Neonatal nutrition has a pivotal role in normal child development and is of even greater importance in the sick or premature neonate. This 2006 edition includes a comprehensive account of the basic science, metabolism and nutritional requirements of the neonate, and a greatly expanded number of chapters dealing in depth with clinical issues ranging from IUGR, intravenous feeding, nutritional therapies for inborn errors of metabolism, and care of the neonatal surgical patient. Evolving from these scientific and clinical aspects, the volume highlights the important long-term effects of fetal and neonatal growth on health in later life. In addition, there are very practical chapters on methods and techniques for assessing nutritional status, body composition, and evaluating metabolic function.

Provide competent and sensitive maternal and newborn nursing care with Clinical Companion for Maternity & Newborn Nursing, 2nd Edition! Ideal for quick reference in the clinical setting, this book offers the information you need on topics such as pregnancy, childbirth, postpartum care, and care of the newborn, including potential complications for each. Expert authors Dr. Shannon E. Perry, Kitty Cashion, Dr. Deitra Leonard Lowdermilk, and Kathryn R. Alden stress the importance of safe nursing practice as outlined in the Quality and Safety Education for Nurses (QSEN) initiative. Teaching for Self-Management boxes offer a guide to communicating follow-up care to patients and their families. Signs of Potential Complications boxes help you recognize the signs and symptoms of complications and provide immediate interventions. Procedure boxes offer easy-to-use, step-by-step instructions for maternity skills and procedures. Emergency boxes may be used for quick reference in critical situations. Nursing Alerts highlight critical information that must be considered when providing care. Medication Guides in an appendix provide a key reference for common drugs and their interactions. Updated content provides the most current practice guidelines, including expanded information on obesity, the late preterm infant, and fetal heart rate pattern identification. Safety Alerts highlight developing competencies related to safe nursing practice in conjunction with the QSEN initiative on quality and safety in nursing care.

This book presents the latest evidence-based guidelines for perinatal management and is designed to help obstetricians and neonatologists minimize complications and offer patients the best possible care. Since 1960, there has been a significant increase in basic and clinical investigations on normal and pathological pregnancy in the developed world. This has provided insights into the physiopathology of pregnant women, fetuses and newborns and led to the development of new technologies, bringing about a new medical subspecialty: perinatal medicine. The book is divided into eight main sections: The first examines basic periconceptional care and discusses the ethical aspects of perinatology. The next section focuses on prenatal considerations, such as the nutritional aspects of gestation and puerperium, physical exercise during pregnancy, routine laboratory tests, prenatal care of multiple gestations and the role of the neonatologist in prenatal care. The third and fourth sections then explore fetal evaluation, and clinical intercurrences in pregnancy, respectively. The next section addresses pregnancy complications: prevention, diagnosis and management. The sixth section covers the basic aspects of congenital infections and the seventh examines labor and delivery aspects. Lastly, the final section includes chapters on neonatal assistance. Written by leading experts in obstetrics, neonatology, and perinatology, this thoroughly updated, comprehensive resource reflects the latest information in all areas, including genetics and imaging.

Caring for the well newborn is an essential element of everyday midwifery practice. Providing a comprehensive guide to the problems associated with newborn babies, Care of the Newborn by Ten Teachers is a key textbook for trainee midwives. The ten teachers involved in writing this book are drawn from all over the UK and bring together a wealth of experience in midwifery and neonatal nursing teaching and practice. The emphasis is on caring for the normal neonate, with deviations from the normal threaded throughout. Taking a holistic approach, each chapter links theory and practice, with explicit reference to professional standards and guidelines. As well as infant feeding, skin care and thernal care practice, this book covers signs and causes of common problems such as jaundice, infections, respiratory problems, and birth injury, providing care and treatment strategies for the neonate and family. This easy-to-follow full colour design, with superb diagrams and photographs and helpful features such as key points, case histories and chapters overviews, makes this essential reading for all student midwives, as well as those on post-qualifying courses in neonatal care. It is also a useful reference for practising midwives and neonatal nurses.

