2Nd home childcare: 2nd Home Childcare LLC | Minneapolis MN Child Care Center

About Me

HI iam sue i live in Priestland, i am married to Tom i have 3 children aged 37, 34, living in England. And my 17 year old son, I am also a grandma to 7 grand children I have 3 dogs. all safe with children.

My Experience

i have been childminding for 16 years i have been a daycarer for East ayrshire council. My experience is that i have 38 years of looking after my own children and grandchildren.

My Qualifications

first aid. Fit ayrshire babies. Protection of children act 2003. Additional support needs act. Child Development. Autism awareness. Managing childrens behaviours. Cot death. Infection control. Protective Behaviours. Health games. Safe hands training. Circle time. Sticky kids and GIRFEC. .

My Availability

£4.00 hour…….. FROM 6.30am TO 6pm. I am able to pick up and drop off at your home, school and nursery. Schools and nursery. Darvel & Newmilns only.

My Fees

• Babysitting
  from
  £5. 00
  per hour
• Childminding
  from
  £4.00
  per hour

£4.00 hour No charge for pick up and drop off at home, school and nursery.

My Local Schools

• I provide
  drop offs and pick ups
  at
  Gilmourton Primary School
• I provide
  drop offs and pick ups
  at
  Darvel Primary School

My Documents

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Reviews

Below are the latest reviews for 2nd Home. Please note that reviews represent the subjective opinions of other Childcare.co.uk users and not of Childcare.co.uk. Parents must carry out their own checks and references on childcare providers to ensure that they are completely happy before enaging in the use of their services.

Excellent childminder

Sue is an experienced childminder who has provided after school care for my sons for a number of years. We have been extremely happy with the care our boys have received. Sue’s home is always welcoming, clean and well-organised. She has a huge variety of learning resources and toys that the boys have access to. She provides stimulating activities for the children in her care including plenty of outdoor exercise. My boys enjoy walking the dogs, drawing, playing in her garden and going to feed the horses during the summer months. They are able to relax in her home after school and enjoy mixing with other children in her care.

We would have no hesitation recommending Sue to anyone looking for childcare. She is a great and reliable childminder!

• 
  Overall
• Setting
• Cleanliness
• Food
• Communication

by
Moferg
about
2nd Home
on 02/05/2017

Response by
2nd Home
on 08/06/2017:

Thank you for your lovely review its so appreciated and I hope it help new parents thank you again. X

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DCF | FAQs for Providers

1. How can I start a regulated program?
2. How can I start a licensed child care center?
3. How can I start child care in my home?
4. How can I find out about background checks and fingerprinting?
5. How can I get help paying for, starting, or operating a regulated program?
6. How can I find training for staff in a child care program?

How can I start a regulated program?

For information about becoming a foster parent, please call 1-877-NJ FOSTER or click HERE.

For information about adopting a child, please call 1-800-99 ADOPT or click HERE.

For information about starting children’s group homes and residential programs, please contact the Division of Children’s System of Care.

For information about starting an adoption agency, please call OOL at 1-877-667-9845.

How can I start a licensed child care center?

Under the provisions of the Manual of Requirements for Child Care Centers (N.J.A.C.3A:52) every person or organization caring for six or more children below 13 years of age is required to secure a license from the Office of Licensing in the Department of Children and Families unless the program is exempt by law. Please refer to 3A:52-1.2(c) for a list of these exemptions.

Take these steps to start the licensing process:

• Identify a potential site:
  • Contact the construction official of the town or municipality, where the potential site is located, to determine if the property has been zoned to include a child care center;
  • Secure a variance (permission to operate a child care center in an area that is not approved for business use) from the municipal officials if the building is not in a business zone; and
  • Obtain a Certificate of Occupancy (CO) from the municipal construction official reflecting the building’s compliance with applicable requirements of the State Uniform Construction Code (NJUCC). The CO must be one of the following use groups:
  • I-4 (Institutional) for children younger than 2 ½ years of age;
  • E (Educational) for six or more children 2 ½ years of age or older; or
  • A-3 or A-4 (Assembly) for school aged child care programs (I-4 or E may also be used)
    • The municipal zoning office or construction official can answer questions regarding a variance or a CO.
• Once you have established a potential site is zoned for a child care center, you may contact the Office of Licensing at 1-877-667-9845 for a courtesy inspection.  The Office of Licensing also reviews architectural plans for renovations and new construction of child care centers. These services are offered to prospective center operators at no cost.
• Read the Manual of Requirements for Child Care Centers very carefully. It includes requirements for:
  • Comprehensive liability insurance
  • Vehicle insurance
  • Staff qualifications including director, head teacher, group teacher and program supervisor
  • Supervision and staff child ratios
  • Program activities and equipment
  • Health and sanitation conditions and practices
  • Food and nutrition
  • Provisions for rest and sleep
  • Parent and community participation
  • Administrative and record-keeping requirements
  • All regularly scheduled staff members will be required to complete both a Criminal History Record Information (CHRI) fingerprint background check (if 18 years or older) and a Child Abuse Record Information (CARI) background check (regardless of age).

    How can I start child care in my home?

    If you are a New Jersey resident, you may choose to become a registered family child care provider and care for up to five children in your home.

    To become a registered family child care provider:

    • Submit an application to the Child Care Resource and Referral Center for your county, along with: two character references; results of a medical examination and tuberculin Mantoux test; disclosures of any criminal convictions; and consent forms for Child Abuse Record Information (CARI) background checks for everyone living or working in your home who is at least 14 years old.
    • Attend eighteen hours of pre-service training given free of charge by the sponsoring organization, which covers: child development; discipline; safety; first aid and emergency procedures; health and sanitation; nutrition; program activities; parent-provider communication; and other important topics.
    • Have a home inspection by the sponsoring organization, which includes an examination of the numbers and ages of the children in care, health, safety, program activities, nutrition, supervision, discipline, record-keeping and communication with parents.

      Subsidized Child Care Provider Stipends

      On March 4, 2020, the Governor declared a State of Emergency in California in response to COVID-19. Since then, several rounds of child care stipends have been sent out to child care providers serving families who receive subsidized child care. Stipends are meant to help providers with hardships caused by the pandemic such as reduced enrollment, increased teacher-to-child ratios, additional cleaning costs, and other costs.

      CDSS is no longer sending out stipend funding to providers eligible for the below stipends. 

      $600 Stipends (AB 131)

      COVID-19 financial relief paid directly to the child care and development workforce is part of an April 2021 agreement between the State of California and California Child Care Providers United. Assembly Bill (AB) 131 (Chapter 116, Statutes of 2-2021) passed by the Legislature and signed by Governor Newsom includes these funds, which are being distributed by the Department of Social Services.

      Who was Eligible to Receive a $600 Stipend check?

