Detecting abnormal signs in newborns at home

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In order to help parents recognize abnormal signs of a newborn baby for immediate treatment in the emergency phase before being transferred to a medical facility, here are the instructions of Professor Dr. Director of Children's Center at Vinmec Times City.
In order for children to be healthy, less likely to get sick, or for sick children to receive immediate treatment, caregivers must detect when a child shows unusual signs to take the child to a medical facility for examination and treatment. Common signs of children are respiratory failure - body temperature - jaundice - skin and umbilical disease.

1. Respiratory diseases


Manifestations: Rapid shallow breathing, possibly chest indrawing, rising and falling of the nostrils, movement of the chest and abdomen is not rhythmic according to the breathing rhythm; accompanied by fever or hypothermia, discharge/stuffy nose. Care: When the child has the above signs, it is necessary to loosen the clothes, hold the child slightly with the head tilted back for easy breathing, clear the airway for the child, aspirate nasal secretions if any.

Khi trẻ có dấu hiệu trên, cần nới lỏng quần áo, bế trẻ hơi ngửa cổ cho dễ thở, làm thông thoáng đường thở cho trẻ, hút dịch mũi nếu có.
Khi trẻ có dấu hiệu trên, cần nới lỏng quần áo, bế trẻ hơi ngửa cổ cho dễ thở, làm thông thoáng đường thở cho trẻ, hút dịch mũi nếu có.

2. Body temperature problem: A normal child's body temperature is from 36.5 degrees Celsius - 37.4 degrees Celsius


Children with hypothermia: mild (36 - 36.4 degrees Celsius), moderate (32 - 35.9 degrees Celsius) and severe (<32 degrees Celsius). Hyperthermia (fever): Body temperature > 37.5 degrees Celsius in the morning. Symptoms: Increased temperature, red hot skin, sweat, rapid breathing, fussiness. Take care of children with hypothermia by warming up immediately like wearing a hat, wearing socks and hands wrapped around a towel that can be hugged by the caregiver, raising the room temperature to 28 - 30 degrees, and placing heating next to the bed. Treat a child with hyperthermia (fever) by lowering the room temperature, removing clothing, breast-feeding (if the child is able to breastfeed), using a hypothermia patch, and applying a wet washcloth to the forehead.

Trẻ hạ nhiệt độ: Nhẹ (36 – 36.4 độ C), trung bình (32 - 35.9 độ C) và nặng (<32 độ C).
Trẻ hạ nhiệt độ: Nhẹ (36 – 36.4 độ C), trung bình (32 - 35.9 độ C) và nặng (<32 độ C).

3. Signs of jaundice in babies

Manifestations: Jaundice appears early in the first 1-2 days after birth, yellowing from the back to the chest, abdomen, limbs, rapid increase in jaundice, dark yellow skin color, clear yellow like saffron, yellow straw, the baby sucks poorly or may stop sucking, fussiness, increased muscle tone, twisting, fast or slow breathing. possible fever. Care: Observe the baby's skin color in daylight for the first 7 days to detect early jaundice. Treatment: Take the baby to the doctor immediately if the jaundice soon after birth, the faster the yellow is accompanied by neurological signs.

4. Navel pathology

Manifestations: Wet umbilical cord foot with fluid, pus, bad smell. The umbilical cord is bleeding, red, swollen, and the abdominal wall around the navel may be inflamed or the child has signs of an infection such as fever, poor feeding or refusal to breastfeed, abdominal distension, digestive disorders. Care: Bathe the baby daily with cooked water, clean the umbilical cord foot with alcohol 700.

5. Matters needing attention

Know that a child's normal breathing rate is 40-60l/min. If it is faster or slower, close monitoring is required. When the child's temperature is lower or higher than normal, it should be treated immediately. Take care of the navel regularly to detect abnormalities. Observe baby's skin color daily in daylight. Children need to be taken to a medical facility immediately after being treated. To protect your child from factors that affect his health, you need to monitor and take him to a doctor when he shows unusual symptoms.

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