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[Routine examination of the term newborn infant].

H Rosegger1

  • 1Klinische Abteilung für Neonatologie, Peripartale Pädiatrie (an der Frauenklinik), Universitätsklinik für Kinder- und Jugendheilkunde, Auenbruggerplatz 14-36, A-8036 Graz. hellfried.rosegger@klinikum-graz.at

Wiener Medizinische Wochenschrift (1946)
|February 28, 2002
PubMed
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Routine newborn examinations aim to detect severe disorders and minor abnormalities in infants. While severe conditions are rare, some findings warrant further investigation for potential health issues.

Area of Science:

  • Neonatal Medicine
  • Pediatric Physical Examination
  • Clinical Diagnostics

Context:

  • The postnatal ward examination of healthy term newborns is a standard clinical practice.
  • This routine assessment serves multiple diagnostic and educational purposes for parents and clinicians.

Purpose:

  • To outline the primary objectives of the routine physical examination of healthy term newborns.
  • To differentiate between severe, inapparent disorders and minor, benign abnormalities or birth lesions.
  • To guide appropriate follow-up investigations based on specific clinical findings.

Summary:

  • The routine examination of healthy term newborns aims to diagnose severe, often hidden, disorders (e.g., congenital heart defects) and identify minor abnormalities (e.g., postural deformities, birth marks).

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  • While severe conditions are infrequently detected, certain findings like preauricular tags necessitate further investigation for associated conditions such as urinary tract malformations or hearing impairment.
  • Communication with parents regarding findings, whether minor and self-limiting or requiring further evaluation, is a crucial component of postnatal care.

    • Impact:

    • Enhances early detection of potentially serious neonatal conditions.
    • Provides guidance for managing minor, often self-resolving, neonatal issues.
    • Informs clinical decision-making regarding the necessity of specialized investigations in newborns.