      Providers who served children receiving subsidies from the following programs in March 2021 will be eligible for a $600 per-child stipend:

      • CalWORKS Stages One, Two (C2AP) and Three (C3AP)
      • Alternative Payment Programs (CAPP) including Migrant Alternative Payment Programs (CMAP)
      • General Child Care and Development Programs (CCTR)
      • Migrant Child Care and Development Programs (CMIG)
      • Family Child Care Home Education Network (CFCC)
      • Child Care and Development Services for Children with Special Needs (CHAN)
      • Emergency Child Care Bridge Program for Foster Children (Bridge Program)

      This included providers who submitted “hold harmless” requests for reimbursement for children normally in their care but who were kept home by their parents due to the pandemic.

      How were the Child Care Stipends Issued?

      The CDSS contracted with the Foundation for Community Colleges (Foundation) to send out the stipend funding to APPs, child care centers and child care providers.  CDSS is no longer sending $600 Stipend Funding to eligible providers.

      $525 Stipends (AB 82)

      Assembly Bill (AB) 82 (Chapter 6, Statutes of 2021) requires that the California Department of Social Services (CDSS) and the California Department of Education (CDE) use American Rescue Plan Act (ARPA) Stabilization funding for stipends to providers who are reimbursed through voucher and center-based subsidy programs for children in their care. 

      Who was Eligible to Receive a $525 stipend?

      Providers who served children receiving subsidies from the following programs in November 2020 were eligible for a $525 per-child stipend:

      • CalWORKS Stages One, Two (C2AP) and Three (C3AP)
      • Alternative Payment Programs (CAPP) including Migrant Alternative Payment Programs (CMAP)
      • General Child Care and Development Programs (CCTR)
      • Migrant Child Care and Development Programs (CMIG)
      • Family Child Care Home Education Network (CFCC)
      • Child Care and Development Services for Children with Special Needs (CHAN)
      • Emergency Child Care Bridge Program for Foster Children (Bridge Program)

      This included providers who submitted “hold harmless” requests for reimbursement for children normally in their care but who were kept home by their parents due to the pandemic.  

      How were the Child Care Stipends Issued?

      Stipend checks were issued in April 2021 and July 2021. CDSS is no longer sending $525 Stipend Funding to eligible providers.

      SB 820 Stipends

      SB 820 (Section 11 of Chapter 24 of the Statutes of 2020) requires that the California Department of Social Services (CDSS) and the California Department of Education (CDE) use funding from federal Coronavirus Aid, Relief, and Economic Security (CARES) Act to give stipends to providers who are reimbursed through voucher and center-based child care subsidy programs.

      Who was Eligible for the SB 820 Stipends?

      Providers who served children receiving subsidies from the following programs in July 2020 are eligible for a per-child stipend:

      • CalWORKS Stages One, Two (C2AP) and Three (C3AP)
      • Alternative Payment Programs (CAPP) including Migrant Alternative Payment Programs (CMAP)
      • General Child Care and Development Programs (CCTR)
      • Migrant Child Care and Development Programs (CMIG)
      • Family Child Care Home Education Network (CFCC)
      • Child Care and Development Services for Children with Special Needs (CHAN)

      This includes providers who submitted requests for reimbursement for children who did not receive child care because their families kept them home due to the pandemic.

      Stipends are based on the number of children enrolled and the average per child cost of care as determined by the Regional Market Rate (RMR) specific to the age and child care setting from the CW 115/115A. Therefore, providers who serve the same number of children, but provide child care in different counties may have received varied stipend amounts.

      How were the SB 820 checks issued?

      Stipend checks were issued in November 2020 and March 2021. CDSS is no longer sending out the SB 820 stipends to eligible providers.

      Help with your childcare costs

      Childcare can be expensive but there is help available towards the costs of childcare. This guide covers the various support options that may be available to you. For information about the additional support available if your child has a special educational need or disability, check our ‘Guide to childcare for children with special educational needs and disabilities in England’.

      Free childcare and education

      If your child is aged two, three or four you might be able to get free early education and childcare. What you get depends on how old your child is, where you live, and your family circumstances.

      You need to use approved childcare: this means a registered childminder, play scheme, nursery, or club, a nursery class in a school, or a home care worker working for a registered agency.

      In England, Scotland and Wales you will usually become eligible in the term after your child’s birthday. For example, if your child turns three on 13 October, you will be able to get free childcare from January. In Northern Ireland, you will be eligible the year before your child enters Primary One.

       

      England

      Two year olds

      You can get free childcare for a two year old if you receive certain benefits, if your child has a disability, or if they have been looked after by the local authority. You can find out whether you are eligible for the free childcare offer for two year olds here. If you are eligible, you can get 15 hours of free childcare a week for 38 weeks a year (570 hours in total).

      Three and four year olds

      All three and four year olds can get 15 hours of free childcare a week for 38 weeks a year (570 hours in total) until the child starts reception year at school. Contact your local authority or speak directly to your childcare provider to find out more. You can find your local authority’s contact information by using our Childcare Finder here.

      You might be able to get an additional 15 hours of free childcare a week if you are in work, giving you a total of 30 hours a week for 38 weeks a year (1140 hours in total). To be eligible for this, you must be a single parent in work, or part of a couple where both parents are in work, and:

      • You, or you and your partner, must earn at least 16 hours per week at the minimum wage (if you are under 25) or the Living Wage (if you are over 25)
      • Neither of you must earn more than £100,000 per year

      You can apply for the extra 15 hours of free childcare for working parents here.  

      If you do not meet the earnings criteria, you may still be eligible if:

      • You are in a couple and your partner earns enough, but you do not because you are a carer, you are ill or disabled, or you are on parental leave, annual leave or sick leave.
      • You are self-employed and you started your business in the past 12 months.

      Your eligibility may be affected by your immigration status if it means that you do not have access to public funds.

      You can choose the provider where you want to use your free childcare, and you may be able to ‘stretch’ your childcare hours through the year, for example to get 11.4 hours per week for 50 weeks a year. You can split your free childcare between different providers, and you may be able to pay your provider for extra hours of childcare beyond the free entitlements.

       

      Northern Ireland

      You can get funded preschool education in a nursery school, primary school with nursery class, or from some private and voluntary providers. This is available the year before your child enters Primary One. You can find out how to apply for funded preschool education here. 

       

      Scotland

      Two year olds

      You can get free childcare for a two year old if you receive certain benefits, or if your child has been looked after by the local authority. You find out if you are eligible for free childcare for two year olds here. go to. If you are eligible, you can get 600 hours of free childcare a year.

      Three and four year olds

      All three and four year olds can get 600 hours of free childcare. Contact your local authority to find out more.

       

      Wales

      Three and four year olds

      All three and four year olds can get a minimum of 10 hours of free, part-time Foundation Phase education in a school, or funded nursery. Some local authorities offer more than this. To find out more, contact your local authority.