Extreme Prematurity examines the controversial issues surrounding the clinical management of this group of neonates by the intervention of modern neonatal intensive care. The foregoing of life-sustaining treatment is of particular importance. The subject matter is very relevant because of the alarming increase in multiple and preterm births, due to the increase in women who are undergoing assisted reproductive procedures, and the large increase in premature labor. No recent book covers the subject in such comparable breadth. The first section of this very timely monograph covers the epidemiology and practices in different parts of the world; the second section covers bioethics considerations, including ethical theories, moral principles and quality of life issues; the third section covers national and international guidelines; the last section covers medical law aspects in the US and around the world.

In this book, the authors present current research from across the globe in the study of the development, prognosis and potential complications of pre-term infants. Topics discussed in this compilation include the cognitive and behavioural problems in moderately pre-term children at pre-school age; the socio-emotional development and early intervention of pre-term infants; later pre-term birth and the developing brainstem; readiness of pre-term infants to start breastfeeding; hormonal dysregulation of the HPT and HPA axes in pre-term infants; effect of additional weight in proximal and distal adjustments of reaching behaviour in pre-term infants; language and literacy in pre-term children; and cognitive, motor and communicative-linguistic developmental trajectories of extremely low gestational age pre-terms.

Fetal cardiology is an important part of management for high-risk pregnancies: one in every 100 babies is born with a heart problem. Fully updated, this second edition of Fetal Cardiology covers all aspects of fetal heart disease and relevant non-cardiac aspects of diagnosis and management. This handbook provides clinically relevant guidance in a concise, practical format which is ideal for use in the clinic and as a quick reference for the reader. Featuring new chapters on the three vessel trachea view and neurodevelopment issues in fetal cardiac disease, and brand new high-quality annotated images; this new edition is the definitive pocket guide to the subject. Clearly structured to allow a systematic approach to diagnosis, decision making, and patient counselling, Fetal Cardiology is perfect as a refresher for experienced clinicians in fetal and cardiological care, or as an informative overview for the paediatrician, echocardiographer, and trainees in associated disciplines.

This book looks at genetic screening of new-borns and the ethical principles that guide this practice. The majority of babies born in the U.S. each year undergo screening soon after birth to identify genetic defects that could cause serious illness if left undetected and untreated. The goal is to detect diseases as early as possible so that timely, effective treatment can be initiated even before the onset of symptoms. In most states, new-born screening is now mandated by law. Of the approximately four million babies screened each year, about 5,000 are identified as having serious heritable disorders, most of which are, in varying degrees, amenable to treatment. For more than 40 years, the moral focus of new-born screening has been what is good for the infant. However, as more and more disorders have been added to state new-born screening programs, the traditional ethical principles of screening have been called into question. This aim of this study is to foster public awareness of the practice of new-born screening, the ethical principles that have guided it until now, and the ethical problems posed by its current and future expansion. This book consists of public documents which have been located, gathered, combined, reformatted, and enhanced with a subject index, selectively edited and bound to provide easy access.

The fourth edition of this popular resource features step-by-step skill instruction and practice-focused exercises covering maternal and fetal care. Developed by a distinguished editorial board, the Perinatal Continuing Education Program (PCEP) is a comprehensive, self-paced education program in 4 volumes. This book features 12 units containing information and skills essential for the recognition and initial management of high-risk and sick pregnant women and their fetuses. In this updated fourth edition, new units have been added on medical risk factors in pregnancy and obstetric risk factors in prior or current pregnancy. TOPICS INCLUDE Hypertension in pregnancy Obstetric hemorrhage Infectious diseases in pregnancy Gestational diabetes Prelabor rupture of membranes and intra-amniotic infection Preterm labor Inducing and augmenting labor Abnormal labor progress and difficult deliveries Imminent delivery and preparation for maternal/fetal transport And more...

"Neonatal Nursing" offers a systematic approach to the nursing care of the sick newborn baby. Nursing actions and responsibilities are the focus of the text with relevant research findings, clinical applications, anatomy, physiology and pathology provided where necessary.;This comprehensive text covers all areas of neonatal nursing including ethics, continuing care in the community, intranatal care, statistics and pharmokinetics so that holistic care of the infant is described.;This book should be of interest to neonatal nurses, paediatric nurses, midwives and students in these areas.

