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To the newborn infants and parents who challenge us to get it right. FM00-001-024 6/11/04 8:28 PM Page v To the newborn infants and parents who challenge us to get it right. FM00-001-024 6/11/04 8:28 PM Page v Ira Adams-Chapman, M.D. Co-Director, Developmental Progress Clinic, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia Nosocomial Infections in the Nursery Anne M. Ades, M.D. Clinical Associate Professor of Neonatology, University of Pennsylvania School of Medicine; Neonatologist, The Chil- dren’s Hospital of Philadelphia, Philadelphia, Pennsylvania Management of Congenital Heart Disease in the Low-Birth- Weight Infant Amina Ahmed, M.D. Clinical Assistant Professor, University of North Carolina at Chapel Hill School of Medicine; Pediatric Infecti- ous Disease, Carolinas Medical Center, Charlotte, North Carolina Toxoplasmosis, Syphilis, Malaria, and Tuberculosis Simone Albers, M.D. Fellow in Pediatrics, Muenster University Faculty of Medicine and University Children’s Hospital, Muenster, Germany Newborn Screening Marilee C. Allen, M.D. Professor of Pediatrics, Johns Hopkins University School of Medicine; Associate Director of Neonatology, Johns Hopkins Hospital, and Co-Director, NICU Develop- mental Clinic, Kennedy Krieger Institute, Baltimore, Maryland Risk Assessment and Neurodevelopmental Outcomes Maureen Andrew, M.D., F.R.C.P.† Formerly Professor of Pediatrics, McMaster University and Hamilton Civic Hospitals Research Centre, Hamilton, Ontario; Professor of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada Hemostatic Disorders of the Newborn Stephen A. Back, M.D., Ph.D. Assistant Professor of Pediatrics and Neurology, Depart- ment of Pediatrics, Oregon Health Sciences University, Portland, Oregon Developmental Physiology of the Central Nervous System; Congenital Malformations of the Central Nervous System H. Scott Baldwin, M.D. Katrina Overall Professor of Pediatrics, Professor of Cell and Developmental Biology, and Vice-Chair for Labora- tory Sciences in Pediatrics, Department of Pediatrics, Van- derbilt University School of Medicine; Senior Cardiologist, Vanderbilt Children’s Hospital, Nashville, Tennessee Embryology and Development of the Cardiovascular System Philip L. Ballard, M.D., Ph.D. Gisela and Dennis Alter Professor of Pediatrics, Division of Neonatology, Department of Pediatrics, University of Pennsylvania School of Medicine; Director of Neona- tal Research, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Hormonal Influences on Fetal Development; Lung Develop- ment: Embryology, Growth, Maturation, and Developmental Biology Roberta A. Ballard, M.D. Professor of Pediatrics, University of Pennsylvania School of Medicine; Neonatologist, The Children’s Hospital of Philadelphia and Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania Nonimmune Hydrops; Resuscitation in the Delivery Room; Res- piratory Failure in the Term Infant; Bronchopulmonary Dysplasia; Disorders of the Chest Wall, Pleural Cavity, and Diaphragm Beverly A. Banks-Randall, M.D., Ph.D., M.H.S. Director of Neonatology, Roy Lester Schneider Hospital, St. Thomas, U.S. Virgin Islands Bronchopulmonary Dysplasia Stephen Baumgart, M.D. Professor of Pediatrics, State University of New York at Stony Brook School of Medicine; NICU Director, Uni- versity Hospital at Stony Brook, Stony Brook, New York Temperature Regulation of the Premature Infant Karen P. Beckerman, M.D. Clinical Associate Professor, Department of Obstetrics and Gynecology, New York University School of Medi- cine, New York, New York Identification, Evaluation, and Care of the Human Immuno- deficiency Virus–Exposed Neonate Thomas J. Benedetti, M.D., M.H.A. Vice Chair/Professor, Department of Obstetrics and Gynecology, University of Washington School of Medi- cine, Seattle, Washington Complicated Deliveries: Overview vii Contributors †Deceased. FM00-001-024 6/11/04 8:28 PM Page vii Gerard T. Berry, M.D. Professor of Pediatrics and