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Related Experiment Videos

Routine examination in the neonatal period.

G D Moss1, P H Cartlidge, B D Speidel

  • 1Paediatric Department, Southmead General Hospital, Bristol.

BMJ (Clinical Research Ed.)
|April 13, 1991
PubMed
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A second neonatal examination is not a valuable screening tool for detecting abnormalities. A focused hip examination in the first week of life is recommended for early detection of developmental dysplasia.

Area of Science:

  • Neonatal Medicine
  • Pediatric Surveillance
  • Medical Diagnostics

Background:

  • The routine second neonatal examination is a standard practice in many maternity units.
  • Its effectiveness as a medical surveillance procedure for identifying abnormalities has been questioned.

Purpose of the Study:

  • To evaluate the diagnostic yield and medical value of the second neonatal examination.
  • To determine if a comprehensive second examination is a justifiable screening procedure.

Main Methods:

  • A prospective survey was conducted on routine neonatal examinations over a 115-day period.
  • Abnormalities were categorized as missed, minor, or important, with a focus on those detected during the second examination.

Main Results:

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  • The first neonatal examination identified abnormalities in 8.8% of infants.
  • The second examination, performed on 79.6% of babies, revealed 63 previously undetected abnormalities.
  • Only 0.5% of second examinations identified important abnormalities, such as dislocatable hips.

Conclusions:

  • A comprehensive second neonatal examination is not supported as an effective screening procedure.
  • A targeted repeat examination for hip abnormalities within the first week of life is considered necessary.