Neonatology/Newborn Issues

May 1, 2008 Issue
A Practical Approach to Neonatal Jaundice [Article]

Kernicterus and neurologic sequelae caused by severe neonatal hyperbilirubinemia are preventable conditions. A structured and practical approach to the identification and care of infants with jaundice can facilitate prevention, thus decreasing rates of morbidity and mortality. Primary prevention inc...

Apr 1, 2008 Issue
Expanded Newborn Screening: Information and Resources for the Family Physician [Article]

Family physicians treat an increasing number of children with metabolic disorders identified through newborn screening, and they are often the first line of defense in responding to an abnormal screening result. How the family physician chooses to interpret information from the screening and what he...

Jan 1, 2008 Issue
Newborn Skin: Part I. Common Rashes [Article]

Rashes are extremely common in newborns and can be a significant source of parental concern. Most rashes are benign and self-limited, but others require further work-up for infectious etiologies or underlying systemic disorders.

Jan 1, 2008 Issue
Newborn Skin: Part II. Birthmarks [Article]

Nearly all birthmarks are of concern to parents, but there is limited evidence to guide management. Most benign birthmarks do not require treatment, but effective cosmetic laser treatments exist. Some birthmarks may require further work-up for underlying defects or potential for malignancy.

Oct 15, 2007 Issue
Outpatient Care of the Premature Infant [Article]

An increasing number of infants in the United States are born prematurely, with current statistics estimating about 13 percent of all births. Although survival rates and outcomes for premature infants have dramatically improved in recent decades, morbidity and mortality are still significant. Infant...

Oct 1, 2007 Issue
Respiratory Distress in the Newborn [Article]

The most common etiology of neonatal respiratory distress is transient tachypnea of the newborn; this is triggered by excessive lung fluid, and symptoms usually resolve spontaneously. Respiratory distress syndrome can occur in premature infants as a result of surfactant deficiency and underdeveloped...

Aug 1, 2007 Issue
Updated AAP Guidelines on Newborn Screening and Therapy for Congenital Hypothyroidism [Practice Guidelines]

Guidelines on newborn screening and therapy for congenital hypothyroidism have been released by the American Academy of Pediatrics (AAP). Congenital hypothyroidism can cause mental retardation unless thyroid therapy is initiated within two weeks of birth.

May 1, 2007 Issue
Universal Newborn Hearing Screening [Article]

Congenital hearing loss is estimated to affect one in every 1,000 newborns. Causes of hearing loss can be conductive, sensorineural, mixed, or central. Known risk factors for congenital hearing loss include cytomegalovirus infection and premature birth necessitating a stay in the neonatal intensive ...

Oct 15, 2006 Issue
Developmental Dysplasia of the Hip [Article]

Developmental dysplasia of the hip refers to a continuum of abnormalities in the immature hip that can range from subtle dysplasia to dislocation. The identification of risk factors, including breech presentation and family history, should heighten a physician's suspicion of developmental dysplasia ...

Sep 15, 2006 Issue
Screening for Developmental Dysplasia of the Hip [Putting Prevention into Practice]

Case study: A.L. is a 4,100-g (9 lb, 1 oz), one-day-old boy born at 39 weeks’ gestation by cesarean section because of breech presentation following an uncomplicated pregnancy. One- and five-minute Apgar scores were 8 and 9, respectively.

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