More alike than different
I suggest
you give a copy of this list to your pediatricain.
Click
Here for printable version.
Health
Care Guidelines for children with Down syndrome
Neonatal (Birth to 1 month)
Based on 1999 Down Syndrome Health Care Guidelines
Down Syndrome Quarterly (Volume 4, Number 3, September
1999, pp 1-16)
-
Review parental concerns. Chromosomal karyotype; genetic counseling, if necessary.
- If vomiting or abscence of stools, check for gastrointestinal tract blockage (duodenal web or atresia or Hirschsprung disease)
- Evaluation by pediatric cardiologist in cluding echocardiogram. Subacute bacterial endocarditis prophylaxis (SBE), in susceptible children with cardiac disease.
- Exam for plethora, thrombocy"TOP"enia.
- Review feeding history to ensure adequate caloric intake.
- Thyroid function test, check on results of state mandated screening at birth.
- Auditory brainstem response (ABR) or otoacoustic emission (OAE) test to assess congenital sensorineural hearing (at birth or 3 months).
- Pediatric opthamological evaluation (by 6 months) for screening purposes.
- Discuss value of early intervention (infant stimulation) and refer for enrollment in local program.
- Referral
to local Down Syndrome parent group or family support and resources,
as indicated.