Vice Dean for Research, Jeffer- son Medical College, Thomas Jefferson University, Philadel- phia, Pennsylvania Introduction to the Metabolic and Biochemical Genetic Dis- eases; Inborn Errors of Carbohydrate, Ammonia, Amino Acid, and Organic Acid Metabolism Carol Lynn Berseth, M.D. Director, Medical Affairs, Mead Johnson and Company, Evansville, Indiana Developmental Anatomy and Physiology of the Gastrointestinal Tract; Structural Anomalies of the Gastrointestinal Tract; Physio- logic and Inflammatory Abnormalities of the Gastrointestinal Tract; Abdominal Wall Problems; Necrotizing Enterocolitis and Short Bowel Syndrome Kathleen E. Bethin, M.D., Ph.D. Assistant Professor of Pediatrics, Division of Endocrinol- ogy and Diabetology, Indiana University School of Medi- cine, Indianapolis, Indiana Disorders of the Adrenal Gland Diana W. Bianchi, M.D. Natalie V. Zucker Professor of Pediatrics, Obstetrics, and Gynecology, Tufts University School of Medicine; Chief, Division of Genetics, Tufts–New England Medical Cen- ter, Boston, Massachusetts Prenatal Genetic Diagnosis Mitchell S. Cairo, M.D. Professor of Pediatrics, Medicine, and Pathology, Columbia University College of Physicians and Surgeons; Chief, Divi- sion of Pediatric Hematology and Bone Marrow Transplan- tation, Children’s Hospital of New York–Presbyterian, New York, New York Neonatal Leukocyte Physiology and Disorders Anthony Caldamone, M.D. Professor of Surgery (Urology) and Pediatrics, Brown School of Medicine; Director, Urology Residency Pro- gram, Rhode Island Hospital, Providence, Rhode Island Ambiguous Genitalia in the Newborn Sudhish Chandra, M.D. Assistant Professor of Pediatrics, Case Western Reserve University School of Medicine; Attending Neonatologist, Rainbow Babies and Children’s Hospital, Cleveland, Ohio Temperature Regulation of the Premature Infant Ramen Chmait, M.D. Staff Physician, Florida Institute for Fetal Diagnosis and Therapy, Florida Perinatal Associates, Tampa, Florida Endocrine Disorders in Pregnancy Ronald I. Clyman, M.D. Professor of Pediatrics, University of California, San Fran- cisco, School of Medicine; Senior Staff, Cardiovascular Research Institute, San Francisco, California Patent Ductus Arteriosus in the Premature Infant Bernard A. Cohen, M.D. Associate Professor of Pediatrics and Dermatology, Johns Hopkins University School of Medicine; Director, Pedi- atric Dermatology, Johns Hopkins Hospital, Baltimore, Maryland Newborn Skin: Development and Basic Concepts; Congeni- tal and Hereditary Disorders of the Skin; Infections of the Skin; Common Newborn Dermatoses; Cutaneous Congenital Defects Meryl S. Cohen, M.D. Interim Director of Echocardiography Laboratory, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Echocardiography in the Neonatal Intensive Care Unit Mitchell I. Cohen, M.D. Medical Director of Pediatric Cardiology and Director of Pacing and Electrophysiology, Phoenix Children’s Hospi- tal, Phoenix, Arizona Arrhythmias in the Fetus and Newborn Robert M. Cohn, M.D. Associate Professor Emeritus, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania Lysosomal Storage, Peroxisomal, and Glycosylation Dis- orders and Smith-Lemli-Opitz Syndrome Presenting in the Neonate F. Sessions Cole, M.D. Park J. White, M.D., Professor of Pediatrics, Professor of Cell Biology and Physiology, and Vice Chairman, Depart- ment of Pediatrics, Washington University School of Medi- cine; Director, Division of Newborn Medicine, St. Louis Children’s Hospital, St. Louis, Missouri Immunology of the Fetus and Newborn; Viral Infections of the Fetus and Newborn Anthony Corbet, M.B. Clinical Professor of Pediatrics, University of Texas Health Science Center at San Antonio; Partner, Magella Medical Associates (Pediatrix Medical Group); Staff Neonatologist, Christus Santa Rosa Children’s Hospital, Methodist Children’s Hospital, and St. Luke’s Baptist Hospital, San Antonio, Texas Control of Breathing; Pulmonary Physiology of the Newborn; Principles of Respiratory Monitoring