This book is a collection of some major topics in neonatal neurology, delivering up-to-date data. The book covers several sections in a wide variety of aspects and interests. The topics include: VLBW infants and developmental follow up, kernicterus -- why is it persistent and can we make it go away, drugs and cerebral blood flow in the neonatal brain, neonatal EEG, neurological sequelae following mechanical ventilation, amplitude integrated EEG (aEEG), surgical treatment of post haemorrhagic hydrocephalus in the neonate, perinatal head trauma and neuro-trauma, and ethical approach to neonatal neurological issues.

Birth defects are defined as abnormalities of structure, function, or body metabolism that are present at birth. These abnormalities lead to mental or physical disabilities or are fatal. There are over 4,000 different known birth defects ranging from minor to serious, and although many of them can be treated or cured, they are the leading cause of death in the first year of life. This book presents leading research in this field from around the world.

Birth defects are defined as abnormalities of structure, function, or body metabolism that are present at birth. These abnormalities lead to mental or physical disabilities which can be fatal. There are over 4,000 different known birth defects ranging from minor to serious, and although many of them can be treated or cured, they are the leading cause of death in the first year of life. This book presents leading research in this field from around the world.

2013 BMA Medical Book Awards Highly Commended in Paediatrics

An essential resource, covering possible problems expected at birth and common facets of antenatal consultations. "Antenatal Consults: A guide for neonatologists and paediatricians" is a logically ordered and highly illustrated medical resource, essential for anyone involved in antenatal care. This important book informs the multidisciplinary team - from obstetricians and maternity staff through to materno-foetal medicine specialists and, of course, paediatric and OBGYN trainees. Featuring contributions from leading neonatal specialists in Australia, the book's authoritative contents help arm antenatal staff with advice, information and examples of how to best counsel parents expecting a foetus at risk. With over 50 informative, concise chapters, "Antenatal Consults" addresses numerous possible problems expected at birth - the most common reasons for an antenatal consultation - combined with advice on how to manage them. These include maternal disorders that may affect the foetus; babies delivering prematurely or with a severe growth restriction; babies with a significant abnormality such as congenital heart disease, spina bifida or gastroschisis; and babies with a skeletal issue, a cleft palate or renal tract problem. "Antenatal Consults: A guide for neonatologists and paediatricians" is also useful to midwifery, nursing and allied health staff that care for mothers and babies.

This is a story about the cutting-edge medicine that has saved a generation of babies.

It's about the love and fear a parent feels for a child they haven’t yet met.

It's about doctors, mothers, fathers and babies as together they fight for the first breath.

The First Breath is a book about motherhood and medicine.

Olivia Gordon decided to find out how, exactly, modern science saved her son’s life. Crossing medical memoir with popular science, The First Breath is an investigation into the pioneering fetal and neonatal care bringing a new generation into the world, who would not have lived if they had been born only a few decades ago.

The First Breath explores the female experience of medicine and details the relationship mothers develop with doctors who hold not only life and death in their hands, but also the very possibility of birth.

From the dawn of fetal medicine to neonatal surgery and the exploding field of perinatal genetics, The First Breath tells of fear, bravery and love. Olivia Gordon takes the reader behind the closed doors of the fetal and neonatal intensive care units, resuscitation rooms and operating theatres at some of the world’s leading children’s hospitals, unveiling the untold story of how doctors save the sickest babies.

The fifth edition of this highly successful and well-regarded book has been extensively updated and revised, and continues to provide the busy paediatrician or nurse working in neonatal intensive care units with precise instructions on the diagnosis and management of common neonatal problems. As in previous editions, the book provides background physiology with key references and diagrams. It is unique in style, providing guidance with reasoning in a clear, readable style, rather than merely a book of lists.
Several new chapters have been added, including the subjects of foetal medicine, antenatal diagnosis, and obstetrics for the neonatologist. The book has been improved by the introduction of more easy-to-digest lists, as well as evidence-based medicine. The text has been made more internationally-applicable, including a re-focus of the chapter on organization of neonatal care to concentrate on reasons for admitting a baby to the intensive care ward, rather than UK-specific admission criteria.
A Manual for Neonatal Intensive Care provides invaluable guideance for trainees in pediatrics, neonatology and neonatal nursing and forms a useful ready reference for the practicing pediatrician and nurse.

