Unit 1.6 Understand the needs of the mother and baby during pre-conception,

pregnancy and the first years of life

LO4. Understand developmental checks from birth to 12 months [AC 4.1]

Time: 10 mins• Tell me a story

Conception to gestation

Effects of birth experiences

Post Natal Care Developmental checks

Fertilisation Pre-conception experiences

Mother / Baby Neonatal screening test

Antenatal checks Pre-birth experiences

Concerns the parent may have

Developmental review

Outcomes of antenatal checks

Birth experiences GP Examantion

Learning outcomes Understand developmental checks from birth to 12 months.Explain routine checks carried out for:

• the new-born baby• the baby during the first year of life.

The new-born baby will have a number of observations and checks in its first hours of life these will include:• Apgar score http://

www.babycenter.com/2_newborn-apgar-test_10300050.bc • Observations of limbs and head• Skin • Stools – meconium• Eyes• Umbilical cord • Weight, length, head circumference

LO4. Understand developmental checks from birth to 12 months [AC 4.1]

New-born Observations and Checks

Time: 10 mins • Discuss why you think these observations and checks are

carried out on a new-born.• What is the importance of these observations checks?

LO4. Understand developmental checks from birth to 12 months [AC 4.1]

Newborn babies also have a number of screenings carried out.• Guthrie test – performed on the seventh day to detect

phenylketonuria (PKU) and cystic fibrosis – this is a heel prick to obtain a sample of blood.

• Barlow’s test – check by the midwife then the paediatrician to check for congenital dislocation of the hips. This test will be repeated by the health visitor and GP at the 6 week developmental check.

LO4. Understand developmental checks from birth to 12 months [AC 4.1]

Newborn Screening

Time: 15 mins• Discuss and feed back from the pairs activity. Talk about the

reasons and importance of the checks and observations carried out on a new-born.

• Share your thoughts on the screenings.• Discuss if you think other screens, checks and observations

should be carried out on the new-born.

LO4. Understand developmental checks from birth to 12 months [AC 4.1]

• All babies in England will be given a Personal Child Health Record (PCHR), this is has a red cover and is often referred to as ‘the red book’.

• This will track the baby's progress and is shared between all the professionals

• The red book will record the babies height and weight on a centile chart.

• It will record all the baby’s immunisations.

LO4. Understand developmental checks from birth to 12 months [AC 4.1]

Personal Child Health Record (PCHR)

Time: 20 mins • Research what a centile chart is and why and how it is used. • Discuss with the rest of the group your findings.

Understand developmental checks from birth to 12 months

In pairs use tape measures and centile chart to plot your own measurement’s on the chart

Time: 10 mins• In a group of 4 read the scenario below then plot a centile chart and answer the

questions.

Millie was born at term on 12/10/13, weighing 3.6 kg, head circumference 34 cm. When Millie was 8 weeks old she weighed 4.8 kg. Her mother brought Millie to the clinic on 21/8/14 concerned about her weight gain. Millie weighs 8.5 kg and her length is 71.4 cm. • What was the weight centile at birth?• What was the head circumference centile at birth?• What was the weight centile at 8 weeks?• How old is Millie on 21/8/14?• What is her weight centile on 21/8/14?• What is her height centile on 21/8/14?

LO4. Understand developmental checks from birth to 12 months [AC 4.1]

Time: 10 mins• Write down four questions a new parent may have for their

midwife, health visitor or GP in relation to the checks, observations, screenings and immunisations that will be carried out on their baby.

Understand developmental checks from birth to 12 months

Time: 15 mins• Produce a flow chart of all the observations, checks,

screenings and immunisations that are given to a baby from birth until they are one year old.

LO4. Understand developmental checks from birth to 12 months [AC 4.1]

Extension activity

Complete your table from this mornings starter activity

Summary In this lesson, we have looked at routine checks for the newborn and the

baby during the first year of life.

Summary – plenary activities1. Why is it important that a baby/child’s weight, length and head

circumference are recorded regularly on a centile chart?2. Why is important that parents are aware of all the screenings,

immunisations that a baby will have in its first year of life?