      Three and four year old extended entitlement

      The Welsh government intends to offer 30 hours per week of free childcare for 48 weeks a year to working parents. At the moment, this is being piloted in seven local authorities. You can find out whether you live in one of these authorities here.

      Flying Start areas

      If you live in a Flying Start area, you can get 2.5 hours of free childcare a day for 5 days a week, 39 weeks a year when your child turns two. To find out whether you are eligible, contact your local authority.

      Tax Free childcare

      Tax Free Childcare is paid to help parents in work with the cost of childcare. The government will add £2 for every £8 you pay for childcare, up to a maximum of £2000 per child per year (or £4000 per year if your child is disabled). You can only use it for approved childcare. This means a registered childminder, play scheme, nursery, or club, a registered school, or a home care worker working for a registered agency.

      You can apply for Tax Free Childcare if:

      • Your child is aged under 12, or under 17 if they have a disability
      • You are a single parent and you are earning the equivalent of at least 16 hours per week at the minimum wage (if you are under 25) or the Living Wage (if you are over 25)
      • You are part of a couple and you are both earning this amount, or one of you is earning and the other is unable to work due to illness, disability, or caring responsibilities
      • You (and your partner if you have one) are earning less than £100,000 per year
      • You are self-employed and you started your business in the past 12 months

      After being gradually introduced, as of 14 February 2018 Tax Free Childcare is now available for all families with children under 12 years old. Your eligibility may be affected by your immigration status if it means that you do not have access to public funds.

      You can apply now for Tax Free Childcare here.

      You can’t receive Tax Free Childcare and Universal Credit or Working Tax Credit at the same time. You can use the government’s Childcare Calculator to find out which option is better for you: this will depend on your family circumstances.

      Universal Credit or Working Tax Credit

      Working Tax Credit and Universal Credit are paid to people in work to top up low wages. This includes earnings from employment and earnings if you are self-employed.

      Working Tax Credit is gradually being phased out and replaced by Universal Credit. When you apply for benefits for the first time, you will be told whether to apply for Universal Credit or Working Tax Credit: this depends on where you live. If you are currently on Working Tax Credit, you will be transferred to Universal Credit at some point. You cannot get Universal Credit and Working Tax Credit at the same time.

      For both Universal Credit and Working Tax Credit you must use approved childcare. This means a registered childminder, play scheme, nursery, or club, a registered school, or a home care worker working for a registered agency.

      If you are receiving either Universal Credit or Working Tax Credit, it’s important to report changes to your circumstances so you continue to receive the right amount.

       

      Eligibility for Working Tax Credit

      You can get the Childcare Element of Working Tax Credit if:

      • You are a single parent and you are in work for at least 16 hours a week
      • You are part of a couple and you are both in work for at least 16 hours a week

      With Working Tax Credit, you can get up to 70 per cent of your childcare costs covered up to a maximum of £122.50 per week for one child in childcare, or £210 for two or more children. The amount you get will depend on your family circumstances.

       

      Eligibility for Universal Credit

      You can get the Childcare Element of Universal Credit if:

      • You are a single parent and you are in work
      • You are part of a couple and you both work, or one of you works and one is unable to work because they are ill, a carer for someone else, or absent from the household 

      With Universal Credit, you can get up to 85 per cent of your childcare costs covered up to a maximum of £646 per month for one child in childcare or up to £1108 with two or more children. The amount you get will depend on your family circumstances.

      You can apply for Universal Credit here and for Working Tax Credit here. 

      Childcare vouchers

      Your employer may provide childcare vouchers, which mean you do not have to pay tax on some of your childcare costs. You can get information about this from your employer’s HR department. Depending on how much you spend and when you joined the scheme, you can get up to £55 per week.

      Childcare vouchers are being phased out because of the introduction of Tax Free Childcare. If you are already using childcare vouchers, you can continue to use them, or you can change to Tax Free Childcare. Whether you are better off on childcare vouchers or Tax Free Childcare will depend on your personal circumstances. You can use the government’s Childcare Calculator to find out which option is better for you: this will depend on your family circumstances.

      Which option is best for me?

      Each family has its own unique needs and set of circumstances. If you are unsure about which option to go with towards your childcare costs, you can use the government’s Childcare Choices website and Childcare Calculator to compare the support you can get from the different options you may be eligible for.

      Was this guide helpful? If so, please share it so more parents can find childcare that works for them and their family!

       

      More guides that may be useful

      Here are some of the places where you can find out about the childcare services available in your local area.

      Where to find information about local childcare ,Read more

      Video and step by step guide to help you choose childcare that works for you and your child.

      Five steps to choosing childcare ,Read more

      Find and choose the right childcare, understand the financial and local support available to you, and know your rights are as a parent.

      Guide to childcare for children with special educational needs and disabilities in England ,Read more

      Sign up to our newsletter

      Get the latest news, research and resources from Coram Family and Childcare.

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      Home care for a premature baby

      Temperature control

      First of all, at home, a premature baby needs to create an optimal temperature regime. The air temperature in the room should be 22-25 ⁰ C. Every 3 hours it is necessary to ventilate the room for 15-20 minutes. Directly near the child (under the covers) should maintain a temperature of 28-32 ⁰ C. Often there is a need for additional heating of the newborn. For this purpose, it is convenient to use rubber heating pads. The temperature of the water in the heating pads should be 60-65 ⁰ C.

      Electric heating pads and blankets must not be used to warm newborns. Depending on the degree of prematurity and the temperature conditions in the room, one to three heating pads can be used. Wrapped in diapers, towels or special bags, heating pads are placed at the feet (under the blanket) and at the sides (over the blanket). Put them at a distance of a palm from the child. To constantly monitor the temperature under the blanket next to the baby, you can put a thermometer. In no case (to avoid burns) should you put a heating pad under the child or put it on top (this makes breathing difficult). The heating pads should be changed after one and a half to two hours, alternately, so as not to leave the baby without a heat source even for a short time.

      But the face of a newborn must be left open (without covering it with a blanket). By the end of the first month, the child begins to independently “keep” body temperature and gradually it will be possible to abandon artificial heating. The body temperature of a premature baby should be measured in the morning and evening. According to the doctor’s recommendations – more often, sometimes with each swaddling. This must be done without undressing the baby.

      Clothing

      A baby born weighing more than 2 kg does not need to be wrapped up. He is dressed in the same way as other (term) babies. Crumbs weighing less than 2 kg require much more things. The most suitable clothing for them is a knitted cap, a knitted blouse with a hood and sewn-in sleeves, a diaper and sliders. A child dressed in this way should be wrapped in a flannel blanket, put in a woolen envelope and covered with a flannel blanket on top.

