 7
Equipments
Examination table (couch) ENT and eye diagnostic sets Some attractive toys for babies Well baby register records and growth charts Posters denoting child growth and
development at different ages should be provided
Health education materials and facilities should be readily available
![Page 8: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/8.jpg)
DR/KHALID ALHARBY 8
Process
General examination : appearance, clothing Examine vision: ask the parents and observe the
child ( measure visual acuity at school entry and colour testing at 9-13 years)
Examine hearing:- examine hearing abilities for those under 5y.- Test child’s attention to noise\voice at 8-12 months of
age- Take parent’s notes on hearing- Arrange for audiometry for children before school
age
![Page 9: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/9.jpg)
DR/KHALID ALHARBY 9
Process
Growth measurements plotted on the charts. Children outside the averages are reexamined,
investigated, and treated or referred Developmental milestones are checked Detection and treatment of malnourished Health education to the mothers For ill children : vital signs, preparation and
teaching of ORS, nurse-doctor referral, and giving injections when needed
![Page 10: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/10.jpg)
DR/KHALID ALHARBY 10
من كل شر اتقاالرض من اقترب
![Page 11: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/11.jpg)
DR/KHALID ALHARBY 11
Growth indices - weight
At birth: 3-3.5 kg 1st 4 months: 3\4 kg per month 2nd 4 months :1\2 kg per month 3rd 4 months: 1\4 kg per month At the end of 4th month: 6 kg At the end of 1st year: 9 kg After 1st year: 2 kg per year
![Page 12: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/12.jpg)
DR/KHALID ALHARBY 12
Abnormal weight
Above 90th percentile Below 5th percentile No increase over 3 subsequent months Curve down in 2 subsequent visits
![Page 13: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/13.jpg)
DR/KHALID ALHARBY 13
Growth indices - HC
Between 97th and 3rd percentile At birth: 35 cm At 6 months: 43.8 cm At 1 year: 46.8 cm At 2 year: 49.1 year At 3 years: 50.2 cm At 4 years: 50.8 cm At 5 years: 51.3 cm
![Page 14: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/14.jpg)
DR/KHALID ALHARBY 14
Growth indices- height
At birth: 50 cm At the end of 1st year: 75 cm Thereafter: 5 cm per year Between 90th and 5th percentile
![Page 15: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/15.jpg)
DR/KHALID ALHARBY 15
Home visits
Should be done by the nurse of the WBC for the following children:
A. Delayed mile stones or delayed growth
B. Diarrhea : chronic OR recurrent acute
C. Social or psychiatric problems
D. Defaulters
![Page 16: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/16.jpg)
DR/KHALID ALHARBY 16
At risk children
I. Group A :1) Babies of working mothers
2) Babies of poor family (low income)
3) Loss of a parents, or divorce
4) History of mental or psychiatric disturbance of a parent
5) More than 7 children in the family
![Page 17: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/17.jpg)
DR/KHALID ALHARBY 17
Cont…
6) Non – breast feeders
7) Early weaning
8) Twins
![Page 18: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/18.jpg)
DR/KHALID ALHARBY 18
Management
Registration in risk records Regular follow up Call for defaulters Comprehensive health education Take out of registry if no problems by 6
months of follow-up
![Page 19: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/19.jpg)
DR/KHALID ALHARBY 19
Cont. at risk children
II. Group B :
9) Birth weight < 2500 gm.
10 ) Failure to gain weight in 3 successive visits.
11) Loss of weight in 2 successive visits
12) Weight below 80% of expected weight for his age
![Page 20: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/20.jpg)
DR/KHALID ALHARBY 20
Management
Registration in risk records Regular follow up ( at least 1 \ month) Call for defaulters Comprehensive health education Take out of registry if no problems by 6
months of risk removal
![Page 21: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/21.jpg)
DR/KHALID ALHARBY 21
Cont…at risk children
III. Group C :
13) Congenital abnormalities
14) Bronchial asthma
15) Diabetes mellitus
16) Handicapped ( mental or physical)
![Page 22: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/22.jpg)
DR/KHALID ALHARBY 22
Management
Shared care
![Page 23: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/23.jpg)
DR/KHALID ALHARBY 23
Child health card
o Two copies (one with the family and one in the WBC)
o It should contain the following :1. Family file number2. Child number in WBC3. Delivery information4. Growth and developmental measures in the first
5 years of life5. Immunization status6. Schedule of follow-up visits in WBC
![Page 24: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/24.jpg)
DR/KHALID ALHARBY 24
Health educationcontents
Care of newborn Dealing with infantile common problems Nutritional education (especially breast
feeding, weaning, and hygienic preparation of bottle feeding )
Family planning Growth curve and its importance
![Page 25: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/25.jpg)
DR/KHALID ALHARBY 25
Health educationmethods
A. Individual counselingB. Group discussionsC. Lectures D. Demonstration (using pictures, leaflets, posters
etc…) of the following :1) Feeding position2) Bathing3) Preparation of semi-solid foods in hygienic
methods 4) Preparation of ORS
![Page 26: Well baby clinic Dr. Khalid D. Al-Harby MBBS,ABFM,SBFM CONSULTANT FAMILY PHYSICIAN.](https://reader035.fdocuments.us/reader035/viewer/2022062404/551a07b355034619378b4b45/html5/thumbnails/26.jpg)
DR/KHALID ALHARBY 26
واسطة المهارةالى المبدعين
القمة