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Специалист наблюдает за ребёнком с рождения до нескольких недель: обычно до четырёх, если малыш здоров, или до нескольких месяцев, если выявлены патологии [5](https://atribeautemed.ru/services/neonatolog/). Если с ребёнком всё в порядке, с месячного возраста им уже занимается участковый врач-педиатр [2](https://www.snta.ru/press-center/neonatologi-kto-takie-i-chto-vkhodit-v-ikh-obyazannosti/).\n\n\n\n## Обязанности\n* **Осмотр новорождённого** сразу после рождения, оценка состояния по шкале Апгар [2](https://www.snta.ru/press-center/neonatologi-kto-takie-i-chto-vkhodit-v-ikh-obyazannosti/)[14](https://doct.ru/articles/vrach-dlya-novorozhdennyh.html). Учитываются цвет кожи, частота сердечных сокращений, реакция на внешние раздражители, напряжение мышц и дыхание [12](https://axion-med.ru/articles/chto-takoe-neonatologiya/). \n* **Составление плана оказания экстренной или плановой врачебной помощи** в зависимости от состояния малыша [2](https://www.snta.ru/press-center/neonatologi-kto-takie-i-chto-vkhodit-v-ikh-obyazannosti/). \n* **Организация исследований** и консультаций врачей смежных специальностей [2](https://www.snta.ru/press-center/neonatologi-kto-takie-i-chto-vkhodit-v-ikh-obyazannosti/). \n* **Наблюдение за грудным или искусственным вскармливанием** в первые дни [2](https://www.snta.ru/press-center/neonatologi-kto-takie-i-chto-vkhodit-v-ikh-obyazannosti/). \n* **Проведение сложных медицинских манипуляций**, если это необходимо: пункции спинного мозга, переливания крови [2](https://www.snta.ru/press-center/neonatologi-kto-takie-i-chto-vkhodit-v-ikh-obyazannosti/).\n\n## Заболевания\nНекоторые заболевания, которыми занимается неонатолог: \n* **Осложнения, связанные с преждевременным появлением ребёнка на свет** [12](https://axion-med.ru/articles/chto-takoe-neonatologiya/). \n* **Врождённые дефекты**, например, дисплазия тазобедренного сустава, рахит [12](https://axion-med.ru/articles/chto-takoe-neonatologiya/). \n* **Нарушения в системе кровообращения, мочевыделительной, нервной, дыхательной и пищеварительной систем** [12](https://axion-med.ru/articles/chto-takoe-neonatologiya/). \n* **Инфекции** у детей, которые развиваются в первые недели жизни [18](https://46cge.rospotrebnadzor.ru/informatsiya/4513/?print=Y). \n* **Недоношенность** — неонатолог помогает таким новорождённым догнать своих сверстников, появившихся на свет в установленные сроки [12](https://axion-med.ru/articles/chto-takoe-neonatologiya/).\n\n## Диагностика\nДля диагностики заболеваний неонатолог назначает лабораторные и инструментальные исследования [6](https://www.garant.ru/products/ipo/prime/doc/71813372/)[16](https://gpmu.org/userfiles/file/%D0%B4%D0%BE%D0%BA%D1%83%D0%BC%D0%B5%D0%BD%D1%82%D1%8B/%D0%9D%D0%9C%D0%9E/%D0%9A%D0%B0%D1%84%D0%B5%D0%B4%D1%80%D0%B0%20%D0%BD%D0%B5%D0%BE%D0%BD%D0%B0%D1%82%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D0%B8%20%D0%B8%20%D0%BD%D0%B5%D0%BE%D0%BD%D0%B0%D1%82%D0%B0%D0%BB%D1%8C%D0%BD%D0%BE%D0%B9%20%D1%80%D0%B5%D0%B0%D0%BD%D0%B8%D0%BC%D0%B0%D1%82%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D0%B8%20%D0%A4%D0%9F%20%D0%B8%20%D0%94%D0%9F%D0%9E/osobie_bolezni_nedon_detey.PDF). Например: \n* **Неонатальный скрининг** — массовое обследование новорождённых на наследственные заболевания (забор образцов