Matter of habit. Bases of care of the newborn of
Some young mothers have the real feeling of panic when one for the first time stay at home with the kid. To avoid it, already during pregnancy the woman has to represent accurately what procedures for care of the newborn it should carry out daily after an extract from maternity hospital.
Skin at the newborn child very gentle, vulnerable and sensitive therefore the wrong care of skin often and quickly leads to its infection and development infectious - inflammatory diseases. The most frequent inflammation of skin at kids is a diaper dermatitis (intertrigo), but if the infection joins irritation of skin, there can be such diseases as vezikulopustulez (pustulous rash which most often develops against a potnitsa, diaper dermatitis at accession of a staphylococcal infection: pleated skin, on a neck, buttocks appear small bubbles), a puzyrchatka of newborns (it is characterized by emergence of multiple pustulous elements: on skin of a trunk, extremities, large folds various elements of rash appear). To avoid these troubles demanding serious treatment including by means of antibacterial preparations, it is necessary to follow all rules of care of skin:to Carry out by
- of a morning toilet of the newborn child (to wash a face, to clean eyes, a nose, ears). The nasal courses at the newborn baby very narrow, and rather insignificant congestion of slime or crusts that nasal breath was broken. Therefore a mother`s task - daily to clear a nose of the kid. Eyes of the kid demand daily leaving too. At non-compliance with rules of hygiene conjunctivitis can develop - the inflammation of a mucous membrane of an eye, at the same time is noted reddening of a cornea of an eye, after a dream at the kid eyelashes can “stick together“, allocations at an internal corner of an eye appear. Non-compliance with elementary hygienic rules can provoke and dakriotsistit newborns - it is an inflammation of a plaintive bag as which reason serves incomplete disclosure of a nososlezny channel by the time of the birth and accession of an infection. to Wash away
- the child . Boys are born on light with entirely the skin fold covering a penis head - extreme flesh. At newborns extreme flesh is narrowed - it is so-called physiological fimoz which disappears by 3 - 5 years. In extreme flesh sebaceous glands which produce special greasing are located. If the boy`s mother seldom washes away the kid, under extreme flesh bacteria which cause a penis head inflammation can accumulate - balanopostit. However pay attention: it is not necessary to shift extreme flesh during hygienic procedures, it can lead to emergence of unions between extreme flesh and a head of a penis. To save the kid from such troubles, it is necessary to wash away him after each oporozh? an intestines neniye, and in the absence of a chair - each 2 - 3 hours. This rule of respect for hygiene concerns also to girls. Features of a structure of genitals at newborn girls are that vulvar lips badly cover an entrance to a vagina and a vagina has the alkaline environment that promotes easier penetration of an infection. Besides, an urethra (urethra) at girls very short, at non-compliance with rules of hygiene pathogenic microorganisms can get there, the inflammation easily rises up, and at the girl arises uretrit (an urethra inflammation), cystitis (a bladder inflammation). Not to be afraid to wash away the baby under the crane, it is better to master equipment theoretically in advance, it is possible even to be trained on a doll.
- to Change a diaper . At first sight, in change of a diaper there is nothing difficult, especially if this procedure is carried out by already skilled mother or the children`s nurse. However the first attempts of change of a diaper can cause difficulty in young mother, and as a result, despite existence of a diaper, the clothes of the kid will be wet. And as it is difficult to remove for the first time a diaper after a defekation not to soil the kid and not to be soiled most!
- to Process an umbilical wound . The special attention at care of the newborn child is required by an umbilical wound. Not begun to live umbilical wound at non-compliance with rules of leaving can become gate for infection not only the navel (omfalit), but also blood and body tissues (sepsis). The umbilical wound needs to be processed every day until it completely is not closed and at its processing there is no separated. As a rule, the umbilical wound completely begins to live to 10 - 19 - mu to day of life.
