In our hospital, a general health examination is performed by the pediatrician after the birth of the baby.
Weight, height, head circumference, heart, lung, etc. A detailed physical examination is done. In the first week after birth, she is called for control again. The doctor checks the baby physically during the examination and detects jaundice, if any. examines the status of diseases. The rise and peak of bilirubin (jaundice) level in the blood occurs approximately on the 5th day. For this reason, the first examination takes place in the first week. In the first month following the birth of the baby, tests such as hip ultrasound and eye examination are performed. Newborn Screening Tests Newborn screening tests are performed 48-72 hours after the birth of the baby (after good nutrition). These tests, which are taken from the heel blood of 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 detect the level of phenylalanine in the blood taken from the heel by the bacterial inhibition method in newborn babies. The purpose of this test is that the high level of phenylalanine is important in the development of infants. If the phenylalanine level is high, problems in the development of the baby (mental disability, autism) occur. For this reason, heel blood is taken and it is checked whether there is a risk in the baby.Biotinidase deficiency (BE) is detected by blood taken from the baby's heel. It is another screening test performed in newborn babies. Biotin is a vitamin that enables the breakdown of fat, carbohydrates and proteins in the human body. Biotinidase is important for the reuse of biotin. In case of biotinidase deficiency in the baby, skin diseases and problems in brain development (developmental retardation, convulsion, etc.) occur. Congenital hypothyroidism is detected by blood taken from the heel in newborn babies. It is a disease that occurs when the thyroid gland is underactive. If it is not screened, conditions such as mental disability and low IQ may be encountered. If detected, the treatment process begins. Cystic Fibrosis is a condition in which there is production of sticky mucus in the body. This disease is very often caused by upper respiratory tract infections, wheezing, pneumonia, etc. manifested by symptoms.
It causes problems such as dysfunctions and growth retardation in the exocrine glands. Apart from the tests given above, a screening test is performed for the diagnosis of SMA in the first 24 hours after birth. Newborn Jaundice Approximately 60% of newborn babies have jaundice. It is detected in infants by elevated bilirubin levels in the blood. Bilirubin is produced as a result of the breakdown of red blood cells. With the rise of bilirubin in the blood, yellowing of the white part of the eye and the skin occurs. Babies with jaundice need to be fed frequently. It is recommended that you consult a pediatrician if the baby becomes yellowish and darker in color, if the baby has feeding problems and weakness occurs.
Considering the risk factors of the baby, if the bilirubin level rises above certain values, the most common treatment is phototherapy. Phototherapy is a device that emits light at a certain wavelength. The baby with jaundice is treated in this specially adjusted incubator for approximately 6-8 hours.