крови) [13](https://raspm.ru/files/zdorovyi_stacionar.pdf)[15](https://diseases.medelement.com/disease/%D0%B7%D0%B4%D0%BE%D1%80%D0%BE%D0%B2%D1%8B%D0%B9-%D0%BD%D0%BE%D0%B2%D0%BE%D1%80%D0%BE%D0%B6%D0%B4%D0%B5%D0%BD%D0%BD%D1%8B%D0%B9-%D1%80%D0%BE%D0%B6%D0%B4%D0%B5%D0%BD%D0%BD%D1%8B%D0%B9-%D0%B2-%D1%83%D1%81%D0%BB%D0%BE%D0%B2%D0%B8%D1%8F%D1%85-%D1%81%D1%82%D0%B0%D1%86%D0%B8%D0%BE%D0%BD%D0%B0%D1%80%D0%B0-%D0%BA%D0%BF-%D1%80%D1%84-2025/18805). \n* **Аудиологический скрининг** — исследование слуха новорождённого с помощью регистрации вызванной отоакустической эмиссии [13](https://raspm.ru/files/zdorovyi_stacionar.pdf)[15](https://diseases.medelement.com/disease/%D0%B7%D0%B4%D0%BE%D1%80%D0%BE%D0%B2%D1%8B%D0%B9-%D0%BD%D0%BE%D0%B2%D0%BE%D1%80%D0%BE%D0%B6%D0%B4%D0%B5%D0%BD%D0%BD%D1%8B%D0%B9-%D1%80%D0%BE%D0%B6%D0%B4%D0%B5%D0%BD%D0%BD%D1%8B%D0%B9-%D0%B2-%D1%83%D1%81%D0%BB%D0%BE%D0%B2%D0%B8%D1%8F%D1%85-%D1%81%D1%82%D0%B0%D1%86%D0%B8%D0%BE%D0%BD%D0%B0%D1%80%D0%B0-%D0%BA%D0%BF-%D1%80%D1%84-2025/18805). \n* **УЗИ** сердца, органов брюшной полости, тазобедренных суставов — назначается при наличии показаний [14](https://doct.ru/articles/vrach-dlya-novorozhdennyh.html)[15](https://diseases.medelement.com/disease/%D0%B7%D0%B4%D0%BE%D1%80%D0%BE%D0%B2%D1%8B%D0%B9-%D0%BD%D0%BE%D0%B2%D0%BE%D1%80%D0%BE%D0%B6%D0%B4%D0%B5%D0%BD%D0%BD%D1%8B%D0%B9-%D1%80%D0%BE%D0%B6%D0%B4%D0%B5%D0%BD%D0%BD%D1%8B%D0%B9-%D0%B2-%D1%83%D1%81%D0%BB%D0%BE%D0%B2%D0%B8%D1%8F%D1%85-%D1%81%D1%82%D0%B0%D1%86%D0%B8%D0%BE%D0%BD%D0%B0%D1%80%D0%B0-%D0%BA%D0%BF-%D1%80%D1%84-2025/18805).\n\n## Профилактика\nНеонатолог также назначает меры профилактики, например: \n* **Мониторинг жизненных показателей** — контроль частоты дыхания, сердечных сокращений и температуры тела [17](https://medcub.ru/blog/pomogaem-razobratsya/ukhod-za-rebenkom-v-neonatalnyy-period-osobennosti-riski-i-oslozhneniya-neobkhodimoe-oborudovanie/). \n* **Профилактика инфекционных заболеваний** — поддержание оптимального микроклимата в помещении, обработка пустышек и бутылочек [17](https://medcub.ru/blog/pomogaem-razobratsya/ukhod-za-rebenkom-v-neonatalnyy-period-osobennosti-riski-i-oslozhneniya-neobkhodimoe-oborudovanie/). \n* **Вакцинопрофилактика** — защита от тяжёлых инфекций, например, гепатита В и туберкулёза (вакцина БЦЖ) [18](https://46cge.rospotrebnadzor.ru/informatsiya/4513/?print=Y)[20](https://neonatology-nmo.ru/ru/jarticles_neonat/692.html?SSr=170134d94620ffffffff27c__07e8070a141115-778).","linksData":[{"sourceId":1,"url":"https://www.Huggies.ru/library/uhod-za-mladentsem/zdorovie-malysha/kto-takoy-neonatolog","shownUrl":"https://www.Huggies.ru/library/uhod-za-mladentsem/zdorovie-malysha/kto-takoy-neonatolog","title":"Неонатолог: кто это и что лечит | статьи от Huggies","shortUrl":"Huggies.ru","isTranslated":false,"description":"","greenUrl":"Huggies.ru"},{"sourceId":2,"url":"https://www.snta.ru/press-center/neonatologi-kto-takie-i-chto-vkhodit-v-ikh-obyazannosti/","shownUrl":"https://www.snta.ru/press-center/neonatologi-kto-takie-i-chto-vkhodit-v-ikh-obyazannosti/","title":"Врач неонатолог: кто это и что лечит?","shortUrl":"snta.ru","isTranslated":false,"description":"","greenUrl":"snta.ru"},{"sourceId":3,"url":"https://medsi.ru/articles/neonatolog-kto-eto-i-chto-lechit/","shownUrl":"https://medsi.ru/articles/neonatolog-kto-eto-i-chto-lechit/","title":"Неонатолог – кто это и что лечит? 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