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Pediatrics is the branch of medicine that involves the medical care of infants, children, and adolescents. The American Academy of Pediatrics recommends people seek pediatric care through the age of 21. In the United Kingdom, paediatrics covers patients until age 18. Worldwide age limits of pediatrics have been trending up year over year. A medical doctor who specializes in this area is known as a pediatrician, or paediatrician. The word pediatrics and its cognates mean "healer of children"; they derive from two Greek words: παῖς and ἰατρός. Pediatricians work in hospitals and children's hospitals particularly those working in its subspecialties, and as outpatient primary care physicians.
Preterm birth, also known as premature birth, is the birth of a baby at fewer than 37 weeks gestational age, as opposed to full-term delivery at approximately 40 weeks. Extreme preterm is less than 28 weeks, very early preterm birth is between 28-32 weeks, early preterm birth occurs between 32–36 weeks, late preterm birth is between 34–36 weeks' gestation. These babies are also known as premature babies or colloquially preemies or premmies. Symptoms of preterm labor include uterine contractions which occur more often than every ten minutes and/or the leaking of fluid from the vagina before 37 weeks. Premature infants are at greater risk for cerebral palsy, delays in development, hearing problems and problems with their vision. The earlier a baby is born, the greater these risks will be.
Retinopathy of prematurity (ROP), also called retrolental fibroplasia (RLF) and Terry syndrome, is a disease of the eye affecting prematurely born babies generally having received neonatal intensive care, in which oxygen therapy is used due to the premature development of their lungs. It is thought to be caused by disorganized growth of retinal blood vessels which may result in scarring and retinal detachment. ROP can be mild and may resolve spontaneously, but it may lead to blindness in serious cases. Thus, all preterm babies are at risk for ROP, and very low birth-weight is an additional risk factor. Both oxygen toxicity and relative hypoxia can contribute to the development of ROP.
Infantile respiratory distress syndrome (IRDS), also called respiratory distress syndrome of newborn, or increasingly surfactant deficiency disorder (SDD), and previously called hyaline membrane disease (HMD), is a syndrome in premature infants caused by developmental insufficiency of pulmonary surfactant production and structural immaturity in the lungs. It can also be a consequence of neonatal infection and can result from a genetic problem with the production of surfactant-associated proteins.
Neonatology is a subspecialty of pediatrics that consists of the medical care of newborn infants, especially the ill or premature newborn. It is a hospital-based specialty, and is usually practised in neonatal intensive care units (NICUs). The principal patients of neonatologists are newborn infants who are ill or require special medical care due to prematurity, low birth weight, intrauterine growth restriction, congenital malformations, sepsis, pulmonary hypoplasia or birth asphyxia.
Fetal viability is the ability of a human fetus to survive outside the uterus. Fetal viability is generally considered to begin at 23 or 24 weeks gestational age: by 23 weeks, 55% of infants survive preterm birth, while approximately 60-70% survive by 24 weeks.
Neonatal jaundice is a yellowish discoloration of the white part of the eyes and skin in a newborn baby due to high bilirubin levels. Other symptoms may include excess sleepiness or poor feeding. Complications may include seizures, cerebral palsy, or kernicterus.
Sir John Peter Mills Tizard was a British paediatrician and professor at the University of Oxford. Tizard was principally notable for important research into neonatology and paediatric neurology and being a founder member of the Neonatal Society in 1959. Tizard was considered the most distinguished academic children's physician of his generation.
Julius Hess was an American physician who is often considered the father of American neonatology. In 1922, he published the first textbook focused on the care of prematurity and birth defects in infants. That same year, Hess and nurse Evelyn Lundeen created the first premature infant station in the United States, recognizing the importance of nursing care and temperature management in the care of preterm babies. Hess also made early contributions to the transport of such infants to specialty centers.