      By the end of the first month, the envelope and blanket should be gradually discarded. You can not constrain the breath of the child with tight swaddling. In order for all parts of the lungs of a newborn to breathe evenly, it must be regularly shifted from one side to the other.

      Bathing

      Babies weighing less than 1500 g should not be bathed at home for the first 2-3 weeks. The rest of the newborns with low body weight should wait 7-10 days to take a bath. In the first 3 months of life, premature babies are bathed in boiled water. The water temperature in the bath should be 38 degrees, and in the room where bathing takes place – 25 degrees.

      Walking

      Walking should be done very carefully: a sudden change in temperature can adversely affect the baby’s health. Premature babies born weighing more than 1500 g can be taken out for walks starting from 2 weeks of age (in the warm season at an air temperature of 25-26 degrees). The first walk is short – only 10-15 minutes. Then the time spent in the open air is gradually (adding 20 minutes each) adjusted to 1-1.5 hours. In autumn and spring (at air temperatures up to 10 degrees), you can only walk with babies aged 1-1.5 months weighing at least 2500 g. At air temperatures below 8-10 degrees, you can walk with premature babies only when they reach the age 2 months and body weight 2800-3000 g.

      Immunizations

      Immunization schedule for premature babies is strictly individual. If the child is healthy and has a body weight at birth of more than 2000 g, then his vaccination schedule will not differ from full-term children. Babies born weighing less than 2000 g are not vaccinated with BCG in the maternity hospital. It is done when the newborn reaches a body weight of 2500 g. Children born with a body weight of less than 1500 g are vaccinated only at the end of the first year of life, and then taking into account the state of health.

      Medical supervision

      Children born prematurely are placed under dispensary supervision up to 7 years of age at their place of residence. Periodic consultations of specialists, primarily a neuropathologist, are mandatory. At the age of 1-2 weeks and further, rickets is prevented: ultraviolet irradiation-quartz, adding vitamin D to food as prescribed by a doctor, massage, hardening.

      During the first two years, a premature baby should be under the supervision of a cardiologist. At 2, 4, 6 and 12 months of a child’s life, electrocardiography (ECG) is necessary to assess the work of the heart muscle. Ultrasound examination of the heart (echocardiography – ECHO-KG) can detect defects and other anatomical defects of the heart. ECHO-KG is desirable to conduct at 2, 6, 12 and 24 months of a child’s life.

      Sources

      • Ghazi M., Zare M., Ramezani M., Heidarzadeh M., Behnam Vashani H. The Effect of Home Visit Program Based on the Continued Kangaroo Mother Care on Maternal Resiliency and Development of Premature Infant: A Randomized clinical trial. // Int J Community Based Nurs Midwifery – 2021 – Vol9 – N1 – p.64-75; PMID:33521150
      • Gale C., Quigley M.A., Placzek A., Knight M., Ladhani S., Draper ES., Sharkey D., Doherty C., Mactier H., Kurinczuk JJ. Characteristics and outcomes of neonatal SARS-CoV-2 infection in the UK: a prospective national cohort study using active surveillance. // Lancet Child Adolesc Health – 2021 – Vol5 – N2 – p.113-121; PMID:33181124
      • Silva RMMD., Zilly A., Toninato APC., Pancieri L., Furtado MCC., Mello DF. The vulnerabilities of premature children: home and institutional contexts. // Rev Bras Enferm – 2020 – Vol73 – Nsuppl 4 – p.e201
      • ; PMID:32965406
      • Watson H., McLaren J., Carlisle N., Ratnavel N., Watts T., Zaima A., Tribe RM., Shennan AH. All the right moves: why in utero transfer is both important for the baby and difficult to achieve and new strategies for change. // F1000Res – 2020 – Vol9 – NNULL – p.; PMID:32913633
      • Zakaria R., Sutan R., Jaafar R. Developing and implementing a health educational package for preemie moms in the care of their baby after hospital discharge. // J Educ Health Promot – 2020 – Vol9 – NNULL – p.113; PMID:32642469
      • Pineda R., Heiny E., Nellis P., Smith J., McGrath JM., Collins M., Barker A. The Baby Bridge program: A sustainable program that can improve therapy service delivery for preterm infants following NICU discharge. // PLoS One – 2020 – Vol15 – N5 – p.e0233411; PMID:32469891
      • Dawes L., Restall A., de Sousa J., Pole JR., Waugh J., Groom K. The experience and outcomes of a specialized preterm birth clinic in New Zealand. // Aust N Z J Obstet Gynaecol – 2020 – Vol60 – N6 – p.904-913; PMID:32424869
      • Lewis M., Passant L., Cooke H., Challis D. Women’s experiences of antenatal transfer for threatened premature labor in NSW: A qualitative study. // Women Birth – 2020 – Vol33 – N6 – p.e535-e542; PMID:31899149
      • Bora Güneş N., Çavuşoğlu H. Effects of a home follow-up program in Turkey for urban mothers of premature babies. // Public Health Nurs – 2020 – Vol37 – N1 – p.56-64; PMID:31642117
      • de Salaberry J. , Hait V., Thornton K., Bolton M., Abrams M., Shivananda S., Kiarash M., Osiovich H. Journey to mother baby care: Implementation of a combined care/couplet model in a Level 2 neonatal intensive care units. // Birth Defects Res – 2019 – Vol111 – N15 – p.1060-1072; PMID:31132224

      Peculiarities of caring for a premature baby – Dobrobut clinic

      Normal pregnancy lasts 38-40 weeks. During this time, the baby in the mother’s stomach goes through the entire cycle of intrauterine development. But it happens that the child is born before the due date. If he was born before 37 weeks, this means that he has not yet fully matured, and he needs additional conditions in order to grow and develop.

      A premature baby differs from a healthy, born on time, thinner, dark red skin, its subcutaneous fat is poorly expressed or absent altogether. Thin skin is easily injured, so all procedures and manipulations for such a child require special care.

      Due to the anatomical and physiological characteristics of babies born prematurely, caring for them at home is somewhat different from the generally accepted norms. For you – the recommendations of the pediatrician MS “Dobrobut” Julia Duzey .

      {CONTENTS_BLOCK}

      Temperature range
      

      First of all, it is important to create an optimal temperature regime, providing for an air temperature in the room of 22-250C and a humidity of 40-70%. The room requires airing every 3 hours for 15-20 minutes. Since the child’s thermoregulation system is still not sufficiently formed, it is important to ensure that the body temperature remains within 36.5-37.5 ° C. Therefore, you should measure the body temperature of the baby in the morning and evening. It is important to exclude electric heating pads and blankets. To warm the baby, rubber heating pads wrapped in a diaper or special bags that should be placed at a distance of a palm from the child will be optimal. The face of the newborn must remain open. By the end of the first month, the thermoregulation of the child will be established, and there will be no need for artificial heating.