and Therapy; Respiratory Distress in the Preterm Infant; Respiratory Failure in the Term Infant; Anomalies of the Airways, Mediastinum, and Lung Parenchyma; Disorders of the Chest Wall, Pleural Cavity, and Diaphragm Scott C. Denne, M.D. Professor of Pediatrics, Indiana University School of Medi- cine; Attending Neonatologist, James Whitcomb Riley Hos- pital for Children, Indianapolis, Indiana Parenteral Nutrition Theresa J. Di Maggio, R.N., M.S.N., C.R.N.P. Pain Management Nurse Practitioner, Departments of Anesthesiology and Nursing, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Neonatal Pain Management in the 21st Century viii Contributors FM00-001-024 6/11/04 8:28 PM Page viii Eric C. Eichenwald, M.D. Assistant Professor of Pediatrics, Harvard Medical School; Associate Director, Newborn Intensive Care Unit, Brigham and Women’s Hospital, Boston, Massachusetts Care of the Extremely Low-Birth-Weight Infant Jacquelyn R. Evans, M.D. Clinical Professor, Department of Pediatrics, University of Pennsylvania School of Medicine; Clinical Director, Newborn Services, and Medical Director, Neonatal ECMO Program, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Acid-Base, Fluid, and Electrolyte Management; Clinical Evaluation of Renal and Urinary Tract Disease; Acute and Chronic Renal Failure; Renal Vascular Disease in the Newborn Nick Evans, D.M., M.R.C.P.Ch. Clinical Associate Professor of Pediatrics, University of Sydney Faculty of Medicine; Director, NICU, Royal Prince Alfred Hospital, Lamperdown, New South Wales, Australia Cardiovascular Compromise in the Newborn Infant Avroy A. Fanaroff, M.D. Eliza Henry Barnes Professor in Neonatology and Interim Chair, Department of Pediatrics, and Professor of Repro- ductive Biology, Case Western Reserve University School of Medicine; Neonatologist, Rainbow Babies and Chil- dren’s Hospital, Cleveland, Ohio Perinatal-Neonatal Epidemiology Donna M. Ferriero, M.D. Professor of Neurology and Pediatrics, Division of Child Neurology, University of California, San Francisco, School of Medicine, San Francisco, California Central Nervous System Injury and Neuroprotection Delbert A. Fisher, M.D. Vice President, Science & Innovation, Quest Diagnostics Nichols Institute, San Juan Capistrano, California Disorders of the Thyroid Gland Laura Flores-Sarnat, M.D. Postdoctoral Research Fellow in Neuropathology, Cedars- Sinai Medical Center, Los Angeles, California Neonatal Neuromuscular Disorders Philippe S. Friedlich, M.D. Assistant Professor of Clinical Pediatrics, University of Southern California Keck School of Medicine; Section Head, CHLA Operations, and Medical Director, Center for Newborn and Infant Critical Care, Children’s Hospital Los Angeles, Los Angeles, California Clinical Evaluation of Renal and Urinary Tract Disease; Acute and Chronic Renal Failure J. William Gaynor, M.D. Associate Professor of Surgery, University of Pennsylvania School of Medicine; Daniel M. Tabas Endowed Chair in Pediatric Cardiothoracic Surgery, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Long-Term Neurologic Outcomes in Children with Congeni- tal Heart Disease Alfred L. Gest, M.D. Associate Professor of Clinical Pediatrics, Department of Pediatrics, The Ohio State University School of Medicine and Public Health; Neonatologist, Children’s Hospital, Columbus, Ohio Principles of Respiratory Monitoring and Therapy Tal Geva, M.D. Associate Professor of Pediatrics (Radiology), Department of Pediatrics, Harvard Medical School; Senior Associate in Car- diology, Children’s Hospital Boston, Boston, Massachusetts Nomenclature and the Segmental Approach to Congenital Heart Disease Mary Ann E. Gibbons, R.N., B.S.N. Clinical Nurse IV, Newborn/Infant Center, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Neonatal Pain Management in the 21st Century William M. Gilbert, M.D. Professor and Vice Chair, Department of Obstetrics and Gynecology, University of California, Davis, School of Medicine; Attending Physician, University of