The book starts with a short introduction to the topic, followed by a detailed description of the anatomical differences between exstrophy and gastroschisis. In the following chapters, the authors describe the surgical umbilicoplasty for congenital defects in children. Outcomes and complications will be discussed in the last chapter. Written by respected authors, this book will offer residents and fellows as well as practicing and highly experienced plastic surgeons essential guidance on treatment and decision-making concerning umbilical reconstruction. Its numerous illustrations and clearly structured content make the book a must-read.

The Visual Guide to Neonatal Cardiology is a comprehensive, highly illustrated, reference covering the evaluation, diagnosis and management of cardiac disease in the newborn. Contains over 900 color illustrations, including patient photographs, chest roentgenograms, electrocardiograms, echocardiograms, angiocardiograms, 3D computed tomogramphy, magnetic resonance imaging, pathologic specimens, and other relevant visual aids Discusses the natural history of fetal heart disease and the rationale, indications, technique, and impact of fetal cardiac intervention Reviews the anatomy and physiology of the neonatal cardiovascular system, including differences within the fetal, transitional, neonatal, child and adult circulatory system Highlights key steps for taking a patient history, including detailed discussion of the cardiac examination (inspection, palpation and auscultation of heart sounds and murmurs) Presents over 35 morphologic conditions with sections covering introduction, epidemiology, etiology with accepted or postulated embryogenesis, pathophysiology, clinical presentation, physical examination findings, diagnostic evaluation, management, and prognosis Includes a neonatal formulary reviewing selected medications currently used for treatment of perioperative low cardiac output, congestive heart failure, pulmonary hypertension, sedation, pain and anticoagulation in neonates

The 5th edition of this indispensable resource captures the latest insights in neonatal neurology in a totally engaging, readable manner. World authority Dr. Joseph Volpe has completely revised his masterwork from cover to cover, describing everything from the most up-to-the-minute discoveries in genetics through the latest advances in the diagnosis and management of neurologic disorders. He delivers all the clinical guidance you need to provide today's most effective care for neonates with neurological conditions. Provides comprehensive coverage of neonatal neurology, solely written by the field's founding expert, Dr. Joseph Volpe - for a masterful, cohesive source of answers to any question that arises in your practice. Focuses on clinical evaluation and management, while also examining the many scientific and technological advances that are revolutionizing neonatal neurology. Organizes disease-focused chapters by affected body region for ease of reference. Features a brand new, full-color design with hundreds of new figures, tables, algorithms, and micrographs. Includes two entirely new chapters: Neurodevelopmental Follow-Up and Stroke in the Newborn; a new section on Neonatal Seizures; and an extensively expanded section on Hypoxic-Ischemia and Other Disorders. Showcases the experience and knowledge of a new editorial team, led by Dr. Joseph Volpe and Dr. Terrie E. Inder, Chair of the Department of Pediatric Newborn Medicine at Brigham and Women's Hospital, all of whom bring a wealth of insight to this classic text. Offers comprehensive updates from cover to cover to reflect all of the latest information regarding the development of the neural tube; prosencephalic development; congenital hydrocephalus; cerebellar hemorrhage; neuromuscular disorders and genetic testing; and much more. Uses an improved organization to enhance navigation. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.

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.

From World Health Organization data, the prevalence of hearing impairment among infants varies between 0.5 and 3.0 cases per thousand, but in children hospitalised in the Newborn Intensive Care Unit (NICU) and in those with other risk factors (ie: anatomically small for gestational age, craniofacial abnormalities, intrauterine infections, family history of hearing loss, ototoxic drugs, mechanical ventilation , etc.), the prevalence is 10-20 times greater. Newborn Intensive Care Unit (NICU) can be defined as an intensive care unit for sick newborns who need specialised treatment. NICU combines equipment and advanced technology with medical staff specially trained in newborn care. The Joint Committee on Infants Hearing (JCIH) identified many risk factors in NICU infants like prolonged mechanical ventilation, asphyxia, low birth weight and ototoxic medication, and so it also considers intensive care as a whole a risk factor. The present book focuses its attention on this hearing loss risk factor, starting from risk factors and screening strategies, highlighting the various neonatal levels of care, focusing on the treatment of infants with neural tube defects and the future motor development of premature babies. This should be done until caregivers can get the attention of drug therapies used in the NICU.