      Feeding
      

      The best food for a premature baby is breast milk. Breastfeed the baby should be on demand, but at least once every 2-2.5 hours during the first month of life. Mother’s milk contains all the vitamins for the development of a premature baby, but in the autumn-winter period, due to vitamin D deficiency, special attention must be paid to the rational nutrition of a nursing mother. Vitamin D is recommended on the 10-14th day of a child’s life. If breastfeeding is not possible for some reason, artificial mixtures adapted to the needs of premature babies are used.

      Due to the immaturity of the digestive system of premature babies, they often spit up. Therefore it follows:

      • feed your baby at a 45 degree angle;
      • hold in a “column” after feeding for at least 20 minutes;
      • spread on the tummy between feedings.

      Premature babies gain weight differently from term babies. Only a pediatrician can evaluate weight gain, who will take into account the individual characteristics of the crumbs and draw the right conclusions.

      Bathing
      

      For the first time, a premature baby can be bathed already in the first days after discharge (do not bathe a child on the first day after BCG vaccination). A lighter baby is at greater risk of hypothermia, so the temperature in the bathing room should be higher than the standard (approximately 25-26 ° C). Bathing water should be used only boiled, without the addition of herbs and bathing fees, temperature – 37 ° C. It is possible to use baby foam for bathing. Immediately after the bath, the baby should be wiped with a towel and wrapped in a dry diaper or towel. To prevent the baby from getting too cold, all other hygiene procedures (treatment of the umbilical wound, skin and mucous membranes) can be continued after 5-10 minutes.

      Walking
      

      If the doctor has allowed, you can walk with a premature baby only in warm weather, not earlier than he is 2 weeks old. A baby born in summer should be taken out for a walk only when the temperature outside is not lower than 24 ° C and in calm weather. If a premature baby is born in autumn or spring, walks are allowed only 1.5 months after birth, if a body weight of 2.5 kg is reached. The air temperature must be at least 10°C. In winter, you should not go outside with a child, because it will still be difficult for him to endure such a sharp temperature drop.

      Massage
      

      Premature babies have a weak muscular system, so a massage course is indicated for them. Massage techniques are quite simple for parents, but first you need to consult a doctor.

      Vaccination
      

      Premature babies are vaccinated only according to an individual calendar. The vaccination schedule will be the same as for full-term babies, only if the baby was born weighing more than 2000 g and he is healthy. If the child was born with a body weight of less than 2000 g, BCG vaccination is not carried out in the maternity hospital, but is done only when the body weight reaches 2500 g. Children who have a birth weight of less than 1500 g are vaccinated only at the end of the first year of life, taking into account the condition health.

      As a rule, with all the necessary rules of care and due attention of parents and doctors, premature babies develop well, and after the first year of life they catch up with their peers. Among the outstanding people who were born prematurely are Charles Darwin, Napoleon I Bonaparte, Alexander Suvorov, Isaac Newton, Wilhelm Schiller, Voltaire, Johann Goethe, Winston Churchill.

      Related services:
      
      Pediatrician’s consultation
      Breastfeeding, its role in a child’s life

      Special care for premature babies

      Prematurely born babies need special care using the most advanced technologies. And then, after a certain time, the child will not differ from babies born on time.

      Doctor’s consultation

      You can get the consultation of the necessary specialist online in the Doctis app

      Laboratory

      You can undergo a comprehensive examination of all major body systems

      • Preterm ventilator use
      • Preterm breast milk
      • When premature babies are sent home
      • Organization of a bed for a premature baby
      • Massage and gymnastics for premature babies
      • Vaccination of premature babies

      How should preterm care be organized in a perinatal center and at home?

      I heard that artificial respiration devices, to which premature babies are connected, lead to serious
      complications.

      Is it so?

      If a baby has breathing problems, then at birth, doctors provide him with the necessary resuscitation
      activities for newborns. And then artificial respiration is used only according to strict indications.
      Good effect gives non-invasive respiratory support. The baby is prescribed a surfactant drug, it is artificial
      analogue of the substance lining the surface of the alveoli. It covers them with a thin layer in the fetus only by the 35th
      week of pregnancy. The medicine protects the alveoli in a premature baby from sticking together, he breathes on his own or with the help of
      high-tech device, it, in fact, cannot be called an artificial respiration apparatus. Modern
      technology does not work for the child – he works, breathes independently and efficiently.

      Breastfeeding a premature baby.

      I read a lot about the benefits of mother’s milk. And I was surprised that the baby, born earlier
      term, were not allowed to breastfeed.

      Will my milk hurt him?

      If a baby is underweight and was born much prematurely, his gastrointestinal tract is not yet ready
      work – the baby’s body cannot accept and assimilate even mother’s milk. That’s why it’s necessary
      administer special protein preparations and special fats parenterally, that is, through a vein. And with such
      nutrition, an immature baby will be able to gain the desired weight and begin further development. After a certain time
      the child will be ready to receive the same nutrition as children born at term. And your milk will become
      the best medicine for him.

      Remember: at home you need to feed the child on demand. The most important thing for a premature baby is night
      feeding. The doctor will name the daily amount of food necessary for the growth and development of the crumbs. The daily value will not
      seem redundant if you feed the child a little, but often. You can’t overfeed your baby. If mom
      gives the baby his milk, the doctor will recommend adding protein component enhancers to it. Additives are put into a bottle
      with expressed breast milk or diluted in it and fed crumbs from a spoon.

      When are premature babies usually sent home?

      There is no general rule here because neonatologists are not looking at the number of weeks since
      the birth of a child, but on the state of the crumbs. If the baby can suck his mother’s milk on his own, added
      the right amount of grams, does not freeze in bed, does not require treatment and constant
      medical control, the baby can be sent home. Children are usually discharged who score at least 2
      kilograms.

      Grandmother reproaches me that I organized the sleeping place for the baby incorrectly. Says he’s in bed
      closely, which can cause respiratory arrest during sleep. But in the perinatal center we were recommended
      just such a device for a premature baby. How to convince grandma that I’m right?

      In the perinatal center, the child was lying in an incubator. This preterm incubator supported
      the desired air temperature and special humidity, which copied the conditions of the mother’s comfortable for the baby
      womb. Once at home with the baby, try to continue to follow this rule – “like a mother
      in the tummy.” Grandmother recalls the old Soviet rules – then doctors advised to buy for
      baby bed for growth, with a hard mattress. You can buy this one, but be sure to put it in
      special device for a tiny body: the baby will maintain the position in which he lay in the womb, and less
      will spend energy on heating the crib, which means it will save energy for growth and weight gain. Yes, and clothes
      for a premature baby – multi-layered – should save heat. Make sure that the hands and feet do not freeze.

      I wanted to give the baby a massage so that the baby would develop better. But the doctor didn’t allow it. Why?

