What does the asymmetry of hip lines mean?

Asymmetry of hip or thigh lines is one of the common clinical symptoms of developmental hip dysplasia.

During the health check-up of the baby, if the doctor tells that “the baby’s hip or thigh lines are not symmetrical and need to go to the Pediatric Orthopedic Clinic for a hip B-ultrasound”, it is to exclude the baby from this disease.

Asymmetry of hip or leg lines is not necessarily a problem, but parents should pay attention to it and take the baby for further examination as soon as possible.

What diseases does the newborn genetic and metabolic disease screening check?

Even if it does not seem to have any abnormal symptoms, after 72 hours of birth and full breastfeeding (in special circumstances, full breastfeeding must be guaranteed for 6 times), 4 drops of heel blood samples will be taken by the delivery medical institution and sent to the health administration department The designated neonatal disease screening center conducts genetic and metabolic disease screening, mainly checking the following 4 diseases:

a. Phenylketonuria: It is a disease that is caused by the lack of phenylalanine hydroxylase in the child’s body.

The child has no abnormal appearance when he was born. About 3 months after birth, his hair started to turn yellow, his urine had an unpleasant smell, and he would suffer from intellectual disability and even cramps in the future. If you get treatment right after birth, brain damage can be avoided.

b. Congenital hypothyroidism: It is a disease that causes growth retardation and mental retardation due to congenital thyroid growth abnormalities. Most children have no obvious symptoms in the neonatal period and often fail to attract the attention of parents or even doctors and delay diagnosis and treatment, leading to abnormal brain development. If treated immediately after birth, the occurrence of intellectual disability can be avoided.

c. Congenital adrenal hyperplasia: It is a group of autosomal recessive inherited diseases, caused by birth defects of the enzymes required in the process of corticosteroid synthesis.

Among them, 21-hydroxylase deficiency is the most common type. The typical 21-hydroxylase deficiency is divided into salt-loss type and simple virilization type. Salt-loss type accounts for about 75% of the total number of patients, often after birth Severe vomiting, diarrhea, hyponatremia, dehydration, and severe acidosis are difficult to correct within 2 weeks. If not diagnosed and treated in time, it will be life-threatening.

d. Glucose-6-phosphate dehydrogenase deficiency: it is a disease caused by the deficiency of red blood cell enzymes. The patient develops under certain predisposing factors (such as certain drugs, eating fava beans, etc.), and the clinical manifestations are acute hemolysis. Anemia and hyperbilirubinemia have a higher mortality rate if they are not treated in time.

What should I do if a baby keeps hiccuping?

Hiccups are a common phenomenon in infants. The neonatal nervous system is not well developed and cannot coordinate the movement of the diaphragm very well, so it will hiccup if it is slightly stimulated;

Eating too quickly, swallowing too much air while feeding, crying and other reasons can also induce hiccups in your baby. Generally speaking, hiccups have no particular adverse effect on your baby’s health.

If the baby is hiccuping, you can feed some hot water to increase the warmth of the clothes or use toys to divert attention;

It can also stimulate the soles of the baby’s feet, encourage crying, and stop the sudden contraction of the diaphragm;

Remember to burp your baby after each feeding.

In addition, babies of younger months will also have hiccups when they are tired, so pay attention to let them rest in time.

To prevent your baby from hiccups, on the one hand, you need to pay attention to the feeding method, avoid feeding the baby when the baby is crying and avoid the baby from eating too fast.

If the flow of breast milk is too fast, you can gently clamp the nipple to control the flow of milk. On the other hand, keep warm. The food your baby eats should not be too cold and be careful not to let your baby breathe in cold air when playing or going out.

How to use ointment when the baby has eczema?

Many babies will have small bumps on their faces 10 to 15 days after birth, dandruff-like things on their eyebrows, small acne-like things on their foreheads, or 3 to 4 small red bumps on their cheeks. If you touch it with your hands, the hand feels rough and the skin is not smooth; after exposure to the sun or high room temperature, the pimple in these areas will increase and the color will become darker, which is eczema.

When your baby’s skin is red or itchy, you should consult a doctor in time, and use appropriate hormone ointment according to the severity of your baby’s eczema. Hormone ointment is applied 1 to 2 times a day on the reddened area. Be careful not to be too thin, otherwise, it will not be effective to treat eczema. Hormone ointment will be stopped when the eczema is eliminated, and it can continue to be used when it recurs.

