The aim of outpatient aftercare is to provide our young patients and their parents with the best possible support during the transition from hospital to home.
Aftercare, general
Newborns who were born in our hospital and who require a clinical examination shortly after discharge can be followed up in our outpatient clinic.
Such check-ups are particularly recommended if the parents have not yet found a pediatrician for their child or if the pediatrician is absent. The results of the outpatient examination are communicated directly to the parents and to the pediatrician in the form of a medical report.
Follow-up care for premature babies
Children with special risks, for example very small premature babies, are called for an outpatient clinical check-up one week after discharge from hospital. The purpose of this first check-up is to monitor the child’s well-being and to advise and strengthen the parents in their role.
In addition to a clinical check-up, the focus is on questions about nutrition and weight development, the baby’s circadian rhythm (sleep-wake and possibly crying behavior) and, if necessary, general health problems and the parents’ well-being.
Development checks, outpatient
Newborn children with an increased risk of developmental disorders or delays, such as very small premature babies or newborns who have suffered a lack of oxygen at birth, are invited to our outpatient clinic for a developmental pediatric follow-up examination a few weeks to months after hospital discharge.
Mehr zur entwicklungsneurologischen Nachsorge
Ultrasound examinations
Ultrasound examinations are unproblematic and painless for the newborn. Ultrasound can be used to examine the structure and function of the organs, assess the joint conditions and maturation of the hip (hip ultrasound), and clarify the maturation and integrity of the still-growing brain. The examinations are carried out by experienced specialists who work at the clinic and already know the newborns.
The results of this outpatient examination are communicated directly to the parents and to the pediatricians in the form of a medical report. If necessary, i.e. if a finding is particularly conspicuous, it will be discussed with other specialists at the University Children’s Hospital Zurich and the child may be referred for an additional check-up.
Hip ultrasound
To screen for congenital hip dysplasia, a developmental disorder of the hip joint, every infant undergoes hip sonography at 4-6 weeks of age at the latest. This examination is usually carried out by the pediatrician providing outpatient care, but can also be carried out by us on request. In the case of certain risk factors, such as birth from a breech presentation, foot malpositions or existing hip dysplasia in first-degree relatives, hip sonography must be performed early and is then carried out either during the inpatient stay or on an outpatient basis at the age of 7-10 days.
Magnetic resonance imaging, outpatient
Magnetic resonance imaging (MRI) is the imaging method of choice for more complex imaging issues, particularly of the brain. MRI provides high-resolution images of all regions of the body and does not require X-rays. Since the newborn or infant should lie as still as possible during the examination, the MRI is carried out directly after breastfeeding / feeding and swaddling in natural sleep (i.e. usually without anesthesia). As it takes time to assess all the individual images accurately, the radiological findings can usually only be discussed with the parents after a few days.