      The ban is correct. Premature babies, especially those with low weight, may have retinal pathology. And any
      physical activity, even minor (swimming in the bath, gymnastics, massage sessions), will enhance
      blood flow, which will affect the condition of the vessels of the fundus. Wait until the days you were given
      estimated date of birth. Usually, by this time, the baby is gaining the desired weight. But it happens that the doctor
      postpones massage and gymnastics for a few more weeks, because the baby was sick, got complications.

      The doctor said my baby needs a respiratory syncytial virus (RSV) shot. But is
      Can premature babies be vaccinated?

      Passive immunization is not like the usual vaccination, the child is injected with ready-made antibodies against the virus. Nearly
      All children under 2 years of age are infected with respiratory syncytial virus. The clinical picture that causes
      infection, reminiscent of a common cold: high fever, runny nose, cough. But if the children
      born at term, cope with the disease, then in preterm infants, RSV often causes pneumonia and bronchiolitis. Immunization
      will allow the baby not to waste precious energy on the fight against the virus, and a severe form of the disease with respiratory
      failure will not occur. The protection is enough for a month, later you need a second immunization. November to March
      the child is supposed to enter 5 injections.

      And all prescribed vaccinations for premature babies are postponed until the moment determined by the pediatrician. And then
      vaccination is carried out on an individual basis.

      If you have any questions, you can ask them
      pediatrician or other specialists online at
      Doctis app.

      The author of the article: Olga Vasilievna Mironyuk

      Features of caring for a premature baby

      Every year around the world, approximately 15 million children are born prematurely, according to the World Health Organization (WHO). Premature births are considered to occur before the 37th week of pregnancy.

      They are divided into three groups according to the child’s body weight: 2. 5-1.5 kilograms – low body weight; 1.5-1 kilogram – very low body weight; less than 1 kilogram – extremely low body weight. Also, in connection with the transition to new criteria for live births (gestational age more than 22 weeks, birth weight more than 500 grams), early preterm birth is distinguished, for a period of less than 25 weeks. These babies require special care,

      Causes of preterm birth

      Most common causes of preterm birth:

      1. Primarily infection. Any inflammatory process makes the uterine wall inferior, so the pregnancy continues until the uterine wall can stretch, and then the body tries to get rid of the embryo.
      2. Isthmic-cervical insufficiency, that is, the inferiority of the muscular layer of the cervix, which holds the fetus inside.
      3. Endocrinopathy – mild violations of the function of the endocrine glands – the thyroid gland, adrenal glands, ovaries, pituitary gland (with gross violations, women, as a rule, cannot become pregnant on their own at all).
      4. Uterine distension caused by multiple pregnancy, polyhydramnios, large fetus.
      5. Acute infectious disease (flu, acute respiratory infections, tonsillitis, pyelonephritis, especially with fever, etc.)
      6. Toxicosis of varying severity, especially nephropathy.
      7. Improper or insufficient nutrition (deficiency of vitamins A, C, E).
      8. Chronic diseases (hypertension, diabetes mellitus, hormonal disorders, heart and kidney diseases).
      9. Heavy physical work, chronic stressful situation at work or at home, injuries during pregnancy.
      10. Use of alcohol, nicotine and drugs by the expectant mother.
      11. Risk factors also include the age of the future mother is less than 18 or more than 35 years.

      There are 4 degrees of prematurity:

      1. Baby weight 2000-2500g, height – 36-37 cm.
      2. Baby weight 1500-2000g, height 32-35 cm.
      3. Baby weight 1000-1500g, height 31-28 cm.
      4. Baby weight less than 1000g, height less than 28 cm.

      Nowadays, thanks to the purchase of the latest equipment and trained professionals, newborns weighing less than 1000g have a significant chance of survival. In order to leave the baby, it is necessary to apply maximum professional knowledge and strength on the part of qualified medical staff. Patience and faith on the part of the parents of the baby are also important, because he was not at all ready for the birth.

      Physiological features of a premature baby

      Premature babies need special care. Characteristic features are not only the structure of the baby’s body, but also the development of internal organs and systems, which directly depend on the degree of prematurity. The more the baby’s birth time differs from the normal term of birth, the more pronounced the immaturity of the child’s body:

      1. overheat and overcool.
      2. Disproportion of body parts is noted: a relatively large head and short limbs.
      3. Wrinkled skin, like that of a little old man, thin; palms and feet are smooth, without pattern.
      4. The whole body (including the face) is covered with vellus hair.
      5. Due to insufficient mineralization, the small and lateral fontanelles are open, the bones of the skull are soft, the auricles are pressed to the head and the nails are underdeveloped.
      6. With severe prematurity, the testicles in boys are not lowered into the scrotum, the labia are underdeveloped in girls.
      7. An incompletely developed nervous system in a child can cause seizures. With deep prematurity, cerebral palsy can develop. Reflexes (including sucking) are weak or absent. The movements of the limbs are chaotic. Often there is a trembling of the handle of the chin, a shudder.
      8. Due to the underdevelopment of the respiratory system, the lungs do not expand well, breathing is shallow, up to 50 breaths per minute, short-term respiratory arrests (apnea) are possible.
      9. On the part of the cardiovascular system, there may be an open foramen ovale and non-closure of the ductus arteriosus (which is manifested by heart murmurs), a weak pulse and a decrease in blood pressure.
      10. The immaturity of the digestive tract leads to a lack of digestive enzymes and difficulty in digesting food, regurgitation and bloating. The mucous membranes of the digestive organs are easily injured, the volume of the stomach is small; as a rule, dysbacteriosis is noted. Newborn jaundice lasts up to a month.

      Given these characteristics, premature babies require special care. For the first few days, the child is placed in a special incubator, or “incubator”: a plastic tent that maintains a constant temperature, humidity, oxygen content in the air and sterility. The length of stay in the incubator depends on the degree of prematurity.

      The first 6 weeks of life are especially dangerous, as there is a risk of developing the following complications:

      • cessation of breathing during sleep;
      • respiratory failure due to underdevelopment of the lungs;
      • anemia and subsequent cerebral hypoxia;
      • unformed immune system of an infant poses a threat of infectious diseases;
      • High levels of bilirubin in the blood during jaundice can be toxic to brain cells.

      In severe prematurity, the baby may be in the intensive care unit under the supervision of a monitor for several months. In case of violation of the swallowing and sucking reflexes, the baby is fed through a special probe with mother’s milk or intravenously.

      During this period of nursing a baby, mothers need to constantly express milk from the breast in order to maintain lactation, because breast milk with its unique composition contributes better to the growth and development of a premature baby than any mixture. In addition, the antibodies that come with mother’s milk will protect the baby from infections.

      The child is usually discharged home when he reaches a body weight of 2.5 kg and has good sucking and swallowing reflexes, the ability to maintain body temperature outside the incubator for 1-2 days and stable growth and development (constant weight gain).

