This guide has been developed jointly by the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists, and is designed for use by all personnel involved in the care of pregnant women, their foetuses, and their neonates.
Neonatology at a Glance provides a concise, illustrated overview of neonatal medicine. Written by leading international experts, it provides essential information on perinatal medicine, delivery, the normal newborn infant and neonatal problems encountered in neonatal intensive care units and their management. Each topic is supported by excellent illustrations, diagrams, and, for the first time, video clips to show neonatal resuscitation and stabilizing the sick newborn, normal examination, the baby with hypoxic-ischemic encephalopathy, recognition of seizures and practical procedures. Neonatology at a Glance: • Provides up to date coverage of the important conditions you will encounter • Covers challenging topics including pain, ethical issues, quality improvement, evidence based medicine and palliative care • Features new sections on fetal medicine, respiratory support, therapeutic hypothermia, amplified EEG and perinatal neuroimaging • Integrates invaluable details about practical procedures including neonatal resuscitation and transport • Supplemented by video materials and artwork which can be viewed via the companion website at www.ataglanceseries.com/neonatology Neonatology at a Glance is the perfect guide for all health professionals looking after newborn infants, including pediatric trainees, medical students, neonatal nurse practitioners and neonatal nurses, therapists and midwives. For neonatologists, pediatricians and nurse tutors it is a valuable resource to assist with teaching.
This is a large, all-inclusive reference volume of 67 chapters documenting the very latest experimental and clinical advances in perinatal medicine by world-class experts in the field. It covers fetal anomalies, intrauterine growth and parturition, maternal and infant nutrition, the very low birthweight infant, ultrasound for fetal and neonatal assessment, environmental influences on the embryo and fetus, maternal disease and pregnancy outcome, pre- and perinatal diagnosis and management of inherited metabolic diseases, protection of the fetal/infant brain, investigation and treatment and outcome for fetal abnormalities, perinatal nursing care and perinatal transport, perinatal medicine and professional education in Europe, perinatal cardiorespiratory support, ethics and audit and medicolegal aspects of perinatal practice in Europe, prevention of preterm deliveries, fetal and in-fant learning and behavior, biotechnology and perinatal research, surfactant replacement therapy, and matters of special controversy. Includes bibliographic references and index.
The state of health care is reflected by perinatal and neonatal morbidity and mortality as well as by the frequencies of long-term neurological and developmental disorders. Many factors, some without immediately recognizable significance to childbearing and many still unknown, undoubtedly contribute beneficially or adversely to the outcome of pregnancy. Knowledge concerning the impact of such factors on the fetus and surviving infant is critical. Confounding analyses of pregnancy outcome, especially these past 2 or 3 decades, are the effects of newly undertaken invasive or inactive therapeutic approaches coupled with the advent of high technology. Many innovations have been introduced without serious efforts to evaluate their impact prospectively and objectively. The consequences of therapeutic misadventures character ized the past; it seems they have been replaced to a degree by some of the complications of applied technology. Examples abound: after overuse of oxygen was recognized to cause retrolental fibroplasia, its restriction led to an increase in both neonatal death rates and neurologic damage in surviving infants. Administration of vitamin K to prevent neonatal hemorrhagic disease, particularly when given in what we now know as excessive dosage, occasionally resulted in kernicterus. Prophy lactic sulfonamide use had a similar end result. More recent is the observation of bronchopulmonary dysplasia as a complication of re spirator therapy for hyaline membrane disease. The decade of the eighties opened with the all-time highest rate of cesarean section in the United States.
Pregnancy, childbirth and being a newborn are not diseases - they are special periods in human life when the risk of death or disability can be very high. Recognizing this, the last decade has brought enormous progress in science and technology into improving maternal and newborn health, such as the treatment of genetic diseases, intra-uterine surgery, and improved knowledge about the human genome. Despite this, perinatal disease and disability worldwide still remains very high. The most authoritative work on perinatal medicine currently available, Textbook of Perinatal Medicine, Second Edition builds on the huge success of its predecessor to provide a comprehensive two-volume text without parallel in terms of size and authority.
The state of health care is reflected by perinatal and neonatal morbidity and mortality as well as by the frequencies of long-term neurologic and developmental disorders. Many factors, some without immediately rec ognizable significance to childbearing and many still unknown, undoubt edly contribute beneficially or adversely to the outcome of pregnancy. Knowledge concerning the impact of such factors on the fetus and sur viving infant is critical. Confounding analyses of pregnancy outcome, especially these past two or three decades, are the effects of newly un dertaken invasive or inactive therapeutic approaches coupled with the advent of high technology. Many innovations have been introduced with out serious efforts to evaluate their impact prospectively and objectively. The consequences of therapeutic misadventures characterized the past; it seems they have been replaced to a degree by some of the complications of applied technology. Examples abound: after overuse of oxygen was recognized to cause retrolental fibroplasia, its restriction led to an in crease in both neonatal death rates and neurologic damage in surviving infants. Administration of vitamin K to prevent neonatal hemorrhagic disease, particularly when given in what we now know as excessive dos age, occasionally resulted in kernicterus. Prophylactic sulfonamide use had a similar end result. More recent is the observation of bronchopul monary dysplasia as a complication of respirator therapy for hyaline membrane disease.
The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
Perinatal cardiology is an important developing field as high quality ultrasound is used on a growing number of pregnant women, and diagnosis prior to birth will become a more common occurrence. In addition, highly sensitive noninvasive diagnostic tools, advances in neonatal care and anesthesia, evolution of transcatheter interventional procedures and performance of complicated surgical procedures in the neonate and young infant have advanced to such an extent that almost all congenital cardiac defects can be diagnosed and “corrected.” Illustrated with over 500 figures, this book by leaders in the fields of pediatric cardiology, neonatology, pediatric cardiovascular surgery and interventional pediatric cardiology focuses on congenital heart defect issues during the perinatal period: prenatal (before birth) and neonatal (first month after birth). This book discusses the three major areas of perinatal cardiology: Provides an overview of advances in perinatology, neonatology, cardiology and cardiac surgery in making early diagnosis and offering treatment options for patients with CHD.The concept of the multidisciplinary approach to managing infants with congenital cardiac lesion.Evidence-based therapeutic approaches to successfully treat the fetus and the newborn with congenital cardiac lesions. Audience: Pediatric cardiologists, cardiologists, neonatologists, maternal-fetal specialists, pediatric intensivists, cardiovascular surgeons, and house-staff in pediatric cardiology and neonatal and pediatric intensive care units. Dr. Rao's vision of the direction of pediatric cardiology has led to his acceptance that a great part of serious congenital heart disease is now managed in the perinatal period… This book is written not only for the pediatric cardiologist but for all those specialists and subspecialists who participate in a programmatic approach to the child with congenital heart disease, from the embryologist to the pediatrician or family practitioner to the hands of caregivers in the tertiary care setting. - From the Foreword by William B. Strong, MD
The subspecialty of Obstetric Medicine sits in a unique intersection of the disciplines of Internal Medicine and Obstetrics. Its focus is in the skilled management of medical problems in pregnancy: from pre-pregnancy optimization to the management of acute and chronic conditions in pregnancy, and in the postpartum period to ensure resolution and safe transition back to the primary care provider. This book will provide novel insights into the management of pregnant women. Clinical pearls will be emphasized, such as illustrating atypical aspects of a presenting symptom/finding, and when a subspecialty referral (or transfer to a high risk centre) must occur for patient safety. This book will combine basic science principles, build on existing guidelines, and provide crucial tips on how to safely manage acute and chronic medical conditions in pregnancy. It is THE book for sub-specialists in Obstetric Medicine.