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Conclusion
ОглавлениеGood history taking has always underpinned effective medical practice. However, the nature of the history profile has changed through the incorporation of government directives and a public policy agenda. The NHS Antenatal and Newborn Screening Programmes can be mapped to the history‐taking process to help guide the NIPE practitioner towards gathering the relevant information. Whilst the maternal obstetric, surgical and medical history remains firmly implicit with the history‐taking process, the psychosocial agenda now reflects the challenges facing families coupled with today's parental lifestyle choices. It can be strongly argued that parental psychosocial influences can impact directly upon not only the newborn period but also childhood and adulthood. The newborn examination provides a platform to address some of these issues so that interventional measures can be implemented at an early stage. This may go some way to help direct parents and safeguard the vulnerable newborn, thereby protecting the health of a future generation. History taking remains an active element of the newborn examination. Without it, the clinical validity of the newborn examination itself could indeed be negligible.
This chapter provides an overview and context of the changing and dynamic nature of history taking as part of the newborn examination. The following websites will provide additional specific information and resources:
| Clinical condition | Useful website |
| Congenital heart defect | https://www.nhs.uk/conditions/congenital‐heart‐disease/ https://www.gov.uk/topic/population‐screening‐programmes https://www.gov.uk/topic/population‐screening‐programmes http://pathways.nice.org.uk/pathways/structural‐heart‐defects?fno=1 |
| Developmental dysplasia of the hips | http://www.steps‐charity.org.uk/ https://www.gov.uk/topic/population‐screening‐programmes |
| Eye conditions | https://www.gov.uk/topic/population‐screening‐programmes http://www.rnib.org.uk/?gclid=CJOErMnopsACFSXKtAodUEcAWg http://www.nhs.uk/Conditions/Cataracts‐childhood/Pages/Introduction.aspx http://www.nhs.uk/Conditions/retinoblastoma/Pages/Introduction.aspx http://www.childrenwithcancer.org.uk/News/retinoblastoma?gclid=CPKz6I3ppsACFabLtAodbBwANA |
| Undescended testes | http://www.nhs.uk/conditions/undescendedtesticles/Pages/Introduction.aspx http://www.nlm.nih.gov/medlineplus/ency/article/000411.htm |
| BCG vaccination | http://www.nidirect.gov.uk/bcg‐vaccination https://www.gov.uk/government/collections/immunisation‐against‐infectious‐disease‐the‐green‐book#the‐green‐book http://www.nhs.uk/Conditions/vaccinations/Pages/bcg‐tuberculosis‐TB‐vaccine.aspx |
| Metabolic diseases | http://www.bimdg.org.uk/site/index.asp |
| NICE and national guidance documents | |
| Antenatal and postnatal mental health | https://www.nice.org.uk/guidance/cg192 |
| Antibiotics for the prevention and treatment of early onset neonatal infection | http://www.nice.org.uk/guidance/CG149 |
| Neonatal jaundice | http://pathways.nice.org.uk/pathways/neonatal‐jaundice?fno=1 |
| Congenital heart defect | http://pathways.nice.org.uk/pathways/structural‐heart‐defects?fno=1 |
| Reducing differences in the uptake of immunisations | http://www.nice.org.uk/guidance/PH21 |
| Drug misuse – opioid detoxification | http://www.nice.org.uk/guidance/CG52 |
| MBRRACE UK: Saving Lives, Improving Mothers’ Care | https://www.npeu.ox.ac.uk/mbrrace‐uk/reports |
| NHS Antenatal and Newborn Screening Programmes | https://www.gov.uk/government/publications/infectious‐diseases‐in‐pregnancy‐screening‐programme‐handbook https://www.gov.uk/government/publications/infectious‐diseases‐in‐pregnancy‐screening‐care‐pathway https://www.gov.uk/government/publications/handbook‐for‐sickle‐cell‐and‐thalassaemia‐screening https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/749742/NHS_fetal_anomaly_screening_programme_handbook_FINAL1.2_18.10.18.pdf https://www.gov.uk/government/publications/newborn‐and‐infant‐physical‐examination‐screening‐standards https://www.gov.uk/government/publications/newborn‐and‐infant‐physical‐examination‐screening‐standards https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/702100/NIPE_Screening_Programme_Newborn_Pathway.pdf https://www.gov.uk/topic/population‐screening‐programmes/newborn‐blood‐spot https://www.gov.uk/government/publications/standards‐for‐nhs‐newborn‐blood‐spot‐screening https://www.gov.uk/government/publications/newborn‐hearing‐screening‐programme‐nhsp‐operational‐guidance https://www.england.nhs.uk/wp‐content/uploads/2017/04/Service‐Specification‐No.21‐NIPE.pdf |
| Continuing professional development and education | https://www.e‐lfh.org.uk/ https://www.skillsforhealth.org.uk/services/item/22‐elearning‐healthcare |