Re: [ozmidwifery] Newborn Examination question

Thu, 01 Dec 2005 01:31:35 -0800

I had never been aware of fundoscopy until I did my Maternal and child health when we were taught to do it as a part of newborn screening. With the exception of one GP who is from the US I have never seen anyone do it (GP or midwife) but now do it as a part of my routine newborn screening. For those not aware you are looking through the opthalmascope for the presence or absence of the red reflex which indicates that the light is hitting the retina and is therfore not obstructed by congenital cataracts. Easy to do but does require an opthalmascope and a relaxed baby who will let you look in their eyes.
Andrea Q
On 01/12/2005, at 6:28 PM, Helen and Graham wrote:

Something happened to that last email of mine... but I wanted to say thanks to those who responded to my question.  Interesting variation in responses with some workplaces requiring further accreditation for midwives to perform the newborn exam, some recommending the GP do it and some with the midwives doing it routinely themselves.  For those of you who do the examination yourselves, could you please tell me if you perform fundoscopy i.e using an ophthalmoscope? And for those who require accreditation, could you tell me how this is obtained and what it consists of?
 
Midwives do the newborn examination at my current workplace but we don't currently perform fundoscopy. Thanks again for your responses.
 
Helen
 
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<x-tad-bigger>From:</x-tad-bigger><x-tad-bigger> </x-tad-bigger><x-tad-bigger>Judy Chapman</x-tad-bigger><x-tad-bigger> </x-tad-bigger>
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We do the newborn examination after birth but then recommend that they go for the 5 - 10 day well baby check with their GP. This is just since we have been working as a birth centre.
Cheers
Judy


Helen and Graham <[EMAIL PROTECTED]> wrote:Hi everyone
 
I have a question regarding midwives performing the newborn examination postnatally prior to discharge. 
Having worked in several hospitals, I am used to this exam being performed by a doctor/paediatrician.  The midwife does an initial check at birth but on about day 3 o! r 4, or at least prior to discharge, a thorough physical examination performed, including fundoscopy etc. by a doctor.
 
Interested in your experiences and for those of you who do perform it, have you had any further education on the subject?
 
Cheers
 
Helen Cahill
 
 
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