When the baby’s skin becomes crusted, crusty, yellowish in color, or even discharges pus, blisters appear, which indicates that the baby has a secondary infection of eczema and requires antibiotics under the doctor’s advice.

Note that when hormones and antibiotic ointments need to be used together, they should be avoided at the same time, at least half an hour before and after.

Why does the baby grow “horse teeth” and “mantis mouth”?

In the midline of the upper jaw and the gums of newborns, there are yellow-white, rice-sized small particles, which are formed by the accumulation of epithelial cells or accumulation of mucous gland secretions, commonly known as “horse teeth”, which can disappear naturally after a few weeks.

“Mantis mouth” is a raised fat pad on each cheek, which is good for sucking milk. Both are normal phenomena and should not be broken to avoid infection.

What is the proper elasticity for the baby to wear diapers?

When putting on a baby diaper and sticking to the waist, pay attention to bilateral symmetry. After sticking, use whether a finger can be inserted into the waist as an evaluation index, and it should not be too loose or too tight.

Finally, be sure to carefully check whether the elastic band at the base of the baby’s thigh is flat, especially for plump babies, please choose a softer diaper at the elastic band, otherwise, the thigh is extremely easy to be strangled. For thin babies, please choose a tighter diaper. Otherwise, it is extremely easy to leak urine.

Note that the diaper size should be upgraded in time according to the baby’s weight gain. Generally, the waist attachment distance and whether the elastic band is red is used as a reference standard.

What should I pay attention to when bathing my baby?

The time to bathe your baby should be about 1 hour after breastfeeding. It is not advisable to take a bath immediately after breastfeeding.

It is recommended to do it once a day or every other day, within 10 minutes each time, with gentle movements, keep warm and ensure safety.

The temperature of the baby’s bath should be maintained at 26~28℃, and the water temperature should reach 38~40℃. Parents can test whether the water temperature is suitable on the inner side of the wrist. When preparing, the water temperature can be slightly higher, and try the water temperature again before letting the baby go into the water (so that the water temperature will not become cold after the preparation time is too long).

Note that you must put cold water first and then hot water. Take care to avoid water in your baby’s ears. Spread your left palm out to support the back of your baby’s head while taking a bath. Use your thumb, middle finger, ring finger, and little finger to gently press your baby’s ears toward your face, artificially “close” both external ear canals, And then use your right hand for cleaning operations to prevent water from entering the external auditory canal. After bathing, gently wipe the external ear canal with a clean cotton swab to keep it dry.

How do oral care for babies?

After feeding the baby, use a sterile cotton swab to gently wipe the baby’s mouth with warm water, once a day in the morning and evening.

The oral mucosa of the newborn is delicate, and the movements must be gentle. The “horse teeth” in your baby’s mouth should not be broken to avoid infection.

If you find that the baby’s oral mucosa or tongue is covered with white curd-like dots or small flakes that are not easy to wipe off, the baby is likely to have thrush and seek medical treatment in time.

At the same time, pay attention to the cleanliness of the mother’s nipples. If it is artificial feeding, it is necessary to strengthen the disinfection of the milk utensils.

Why do babies always have eye feces?

In some newborn babies, the nasolacrimal duct (the tube from the corner of the eye to the nasal cavity) is not fully developed, and it is easy to accumulate mucus or purulent secretions.

If the amount of secretion is not much, clean and wipe every day and massage the nasolacrimal duct. like

The amount of secretions is increasing, the color becomes dark yellow or green, and abnormal redness and swelling around the eyes may be accompanied by bacterial infections, and you should see a doctor promptly.

Why do newborns have “rash” and “erythema”?

Due to the accumulation of sebaceous glands, a yellow-white rash of the size of a millet grain will form on the tip of the nose, wings of the nose, and face of the newborn, which is a normal phenomenon and disappears naturally after peeling.

Similarly, 1 to 2 days after birth, pleomorphic maculopapular rashes of varying sizes often appear on the head, trunk and limbs, called neonatal erythema, which will disappear naturally after 1 day. All of the above are normal phenomena. Anxious.