By Marcello Orzalesi, Carlo Corchia (auth.), Giuseppe Buonocore, Rodolfo Bracci, Michael Weindling (eds.)
This new textbook desires to supply to neonatologists and pediatricians a contemporary and entire view of many of the difficulties and elements of neonatology, at present the most complicated and complex fields of pediatrics.
The first chapters might be devoted to the epidemiology of neonatal mortality and morbidity and to the stipulations answerable for neonatal possibility. a bit should be dedicated to organizational difficulties of hospitals and residential providers for effective glossy neonatal and child care.
Particular recognition might be paid to neonatal care, medico-legal questions, exam of newborns and present availability of laboratory amenities and instrumentation for id of perinatal abnormalities. Neonatal dietary difficulties may also be tested, outlining present wisdom of the desires of in poor health and fit infants. stipulations jeopardizing fetal health and wellbeing equivalent to diabetes, maternal drug abuse and smoking should be mentioned. New advances in neonatal pharmacology may be commonly tested.
Various ailments of the neonate related to lungs, middle, gastrointestinal tract, blood, immune procedure, endocrine process and kidneys may be additionally expounded in targeted chapters. Fetal and neonatal infections might be commonly mentioned. Fetal and neonatal neurological abnormalities should be mentioned through hugely really expert authors. there'll be chapters on neonatal ophthalmology, dermatology and orthopedics.
Each bankruptcy has beeb written by way of a good well-known foreign professional in his or her box. because the opinion chief of their box, the writer is accountable for giving the main up to date details when it comes to what's identified, what's nonetheless being researched, and what has develop into facts dependent drugs. Underlying reasons and mechanisms of neonatal illnesses could be awarded in a right away shape. using summaries, tables, and competently chosen instructions or strategies that would accompany the textual content will offer quickly references and speedy ideas to the involved neonatologists in the course of their day-by-day perform.
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Additional info for Neonatology: A Practical Approach to Neonatal Diseases
An elevated blood concentration of liver enzymes, as a marker of hepatocellular injury due to perinatal hypoxia, is also common after acute hypoxia, but irreversible liver damage is rare. Fetal cardiovascular and endocrine responses may be altered, both in acute and in chronic hypoxia. Recurrence of mild hypoxia may occur in pregnancies where the blood flow to placenta, uterus, and fetus is repeatedly compromised by physiological and environmental influences. In chronic hypoxia, fetal growth restriction is not uncommon, and depression of growth factors during hypoxia has an important protective effect in conserving fetal substrate for energy as opposed to growth needs [28, 29].
12. 13. 14. WHO (2006) Neonatal and perinatal mortality: country, regional and global estimates. int/making_pregnancy _safer/en WHO (1993) International statistical classification of disease and related health problems, 10th revision (ICD-10), Geneva Graafmans WC, Richardus JH, Macfarlane A et al (2001) Comparability of published perinatal mortality rates in Western Europe: the quantitative impact of differences in gestational age and birthwight criteria. Brit J Obst Gyn 108:1237–1245 Field DJ, Dorling JS, Manktelow BN, Draper ES (2008) Survival of extremely premature babies in a geographically defined population: prospective cohort study of 1994–9 compared with 2000–5.
Less than 37 completed weeks (less than 259 days) of gestation. Term. From 37 completed weeks to less than 42 completed weeks (259–293 days) of gestation. Post-term. 42 completed weeks or more (294 days or more) of gestation. Perinatal period. The perinatal period commences at 22 completed weeks (154 days) of gestation (the time when birth weight is normally 500 g), and ends seven completed days after birth. Neonatal period. The neonatal period commences at birth and ends 28 completed days after birth.