Community-based primary care physicians are routinely challenged as they stabilize, evaluate, and care for term and late-preterm neonates. Although there have been many spectacular advances in care of neonates, the challenges and successes of caring for the most preterm, very low birth-weight newborns seem to dominate presentations and the Pediatric literature. This issue concentrates on the current evidence and the collected experience of neonatologists regarding the basics of caring for the vast majority of newborns. The newest recommendations of multiple organizations (including the AAP) are presented, including the rationale for each recommendation as well as controversial issues. The individual articles will provide the primary care provider with a comprehensive foundation for care of the neonate.

In this issue of Clinics in Perinatology, guest editors Drs. Sangam Kanekar and Sarah Sarvis Milla bring their considerable expertise to the topic of Advances in Imaging of the Fetus and Newborn. Top experts in the field provide important imaging updates to perinatologists and neonatologists who provide care to fetal, preterm, and newborn infants, helping them optimize outcomes and support families as they make decisions about clinical care, treatment, and postnatal care of affected babies. Contains 14 practice-oriented topics including fetal MRI neuroradiology: indications, safety, and normal anatomy; neuroimaging of the premature infant; imaging of abusive head trauma in infancy; intrauterine and perinatal infections; and more. Provides in-depth clinical reviews on advances in imaging of the fetus and newborn, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Clinics in Perinatology, guest editors Akhil Maheshwari and Jonathan R. Swanson bring their considerable expertise to the topic of Neonatal and Perinatal Nutrition. Top experts in the field cover key topics such as nutritional assessment, genomics and nutrient needs, lipids and fatty acids, glucose homeostasis, and more. Contains 16 relevant, practice-oriented topics including maternal nutrition and fetal/infant development; infant nutrition in the developing world; short bowel syndrome and motility; malabsorption syndromes and food intolerance; and more. Provides in-depth clinical reviews on neonatal and perinatal nutrition, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

A Davis's Notes Title Perfect wherever you are...in class, in clinical, and in any practice setting! This handy guide delivers quick access to the essential clinical information you need to care for obstetric, gynecological, newborn, and pediatric patients in any setting. The 4th Edition of this popular pocket guide has been thoroughly revised and updated to reflect nursing practice today. New, Updated & Revised! Thoroughly updated and revised throughout to reflect the art and science of nursing today, including the latest guidelines, warning signs, and patient care for common procedures during pregnancy, labor, and delivery. New! Coverage of families dealing with newborn anomaly, birth injury, or fetal demise, the high-risk or ill newborn, and nursing care of children and families dealing with end-of-life issues. New! Content on assessment and nursing care of the opioid-addicted mother/newborn and nursing care of the child with cerebral palsy. New! Content on pediatric blood pressure assessment and charts. Updated & Revised! The most current guidelines, including ACOG Pap Smear, CDC Immunization in Pregnancy, ACOG and ACS Mammography, and ACOG and ACS Breast Self-Exam and Breast Self-Awareness. Updated & Revised! Information on birth control and emergency contraception choices, pain control in labor, breastfeeding, safety teaching tips, and cultural competence guidance. Updated! AWHONN practice guidelines for postpartum hemorrhage and ACOG guidelines for vaginal birth after cesarean section guide. Updated & Revised! Terminology and definitions.

Neonatal monitoring refers to the monitoring of vital physiological parameters of premature infants and full-term infants that are critically ill. In the last decades, several important treatment modalities emerged that had a substantial impact on the mortality of prematurely born infants. However, there is a concomitant increase of neurobehavioral problems on long-term follow-up. Neonatal Monitoring Technologies: Design for Integrated Solutions presents a unique integration of knowledge from multidisciplinary fields of engineering, industrial design, and medical science for the healthcare of a specific user group. This comprehensive collection will support audiences ranging from clinical and medical professionals, academic researchers and students, technical professionals and managers, and policymakers of different sectors.

Maternal-Fetal and Neonatal Endocrinology: Physiology, Pathophysiology, and Clinical Management systematically examines the normal and abnormal endocrinology of the pregnant and lactating female and of the fetus and neonate. This reference volume expands coverage of specific disorders and diseases beyond the current endocrinology content on the market, which in most cases has a paragraph or no mention at all about pregnancy or aspects of fetal/neonatal development.

With collaboration of Consulting Editor, Dr. Lucky Jain, Drs. Adams Chapman and DeMauro have put together a state-of-the art issue devoted to long-term outcomes for the NICU graduate. Top authors in the field provide clinical reviews in the following areas: Neurodevelopmental Outcomes in Early Childhood; Neurodevelopmental Outcomes at School Age and Adult Outcomes; Behavioral Sequela of Prematurity; Changing Prevalence of Cerebral Palsy in Extremely Preterm Infants; Medical Morbidity and its Impact on Neurodevelopmental Outcome; NEC and Neurodevelopmental Outcomes; Biological and Social Influences Over Time/Chronic lung disease and neurodevelopmental outcomes; Intracranial hemorrhage and neurodevelopmental outcomes; Public health implications of extremely preterm birth: What are we measuring; Looking beyond neurodevelopmental impairment; Long-Term Functioning and Participation Across the Life Course for NICU Graduates; Early diagnosis of treatment of CP; Psychiatric Sequelae of Prematurity and Prevention of prematurity. Readers will come away with the information they need to imporove outcomes for the NICU infant.