      If a newborn is very preterm, a respiratory monitor may also be necessary at home in order to receive a signal that the child has stopped breathing and provide timely assistance. The mother and other adult family members should be familiar with the principles of operation of such an apparatus and learn how to provide first aid. You can take advice from your doctor on how to help and hang them in an accessible, conspicuous place.

      The care of parents and doctors about premature babies always leads to their speedy recovery. After a while, the fact that the babies were born earlier than planned no longer resembles anything, except for memories. And children grow, fully develop and delight their loved ones.

      Neonatal Resuscitation and Intensive Care Unit

      Home / Maternity Hospital / Our departments/

      Neonatal Intensive Care Unit is a structural subdivision of maternity hospital No. 10, consists of an intensive care unit and an intensive care unit and is designed for 20 beds.

      The main mission and goal of the specialists of the intensive care unit and intensive care is to save the life of the baby with the least negative consequences for his health. Children with various perinatal pathologies are admitted to the resuscitation and intensive care unit. Usually they require mechanical ventilation, parenteral nutrition, infusion therapy, correction and restoration of important body functions. Very premature babies with low body weight, who often have severe health disorders, are also transferred here. Parents are regularly provided with full information about the state of health of the newborn, about the characteristics of the disease and the tactics of its treatment.

      If your baby has been transferred to the intensive care unit, do not panic and despair. The department staff will teach you how to care for your baby, introduce you to new medical technologies, medical language, rules and procedures that are designed to help your child. Our specialists make every effort to ensure that parents get used to it as soon as possible and begin to understand the needs of their baby. This is very important, because the correct care of the child in these difficult first days depends on how quickly he will be able to adapt to new living conditions outside the mother’s body. Only after the baby’s health improves and does not cause concern, when he is ready for a full life under normal conditions, can we talk about discharge from the department.

      Resuscitation unit

      This includes babies who need extra attention and resuscitation.

      Children who have serious neurological problems, who cannot breathe on their own or who were born with very low birth weight, are treated here. The resuscitation unit has everything for intensive treatment of the child and constant monitoring of his condition: incubators, monitor monitoring and, of course, qualified personnel.

      Intensive care unit.

      Rehabilitation treatment here. Children are transferred here from the intensive care unit when adequate spontaneous breathing is restored, there is no need for continuous monitoring of vital functions, premature babies or babies with newborn jaundice.

      The resuscitation and intensive care unit is equipped with modern medical equipment that allows you to create comfortable conditions for babies: modern incubators protect from noise and bright light, conditions are created for severely premature babies that are as close as possible to those in utero. For children who cannot feed on their own, nutrient solutions are introduced through a special probe. Also, if necessary, drugs are used to regulate the heart rate, stimulate breathing, blood pressure, ultrasound. In the premises of the department, the level of humidity and air temperature is constantly monitored.

      Resuscitation and intensive care unit equipment:

      • Incubators to maintain optimal temperature and humidity for the child;
      • Open resuscitation systems for infusion, oxygen therapy with a heating system;
      • Non-invasive ventilation apparatus for spontaneously breathing patients;
      • ventilators for artificial lung ventilation;
      • Monitors for round-the-clock monitoring of vital body functions (pulse rate, respiration, blood oxygen saturation, hemoglobin, pressure).
      • Infusomats – devices for the dosed administration of medicines intravenously;
      • Airway sanitation apparatus;
      • Phototherapy lamps.

      All devices used are certified and connected to a stand-alone station, which guarantees their trouble-free operation.

      The medical staff of the resuscitation and intensive care unit is one of the most highly qualified. The team includes a medical unit, middle and junior medical personnel. The department is headed by the head, who is the chief of the doctors, and the senior nurse manages the sisters and junior staff.

      The junior staff consists of assistant nurses and nurses who keep the department clean. Their work is very responsible, since the sanitary and hygienic requirements for treatment units are close to those established in operating rooms.

      Nurses spend the most time with babies. They are around the clock with little patients, care for them, perform medical appointments, monitor the slightest changes in the condition of children, monitor readings, report on the dynamics of the condition of patients during medical rounds. Each sister is responsible for a certain number of newborns, and if the baby’s condition is very serious, then there is only one patient per sister (and at the same time she is constantly busy, since the instability of the condition dictates a constant change in treatment).

      Since the department’s nurses work in shifts, the parents of severely premature babies have time to get to know many of them. Without a doubt, the nurse is the central figure in the nursing of premature babies, his “mother” for the period of his stay in the department. Good sisters “feel” babies and have not only a kind heart, skillful hands, intuition, but are also extremely observant. They will always point out to the doctor about problems in the condition of the newborn, everyone feels good and calm with them – both patients and doctors.

      There are also nurses who provide fluid therapy and therapeutic nutrition for newborns. They monitor the condition of intravascular catheters and infusion systems, the condition of medical equipment, and are responsible for the sterilization of instruments.

      The main doctors of the department are anesthesiologists-resuscitators and neonatologists, there are fewer of them than nurses. Their task is to make a diagnosis, develop an intensive care program, monitor and adjust treatment.

      Every day the doctor conducts a general examination, listens to the child’s heartbeat and breathing patterns. The condition of patients is monitored by equipment and nurses, as well as during medical rounds, which are carried out day and night every 3 hours.

      At each round, the doctor evaluates the child’s condition: breathing stability, heart function, nutritional adequacy. The doctor of the department determines what tests are needed and with what frequency, what treatment is required. The doctor assesses the need and amount of medical support for cardiac activity, the advisability of prescribing antibiotics to protect against infections, develops a therapeutic nutrition program, and finally decides when the child can be disconnected from the ventilator and when he can be transferred from the intensive care unit to the intensive care unit.

      In addition, on-call doctors assist premature babies in the delivery room, transfer them to the department, conduct primary stabilization and treatment until the end of their shift, as well as monitor and treat patients in the evening, at night and on weekends. The duties of the doctors on duty also include registering the child in the intensive care and advisory bureau in order to transport the patient, if necessary, to other hospitals ( According to order No. examinations, children are transferred to specialized departments for newborns of city hospitals in a regulated time frame).

      All physicians of the department have undergone the necessary training and advanced training in providing resuscitation care to newborn children at the bases of the leading medical centers in Moscow and St. Petersburg.

      Interaction of parents with department staff

      According to the Law on Healthcare, the legal representatives of a newborn child are his parents (Article 18), to whom the attending physician provides information about the patient’s condition (Article 17). The most complete information is provided in a personal conversation at a specially allotted time (over the phone it is impossible to make sure that the patient’s mother or father is really on the other end). The attending doctor has the most complete picture of the diagnosis, changes in the condition, data of laboratory and instrumental studies of his patients, so it makes sense to ask him all the detailed questions. You can also inquire about the condition of the baby by phone.

