In the Kolan Hospital Group Child Health and Diseases Department, 24-hour child
health service is provided to all patients from newborn to adult age group.
In the Department of Child Health and Diseases, the necessary examinations, laboratory and
radiological examinations are carried out by making use of all the
opportunities and innovations offered by science and technology.
In our department, children’s growth and development follow-up, Ministry of Health routine
vaccinations and all special vaccines are applied in accordance with the
calendar. Childhood nutrition services are provided while childhood
diseases and all infectious diseases are diagnosed and treated.
Routine Child Control for 0-16 Years Old
A child should be monitored at regular intervals, starting from the period in the mother’s womb to the end of the adolescence period when it completes its development.
Systemic examination of the child is made at every examination, growth and development and
vaccinations are evaluated. Hearing, vision and dental problems are
investigated. Behavior problems are discussed by talking to the family and
observing the child.
The most important aim is to protect and support health, to prevent preventable diseases and to recognize and treat diseases early.
How Often Should Children Follow-up?
It should not be forgotten that there may be differences in the follow-up of each child. The
pediatrician welcomes the newborn baby at the moment of
birth. Examination, screening tests are performed during the stay in the
hospital, and nutrition training is also started.
Discharged newborns should be checked again in the first week and then on the 15th
day. Monthly follow-up of the baby is recommended until the age of one.
After the age of one, follow-up continues with three-month intervals at the latest. It is
important to be brought to the pediatrician’s routine check-up every six months
until the preschool period and at least once a year thereafter.
Preschool period includes children between the ages of 5 – 6, which is also
called middle childhood. With the health checks to be made during this
period, it is aimed to prevent the health problems and learning difficulties
that the child may encounter during his school years.
For the child to be ready for school and to have a successful school life, the child’s
chronological age, as well as physical, social and mental health, including
sight and hearing, should be appropriate.
Ministry of Health and Administration of Special Vaccines
Vaccines are very effective methods of preventing infectious diseases. In our department, in
addition to all vaccines administered by the Ministry of Health, ‘special’
vaccines, which are not currently included in this list, are also recommended
Breast Milk and Breastfeeding
Breast milk is the most natural and healthiest nutrient for the baby. The milk of every
living thing has a composition suitable for the needs of its own child.
Unless there is a medical problem, babies should be fed exclusively breast milk for the first 6
months, without any supplementary food, including water.
The World Health Organization recommends breastfeeding for at least one year.
Benefits of Breast Milk:
For Successful Breastfeeding;
In an effective breastfeeding;
Expressing Breast Milk:
Storage of breast milk:
Visual Screening in Children
Newborns and all children attending routine health examination should be evaluated in terms of eye and vision problems with anamnesis, age-appropriate physical examination
All children should be examined by an ophthalmologist before starting school, around the age of 3, for conditions that may cause lazy eye, strabismus or visual acuity.
Hearing Screening in Children
Today, with the increase in preventive medicine practices, hearing tests in the neonatal period
are becoming more common.
When hearing loss is moderate or severe, it causes speech and language problems in the child, and school and behavioral problems, even if it is mild. It is important to
detect hearing loss with neonatal screenings and to evaluate the hearing in
each child’s examination in order to prevent or reduce negative consequences.
Ideally, congenital hearing loss should be diagnosed in the first 3 months and treatment started in the first 6 months.
Risk factors for hearing loss:
In some cases, hearing loss is more likely. These situations to be careful about are
In the first 1 month:
In 1–24 months:
However, it is reported that only 50% of children with significant hearing loss can be
detected by screening hearing only in the high-risk group.
Therefore, OAE hearing test should be performed on every newborn baby.
Newborn Screening Tests
When is the test done?
To avoid false negative results, blood should be drawn at least 24 hours after the baby starts
eating protein foods. Generally, it is preferred to take blood at 48-72
hours, this period should not exceed 7 days. If blood had to be drawn in
the first 24 hours, a repeat test should be recommended in the 1st-2nd week.
The test should be taken on the 7th day regardless of the treatment in premature babies.
It is recommended to repeat the tests after a while in babies who take antibiotics, corticosteroids, dopamine and have iodine contamination.
How are the test results found?
If the results of the metabolic disease screening in the newborn are normal,
usually there is no return to the family. If there is any doubt as to the
result of the test, the family is called again and information is given about
further tests and the necessary tests are applied to confirm the diagnosis.
Inpatient Follow-up and Treatment
Care is taken that inpatient children are not separated from their parents. The services and
rooms where children are treated have been arranged with all security measures
in the foreground. For all kinds of interventions, the patient’s family is
informed and approval is obtained. All consultations required for
treatment can be provided.