Which children are at risk?

  First of all, we need to understand which cases can be considered high-risk newborns: 1, premature babies born at a gestational age of less than 37 weeks; overdue babies born at a gestational age of more than 42 weeks; 2, small-like babies weighing less than 2,500 grams; huge babies with a birth weight of more than 4,000 grams.  3, there are abnormal conditions of labor such as emergency delivery and stalled labor or abnormal delivery by cesarean section, high forceps, negative pressure suction; abnormal amniotic fluid or premature rupture of amniotic membrane such as too much, too little, greenish and smelly amniotic fluid; abnormal placenta such as placenta praevia and premature rupture of membranes; abnormal umbilical cord such as prolapse of umbilical cord and excessive length and knotting; use of drugs in the course of labor.  4, the following phenomena after birth: neurological symptoms such as anxiety, excitement, screaming and spasms; rapid breathing, pauses, moaning, cyanosis, pallor and other cardiac and pulmonary diseases; vomiting, bloating, blood in the stool or the emergence of phenomena; jaundice and severe jaundice within a day after birth; severe malformations; newborns with hard swelling, low body temperature or high fever; newborns who do not eat, do not cry or do not make noise after birth .  5, pregnant mother in pregnancy or pre-pregnancy disease: all have heart and liver and kidney disease, diabetes, hypertension, hyper- or hypothyroidism, etc., their newborns should be treated as high-risk infants.  6. Others: If there is a high incipient birth, the pregnant mother’s past medical history of miscarriage, premature birth or stillbirth, etc., they should also be treated as high-risk babies.  If any of the above reasons, the child born is a high-risk newborn. Focused observation and care should be given to these children while they are in the hospital to detect changes in the early stages for timely management. After discharge from the hospital, the child should be followed up regularly at the child health clinic to determine their nutritional status, physical growth and neuropsychiatric development, and to guide parents and provide timely early intervention and timely treatment if suspicious and abnormal conditions arise.  High-risk factors can cause problems in the future development of babies, especially with various degrees of neurological developmental disorders. Such as cerebral palsy, epilepsy, mental developmental disorders and other hearing and visual impairments, motor developmental delays, learning difficulties, etc. The chance of developing cerebral palsy is 8-10 times higher in high-risk children than in normal infants. That’s why it is important to have your child’s regular medical checkups at a child health center. Their nutritional status, physical growth and neuropsychiatric development should be determined.