California, Davis, Medical Center, Sacramento, California Placental Function and Diseases: The Placenta, Fetal Mem- branes, and Umbilical Cord Bertil E. Glader, M.D., Ph.D. Professor of Pediatrics, Stanford University School of Medicine; Attending Pediatrician, Stanford University Hospitals, Stanford, California Erythrocyte Disorders in Infancy Christine A. Gleason, M.D. Professor of Pediatrics, University of Washington School of Medicine; Head, Division of Neonatology, Children’s Hos- pital and Regional Medical Center, Seattle, Washington Developmental Physiology of the Central Nervous System; Appendix 2: Illustrative Forms and Normal Values Michael J. Goldberg, M.D. Professor and Chairman, Department of Orthaepedics, Tufts University School of Medicine; Orthopaedist in Chief, Tufts–New England Medical Center, Boston, Massachusetts Common Neonatal Orthopedic Ailments William V. Good, M.D. Senior Scientist, Smith-Kettlewell Eye Research Institute, San Francisco, California Disorders of the Eye Gregory Goodwin, M.D. Assistant Professor of Pediatrics, Brown School of Medi- cine; Director, Pediatric Endocrine Clinic, Rhode Island Hospital, Providence, Rhode Island Ambiguous Genitalia in the Newborn Sameer Gopalani, M.D., M.S. Acting Instructor and Fellow, Division of Perinatal Medi- cine, Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, Washington Complicated Deliveries: Overview Contributors ix FM00-001-024 6/11/04 8:28 PM Page ix Carol L. Greene, M.D. Clinical Professor, George Washington University School of Medicine; Clinical Faculty, Division of Genetics and Metabolism, Department of Pediatrics, Children’s National Medical Center, Washington, DC Lysosomal Storage, Peroxisomal, and Glycosylation Disorders and Smith-Lemli-Opitz Syndrome Presenting in the Neonate Brian E. Grottkau, M.D. Chief of Pediatric Orthopaedics and Adult Spine Surgeon, Massachusetts General Hospital, Boston, Massachusetts Common Neonatal Orthopedic Ailments Peter J. Gruber, M.D., Ph.D. Assistant Professor of Surgery, University of Pennsylvania School of Medicine; Pediatric Cardiologist, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Common Congenital Heart Disease: Presentation, Manage- ment, and Outcomes Jean-Pierre Guignard, M.D. Professor of Pediatric Nephrology, University of Lausanne Faculty of Medicine; Head, Division of Pediatric Nephrol- ogy, University Hospital Medical Center, Lausanne, France Renal Morphogenesis and Development of Renal Function Susan Guttentag, M.D. Assistant Professor of Pediatrics, University of Pennsylva- nia School of Medicine; Neonatologist, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Lung Development: Embryology, Growth, Maturation, and Developmental Biology Shannon E. G. Hamrick, M.D. Clinical Instructor of Pediatrics, Division of Neonatology, University of California, San Francisco, School of Medi- cine, San Francisco, California Central Nervous System Injury and Neuroprotection Thomas N. Hansen, M.D. Professor and Chairman, Department of Pediatrics, The Ohio State University School of Medicine and Public Health; Chief Executive Officer, Children’s Hospital, Columbus, Ohio Control of Breathing; Pulmonary Physiology of the Newborn; Principles of Respiratory Monitoring and Therapy; Respiratory Distress in the Preterm Infant; Respiratory Failure in the Term Infant; Anomalies of the Airways, Mediastinum, and Lung Parenchyma; Disorders of the Chest Wall, Pleural Cavity, and Diaphragm Margaret K. Hostetter, M.D. Professor of Pediatrics and Microbial Pathogenesis, Yale University School of Medicine; Physician-in-Chief, Yale–New Haven Children’s Hospital, New Haven, Connecticut Fungal Infections in the Neonatal Intensive Care Unit Samuel C. Hughes, M.D. Professor of Anesthesia, University of California, San Fran- cisco, School of Medicine; Director, Obstetric Anesthesia, San Francisco General Hospital, San Francisco, California Maternal and Fetal Anesthesia and Analgesia Andrew D. Hull, B.Med.Sci., B.M., B.S., F.R.C.O.G., F.A.C.O.G. Assistant