Awarded Third Place in the 2016 AJN Book of the Year Awards in the Maternal-Child Health Category! Breastfeeding Management for the Clinician: Using the Evidence, Fourth Edition is an essential and practical reference guide for clinicians. Using a research-based approach, it includes literature reviews while covering incidence, etiology, risk factors, prevention, prognosis and implications, interventions, expected outcomes, care plans, and clinical algorithms. With a focus on the practical application of evidence-based knowledge, this reference offers a problem-solving approach to help busy clinicians integrate the latest research into everyday clinical practice. Completely updated and revised, the Fourth Edition includes a new discussion of the vitally important newborn gut microbiome. In addition, it features new and more effective techniques for addressing breastfeeding barriers, new research, and the latest guidelines.

Care of the Well Newborn is a unique text that focuses on care of the term newborn for the first month of life. Written by distinguished experts in the field, it teaches students and professionals how and what to assess in the care of the nonverbal newborn, while also providing criteria for recognizing deviations from normal and strategies for managing complications that arise. The first text of its kind, it provides easily accessible information on evidence-based neonatal care that follows current guidelines, standards, and recommendations. Also explored are physiology and pathophysiology, data collection, differential diagnosis, cultural considerations, and parental education. An ideal resource for both students and professionals, each chapter includes multiple choice questions, case studies, or activities to facilitate critical thinking and learning.

In 1983 two doctors, one from each side of the world, decided to form a partnership, and so began a scientific adventure that would improve the odds that babies could be born healthy and whole. Neural tube defects that severely disabled or killed babies were epidemic in China (where the folk term was guai tai--roughly ""monster baby""--for an infant whose embryonic neural tube doesn't completely close and whose head and neck may be misshapen or spine may protrude) and a significant problem in the United States, leading teams of researchers from the United States and China to combine forces to recruit more than 285,000 Chinese women and to follow nearly 250,000 pregnancies in an epidemiological study. Sixteen thousand staff were involved in running the project, which encountered massive bureaucratic obstacles as well as cultural differences, politicking for study designs and funding, the crisis of Tiananmen Square, and testy debates over research ethics. Nevertheless, the researchers persevered in a collaboration that lasted more than three decades and led to landmark findings on the role of folic acid in preventing spina bifida. Fortifying cereal grain products with folic acid became routine in the United States and a growing number of nations around the world: that intervention was named one of the ten great public health achievements of the last decade.

In 1983 two doctors, one from each side of the world, decided to form a partnership, and so began a scientific adventure that would improve the odds that babies could be born healthy and whole. Neural tube defects that severely disabled or killed babies were epidemic in China (where the folk term was guai tai--roughly ""monster baby""--for an infant whose embryonic neural tube doesn't completely close and whose head and neck may be misshapen or spine may protrude) and a significant problem in the United States, leading teams of researchers from the United States and China to combine forces to recruit more than 285,000 Chinese women and to follow nearly 250,000 pregnancies in an epidemiological study. Sixteen thousand staff were involved in running the project, which encountered massive bureaucratic obstacles as well as cultural differences, politicking for study designs and funding, the crisis of Tiananmen Square, and testy debates over research ethics. Nevertheless, the researchers persevered in a collaboration that lasted more than three decades and led to landmark findings on the role of folic acid in preventing spina bifida. Fortifying cereal grain products with folic acid became routine in the United States and a growing number of nations around the world: that intervention was named one of the ten great public health achievements of the last decade.

A new look at how we welcome newborn babies into the world, whatever context they are born in, but particularly if they are born in a large maternity hospital. Reflections, exercises and ideas for midwives and other maternity professionals. "The deeply ingrained, rational scientific culture we live in today suppresses our innate knowledge of how things could improve. We focus on categorising through measuring, counting and documenting what we do, instead of realising deep inside that things must change with regard to our rituals around birth in hospital. It's as if we don't quite know how to engender that change..." Experienced midwife Debby Gould considers the current situation and explores how change is not just possible but also beneficial for mother, baby and healthcare professionals. Questions and exercises are provided to stimulate reflection and seminar discussion. Following a varied and distinguished career in many maternity contexts, Debby Gould is currently Head of Midwifery for University College London Hospitals and has served two full terms in office (as Deputy Chair, then Chair) on the Royal College of Midwives Council. She is also named in Debrett's People of Today as one of the top 25,000 influential and successful people in the UK. Her words are well worth reading

In this book, the authors present new research in the study of neonatal care. Topics discussed include the effects of maternal stress and intrauterine environmental factors on foetal behaviour and central brain processes related to cognition, memory and habituation; phosphodieterases and their inhibitors in some respiratory system disorders; glucocorticoids in meconium aspiration syndrome and the possible benefits versus the risks of treatment; and the evidence linking hyperbilirubinemia to auditory neuropathy and prelingual deafness.