Detailed, step-by-step instructions and abundant full-color illustrations make MacDonald's Atlas of Procedures in Neonatology, Sixth Edition, an indispensable resource in the neonatal intensive care nursery. This unique reference uses a practical outline format to present clear, easy-to-follow information on indications, preparation, technique, precautions, and how to avoid potential complications. New chapters, new procedural content, and new videos bring you fully up to date with current practice in the NICU. Uses a step-by-step format that presents more than 200 photographs and illustrations along with user-friendly procedural descriptions, helping you minimize errors and promote safe practice standards. Contains six new chapters: Making Low-Cost Simulation Models for Neonatal Procedures, Delayed Cord Clamping and Cord Milking, Surfactant Administration via Thin Catheter, Amplitude-integrated EEG, VP shunts and EVD Management and Wound Care. Includes a new quick-reference appendix with a convenient checklist of procedures. Provides access to updated videos that depict both common and emergency neonatal procedures. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

In this issue of Clinics in Perinatology, guest editors Drs. Nathalie Maitre and Andrea F. Duncan bring their considerable expertise to the topic of Neurological and Developmental Outcomes of High-Risk Neonates. Preterm birth complications are the leading cause of death among children under five years of age, and three-quarters of these deaths could be prevented with current, cost-effective interventions. In this issue, top experts provide neonatologists and perinatologists with the clinical information they need to improve outcomes in high-risk newborns. Contains 15 practice-oriented topics including neonatal opioid withdrawal syndrome; healthcare disparities in high-risk neonates; autism spectrum and high-risk infant phenotypes; NICU transition to home interventions; telehealth and other innovations in NICU follow up; and more. Provides in-depth clinical reviews on neurological and developmental outcomes of high-risk neonates, 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.

Significantly revised and updated, the new 8th edition of this bestselling manual provides the latest recommendations on quality care of pregnant women, their foetuses, and their newborn infants. Jointly developed by the AAP and ACOG, this unique resource addresses the full spectrum of perinatal medicine from obstetric and pediatric standpoints. * New section on suggested levels of maternal care from birth centres to level IV institutions. * New sections on screening for preterm delivery risk added to chapter on antepartum care. * New topics covered include the timing of cord clamping, the need (or not) for bedrest, and updates in hypertension. * Guidance regarding postpartum contraception recommendations has been expanded. * New sections on mosquito-borne illnesses (including Zika). * New section infections with high risk infection control issues. * Updated recommendations on neonatal resuscitation, screening and management of hyperbilirubinemia, and neonatal drug withdrawal. Topics include: * Organization of perinatal health care. * Inpatient perinatal care services. * Quality improvement and patient safety. * Maternal and neonatal inter-hospital transfer. * Preconception care. * Antepartum care. * Intrapartum care of the mother. * Postpartum care of the mother. * Medical and obstetric complications. * Care of the newborn. * Neonatal complications and management of high-risk infants. * Perinatal infections. * Infection control.

Paediatric Surgery has been fully updated to reflect current guidelines and practices, and offers a contemporary overview of the subject in general, as well as detailed information about core subjects. Structured to assist problem-solving and diagnosis, the handbook contains detailed clinical features on all aspects of neonatal and general paediatric surgical conditions, it is a key revision tool for the MRCS and FRCS Paediatrics post-graduate exams, as well as the UEMS European exam in paediatric surgery. The chapter on common operations has been expanded, including new topics on orchidopexy, scrotal exploration, thoracotomy, and appendicectomy, as well as information on robotic surgery. There is also a new chapter on global paediatric surgery, outlining the challenges and future direction of the discipline in India, East Africa, West Africa, and South Africa. Neonatal medicine and neonatal surgery both have new topics on resuscitation, ventilation strategies, jaundice, and congenital lung abnormalities. With the knowledge level based around what is needed in clinical practice, supporting background and science is included to strengthen understanding. Pragmatic and practical, this second edition of Paediatric Surgery is a vital tool for all those who work in the field.