Along with Consulting Editor, Dr. Lucky Jain, Dr. Goudy has created a current issue that looks at ENT issues with newborns. Expert authors from top institutions have submitted clinical reviews on the following topics: Airway anomalies; Fetal evaluation and airway management; Hearing loss and failed NBHS; Aspiration and dysphagia in the new born; Cleft lip and palate; Microtia and facial anomalies; Cranial synostosis; Pierre Robin sequence; Vascular malformations; Choanal atresia and other nasal masses; Congenital neck masses; Subglottic stenosis; Tracheostomy in the newborn; and Stridor. Readers will come away with the information they need to make informed clinical decisions to improve patient outcomes.

Experts in the field of minimally invasive surgery have come together to provide the most up-to-date clinical review of the topic. The Guest Editors have created an issue with comprehensive coverage of relevant topics in the field, with articles devoted to the following: Fetal Surgery; Robotics; NOTES; Minimally Invasive PDA Ligation; CDH/Eventration Esophageal Atresia/TEF; Thoracic lesions: Congenital Lung Lesions; Hepato-Biliary surgery Fundoplication/g-tube; Hernia; Hirschsprung's Disease; Imperforate Anus; and Minimally Invasive Urology. Readers will come away with the clinical infomration they need to help inform them as they utilize the most current technologies and minimally invasive techniques in the neonatal patient.

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Clinical Judgment challenges students with complex questions that align with the cognitive areas of the NCSBN’s Clinical Judgment Measurement Model, requiring careful analysis, synthesis of the data, and critical thinking Quizzing provides thousands of NCLEX®-style questions (including alternate format questions) and detailed rationales to test students’ knowledge and promote in-depth understanding Personalized Learning Plans and dashboards track students’ progress across their assignments and highlight where they need to focus their study time Actionable analytics allow instructors to track comprehension and participation, monitor performance, and identify areas for remediation Personalized Teaching Plans provide instructors with engaging lesson plans and activities that can be leveraged in both virtual and in-person classroom settings Integrated ebook allows students to reference the textbook anytime, anywhere Davis Advantage for Maternal-Child Nursing Care combines an innovative text with an immersive online program that make this challenging but must-know content easier to master by making learning personal. Together, they create a seamless experience that tracks each student’s progress and assesses their knowledge until they have mastered the concepts and are ready to apply them in class, clinical, and practice. An access code inside new, printed textbooks unlocks an ebook, as well as access to Davis Advantage. Or choose the all-digital Instant Access option, which includes the ebook and immediate access to Davis Advantage. TEXTBOOK Streamlined, redesigned, and revised by a new author team, the 3rd Edition of this AJN Book-of-the-Year Award winner offers the perfect balance of maternal and child nursing care with the right depth and breadth of coverage for students in today’s maternity/pediatric courses. And, it’s accompanied by six online bonus chapters covering the role of the nurse in promoting women’s health. A unique emphasis on optimizing outcomes, evidence-based practice, and research supports the goal of caring for women, families, and children, not only in traditional hospital settings, but also wherever they live, work, study, or play. Clear, concise, and easy to follow, the content is organized around four major themes, holistic care, critical thinking, validating practice, and tools for care that help students to learn and apply the material. ONLINE (DAVIS ADVANTAGE) Using a unique and proven approach across a Learn-Apply-Assess continuum, Davis Advantage engages students and helps them make the connections to key topics. Whether teaching in-person or online, this complete, integrated solution aligns seamlessly with the textbook and equips instructors with actionable analytics to track students’ progress, remediate where needed, and facilitate an active learning environment. LEARN—Personalized Learning The foundation of the Davis Advantage platform, Personalized Learning, immerses students in an online learning experience tailored to their needs. Students are assessed on their comprehension of key topics from the text, and then are guided through animated mini-lecture videos and dynamic activities to reinforce learning and bring concepts to life. APPLY—Clinical Judgment Clinical Judgment develops students’ critical thinking and clinical reasoning, helping them to build the clinical judgment skills they need to practice safe and effective nursing care and to prepare for the Next Generation NCLEX® with confidence. Progressive case studies featuring real-life, complex clinical situations challenge students to apply knowledge, make informed decisions, and evaluate outcomes. ASSESS—Quizzing Quizzing uses NCLEX®-style questions for assessment and remediation. Its adaptive, question-based format provides the additional practice students need to test their knowledge, master course content, and perform well on course and board exams. New To This Edition: FREE, 3-year access to Davis Advantage Thoroughly revised and updated to reflect the art and science of nursing practice today Streamlined and redesigned to make the content more relevant, student friendly and easier to teach.

