1.What is a high-risk child? High-risk infant is a child who is in the following “high-risk factors” from the mother’s conception to the first month of life: various diseases during pregnancy, long-term medication, pre-eclampsia, exposure to toxic and harmful substances, addiction to alcohol and tobacco, age less than 20 or more than 34 years old at the time of first birth; newborns born with multiple fetuses, premature birth, low birth weight, placenta and umbilical cord, abnormalities in the water, difficult birth; after birth: asphyxia, jaundice, hypoxia and ischemia, cranial hemorrhage, infection, hypoglycemia, hypovolemia, etc. The newborn is born with multiple births, premature birth, low birth weight, placenta and umbilical cord, abnormal foreign water, difficult birth; after birth: asphyxia, jaundice, hypoxia and ischemia, intracranial hemorrhage, infection, hypoglycemia and hypocalcemia. 2.What are the hazards of high-risk factors? High-risk factors can directly or indirectly damage fetal or neonatal brain cells, resulting in cerebral palsy, mental retardation, backward motor development, hearing impairment, visual impairment, delayed language development, etc., which affects children’s ability to learn and enter society in the future. 3.Monitoring and developmental promotion for at-risk children In order to detect possible developmental problems of at-risk children at an early stage, a comprehensive developmental examination is conducted regularly for at-risk children, which is called at-risk child monitoring. The following methods are used to follow up and intervene in children who do not meet the developmental standards: Establishing personal files Conducting regular developmental assessments of children using the unified developmental screening scale (20 neurobehavioral measurements for newborns and 52 neurobehavioral measurements for 0-1 year olds) Holding regular lectures on scientific parenting One-on-one feeding and health care guidance Conducting developmental follow-up and guidance for children with developmental abnormalities Early intervention for children with developmental abnormalities, including hyperbaric oxygen, drugs, brain protection devices, etc. 4. What are the benefits of monitoring and developmental promotion for high-risk children? Timely detection of developmental abnormalities, timely intervention measures Promote the physical and neuropsychological development of the child, maximize the development of the baby’s intellectual potential Utilize the powerful compensatory function of the child’s nervous system, minimize or eliminate disabilities Enable mothers to master scientific parenting knowledge and methods, and solve difficult problems in the process of parenting Improve the immune function of the child, and promote the overall development of the child 5.Outpatient consultation time for high-risk children Arrangement 0-6 months: once a month 7-12 months: once every two months 1-2 years: once every three months 2-3 years: once every six months Necessary laboratory tests are conducted according to the child’s health condition Intervention measures are taken for children with developmental abnormalities 6. Many factors before and after birth can lead to different degrees of brain damage, and the clinical consequences of such brain damage will gradually manifest as the child develops, such as cerebral palsy, which usually manifests itself only after 6 months of age; some intellectual and behavioral problems are not even discovered until the baby goes to kindergarten, and by using professional developmental scales, doctors can more accurately determine This is conducive to early detection, early intervention and early rehabilitation. 7.What is early motor development promotion? The earliest consequences of cerebral palsy caused by brain injury in high-risk children are mostly abnormal motor development. When monitoring the developmental lag of children, according to the rules of motor development such as head lifting, rolling over, sitting, crawling, standing and walking, children can be promoted by the Bobaht method and Vojta method, which can minimize the complications after brain injury and greatly reduce the degree of motor impairment. 8.How to participate in this service? All newborns born in our neonatal unit can go directly to our developmental pediatrics clinic on the 4th floor of our outpatient clinic to establish a monitoring file with their discharge notice; other newborns can go directly to the high-risk pediatrics clinic and enjoy this service after a plan is determined by a specialist.