- to Bathe the kid . Bathing for the small child is the major hygienic procedure and provides a soft hardening of the kid. It is necessary to bathe the child daily. Bathing also protects the child from emergence is purulent - inflammatory diseases of skin - one of the most frequent at children in the period of a neonatality. It is caused by immaturity of barrier functions of the skin and mucous membranes of the newborn lowered by resilience in relation to a bacterial infection. Purity of skin needs to pay special attention as an external layer of skin (epidermis) at newborn children thinner and more sensitive to pollution, than at adults. Besides, small children have rather friable communication between epidermis and dermy (the main layer of skin), and such structure of skin contributes to fast distribution of an infection. Also through skin, to be exact, through sweat glands from an organism some products of a metabolism are removed. In order that bathing gave pleasure to the kid and mother, a lot of things need to be provided in advance: to prepare all necessary, to spread out in the places, to provide the correct temperature condition in a bathroom, not to forget about suitable water temperature in a tray and in a jug for rinsing. It is better if you think over all algorithm of actions in advance, and also you will represent how it is necessary to hold the baby that it could move rather freely in water and at the same time all safety rules were followed.
- to Swaddle the child . In some maternity hospitals from the first days of life of kids allow to dress in the romper suit and kombinezonchik brought from the house. Therefore there is a question: and whether it is necessary in general to learn to swaddle? Many newborn children need time for adaptation to big space therefore some restriction of movements when swaddling reminds the kid of that state when mother had him in a stomach. In such state the child calms down quicker and falls asleep. Swaddling has to be free that the kid could move handles and legs and to adopt the provision, convenient for it. There are two ways of free swaddling: at the first way of swaddling of the handle of the child remain outside, at the second - handles swaddle too. For night of kids of the first weeks of life it is possible to swaddle with hands as many children shudder in a dream, pull handles and wake up.
- to Seize technology of the correct breastfeeding . One more task which young mother has to learn in maternity hospital - it is correct to nurse the child. If mother has no experience of feeding by a breast, then the nurse or the doctor have to explain and show how it is correct to put the child to a breast what pose it is convenient to occupy when feeding, Some women need several days that development of breast milk was established (lactation). These days it is necessary to put as often as possible the child to a breast, forcing it to suck. The awareness on the correct technology of applying of the kid to a breast will allow mother to cope quicker with it in practice, and also to avoid cracks and stagnation of milk.
Who will teach
Where can be learned how it is correct to carry out care of the newborn child?Bathing provides to
Many pregnant women attend schools popular now for future mothers. There offer visitors a course of a theoretical and practical training on preparation for childbirth and care of the newborn. Doctors obstetricians - gynecologists take up all questions concerning childbirth, and pediatricians tell future mothers as it is correct to look after the newborn child how to adjust and keep breastfeeding what dangerous states can arise in the first days of life of the kid and as to cope with them.it is Also possible to find
answers to the questions concerning care of the newborn baby in special magazines for young parents, books and child care allowances.
But the main assistants to future mother are, of course, the pediatrician and the children`s nurse in maternity hospital. At the choice of maternity hospital it is necessary to give preference to those obstetrical establishments where practice joint stay of mother with the kid. If mother and the kid are after the delivery together in chamber, then in the first day the nurse will tell, and the most important - will show to mother necessary skills on care of the child, and mother will have an opportunity “to be trained“ in the presence of the skilled mentor. The first toilet (processing) of skin of the kid is carried out, as a rule, by the nurse, and then mother herself tries to carry out these procedures under control of medical personnel. If mother learns to carry out the major hygienic procedures with the child in maternity hospital, then when she appears with the kid of the house, she will have much less problems.
of the Nurse, working in maternity hospitals, have a wide experience of establishing breastfeeding, and in case of need each mother can address them for council and the help. They will show how correctly and carefully to decant milk (a milk pump or hands) not to injure a mammary gland.
In the first day after an extract of the kid and mother will be visited the district doctor at home - the pediatrician and the patronage nurse. The local nurse visits the newborn child on the first week of life 2 times, then - weekly within the first month. The district doctor - the pediatrician has to visit the newborn child on the first month of life not less than 3 times. The first patronage is carried out on 1 - 2 - y day after an extract from maternity hospital, the second - on 14 - y day of life of the child, the third - on 21 - y day of life. The doctor and the nurse can ask any questions about feeding, leaving and a state of health of the kid.