Severely unwell children are the most frightening emergency a clinician can face. This second edition of Emergencies in Paediatrics and Neonatology, guides the clinician through what to do and when, in a format that can be read at the bedside. Resuscitation techniques are described in detail and comprehensive management plans are provided. Organised by symptom, the handbook concisely covers a range of essential information, from the key facts to elicit in the history to the specific difficulties of treating children in an emergency situation - communication and pain relief. Symbols are used to indicate clinical severity ranging from life-threatening to minor, and the book includes detailed drug dosages for children and the most recent resuscitation guidelines. The new edition brings this bestselling guide fully up-to-date, including the management of anaphylaxis and rheumatic fever. The number of algorithms included in the book has also been increased.

This is the true story of the heart-wrenching struggle for survival, devastating financial loss, and the power of hope that comes with extremely premature babies born nearly four months early. The twin babies arrived at 24 weeks gestation and each weighed a pound. Imagine that, the same as six sticks of butter It's a riveting story of despair and tragedy, joy and laughter. I couldn't put it down and I hope you find it the same way...perhaps just not so late into the wee hours of the night. Re-told from journals, the story unfolds like a medical-mystery. Will the twins survive? Will they have devastating disabilities? The breath-taking pace of life-altering decisions in a Neonatal Intensive Care setting is like witnessing an accident--one you can't bear to watch and yet so compelling you can't look away. Follow the roller-coaster ride through heroics, medical miracles, unrelenting fear, and heart-warming joy. The events of this true story will make you cry. You'll be appalled at the insensitivity of some towards this young family. You'll be angry at the gall of insurance companies that use "fine print" to deny coverage for certain medical treatments. And you'll rejoice with the miracle of life fought for and won. With less than a 20% chance of survival at birth, the doctors warned; "If the babies manage to survive, they have an 80% chance of debilitating issues--including cerebral palsy, breathing issues, and severe learning disabilities." The second edition of A Pound of Hope adds the much awaited five-year look back on this harrowing start in life. Read the unexpected outcome (I won't spoil the surprise here ) of these one-pound miracle babies. The backdrop setting for this story of survival is one of financial disaster. This family is bankrupted by the unrelenting medical costs to save their babies. They lose everything--savings and retirement accounts are emptied; belongings are sold and their house is lost as they fall into the bottomless pit of medical bankruptcy. Our leaders in health insurance, medical services, and government have failed to address a hole in the very fabric of our society. A hole so big it swallows families at a time when they are experiencing life-threatening issues. For what is the point of medical miracles if there is no way to pay for them? Our society has developed machines and techniques to preserve and extend life against all odds. But at what cost? Families stricken with the financial burden of catastrophic medical bills will see their financial stability, their future, even their very viability as a family slip away. If science can save the babies, who will save the family?

Many challenges facing premature babies are insurmountable despite the recent advancements of Neonatal medicine. Often providers need to decide which patients are the best candidates of the specialized care. Ideally, families are integral parts of the decision-making process. This two part story follows the distressing yet sometimes satisfying journey of a young doctor in two very different situations challenging his own ego, ethics, and motivations as he struggles with tough decisions, tough situations, and sometimes circumstances where his intentions are met with resistance by his colleagues.

Growth Parameters of the Newborn Revisited With Review of the Standardized Placental Measurements

Meconium aspiration syndrome (MAS) is a major cause of respiratory morbidity and mortality in the term and post-term new-borns. Aspirated meconium obstructs the airways and subsequently may cause an alveolar atelectasis behind the plug, air-trapping, and air leak. In a very short time after the aspiration, meconium triggers a progressive dysfunction of pulmonary surfactant, chemical pneumonia, and ventilation/perfusion mismatch, which often leads to persistent pulmonary hypertension. Due to complex pathophysiology and multiple interactions between the individual pathomechanisms, MAS is often difficult to treat. Therapeutic protocols usually include airway suctioning, ventilator support or artificial ventilation, in severe cases also administration of exogenous surfactant, inhaled NO, partial liquid ventilation, or anti-inflammatory treatment. Growing information on the role of various pathomechanisms participating in the meconium-induced respiratory, inflammatory, and cardiovascular changes widens the spectrum of drugs which may be perspectively beneficial in the treatment of MAS.

