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Does a 6 week check on a baby need doing by the GP or paediatric trained person prior to 1st immunisations given by practice nurse

Associated tags: baby, Child health, competence, Infectious disease, Infectious disease, time factors, vaccine, vaccine schedule

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Question answered:15/03/07 Warning! this question is over two years old.

We searched the NLH Specialist Library for Screening, NLH Guidelines Database, TRIP and Medline database and found the NICE guideline postnatal care of women and their infants. This guideline discusses both the first and the six to eight week physical examination of the neonate:

“7.5.1. Physical examination of the newborn [takes place within 72 hours of birth]
The health care professional performing the exam should be appropriately trained and his/her competency assessed, possibly with the use of simulators, as conditions such as congenital hip dislocation and congenital cataracts are rare. The health care professional should maintain competency through continued practice and review.

7.5.3 Physical Examination at 6-8 weeks
The second postpartum examination at 6-8 weeks might be performed concurrently with administration of the first set of immunisations. The Department of Health recommendations for immunisations should be followed, with parental consent. The 6-8 examination should repeat the assessments made at the physical examination of the newborn, and also include an assessment of whether the baby has a social smile and is fixing and following visually. Any parental concerns should be addressed…

The competencies for this examination are therefore unchanged from those of the newborn examination.” [1]

References
1. NICE. Postnatal care: routine postnatal care of women and their infants. July 2006. (http://guidance.nice.org.uk/CG37/guidance/pdf/English).

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