The Evolution of Neonatology

@article{Philip2005TheEO,
  title={The Evolution of Neonatology},
  author={Alistair G. S. Philip},
  journal={Pediatric Research},
  year={2005},
  volume={58},
  pages={799-815}
}
  • A. Philip
  • Published 1 October 2005
  • Medicine
  • Pediatric Research
In 1960, the terms “neonatology” and “neonatologist” were introduced. Thereafter, an increasing number of pediatricians devoted themselves to full-time neonatology. In 1975, the first examination of the Sub-Board of Neonatal-Perinatal Medicine of the American Board of Pediatrics and the first meeting of the Perinatal Section of the American Academy of Pediatrics were held. One of the most important factors that improved the care of the neonate was the miniaturization of blood samples needed to… 

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References

SHOWING 1-10 OF 246 REFERENCES

The Child of the Diabetic Woman*

  • J. Farquhar
  • Medicine
    Archives of disease in childhood
  • 1959
The appearance and clinical manifestations of infants born to diabetic women, their clinical progress in the first month of life, the disturbances of metabolism and the pathologic findings, the management of the newly born, and development up to the age of 10 years are described.

History of the Care and Feeding of the Premature Infant

The challenge presented by the premature infant is a worthy historical subject, and Thomas Cone, who has previously written Two Hundred Years of Feeding Infants in America (1976) and A History of American Pediatrics (1979), is to be congratulated for tackling this difficult topic.

Evaluation of the newborn infant; second report.

The score was found to be a measure of the relative handicaps suffered by infants born prematurely, delivered spontaneously at term, delivered by cesarean section, or subjected to other obstetrical and anesthetic hazards.

A controlled trial of antepartum glucocorticoid treatment for prevention of the respiratory distress syndrome in premature infants.

Preliminary evidence justifies further trials, but that further work is needed before any new routine procedure is established, as there may be an increased risk of fetal death in pregnancies complicated by severe hypertensionedema-proteinuria syndromes and treated with betamethasone.

The principles and practice of evidence-based neonatology.

The five steps of the evidence-based medicine process are reviewed, including randomized, controlled trials and systematic reviews, and an example of a critically appraised topic, a practical tool that can be used as an aid in addressing the first three questions of the Evidence-based Medicine process, is included.

Reflections on Errors in Neonatology III. The “Experienced” Years, 1970 to 2000

Problems with infant formulas, ‘‘inactive’’ ingredients in drugs, erythromycin, steroids and an analysis of the causes of errors and ways to avoid errors in the future are discussed.

REDUCTION OF MORTALITY FROM RESPIRATORY DISTRESS SYNDROME OF PREMATURITY WITH EARLY ADMINISTRATION OF INTRAVENOUS GLUCOSE AND SODIUM BICARBONATE.

It is concluded that early administration of intravenous glucose and sodium bicarbonate to premature infants with respiratory distress (hyaline membrane) syndrome can reduce the mortality rate by two-thirds among those who weigh more than 1,500 gm.

Impact of necrotizing enterocolitis on length of stay and hospital charges in very low birth weight infants.

A diagnosis of NEC in the very low birth weight infant imposes a significant additional financial burden to the individual patient as well as the neonatal community as a whole, which justifies additional research into preventive measures and potentially costly therapies aimed at reducing the incidence of NEC.
...