The revised and updated second edition covers practical approaches to caring for healthy and high-risk infants. The book covers maternal and fetal health, care of the newborn after delivery, breastfeeding, follow-up care, common congenital anomalies, the newborn with a heart murmur or cyanosis, neurologic findings, primary care issues relating to infants requiring intensive care, and health and developmental outcomes. More than 40 chapters cover step-by-step recommendations on what to do, when to admit, and when to refer. Recommendations and lists detailed references within each chapter. New in the second edition: 8 new chapters added including: Prenatal Diagnosis Fetal Interventions Optimizing Nutrition for the Preterm, Very Low-Birth-Weight Infant After Discharge From Neonatal Intensive Care Newborn Immunizations and Immune Prophylaxis Balancing Safe Sleep and Other Newborn Recommendations Vascular Anomalies Endocrine Disorders Presenting in the Newborn Period Shared Decision Making Around Home Technologies

Increase in survival for very low birth weight infants has been observed, due to various improvements in perinatal care. However neurodevelopmental outcome remains a major issue. The effect of early environmental factors (during the hospital stay) and routine NICU practices on neurobehavioral development is discussed. Developmental care is an association of environmental and behavioural strategies designed to decrease the stress of preterm neonates. These interventions can be used alone or in association into more complex programs as the Neonatal Individualised Developmental Care and Assessment Program (NIDCAP). Despite growing scientific literature, the medical impact of developmental care is still controversial. Major differences in medical and nursing practices are observed. This book reviews the theoretical framework underlying developmental care and the research-based data in different fields: neuroscience, developmental psychology, medicine and nursing. Reflections on the impact on staff are included. Recommendations for new research programs on this important aspect of neonatal care are proposed.

Neonatal intensive care unit (NICU) teams in the US and around the world receive performance reports that locate their particular value for selected process and outcome measures within the range of values from all reporting NICUs. Understandably, many providers focus primarily, if not exclusively, on their particular value. When a value appears undesirable, providers often justify it in an apparent reflex response rather than critically analysing their data. Exceedingly few reflect on the width or implications of the range within which their performance lies. Standard medical education does not include these skills, yet unwarranted practice variation necessarily compromises a population's overall quality of care. Researchers report wide variation in health care resource use with little connection to patient outcomes, challenging the belief that directing incrementally more resources at certain healthcare problems necessarily produces better results. This book provides requisite knowledge to enable readers without research expertise to understand the notion of unwarranted practice variation, how to recognize it, its ubiquity, and why it is generally undesirable - why narrowing is pervasiveness improves quality. The book begins by describing practice variation, its prevalence, and why it matters. Next, it examines alternative conceptualizations of NICU work. One view is task-oriented, while the other is aim-oriented. NICU teams rarely articulate their aims explicitly, so this book offers examples that guide thinking and action. Finally, this book asks, "Which rate is 'right'; what is the performance target?" The answer entails identifying the lowest resource use rate associated with desirable outcomes. This requires data describing efficient and predictably performing provision of current evidence-based care, along with relationships to a variety of outcomes. Provider conceptualization of healthcare quality also is often vague. The challenge lies in defining this notion operationally. This book does precisely that and gives readers tools to think critically about process, outcome, and quality measures, via some understanding of systems, risk-adjustment modelling, and discriminating signal from noise in process data.

This textbook is written in line with the Council of International Neonatal Nurses, Inc. (COINN) vision for global unity for neonatal nursing. The core values and goals of COINN are based on excellence and advocacy for high quality newborn care, as well as respecting diversity by integrating cultural norms and values among the care of newborns and their families. The book promotes neonatal nursing as a global speciality through evidence, research, and education of neonatal nurses; and offers key examples of the millennium goals and global outcomes, as well as variations in outcomes for babies. The first part focuses on global perspectives of neonatal nursing from different continents aligning with the World Health Organizations' global regions: (The Americas -USA, Canada and South America-, Western Pacific region -Australia and New Zealand-, European region -UK and Europe-, African region, South-East Asia and Eastern Mediterranean region. For each region, education and competencies, challenges and opportunities, research and evidence-based practice (EBP) as well as practice regulations are described. The second part elaborates on key topics for neonatal nursing across the globe, such as the continuity of neonatal care in the community, patient and family centered care in neonatal settings, sleep and brain development, the fundamental care needs of the neonate and family and global perspectives on hypothermia, hypoglycaemia and hypoxia. Written in a formal academic but reader style, using key literature and evidence, this textbook enables an understanding from a large audience with academic levels and experience, both staff and students, bedside nurses, advanced practice nurses, midwifes and allied professionals. In addition, first person story based reflective narrative are interspersed throughout the book to capture the perspectives of nurses, staff and parents, in the form of vignettes. This textbook is aimed at neonatal nurses across the world as well as current and aspiring students in this field.