Key inspection points of IVF after filing
Test tube babies are conceived through assisted reproductive technology. This kind of newborn needs to undergo a series of examinations after filing to ensure its development and health. The following are the key inspection points of IVF after filing.
1. Physical examination of newborn
Physical examination is an important method to evaluate the overall status and development of infants. It includes the inspection and measurement of the baby's appearance, head, face, limbs and trunk, as well as the measurement of the baby's height, weight, head circumference and other growth indicators. Through physical examination, the doctor can assess whether the baby has abnormal performance or delayed development, and find potential problems early.
During physical examination, doctors should pay attention to the following aspects:
First, appearance: whether the baby has obvious facial deformity, pigmentation or abnormal skin.
Second, head: check whether the head circumference is normal, whether there is abnormality or asymmetry.
Third, limbs: observe the length and muscle tension of the limbs, and check whether the fingers and toes are deformed.
Fourth, trunk: check whether the spine is normal and whether there are chest abnormalities such as chicken breast or funnel chest.
In the physical examination, the doctor will also pay attention to the baby's reflex actions, such as sucking reflex, grasping reflex, and hesitation reflex, to assess whether the baby's neural development is normal.
2. Neonatal hearing screening
Neonatal hearing screening refers to the use of advanced hearing screening equipment to test the hearing function of infants. The purpose of this examination is to detect and treat infant hearing impairment early, so as to avoid the impact on infant speech and cognitive development.
At present, the commonly used methods of newborn hearing screening include automatic auditory brainstem response (ABR) and automatic electrootography (AER). These methods include earphones and electrodes to record infants' auditory responses, so as to assess their hearing function.
Newborn hearing screening should be carried out as soon as possible after birth, preferably within 1 month after birth. Early detection of hearing impairment and timely intervention can greatly improve infants' hearing and language abilities.
3. Neonatal congenital disease screening
The purpose of neonatal congenital disease screening is to detect and treat potential genetic diseases or chromosomal abnormalities at an early stage. This screening usually includes neonatal disease screening, real-time quantitative PCR detection of nucleotide amplification and nucleotide amplification sequencing technology.
Neonatal disease screening is to screen metabolic diseases, such as phenylketonuria and congenital hypothyroidism, by collecting blood from the heel or back of the hand of the newborn and detecting the concentration of substances related to metabolic abnormalities in the newborn.
Nucleotide amplification real-time quantitative PCR can detect chromosome abnormalities, such as Down syndrome. Nucleotide amplification sequencing technology can be used to detect gene mutations in genetic diseases, such as cystic fibrosis.
Through neonatal congenital disease screening, we can find and treat potential genetic diseases of infants as soon as possible, and reduce the impact of diseases on infants' life and development.
4. Newborn immunization
Newborn immunization is an effective means to protect infants from infection. According to the immunization plan formulated by the National Health Commission, newborns need to be vaccinated with hepatitis B vaccine and BCG vaccine after birth, and other vaccines at subsequent time points.
Hepatitis B vaccine is an important vaccine to prevent hepatitis B, which is usually administered within the first month after birth. Bacillus Calmette Guerin (BCG) is a vaccine against tuberculosis, which is administered within 72 hours after birth.
During the vaccination process, the doctor will ask for family history, past medical history, allergy history and other information to assess whether the baby is suitable for vaccination, and develop a personalized immunization plan according to the actual situation of the baby.
To sum up, after the IVF is filed, the inspection focuses include newborn physical examination, hearing screening, congenital disease screening and immunization. These examinations are designed to ensure the development and health of IVF babies, identify potential problems as soon as possible and intervene to promote their overall development.