Professor of Reproductive Medicine and Direc- tor of Research, University of California, San Diego, School of Medicine, San Diego, California Hypertensive Complications of Pregnancy; Antepartum Fetal Assessment Roy Jedeikin, M.D. Medical Director of Pediatric Cardiology, St. Joseph’s Hospital and Medical Center, Phoenix, Arizona Arrhythmias in the Fetus and Newborn Sandra E. Juul, M.D., Ph.D. Associate Professor of Pediatrics, University of Washing- ton School of Medicine, Seattle, Washington Developmental Biology of the Hematologic System Bernard S. Kaplan, M.B., B.Ch. Professor of Pediatrics and Medicine, University of Penn- sylvania School of Medicine; Director of Pediatric Nephrology, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Developmental Abnormalities of the Kidneys; Glomeru- lonephropathies and Disorders of Tubular Function Paige Kaplan, M.B., B.Ch. Professor of Pediatrics, University of Pennsylvania School of Medicine; Section Chief, Metabolic Diseases, Depart- ment of Pediatrics, The Children’s Hospital of Philadel- phia, Philadelphia, Pennsylvania Skeletal Dysplasias and Connective Tissue Disorders Rebecca A. Kazin, M.D. Resident in Dermatology, Johns Hopkins Medical Institu- tions, Baltimore, Maryland Common Newborn Dermatoses Thomas F. Kelly, M.D. Associate Clinical Professor of Reproductive Medicine, University of California, San Diego, School of Medicine, La Jolla; Director of Maternity Services, UCSD Medical Center, San Diego, California Maternal Medical Disorders of Fetal Significance: Seizure Disorders, Isoimmunization, Cancer, and Mental Disorders Stefan Kuhle, M.D. Senior Registrar, Department of Neonatology, University Children’s Hospital, Tübingen, Germany Hemostatic Disorders of the Newborn Ian A. Laing, M.A. M.D., F.R.C.P.E., F.R.C.P.Ch. Senior Lecturer, Department of Reproductive and Devel- opmental Sciences, University of Edinburgh Faculty of Medicine; Clinical Director, Neonatal Unit, Simpson Centre for Reproductive Health, Royal Infirmary of Edin- burgh, Edinburgh, United Kingdom Surfactant Treatment of Respiratory Disorders x Contributors FM00-001-024 6/11/04 8:28 PM Page x Harvey L. Levy, M.D. Associate Professor of Pediatrics, Harvard Medical School; Senior Associate in Medicine (Genetics), Chil- dren’s Hospital Boston, Boston, Massachusetts Newborn Screening Mignon L. Loh, M.D. Assistant Professor of Clinical Pediatrics, University of Cali- fornia, San Francisco, School of Medicine; Attending Physi- cian, UCSF Children’s Hospital, San Francisco, California Congenital Malignant Disorders Scott A. Lorch, M.D., M.S.C.E. Assistant Professor, University of Pennsylvania School of Medicine; Clinical Associate, Division of Neonatology, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Nonimmune Hydrops Ralph A. Lugo, Pharm.D. Associate Professor, University of Utah College of Phar- macy, Salt Lake City, Utah Pharmacologic Principles and Practicalities Geoffrey A. Machin, M.D., Ph.D. Fetal/Genetic Pathologist, The Permanente Medical Group, Department of Pathology, Kaiser Oakland, Oak- land, California Placental Function and Diseases: The Placenta, Fetal Mem- branes, and Umbilical Cord; Multiple Birth James R. MacMahon, M.D. Associate Professor of Pediatrics, Staff Physician, Maine Medical Center, Portland, Maine Neonatal Hyperbilirubinemia George A. Macones, M.D., M.S.C.E. Associate Professor, Department of Obstetrics and Gyne- cology, University of Pennsylvania School of Medicine; Director, Maternal Fetal Medicine, Hospital of the Uni- versity of Pennsylvania, Philadelphia, Pennsylvania Prematurity: Causes and Prevention Ashima Madan, M.D. Associate Professor of Pediatrics, Stanford University School of Medicine; Staff Physician, Lucile Salter Packard Children’s Hospital, Stanford, California Central Nervous System Injury and Neuroprotection; Neona- tal Hyperbilirubinemia; Disorders of the Eye Bradley S. Marino, M.D. Assistant Professor of Anesthesia and Pediatrics, Univer- sity of