Immediately after the birth, present in the delivery room is the
neonatologist. He is a pediatrician, a specialist in
newborns, who picks up the unborn child and visits him.
What are you going to see? What kind of visit do you do? Evaluate i
following parameters: heart rate, tone
muscle, respiratory activity, reflexes, complexion
of the skin. Each of these parameters is given a
score from 0 to 2. This evaluation is made to the first
and in the fifth minute, after birth, and if held
necessary, repeated every five minutes. Therefore such
score that can go from 0 to 10, configure the
so-called “Apgar Index”.
An Apgar index between 7 and 10 identifies a
healthy, vital, healthy newborn.
After this first check, the exams
they continue. In fact, between 48 and 72 hours from birth, the
newborn undergoes newborn screening,
provided for in Italy by law since 1992. With such a test, that
consists of a blood sample, which in this case
it is taken from the heel, to identify pathologies
metabolic which, if treated immediately, avoid im-
bearing. Initially we went to look for the
phenylketonuria, congentive hypothyroidism, fibrosis
cystic. Today, thanks to a laboratory technique
called Tandem Mass Spectrometry, you do one
extensive screening which detects the presence of about fifty
metabolic errors which could lead to abnormalities
serious problems of the physical and mental development of the unborn child.