Wednesday, 02 August 2017

The First 1,000 Days of Life

The first 1,000 days of life is a prominent phase to build the foundation for the optimum neurological health, growth, and development for every individual. The first 1,000 days of life consists of 270 days of fetal period and 730 days or 2 years after birth.

Why is it important?

The first 1,000 days of life begins when a child is in fetal period (270 days) until the child is 2 years old (730 days). During this period, the fulfillment of nutrients and health status examination must be conducted to determine the child' s future growth and development.

What' s the impact of malnutrition during the first 1,000 days of life?

  1. The risk of non-transmittable/chronic disease such as type 2 diabetes or coronary disease.
  2. Cognitive development impairment, causing the child to become less intelligent and competitive.
  3. Height growth impairment, leading to the risk of stunting.

Examinations to be conducted once the child turns 1 and 2 years old

  1. Physical examination and anthropometric measurement (weight, height, and head circumference).
  2. Laboratory examination of First 1,000 Days of Life Panel.

First 1,000 Days of Life Panel Purpose

Health status examination of the First 1,000 Days of Life should begin during pregnancy to reveal the mother and her fetus condition. After birth, the examination will be performed to the child when they are less than a year old or equal to 2 years old to discover their health status. It is conducted to ensure they reach the optimum growth and development.

First 1,000 Days of Life Check-Up Panel

First 1,000 Days of Life Panel is divided into 3 phases namely:

Phase 1: Neonatal Screening Test Panel (Age 48-72 hours)

  • Neonatal TSH
  • Neonatal G6PD

Phase 2: 1-12 Months Panel

  • Complete Hematology
  • Reticulocyte
  • Peripheral Blood Description

Phase 3: > 1-2 Years Panel

  • Complete Hematology
  • Peripheral Blood Description
  • Ferritin
  • Total Vitamin D 25-OH
  • Zinc

Addition

  • FT4
  • TSHs

The Benefits of First 1,000 Days Check-Up Panel

- Neonatal TSH: This examination aims at detecting congenital hypothyroidism on a newborn baby.

- Neonatal G6PD This examination aims at detecting G6PD deficiency, which may lead to hemolytic anemia and jaundice on baby.

- FT4 dan TSHs: This examination aims at figuring out the child' s thyroid function. The examination is conducted when the baby didn' t have the neonatal screening test.

- Complete Hematology: This examination aims at detecting conditions such as anemia, infection, and other blood disorders.

- Reticulocyte: This examination aims at detecting anemia.

- Peripheral Blood Description: This examination helps diagnose blood cells disorder.

- Ferritin: This examination aims at detecting iron deficiency anemia by measuring the iron store within the body.

- Total Vitamin D 25-OH: This examination aims at detecting vitamin D deficiency, which is closely related to the increasing risk of autoimmune disease, inflammation, and diabetes.

- Zinc: This examination measures the Zinc level, an important micronutrient for growth and development.

The first 1,000 days of a child life is a window to see the child' s future optimum growth and development.

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