[The Dutch College of General Practitioners' practice guidelines, "Examination of the neonate": response from the perspective of general practice medicine].
With the publication of the Dutch College of General Practitioners' practice guideline 'Examination of the neonate', a discussion which has lasted several decades has been brought to an end. Up to now a second neonatal examination by the general practitioner on the third, fourth or fifth day after a midwife-assisted birth was recommended. The arguments in support of this recommendation were based on the following: (a) the limited expertise of midwives in the past, (b) the experience that general practitioners had in examining children, although this experience was not specifically related to the defects for which neonates should be checked, and (c) the government bodies' wish to restrict the number of hospital deliveries by giving greater structure to the organisation of midwife care, which in practice, did not lead to large changes. Based on three studies, the practice guideline recommends that a second examination is of no added value.
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Leids Universitair Medisch Centrum, afd. Huisartsgeneeskunde en Verpleeghuisgeneeskunde, Postbus 2088, 2301 CB Leiden.
D002983:Clinical Competence; D005194:Family Practice; D006801:Humans; D007231:Infant, Newborn; D008880:Midwifery; D015997:Neonatal Screening / Q000592:standards*; D009426:Netherlands; D010808:Physical Examination; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'