U9 investigation: time, process and meaning

This text corresponds to the specifications of the medical literature, medical guidelines and current studies and has been checked by medical professionals.

The U9-examination takes place as a precaution before the child starts school. At this point the child is about five years old (60th to 64th month of life). The cost of the examination will be reimbursed by the health insurance. Read everything here about the U9 examination, its procedure and what happens if the pediatrician finds an abnormality.

What is the U9 exam?

The U9 examination is the tenth check-up for children and takes place between the 60th and 64th month of life. It is a particularly thorough assessment of the development and the health Of your child. The doctor also assesses whether the child has reached school level.

What is done on the U9?

The U-examination at 5 years is the tenth and most extensive of the preventive examinations for children. In addition to the usual assessment of organ functions and general health, the doctor performs a hearing and vision test and also examines the urine.

The child’s linguistic development is also important: the doctor checks the pronunciation of various vowels and consonants (for example S and Sch sounds) and the comprehension of speech. He also examines posture, foot position and gait as well as fine motor skills, for example when painting.

In order to be able to assess school readiness, the doctor checks whether the child has developed socially and mentally according to age. During the U9 check-up, the doctor also clarifies the parents about sources of danger in everyday life, for example in traffic, in the swimming pool or during sports.

At the age of five to six years, the pediatrician recommends a booster vaccination against tetanus (tetanus), diphtheria and whooping cough. He can do this immediately as part of the U9 examination.

What is the significance of the U9 investigation?

If the doctor ascertains a disability or delayed development in the child during the U9 examination or during previous preventive medical examinations, he discusses with the parents what type of support is necessary and whether attending a regular school possible is. If not, other options such as integration schools and special schools are available. Is the child with the U9-examination only a little delayed in its development, the doctor can also support a deferral from school, so that the child only in the following year goes to primary school.


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Christina Cherry
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