Dr. Mimouni and Dr. Koletzko have assembled some of the world's leaders on breast milk for preterm infants to provide a current overview of the benefits and barriers. Authors address the following topics: Preterm human milk macronutrient composition; Bed-side human milk analysis in the NICU; Human milk fortification; DHA supplements; Potential benefits of bioactive proteins in human milk for preterm infants; New insights into variations of metabolite and hormone contents in human milk; Immune properties of human milk in relation to preterm infant feeding; Human milk oligosaccharides; Treatment and quality of banked human milk; Use of donor milk: collection, storage and safety; Postnatal CMV infection through human milk in preterm infants: Transmission, clinical presentation, and prevention; NEC and human milk feeding; Neurodevelopmental outcomes of preterm infants fed human milk; Evidence-based methods that promote human milk feeding of preterm infants; and Human flavor learning: the breastfeeding experience. Lactiation consultants, NICU nurses, and neonatologists will find these clinical review articles to be very valuable.

Preterm neonates remain at increased risk for adverse bilirubin-related outcomes, including acute bilirubin encephalopathy relative to term infants. Yet, most vulnerable neonates are likely benefit form the potent anti-oxidant properties of bilirubin. Evidence-based guidelines for the management of hyperbilirubinemia in preterm infants, however, are lacking. High concentrations of unconjugated bilirubin can cause permanent neurologic damage in infants, evident through magnetic resonance imaging of chronic bilirubin encephalopathy or kernicterus. There is a growing concern that exposures to even moderate concentrations of bilirubin may lead to subtle but permanent neurodevelopmental impairment referred to as bilirubin-induced neurologic dysfunction. Our current use of phototherapy to decrease bilirubin loads and its potential photo-oxidant properties is a biological conundrum that has been questioned in the use of phototherapy for very low birth weight neonates. In this issue of Clinics in Perinatology, we provide updates on the current understanding of the biology, mechanisms of increasing bilirubin load due to hemolysis, decreased bilirubin binding capacity and glucose-6-phosphate dehydrogenase deficiency, as well as clinical strategies to operationalize the thresholds for hyperbilirubinemia interventions in preterm infants.

The impact of cardiovascular disease on an infant extends from the fetal period to well beyond childhood. Perinatalogists and neonatologists can impact maternal and fetal health through wide range of diagnostic modalities and interventional techniques. For our edition focused on cardiovascular health, we sought to encompass the breadth of knowledge that would be the most relevant for the bed side clinician. Our goal was to assemble contents that would allow a clinician to quickly peruse the journal, and then be prepared to make a medical decision. The interaction between cardiology and perinatology/neonatology includes genetics, diagnostics, interventions, counseling, routine stabilization and day to day care. Ultimately, the goal is to establish the foundation for a healthy adult. For this reason, we have even included chapters on topics that are significant on a day to day basis (such as the proper environment for a newborn) and a long term basis (like the overall neurodevelopmental impact of our interventions). Hopefully, whether in the middle of the night as an emergency reference or during the day as a reliable guide, this edition of Clinics in perinatology will be an important bedside tool for anyone that participates in the care of a patient with perinatal heart disease.

Depression is the most common complication of childbirth and results in adverse health outcomes for both mother and child. It is vital, therefore, that health professionals be ready to help women who have depression, anxiety, or posttraumatic stress disorder in the perinatal period. Now in its third edition, Depression in New Mothers provides a comprehensive approach to treating postpartum depression in an easy-to-use format. It reviews the research and brings together the evidence-base for understanding the causes and for assessing the different treatment options, including those that are safe for breastfeeding mothers. It incorporates research from psychoneuroimmunology and includes chapters on: assessing depression mother-infant sleep traumatic birth experiences infant temperament, illness, and prematurity childhood abuse and partner violence psychotherapy complementary and integrative therapies community support for new mothers antidepressant medication suicide and infanticide. This most recent edition incorporates new research findings from around the world on risk factors, the use of antidepressants, the impact of breastfeeding, and complementary and integrative therapies as well as updated research into racial/ethnic minority differences. Rich with case illustrations and invaluable in treating mothers in need of help, this practical, evidence-based guide dispels the myths that hinder effective treatment and presents up-to-date information on the impact of maternal depression on the mother and their infants alike.

Bronchopulmonary dysplasia (BPD) as a chronic lung disease affecting preterm infants has been recognized for more than 45 years. However, little progress has been made in the prevention and treatment of the disease. BPD continues to be a major morbidity affecting preterm infants. Studies in pre-adolescent children demonstrate that the abnormal lung function from BPD persists well into childhood. Infants with BPD also have an increased risk for adverse neurodevelopmental outcome. Thus BPD imposes a significant burden of adverse health outcomes in preterm infants. The major risk factors for BPD are prematurity, mechanical ventilation, exposure to noxious insults such as oxygen, infections. New research data both in basic science and clinical studies have shed light on the pathogenesis, and possible new treatment or management strategies for the future. In the proposed issue of the Clinics in Perinatology, we would like to comprehensively cover BPD both from a basic science and clinical perspective. Our attempt is to balance new information along with classic topics. The proposed authors for the issue are recognized experts in the topic area/s. We hope that the issue will be of interest to a broad array of readership.