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About the companion website
Do not forget to visit the companion website for this book:
www.wiley.com/go/lomax/newborn
The above companion website contains information on all aspects:
Examining the newborn
Including safeguarding
Early warning systems
Tongue tie
Interactive multiple choice questions
Scan this QR code to visit the companion website:
CHAPTER 1 HISTORY TAKING AND THE NEWBORN EXAMINATION : AN EVOLVING PERSPECTIVE
Claire Evans
Warrington and Halton Hospitals NHS Foundation Trust, Warrington, Cheshire, UK
KEY POINTS
The principal aim of history taking is to screen for predictive risk indicators that may predispose the newborn to an adverse postnatal transition or presence of an abnormality that requires an appropriate and timely referral for further diagnostics.
The newborn examination history‐taking process should be mapped to the Public Health England (PHE) Antenatal and Newborn Screening Programme and be used as a benchmark for screening and assessment of risk factors in the neonatal period and beyond.
Identification of risk factors within the newborn examination can isolate and target health promotion issues.
Introduction
A comprehensive history taking is implicit to all health care disciplines to aid the diagnostic consultation process and to inform the optimal course of management. The skill of history taking has changed over the decades and has adopted a wider context as a predictive diagnostic tool. To facilitate a more holistic approach to the examination of the newborn, a thorough evaluation of the maternal and newborn history is essential. Short‐term outcomes, long‐term morbidities or even mortality can be influenced by the quality of the history taking in terms of the predictive risk for some adverse clinical conditions.
This chapter outlines the context of the history profile from the maternal, perinatal and familial perspective. It also addresses history taking as a skill as well as the potential barriers that may reduce the effectiveness of the process. The aim of this chapter is not only to address common risk factors but to embrace the wider context of history taking from a psychosocial and safeguarding perspective (see also the website that accompanies this book for more information on safeguarding and the newborn examination). The focus on history taking must be meaningful, achievable and valuable to the newborn examination practitioner. History taking remains the principal standard underpinning