Late preterm infants are infants born at a gestational age between 34+0⁄7 weeks and 36+6⁄7 weeks. They have higher morbidity and mortality rates than term infants due to their relative physiologic and metabolic immaturity, even though they are often the size and weight of some term infants. "Late preterm" has replaced "near term" to describe this group of infants, since near term incorrectly implies that these infants are "almost term" and only require routine neonatal care.
Neelam Kler is an Indian neonatologist, known for her pioneering work on neonatal intensive care and ventilation. She is credited with developing neonatal care to better the survival rate of extremely tiny preterm babies to 90 per cent. The Government of India honoured her with the third-highest civilian award, Padmabhushan, in 2014, for her services to the fields of medicine and neonatology.
Neena Modi is a British physician and Professor of Neonatal medicine at Imperial College London. She is the current president of the UK Medical Women’s Federation, and past-president of the Royal College of Paediatrics and Child Health, serving in this role from April 2015 to April 2018. She is one of only four women to ever hold this position.
Herbert Barrie, was a British consultant paediatrician and a leading figure in neonatology. He was a pioneer in the emerging specialty of paediatrics and neonatal medicine; and he developed one of the first neonatal intensive care units in London.
Edward Osmund Royle Reynolds, CBE, FRCP, FRCOG, FRCPCH, FMedSci, FRS, was a British paediatrician and Neonatologist who was most notable for the introduction of new techniques intended to improve the survival of newborns, especially those with respiratory failure, and for a series of papers regarding the value of techniques such as ultrasound imaging, nuclear magnetic resonance spectroscopy, and near infrared spectroscopy in determining the development and response to injury of the infant brain after birth.
Peter MacNaughton Dunn, FRCP, FRCOG, FRCPCH was an English paediatrician. Dunn was most notable for introducing into the UK the Gregory box in 1971, that provides Continuous positive airway pressure in the treatment of infant respiratory distress syndrome of the newborn and conducting research into Hip dysplasia and fetal adaptation to extrauterine life. Dunn was also notable for being known for founding the charity association British Association of Perinatal Medicine.
Anne Greenough is a British neonatologist and is most notable for research into clinical and academic neonatology through work relating to the origins, markers and management of chronic lung disease following preterm birth. Greenough is Professor of Neonatology and Clinical Respiratory Physiology at King's College London.
British Association of Perinatal Medicine known as BAPM, is a charitable organization that was founded in Bristol in 1976 that is most notable for being a pressure group to advance the standards of perinatal care within the United Kingdom by a dedicated core of professional physicians who are accredited by examination.
Neil McIntosh is a British and Scottish paediatrician and neonatologist who was most notable for being the leading writer of a pivotal article that defined standards of ethical behaviour in paediatrics, including withdrawal of newborn intensive care. McIntosh is emeritus professor of Neonatology and Child Life and Health at the University of Edinburgh. During McIntosh's career he has researched mineral metabolism in preterm infants, computerised acquisition of physiological data in Neonatal Intensive Care Nursing, and recently an animal model of retinopathy of prematurity.
Rebeccah Slater is a British neuroscientist and academic. She is professor of paediatric neuroscience and a senior Wellcome Trust research fellow at the University of Oxford. She is also a professorial fellow in Neuroscience at St John's College.
Christian P. Speer is a German pediatrician and Professor of Pediatrics specialized in neonatology at the Julius Maximilian University of Würzburg. Speer is known for his scientific and educational contributions in neonatal medicine.
References
- ↑ "Professor Andrew Wilkinson". The Royal College of Paediatrics and Child Health. The Royal College of Paediatrics and Child Health. 2 March 2017. Retrieved 18 September 2018.
- 1 2 3 4 5 6 7 8 9 10 11 "Professor Andrew Wilkinson". People. All Souls College, University of Oxford . Retrieved 18 September 2018.
- ↑ "Past Officers". British Association of Perinatal Medicine. BAPM. Archived from the original on 25 September 2018. Retrieved 25 September 2018.
- ↑ "The Neonatal Society: Past Officers". Neonatal Society. The Neonatal Society. Retrieved 25 September 2018.