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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 and 32 weeks, early preterm birth occurs between 32 and 36 weeks, late preterm birth is between 34 and 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.
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.
A neonatal intensive care unit (NICU), also known as an intensive care nursery (ICN), is an intensive care unit (ICU) specializing in the care of ill or premature newborn infants. Neonatal refers to the first 28 days of life. Neonatal care, as known as specialized nurseries or intensive care, has been around since the 1960s.
Fetal viability is the ability of a human fetus to survive outside the uterus. Medical viability is generally considered to be between 23 and 24 weeks gestational age. Viability depends upon factors such as birth weight, gestational age, and the availability of advanced medical care. In low-income countries, half of newborns born at or below 32 weeks gestational age died due to a lack of medical access; in high-income countries, the vast majority of newborns born above 24 weeks gestational age survive.
In obstetrics, gestational age is a measure of the age of a pregnancy taken from the beginning of the woman's last menstrual period (LMP), or the corresponding age of the gestation as estimated by a more accurate method if available. Such methods include adding 14 days to a known duration since fertilization, or by obstetric ultrasonography. The popularity of using this measure of pregnancy is due to the fact that menstrual periods are usually noticed, while there is generally no convenient way to discern when fertilization or implantation occurred. Gestational age is contrasted with fertilization age which takes the date of fertilization as the start date of gestation, and pregnancy which begins with implantation.
Perinatal mortality (PNM) refers to the death of a fetus or neonate and is the basis to calculate the perinatal mortality rate. Variations in the precise definition of the perinatal mortality exist, specifically concerning the issue of inclusion or exclusion of early fetal and late neonatal fatalities. The World Health Organization defines perinatal mortality as the "number of stillbirths and deaths in the first week of life per 1,000 total births, the perinatal period commences at 22 completed weeks of gestation, and ends seven completed days after birth", but other definitions have been used.
Newborn transport is used to move premature and other sick infants from one hospital to another, such as a medical facility that has a neonatal intensive care unit and other services. Neonatal transport services such as NETS use mobile intensive care incubators fitted with mechanical ventilators, infusion pumps and physiological monitors capable of being used in a mobile environment. These transport systems seek to emulate the environment of a neonatal intensive care and permit uninterrupted care to occur in a referring hospital and then during the journey by road or air ambulance. Power and medical gas supplies are carried within the system as well as making use of external supplies; as available. Infant transport systems commonly weigh over 100 kg and present a challenge to vehicle operators in terms of weight, manual handling, crashworthiness and power consumption.
Archives of Disease in Childhood is a peer-reviewed medical journal published by the BMJ Group and covering the field of paediatrics. It is the official journal of the Royal College of Paediatrics and Child Health.
Dr. Karthik Nagesh is a neonatologist in India. He has been practicing neonatal intensive care since 1992 at the Manipal Hospital in Bangalore. He is well known in India for his pioneering work in intensive care for sick neonates especially, Surfactant Therapy and ventilation for sick babies with respiratory distress. He is currently the Chairman of the Manipal Advanced Children's Center and Chairman and HOD of Neonatology and Neonatal ICUs at the Manipal Hospitals Group as well as an adjunct professor of paediatrics, KMC at Manipal University.
A high-risk pregnancy is one where the mother or the fetus has an increased risk of adverse outcomes compared to uncomplicated pregnancies. No concrete guidelines currently exist for distinguishing “high-risk” pregnancies from “low-risk” pregnancies, however there are certain studied conditions that have been shown to put the mother or fetus at a higher risk of poor outcomes. These conditions can be classified into three main categories: health problems in the mother that occur before she becomes pregnant, health problems in the mother that occur during pregnancy, and certain health conditions with the fetus.
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.
Andrew Wilkinson is a Professor Emeritus of Paediatrics and Perinatal Medicine at All Souls College, Oxford. Wilkinson is most notable for being an international authority in neonatology and a lead author of the Standards of Care for NICU and NICE guidelines on retinopathy of prematurity.
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.
Joy Elizabeth Lawn is a British paediatrician and Professor of Maternal, Reproductive and Child Health. She is Director of the London School of Hygiene & Tropical Medicine Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre. She developed the epidemiological evidence for the worldwide policy and programming that looks to reduce neonatal deaths and stillbirths and works on large-scale implementation research.
Victoria Nakibuuka is a Ugandan neonatologist and a paediatrician who works at Nsambya Hospital in Kampala, Uganda. She is head of department of neonates at Nsambya Hospital. She is also member of the national newborn steering committee and national maternal and perinatal review committee. She pioneered perinatal death audits at Nsambya hospital which was later scaled up in the whole country and setting up one of the first neonatal intensive care units in Uganda.
References
- ↑ McIntosh, Neil (November 2004). "Ethical principles of research with children". Current Paediatrics. 14 (6): 489–494. doi:10.1016/j.cupe.2004.07.008.
- 1 2 3 Christie, D A; E M, Tansey (April 2001). "Witnesses to Twentieth Century Medicine" (pdf). ORIGINS OF NEONATAL INTENSIVE CARE IN THE UK. Vol. 9. London, Note 125: The Wellcome Trust Centre for the History of Medicine. p. 8. Retrieved 3 April 2019.
{{cite book}}: CS1 maint: location (link) - 1 2 "UK Staff and Volunteers". Maternal & Child health Advocacy International. Scotland. Retrieved 3 April 2019.
- ↑ "Emeritus Professor Neil McIntosh". RCPCH. Royal College of Paediatrics and Child Health. Retrieved 12 April 2019.