U Examinations in Austria

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this article will inform you about screening for children in austria . Here you will find the check-ups for Switzerland and the U-tests in Germany.

What are early detection examinations and what is being done?

In Austria, free examinations for babies and children are offered as part of the maternal-child-pass examinations. They start immediately after birth, the tenth and last is then at the age of 5 years. The examinations routinely check if the child is developing normally. Frequently occurring physical malformations, metabolic diseases or birth injuries can be excluded. Since the tests are adapted to the age of the child, each time a different focus is set. Always take the vaccination certificate with you for the examinations, as important vaccinations can then be carried out.

Read more about the content of examinations below

After Childbirth (U1)

This exam is performed immediately after birth. This includes - of course, the most important thing for the birth announcement - size, weight and head circumference of the baby. Your child will also be examined for possible internal and external malformations, such as a snap-in hip. The main component of this study is the APGAR test, which stands for breath, pulse, grimacing (muscle activity), appearance and reaction. This examination is done immediately after birth, repeated after another 5 and 10 minutes. The course of the birth is recorded. In addition, the baby receives two drops of vitamin K. This prevents brain bleeding in the newborn.

Sometimes the infant also gets silver acetate eye drops (the most controversial and in many hospitals no longer given) to prevent gonococcal infection (the gonorrhea pathogen) that the newborn may have contracted in the birth canal. The pregnant woman should inform herself before the birth about the use in her maternity clinic and announce her possible refusal. Pediatricians therefore call, if prevention is required, the use of erythromycin or tetracycline-containing eye ointments, which also act against the much more common Chlamydienerreger.

First week of life (U2)

This is the basic test for newborns, it takes place in the first week of life. The baby is thoroughly examined for abnormalities. Also, acute diseases, such as neonatal jaundice, are detected. There is also a new vitamin K dose.Any neonatal diseases are recorded (see 32-35 mother-child pass). In the case of risk children who are prone to hip deformities, an ultrasound is made.

Very important: The baby's blood is examined for metabolic disorders (Guthrie's test) and hormones (TSH determination). For this, the doctor or midwife will take a little blood from the heel or vein. Afterwards you must talk to the doctor about the additional administration of fluoride, as a precaution against tooth decay. It is usually given together with vitamin D, which should also protect against tooth decay, but also against rickets. The administration of these vitamins is not uncontroversial, because some studies suggest that overdose can lead to vascular calcification later in adulthood.

Fourth to Seventh Life Weeks (U3)

This is usually the first check-up by your chosen pediatrician (the previous ones are still in the hospital, unless the baby is ambulatory) in the fourth to seventh week (pp. 36-41). He / she also checks the baby's measurements, weight and circumference, posture and hip flexibility. He / she tests the reflexes, examines the organs and scans the scrotums of Jacks for a possible undescended testicles.

Your baby should already be able to hold his head in the air for a moment when lying on his stomach. Most importantly, the child can fix a point that it sees with his eyes - hold on - and show a reactive smile - a smile in response to a parent's smile. See also Milestone See. Also the doctor will check.

The child will be given vitamin K again. In addition, your doctor will ask you how to feed your child. An orthopedic examination and a new hip ultrasound examination complete the course.

Third to fifth month of life (U4)

During the fourth check-up between the third and fifth month of life, weight, height and head circumference are again recorded, and again the reflexes and organs are examined. The doctor tests whether the fontanelle (the gap in the skull) is still open enough for baby's head to continue growing. The hip is checked again for malpositions. In addition, hearing and first eye tests are part of the program. At least now, the first vaccinations (link: baby / health / childhood diseases /) carried out. The age-appropriate diet is recorded.

Attention: In order to benefit from the full amount of Child Care Allowance, this Free Examination is mandatory (Confirmations for Health Insurance Institutions pp. 73-77).

Seventh to Ninth Months (U5)

Again, between the seventh and ninth month, measurements and organ examinations are 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 turn, does it track moving objects with its eyes, does it look at its counterpart? Similarly, his hearing, his flexibility and his ability to think are tested. Can it turn already?

Most babies also make their first sounds at this stage. Any further findings from other examinations are recorded (pp 44-47 in the Mutter-Kind-Pass). An ENT examination is planned at this time. In the event of abnormalities, a specialist check is strongly recommended to avert risks.

Attention: To be able to take full advantage of the childcare allowance, this free examination is mandatory.

10th to 14th month of life (U6)

The sixth check-up takes place between the 10th and 14th month. Now the focus is on the mobility and language development of the baby. Although the measures are again held and the organs tested for functionality, but now the baby is to prove how fit it is. Can it stand alone if it holds on, making it sounds like ""mom"" or ""daddy""? Following the examination, the MMR vaccine is given. Nutrition and fluoride administration are discussed. Likewise, a new eye examination is carried out and possibly a specialist check recommended.

Attention: To be able to take full advantage of the childcare allowance, this free examination is mandatory.

The examinations carried out are confirmed on the pages 73-77 of the mother-child pass by the doctor and are used for submission to the responsible health insurance institution for the payment of the child care allowance.

22nd to the 26th month of life (U7)

Between the 22nd and the 26th month of life the next examination is due. In addition to size, weight and head circumference, the sensory organs, language ability and social behavior are the focus. Your toddler should now be able to assign and name things, no longer unsteady, but be able to walk well. Also level steps should already be possible. The child's ears, eardrum and teeth are examined. If you have well cared for the first baby teeth, your doctor will definitely praise you for it.

This routine examination also checks your eyes again (pp. 54-55 MKP).

34th until the age of 38 (U8)

The child is growing, the distances between examinations are increasing: The eighth check takes place between the 34th and 38th month of life. Body weight, length and head circumference are measured. In this study, the doctors also pay attention to possible behavioral problems, interim disorders and language development. Therefore, both your child's hearing and vision skills are tested, as well as his or her coordination and social behavior. The blood pressure is also routinely measured. The doctor also informs the parents about teething troubles that they have to reckon with.

46th until 50th month of life (U9)

During this check between the 46th and 50th month of life all important examinations are repeated again, it is checked whether something has changed. The doctor measures your child's blood pressure, discusses their developmental status, and will also perform a few related checks.

58th and 62nd Month of Life (U10)

This is the final mother-child-pass exam. It takes place between the 58th and 62nd month of life. All measurements including blood pressure are made and the stage of development is discussed and recorded. Dental care and fluoridation are discussed and further annual controls are recommended. Most paediatricians offer their support until adolescence, which has the advantage that your child does not have to get used to a new face and can address sensitive issues.

The last sheet shows the recommended vaccination dates for your child, which should be recorded on the attached detachable ID card.

Sources

Mother-Child-Pass,

BMGFJ

Adam, Michael, Renate Daimler and Volker Korbei: All About Children

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