Pennsylvania School of Medicine; Assistant Physi- cian, Division of Cardiology and Division of Critical Care Medicine, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Stabilization and Transport of the Neonate with Congenital Heart Disease Alma Martinez, M.D., M.P.H. Associate Clinical Professor of Pediatrics, San Francisco General Hospital and University of California, San Fran- cisco, School of Medicine, San Francisco, California Abnormalities of Fetal Growth; Perinatal Substance Abuse Kathryn L. Maschoff, M.D., Ph.D. Clinical Associate Professor, Department of Pediatrics, University of Pennsylvania School of Medicine; Attending Neonatologist, The Children’s Hospital of Philadelphia and Hospital of the University of Pennsylvania, Philadel- phia, Pennsylvania Embryology and Development of the Cardiovascular System Patricia Massicotte, M.D., M.Sc., F.R.C.P.C. Professor of Pediatrics, University of Alberta Faculty of Medicine; Attending Physician, Stollery Children’s Hospi- tal, Edmonton, Alberta, Canada Hemostatic Disorders of the Newborn Katherine K. Matthay, M.D. Professor of Pediatrics, University of California, San Fran- cisco, School of Medicine; Interim Chief, Pediatric Hema- tology-Oncology, and Director, Pediatric Oncology, UCSF Children’s Hospital, San Francisco, California Congenital Malignant Disorders William C. Mentzer, M.D. Professor of Pediatrics Emeritus, University of California, San Francisco, School of Medicine; Attending Pediatric Hematologist/Oncologist, University of California Medical Center, San Francisco, California Erythrocyte Disorders in Infancy Jeffrey D. Merrill, M.D. Assistant Professor of Pediatrics, University of Pennsylva- nia School of Medicine; Medical Director, Intensive Care Nursery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania Resuscitation in the Delivery Room Carol A. Miller, M.D. Clinical Professor, Department of Pediatrics, University of California, San Francisco, School of Medicine, San Francisco, California Routine Newborn Care Lesley Mitchell, A.R.T., M.Sc. Associate Professor of Pediatrics, University of Alberta Fac- ulty of Medicine; Scientific Director, Pediatric Thrombosis Program, Stollery Children’s Hospital, Edmonton, Alberta, Canada Hemostatic Disorders of the Newborn Alicia A. Moise, M.D. Associate Professor of Clinical Pediatrics, Department of Pediatrics, The Ohio State University School of Medicine and Public Health; Neonatologist, Children’s Hospital, Columbus, Ohio Principles of Respiratory Monitoring and Therapy Contributors xi FM00-001-024 6/11/04 8:28 PM Page xi Thomas J. Mollen, M.D. Instructor, University of Pennsylvania School of Medicine; Clinical Associate, The Children’s Hospital of Philadel- phia, Philadelphia, Pennsylvania Nonimmune Hydrops Timothy P. Monahan, M.A., M.D. Resident in Dermatology, Johns Hopkins Hospital, Balti- more, Maryland Congenital and Hereditary Disorders of the Skin Thomas R. Moore, M.D. Professor and Chairman, Department of Reproductive Medicine, University of California, San Diego, School of Medicine; Faculty Physician, UCSD Medical Center, San Diego, California Endocrine Disorders in Pregnancy; Maternal Medical Disor- ders of Fetal Significance: Seizure Disorders, Isoimmunization, Cancer, and Mental Disorders; Hypertensive Complications of Pregnancy; Antepartum Fetal Assessment Louis J. Muglia, M.D., Ph.D. Associate Professor of Pediatrics, Molecular Biology and Pharmacology, and Obstetrics and Gynecology, Washing- ton University School of Medicine; Attending Physician, St. Louis Children’s Hospital, St. Louis, Missouri Disorders of the Adrenal Gland Robert M. Nelson, M.D., Ph.D. Associate Professor of Anesthesia and Pediatrics, Uni- versity of Pennsylvania School of Medicine; Attending Physician, Anesthesiology and Critical Care Medicine, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Ethical Decisions in the Neonatal-Perinatal Period Thomas B. Newman, M.D., M.P.H. Professor of Epidemiology and Biostatistics, Departments of