Klaus and Fanaroff's Care of the High-Risk Neonate

Hematologic Problems

Red Blood Cells Fetal Erythropoiesis and Changes in Erythropoiesis After Birth Rapid growth during fetal development demands a brisk pace for red blood cell production, and this capacity must expand with the increase in blood volume, which is proportionate to…

The Kidney

Advances in neonatology, perinatology, and molecular genetics have defined new disease processes and continue to raise exciting questions in the field of nephrology. Prenatal maternal-fetal care and ultrasound imaging continue to improve the diagnosis of many urinary tract anomalies, which…

The Heart

Congenital heart disease remains the most common cause of infant death because of a congenital malformation in the United States. Infant mortality rates arising from congenital malformations has declined in the decade from 2005 to 2014. Critical congenital heart disease…

Infections in the Neonate

Introduction The fetus and the newborn are susceptible to multiple infections: bacterial, viral, and fungal. This susceptibility is multifactorial and stems from maternal risk factors, obstetrical complications, the postnatal environment, prematurity, and the immature host defenses of the newborn. Throughout…

Neonatal Hyperbilirubinemia

Care of the high-risk neonate usually refers to care of the low-birth-weight infant or the sick term newborn. Although hyperbilirubinemia is certainly a matter of concern in these infants, the decisions that must be made regarding jaundice in the high-risk…

Glucose, Calcium, and Magnesium

These infants are remarkable not only because like foetal versions of Shadrach, Meshach and Abednego, they emerge at least alive from within the fiery metabolic furnace of diabetes mellitus, but because they resemble one another so closely that they might…

Assisted Ventilation

But that life may, in a manner of speaking, be restored to the animal, an opening must be attempted in the trunk of the trachea, into which a tube or reed or cane should be put; you will then blow…

Respiratory Problems

When one considers the complexity of the pulmonary and hemodynamic changes occurring after delivery, it is surprising that the majority of infants make the transition from intrauterine to extrauterine life so smoothly and uneventfully. Nonetheless, the staff working in the…

Care of the Parents

Acknowledgment The authors of this chapter gratefully acknowledge that they have built on the original chapter authored by Marshall Klaus, MD and John Kennell, MD. Both were pioneers in mother–infant bonding research and influential advocates of the principles of family-centered…