      It is important for us that parents receive the most complete and accurate information, do not hesitate to ask even those questions that seem stupid, uncomfortable or inappropriate. We recommend that you write down questions as they arise, so that you can ask them later without forgetting anything.

      What to ask your doctor:

      • What is my child’s condition?
      • What is the severity of the condition?
      • How is the baby treated (what does the intensive care program consist of)?
      • What examinations are planned?
      • What is the probability of normal development and possible complications?
      • How do I get information about a change in condition and when can I visit my baby?
      • Is it possible to perform the sacrament (rite) of baptism?
      • How can I help my child get well?

      Often, intensive care physicians have to tell relatives things that no one would like to hear, but objectively informing parents about the health of their children is part of our daily work. During meetings with doctors, parents have the opportunity to see and communicate with their children.

      Maternity hospital No. 10 participates in the state program to support breastfeeding, and our specialists do their best to help maintain it. Regardless of the severity of the child’s condition, we welcome the communication of parents with the newborn, we consider it necessary for the baby and contribute to his speedy recovery. Visits are limited only during SARS and influenza epidemics in order to protect seriously ill newborns from infection, which can worsen their condition.

      Department of pathology of newborns and premature babies

      You are here: Home / Department of Pathology of Newborns and Premature Babies

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      Head of Department
      Arutyunyan Marietta Alexandrovna

      Department of Pathology of Newborns and Premature Babies of St. medical care in the field of neonatology.

      Children are admitted to the department of pathology of newborns and premature babies from maternity hospitals in St. Petersburg, as well as from the department of anesthesiology and resuscitation of St. Olga Children’s Hospital.

      The department is the third stage of nursing newborns and premature babies. It has high-tech equipment for diagnosing, nursing and treating very premature babies.

      The staff of the department is staffed by doctors – specialists: doctors – neonatologists, doctors – neurologists and doctors – pediatricians.

      Head of the Department of Pathology of Newborns and Premature Babies: Harutyunyan Marietta Aleksandrovna, neonatologist, doctor of the highest qualification category in neonatology.

      Head Nurse of the Department: Maria Vasilievna Strizhakova

      All children admitted to the department undergo the following examinations:

      • echocardiography,
      • laboratory tests,
      • Abdominal ultrasound
      • dopplerography of the heart,
      • audiological screening.

      To exclude the pathology of the organs of vision, all newborns and premature babies are examined by an ophthalmologist, premature babies are examined by an ophthalmologist using a retinal camera, in order to early identify the risk of developing retinopathy of prematurity

      In addition, there are consultations of doctors – specialists: a geneticist, a traumatologist – orthopedist, a cardiologist, a pediatric surgeon.

      The Department of Pathology of Newborns and Preterm Infants cooperates with the Department of Pediatrics with the neonatology course of the North-Western State Medical University named after I.I. Mechnikov” and with the department of neonatology and obstetrics – gynecology of the FP and FVE of the Federal State Budgetary Institution of Higher Professional Education “SPbGPMU” of the Ministry of Health of the Russian Federation.

      Mothers who care for children come to our department with a certain list of documents and tests:

      • chest x-ray (shelf life – 6 months)
      • stool culture for intestinal group
      • citizens of the Russian Federation – a passport of a citizen of the Russian Federation, if the mother is a citizen of another country, a passport of her country
      • CHI policy, if available.

      Time spent by mothers in the department from 9:00 to 19:30 every day, including Saturday and Sunday.

      Mothers are trained in the care and feeding of newborns, a rest room is organized for mothers, a meal room with 3 free meals a day, a hygiene room.

      Conversations with doctors of the department of pathology of newborns and premature babies are held every day (on weekends and holidays, conversations with the doctors on duty of the department) from 12.00 to 14.00.

      Arutyunyan Marietta Aleksandrovna

      We are happy to help little patients and provide them with round-the-clock neonatal care!

      Dear parents and legal representatives of children!

      Please note that the medical institution organizes the reception of parcels for patients undergoing treatment in the hospital.

      Reception of transmissions is carried out every day, regardless of holidays or weekends:

      Time of reception of transmissions: from 16. 00 to 18.00.

      The reception window is located near the right of the main entrance of the hospital.

      Each transfer must be signed:

      – Surname and Name of the patient

      – Name of the department and room number

      In addition, the list of transferred products must be indicated in the transferred transfer.

      We also ask you to pay special attention to the list of products below that are allowed to be transferred to patients who are being treated in a hospital, as well as the list of products that are prohibited to be transferred to patients who are being treated in a hospital.

      List of allowed products that can be handed over to hospitalized patients:

      1. Freshly washed fruits: apples, pears, bananas (no more than 1 kg.).
      2. Juices (apple, pear, cherry) of industrial production, indicating the date of manufacture and expiration date (volume not more than 0.5 l. – 2 pieces are allowed).
      3. Non-carbonated bottled mineral water (not more than 1 liter).
      4. Confectionery: biscuits, marshmallows, marshmallows, marmalade in industrial packaging, indicating the date of manufacture and expiration date (no more than 200 grams).
      5. Dry biscuits (biscuits, crackers), dryers, crackers, gingerbread, wafers in industrial packaging, indicating the date of manufacture and expiration date (not more than 500 g).

      List of products prohibited for transfer to patients undergoing treatment in a hospital:

      1. Homemade food products.
      2. Canned home and industrial products (fish, meat, vegetables).
      3. Dairy and sour-milk products.
      4. Chocolate, chips, carbonated drinks.
      5. Exotic fruits and berries.
      6. Meat and sausage products.
      7. Fish and fish products.
      8. Confectionery with cream (cakes, pastries).
      9. Food products of industrial preparation without indicating the date of production and expiration date.

      • Attention!

        Dear parents!
        Registration for the treatment of epilepsy and paroxysmal conditions of children is carried out by phone: 246-09-39 .

      • Dentistry

        Dear parents and legal representatives of children!
        We would like to draw your attention to changes in the registration for planned hospitalization for dental treatment under anesthesia!
        1. Appointments for primary hospitalization for dental treatment under anesthesia allowance are made on Mondays, from 10.00 to 12.00, by phone: +7(921)785-40-64.
        2. An appointment for re-hospitalization for dental follow-up treatment under anesthesia and re-registration of children (reason: illness of the child, family or other circumstances) for other dates of dental treatment under anesthesia is made on Thursday, from 11.00 to 14.00, to phone: +7(921)785-40-64.
        
        Unfortunately, at present, face-to-face appointment for planned hospitalization for dental treatment under anesthesia has been discontinued.
        

      • Coronavirus

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      • Attention!

        Procedure for providing medical products to children with cystic fibrosis with impaired respiratory function

      • Attention

        NATIONAL HEALTH PROJECT

      • The hospital will accept a donation of new toys for children treated in our hospital.