neonatal (newborn)
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Introduction
In reference to the period from birth to 28 days of age.
Physiology
- most newborns will regain their birthweight within 7 days[6]
- expectation is that newborns will regain birthweight within 10 days & gain between 0.5-2.0 ounces/day for several months[6]
- 50% nadir for newborn weight is 61 hours for vaginal delivery & 68% for C-section[6]
- 14% of newborns (vaginal delivery) & 24% of newborns (C-section) failed to reach birthweight by 14 days[6]
- weight gain faster for lower birth weight infants[6]
Complications
- also see neonatal disease
- neonatal hypoxia may result in later cognitive deficits[3]
Management
- pulse oximetry recommended prior to hospital discharge[4]
- 0.5% erythromycin ophthalmic ointment to prevent gonococcal ophthalmia neonatorum[7]
Additional terms
References
- ↑ Stedman's Medical Dictionary 27th ed, Williams & Wilkins, Baltimore, 1999
- ↑ [No authors listed] Prevention and management of pain and stress in the neonate. American Academy of Pediatrics. Committee on Fetus and Newborn. Committee on Drugs. Section on Anesthesiology. Section on Surgery. Canadian Paediatric Society. Fetus and Newborn Committee. Pediatrics. 2000 Feb;105(2):454-61. PMID: https://www.ncbi.nlm.nih.gov/pubmed/10654977
- ↑ 3.0 3.1 Odd DE et al Resuscitation at birth and cognition at 8 years of age: A cohort study. Lancet 2009 May 9; 373:1615. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19386357
- ↑ 4.0 4.1 Ewer AK et al Pulse oximetry screening for congenital heart defects in newborn infants (PulseOx): a test accuracy study The Lancet, Early Online Publication, 5 August 2011 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/21820732 <Internet> http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2811%2960753-8/abstract
- ↑ Stark AR, Couto J; American Academy of Pediatrics Committee on Fetus and Newborn. Levels of neonatal care. Pediatrics. 2004 Nov;114(5):1341-7. PMID: https://www.ncbi.nlm.nih.gov/pubmed/15520119
- ↑ 6.0 6.1 6.2 6.3 6.4 6.5 Paul IM et al. Weight change nomograms for the first month after birth. Pediatrics 2016 Dec; 138:e20162625 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/27940721 <Internet> http://pediatrics.aappublications.org/content/138/6/e20162625
- ↑ 7.0 7.1 U.S. Preventive Services Task Force (USPSTF) Draft Recommendation Statement Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication https://www.uspreventiveservicestaskforce.org/Page/Document/draft-recommendation-statement/ocular-prophylaxis-for-gonococcal-ophthalmia-neonatorum-preventive-medication1
Draft Evidence Review for Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication https://www.uspreventiveservicestaskforce.org/Page/Document/draft-evidence-review/ocular-prophylaxis-for-gonococcal-ophthalmia-neonatorum-preventive-medication1