Epidemiology and Biostatistics and Pediatrics, Univer- sity of California, San Francisco, School of Medicine; Attending Physician, Well Baby Nursery, UCSF Medical Center, San Francisco, California Routine Newborn Care Eugenia K. Pallotto, M.D. Assistant Professor of Pediatrics, University of Missouri–Kansas City School of Medicine; Attending Physician, Section of Neonatology, Department of Pedi- atrics, Children’s Mercy Hospitals and Clinics, Kansas City, Missouri Disorders of Carbohydrate Metabolism Erica S. Pan, M.D., M.P.H. Clinical Instructor, University of California, San Fran- cisco, School of Medicine; Director, Bioterrorism and Emerging Infections Unit, Community Health Epidemi- ology and Disease Control, San Francisco Department of Public Health, San Francisco, California Viral Infections of the Fetus and Newborn Elvira Parravicini, M.D. Assistant Professor of Clinical Pediatrics, Columbia Univer- sity College of Physicians and Surgeons; Assistant Clinical Attending, Children’s Hospital of New York–Presbyterian, New York, New York Bacterial Sepsis and Meningitis; Neonatal Leukocyte Physiol- ogy and Disorders J. Colin Partridge, M.D., M.P.H. Clinical Professor, University of California, San Francisco, School of Medicine; Attending Neonatologist, San Fran- cisco General Hospital, San Francisco, California Perinatal Substance Abuse Dan Poenaru, M.D., M.H.P.E., F.R.C.S.C., F.A.C.S., F.I.C.S. Adjunct Associate Professor of Surgery and Pediatrics, Queen’s University Faculty of Health Sciences, Kingston, Ontario, Canada; Medical Education and Research Direc- tor, AIC Kijabe Hospital, Kijabe, Kenya Structural Anomalies of the Gastrointestinal Tract; Abdomi- nal Wall Problems; Necrotizing Enterocolitis and Short Bowel Syndrome Brenda B. Poindexter, M.D. Assistant Professor of Pediatrics, Indiana University School of Medicine; Attending Neonatologist, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana Parenteral Nutrition Richard A. Polin, M.D. Professor of Pediatrics, Columbia University College of Physicians and Surgeons; Director, Division of Neonatol- ogy, Children’s Hospital of New York–Presbyterian, New York, New York Bacterial Sepsis and Meningitis Daniel H. Polk, M.D. Professor of Pediatrics, Northwestern University Fein- berg School of Medicine; Vice Chief, Division of Neona- tology, Children’s Memorial Hospital, Chicago, Illinois Disorders of the Thyroid Gland DeWayne M. Pursley, M.D., M.P.H. Assistant Professor of Pediatrics, Harvard Medical School; Neonatologist in Chief, Beth Israel Deaconess Medical Center, Boston, Massachusetts Impact of the Human Genome Project on Neonatal Care Rangasamy Ramanathan, M.D. Professor of Clinical Pediatrics, University of Southern California Keck School of Medicine; Associate Division Chief and Section Head, USC Division of Neonatology; Director, Neonatal-Perinatal Medicine Fellowship Pro- gram, and Director, NICU Women’s and Children’s Hospital, LAC � USC Women’s and Children’s Hospi- tal and Children’s Hospital Los Angeles, Los Angeles, California Acid-Base, Fluid, and Electrolyte Management; Renal Vascu- lar Disease in the Newborn xii Contributors FM00-001-024 6/11/04 8:28 PM Page xii Daniela Ramierez-Schrempp, M.D. Clinical Assistant Instructor in Pediatrics, State University of New York; Children’s Hospital at Downstate Medical Center, Brooklyn, New York Surfactant Treatment of Respiratory Disorders Joan A. Regan, M.D.