Screening for children in Switzerland

Birdemic Screening in Berne Switzerland (December 2018).

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this article informs you about preventive check-ups for children in switzerland . Here you can find the check-ups for babies in Germany and the U-examinations in Austria.

The Swiss Society of Paediatrics recommends twelve preventive examinations for your child. This starts with the first examination right after birth and goes on until puberty. The examinations are paid for by the health insurance companies and serve to monitor the physical and mental development of your child in order to be able to intervene early in case of any disturbances.

At the same time as the check-ups, vaccinations are also being carried out.

Immediately after birth

Your baby's height and weight are measured and the doctor examines whether your child is physically healthy. The main component of this study is the APGAR test, where the letters stand for breath, pulse, Grimmassieren (reaction), appearance and muscle tone.

In addition, the baby receives 2mg of Vitamin K in drop form, which is important for blood clotting.

2 to 10 days

This is the basic neonatal exam. In Switzerland, it usually takes place at hospital exit, only for home births in the pediatric practice. Once again, size, weight and circumference are noted, vitamin K is administered, and your baby is even more thoroughly examined for malformations and birth defects.

Special attention is paid to acute illnesses such as neonatal jaundice. The blood is tested for metabolic disorders (cystic fibrosis, phenylketonuria (PKU), galactosemia (transferase, kinase, epimerase deficiency), biotinidase deficiency, congenital hypothyroidism, congenital adreno-nital syndrome) with the Guthrie test - currently:. For this doctor or midwife will take a little blood from the heel.

Hearing testing and POX (pulse oximetry) screening are also routinely performed. The POX-Screening determines how much oxygen is in the blood of the baby and thus helps to exclude congenital heart defects. Both tests are painless and carried out by sensors that are held in the ear or on the skin for a few seconds.

Also in the hospital, on request, a so-called hip screening is performed, a routine ultrasound that only takes a few minutes. It is used for the early detection of hip injuries such as hip dysplasia, with girls, children from breech presentation and overweight children have a greater risk. In this study, you also get vitamin D drops for your baby, as a prevention of rickets.

1 month

This is usually the first examination by your chosen pediatrician. Again, the measurements of your baby is noted and the regular weight gain is controlled. The doctor tests the reflexes, examines the organs and feels in boys for a possible undescended testicles. In addition, u. a. The following skills have been tested: Can your baby lying on his stomach hold his head in the air for a moment, can he fix a point with his eyes and answer his smile with his own smile? The child will once again get vitamin K.

The first session is also a get-together. You will be asked about the birth, the mastering of everyday life, breastfeeding or nutrition is discussed, and also the vaccination is discussed.

2 months

Your baby's weight, height, and circumference are recorded, and the reflexes and organs are examined again. Now topics such as sleeping, screaming and drinking behavior of the infant in the foreground. Parents are also concerned: How many resources do you have? Is there a discharge?

4 months

At this age, the third check-up with the doctor takes place. It's about the eating and sleeping behavior.

6 months

At this age, the fourth check-up is done by the doctor. Now the hearing is tested (with a high-pitched rattle) ""Fremdeln"" discussed, talked about caries prophylaxis (brushing teeth), the diet (complementary foods) as well as the taking up of employment of the mother or the extra-familial care of the child. But baby's growth and organ examinations are also on the agenda. Now, the focus is also on how much the baby perceives of his environment and how it reacts to it. For example, the eyes are examined: Does the baby blink, does it track moving objects with its eyes, does it reach for offered objects and does it transfer them from one hand to the other?

The big milestone of development at this time is also the ability to turn from the back to the abdomen and back again.

12 months

Fifth check-up, also called ""1-year checkup"". Again it will be checked if your baby really grows and thrives. But this time it's all about the mobility and language development of your favorite. Can it stand alone with or without clinging, forming double syllables like ""mamamama"" or ""dadada"", does it understand ""no"" (even if it does not obey), does it play Kuck-Kuck games?

18 months

The sixth check-up re-captures height and weight. But this time the focus is on the sense organs, language development, play and social behavior. Your toddler should now be able to assign things. If you offer him a spoon and a pot, it should try to cook, it gets a phone, it should try to call.The running should be relatively safe, but may still be a bit tapsig.

The doctor will check how well the little milk teeth have been cared for.

2 years

The seventh check-up will record your child's height, weight and head circumference. But also language development and gaming behavior are back in the center. It is also about the personality development, the social behavior among children and education.

Your child should no longer be unsteady, but should be able to walk well. Even climbing stairs should already be possible. Most children can then drive a push-car with a change of direction and start playing the representative game (dolls are seated and fed).

The kids should be able to speak at least 50 words.

4 years

This study primarily tests the child's hearing and vision abilities as well as his or her coordination and social behavior. Also, the drawing is viewed, a so-called Männli image is judged on the number of body parts shown.

It's an important investigation because it also assesses admission to kindergarten. Also important in this context is the study of language development and vocabulary. The children should be able to speak fluently, slight grammatical errors, incorrect pronunciation of individual letters (eg b l instead of r) are still normal.

The spine, foot and leg axes are also judged.

6 years

The ninth examination is usually carried out by the school doctor, but can be done by the pediatrician at your request.

Now all important investigations are repeated again, it is checked if something has changed. The doctor will then discuss with you whether the child is ready for school, or give you a card with the missing vaccinations.

The last two check-ups for your child are now a long way away: At the age of ten, your child's posture and position as well as questions about puberty are at stake.

Between the ages of 12 and 15, all important examinations are repeated again, and it is checked whether something has changed. Postural damage is determined. The main topic, however, is the prevention of sexuality, AIDS and drugs.

Further information about the preventive check-ups can be found in the flyer for the check-ups of the Forum Praxis-Pädiatrie.

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