of babies who can not wait

• The dates for the check-ups are usually too early for premature babies. In addition, preemies often have much to catch up on.

• Therefore, we offer additional check-ups for premature babies and children at risk.

• You can also perform necessary ultrasound examinations and administer Synagis.

Preemie investigations

An overview should give the following table. Of course, examinations are varied according to clinical findings.

The check-ups (U’s) and vaccinations are carried out by the pediatrician / family doctor. Dates calculated according to chronological age.

We offer the preemie examinations (F1 – F9), calculated according to the corrected age (after ET). Synagis immunizations are performed during the winter months.

The preemie examinations:

For all preemie examinations includes:
Measurement of body weight, body length, head circumference, diet, stool and urine, sleep, general problems.

If necessary, in particular if a conspicuous finding has been found during previous examinations, further examinations may also be carried out, e.g. Ultrasound examinations, blood tests, EEG etc.

 F1+F2: 1. Examination after discharge from the clinic. Here, the current state of development is examined first. This includes the neurological and medical examination, the state of development, the question of nutrition and current medication. Development and physiotherapySchädelsonographie and kidney sonography
F4 In addition to the developmental examination ultrasound examinations can be carried out. Questions about nutrition, previous development and family life are in the foreground.
F5 At the age of 6 months, a child has already developed well. In premature babies, we look at how the development has been in recent months and whether the corrected age of about 6 months has already been reached.
F5a Many premature babies and their parents benefit from the 9-month corrected age study. Now the fontanelle will close soon, maybe another ultrasound examination can be done.

The first teeth are there? Sometimes that makes problems.

The monitor may have been running for 12 months now – settle or continue?

Development is progressing, what will be the next year? We discuss this with you.

F6 Time for a first interim balance. How far has your child developed? The first Bayley test should now be carried out to see how far the development has progressed and whether further funding is necessary and useful.

A language development test helps to start further funding if necessary.

 

F7 According to the decision of the GBA (Joint Federal Committee), all babies with a birth weight of up to 1500g should be carried out at 24 months.
We think this should be done on all preemies – regardless of birth weight – and at different times.
A language development test to classify language skills and, where appropriate, language learning is important at this age.
F7a If there are still developmental problems or linguistic delays that are not uncommon in premature babies, promotion should now be intensified.

In an inconspicuous examination, this gives you the assurance that “everything is alright”.

F8 At age 4, most children go to kindergarten. How does your child feel? Is it in good hands? We discuss these questions with you.

If there are special problems, fears, difficulties, I take the time to do so and we think about how we can handle this.

F9 Shortly before school starts, many parents are wondering whether enrollment is advisable or preferable to defer. With various investigations we can assist you with this decision competently.

A special pre-school test shows the language development, other studies the intellectual and social development.

ADHD: a topic also with preemie parents. Various investigations can help here to get more clarity.

Prematurity ambulance

For babies who could not waitfrhgeborenenambulanz[1]
Premature babies often have a heavier start than those born. The immaturity can cause some problems, this affects all organs. At the beginning, for example, breathing, circulation, imfektabwehr and the like in the foreground.

After the intensive period, there will be a phase in which the children will grow and develop further.

With the dismissal, the parents assume a great responsibility for their children. In addition to the “normal worries” that all parents make, there is additional worry about the preemie, it develops well, other problems follow, it picks up the premature birth, how will it develop later.

Of course we can not take this worry from you, but we try to give you as much information as possible, so that you can support the path of your child yourself.

The yellow booklet
For many years, the preventive medical examinations for all children have been established in Germany. These are various examinations U1 to U10 and J1 and J2, in which the pediatrician checks the organs and development of the child according to age. These examinations help parents to identify possible changes, developmental disabilities, and other issues early on, and discuss with their pediatrician. The check-ups are always carried out according to the actual age, ie based on the date of birth.

For premature babies, these examinations are too early, since they still have to catch up for some time. If a child, e.g. was born three months too early, ie at 28 weeks, it has just reached the originally calculated due date at the check-up U4, normal appointment with 3 – 4 months. It is therefore not expected that the child is already developed as a three-month child. In addition, there is the hospital time, which can slow down the development of premature babies.

Premature babies not only need appointments for preventive examinations that are adapted to their corrected age (age at birth) and their development, they also need follow-up appointments after the hospital stay in order to be able to react to problems at an early stage.

Preemie ambulance
The development of premature babies is difficult to predict, even at the beginning of normal development, occasionally some problems emerge, which should be addressed early on.

We offer continuous care until school age for all premature babies and at-risk newborns. Here the development of the children is particularly important:

Based on the usual preventive examinations (yellow booklet), we offer you special preterm infants examination appointments – as well as regular (annual) developmental examinations.

The check-ups are carried out at the pediatrician. For premature aftercare, we need a referral from your pediatrician or family doctor.

>> Preemie investigations