Prenatal diagnosis is a method to detect foetal disease before delivery. Ideally, prevention of foetal exposure to harmful influences begins before conception because all major organ systems develop early in pregnancy, often before a woman realises that she is pregnant. Prenatal diagnosis is composed of non-invasive and invasive methods. This book summarises recent developments in the field of non-invasive prenatal diagnosis (NIPD) through the use of foetal cells and ffDNA in maternal circulation during pregnancy and provides an overview of the possibilities for future clinical applications. The various options for prenatal screening for Down Syndrome (DS) is also outlined, in addition to current research efforts made to improve non-invasive prenatal diagnosis based on foetal cells, cell free foetal DNA and proteins present in maternal circulation. Additionally, this book gives an overview of essential aspects of primary prevention efforts and effecting factors including age and socio-demographical factors, obstetric history, maternal medical conditions, genetic disorders, psycho-social issues and infections and vaccination. Other chapters in this book discuss the close correlation between hypertensive dysfunction in pregnancy and the development of cardiovascular diseases, the various techniques and applications of MRI in foetal imaging, a review of prenatal genetic diagnosis (PGD), the relation between antithrombin congenital deficiency and high risk miscarriages and recurrent abortions, and a review of literature on arthrogryposis multiplex congenita, the occurrence of multiple joint contractures at birth.

Every year in the United States, 12 per cent of all births are preterm births, 5 per cent of all babies need help to breathe at birth, and 3 per cent of neonates are born with at least one severe malformation. Many of these babies are hospitalized in a neonatal intensive care unit. Annie Janvier and her husband, Keith Barrington, are both pediatricians who specialize in the care of these sick babies and are internationally known for their research in this area. In 2005, when their daughter Violette was born extremely prematurely, four months before her due date, they faced the situation "from the other side" as parents. Despite knowing the scientific facts, they knew nothing about the experience itself. "Knowing how a respirator works did not help me be the mother of a baby on a respirator," writes Annie. She did not know how to navigate the guilt, the uncertainty, the fears, the predictions of providers, and the responses of friends and family. In a society obsessed with goals, performance, efficiency, and high percentages, she discovered that the daily lack of control that new parents of sick babies face changes their lives. And that, for physician parents, it also changes the way they practice medicine. Most of the articles and books written about premature babies and neonatal intensive care units examine the technological and medical aspects of neonatology. Breathe, Baby, Breathe!, however, is written in the voice of a parent-doctor and tells the story of Violette and her parents, alongside the stories of other fragile babies and their families with different journeys and different outcomes. With the story of Violette at the core of the book, the interwoven stories and empirical articles provide essential insights into the medical world of premature birth. This original and clever blend of narrative and evidence provides a new, experiential view of the way forward during a parental crisis.

The award-wining Birth Emergency Skills Training is the interface between the world of midwifery and the world of medicine. BEST is designed to improve the midwife's ability to act decisively in an emergency and to see it though until resolved or until mother and baby are under physician management. Topics covered include pain and bleeding in pregnancy, hypertension, preterm labor, malpresentations, undiagnosed twins, abnormal fetal heart rate, neonatal resuscitation, shock, trauma, syncope and cardiac arrest.Richly illustrated with drawings and photographs by the author.

This pocket-sized book, presented in an easy-to-follow format, is designed as a tool for students and professionals to carry in any setting, providing a quick reference guide to antenatal care and related anatomy and physiology. Used as a platform for wider reading, this text is an ideal reference point for any student or professional involved with the care of childbearing women.

The objective of this book is to review specific haematologic disorders that commonly present in the new-born period. It summarises and presents the topics specifically relating to the haematological disorders in neonates.

This pocket-sized book, presented in an easy-to-follow format, is designed as a tool for students and professionals to carry in any setting, providing a quick reference guide to supporting women during labour. Used as a platform for wider reading, this text is an ideal reference point for any student or professional involved with the care of childbearing women.

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 more than 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.