† Formerly Associate Professor of Clinical Pediatrics, Columbia University College of Physicians and Surgeons, and Associate Clinical Attending, Children’s Hospital of New York–Presbyterian, New York, New York Bacterial Sepsis and Meningitis Elisabeth G. Richard, M.D. Resident in Dermatology, Johns Hopkins Medical Institu- tions, Baltimore, Maryland Infections of the Skin Richard L. Robertson, M.D. Assistant Professor of Radiology, Harvard Medical School; Director of Neuroradiology, Children’s Hospital Boston, Boston, Massachusetts Neonatal Neuroimaging Mark A. Rosen, M.D. Professor of Anesthesia and Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, School of Medicine; Director, Obstetric Anes- thesia, University Hospitals (Moffitt-Long), San Francisco, California Maternal and Fetal Anesthesia and Analgesia Lewis P. Rubin, M.Phil., M.D. Associate Professor of Pediatrics and Co-Director, Pro- gram in Fetal Medicine, Brown Medical School; Staff Neonatologist, Women and Infants Hospital of Rhode Island, Providence, Rhode Island Embryology, Developmental Biology, and Anatomy of the Endocrine System; Disorders of Calcium and Phosphorus Metabolism Jack Rychik, M.D., F.A.C.C. Associate Professor of Pediatrics, University of Pennsylva- nia School of Medicine; Medical Director, The Fetal Heart Program, Division of Cardiology, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Echocardiography in the Neonatal Intensive Care Unit Sulagna C. Saitta, M.D., Ph.D. Assistant Professor of Pediatrics, University of Pennsylva- nia School of Medicine; Attending Physician, Division of Human Genetics, The Children’s Hospital of Philadel- phia, Philadelphia, Pennsylvania Evaluation of the Dysmorphic Infant; Specific Chromosome Disorders in Newborns Pablo J. Sánchez, M.D. Professor of Pediatrics, Division of Neonatal-Perinatal Med- icine and Division of Pediatric Infectious Diseases, Depart- ment of Pediatrics, University of Texas Southwestern Medical Center; Attending Physician, Parkland Memorial Hospital and Children’s Medical Center, Dallas, Texas Toxoplasmosis, Syphilis, Malaria, and Tuberculosis Harvey B. Sarnat, M.D., F.R.C.P.C. Professor of Pediatrics (Neurology) and Pathology (Neu- ropathology), David Geffen School of Medicine at UCLA; Director, Division of Pediatric Neurology, Neuropatholo- gist, and Director, Neuromuscular Pathology Laboratory, Cedars-Sinai Medical Center, Los Angeles, California Neonatal Neuromuscular Disorders Richard J. Schanler, M.D. Professor of Pediatrics, Albert Einstein College of Medicine of Yeshiva University, Bronx; Chief, Neonatal-Perinatal Medicine, Schneider Children’s Hospital at North Shore, North Shore University Hospital, Manhasset, New York Enteral Nutrition for the High-Risk Neonate Mark S. Scher, M.D. Professor of Pediatrics and Neurology, Case Western Reserve University School of Medicine; Division Chief, Pediatric Neurology, and Director, Pediatric Sleep/Epilepsy and Fetal/Neonatal Neurology Programs, Rainbow Babies and Children’s Hospital, University Hospitals of Cleveland, Cleveland, Ohio Neonatal Seizures Istvan Seri, M.D., Ph.D. Professor of Pediatrics, University of Southern California Keck School of Medicine; Head, USC Division of Neona- tal Medicine, and Medical Director, Institute of Maternal and Fetal Health, Children’s Hospital Los Angeles and the LAC � USC Women’s and Children’s Hospital, Los Angeles, California Acid-Base, Fluid, and Electrolyte Management; Cardiovascu- lar Compromise in the Newborn Infant; Clinical Evaluation of Renal and Urinary Tract Disease; Acute and Chronic Renal Fail- ure; Renal Vascular Disease in the Newborn Elaine C. Siegfried, M.D. Associate Clinical Professor of Pediatrics and Dermatology, Saint Louis University School of Medicine; Staff Physician, Cardinal Glennon Children’s Hospital, St. Louis, Missouri Newborn Skin: Development and Basic Concepts; Congenital and Hereditary Disorders of the Skin; Infections of the Skin; Common Newborn Dermatoses; Cutaneous Congenital Defects Gary A. Silverman, M.D., Ph.D. Associate Professor of Pediatrics, Harvard Medical School; Children’s Hospital, Boston, Massachusetts Impact of the Human Genome Project on Neonatal Care Rebecca Simmons, M.D. Assistant Professor of Pediatrics, University of Pennsylva- nia School of Medicine; Attending Neonatologist, The Children’s Hospital of Philadelphia and Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania Abnormalities of Fetal Growth Contributors xiii †Deceased. FM00-001-024 6/11/04 8:28 PM Page xiii

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