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In Brief

Care of the Very Low-birthweight Infant

The first 300 words of the full text of this article appear below.

Medical Staff Guidelines for Periviability Pregnancy Counseling and Medical Treatment of Extremely Premature Infants. Kaempf JW, Tomlinson M, Arduza C, et al. Pediatrics. 2006:117 :22 –29[Abstract/Free Full Text] The S.T.A.B.L.E. Program: Post-resuscitation/Pre-transport Stabilization Care of Sick Infants. 5th ed. Karlsen KA, ed. Elk Grove Village, Ill: American Academy of Pediatrics; 2006 Care of the Extremely Low-birth-weight Infant. Eichenwald EC. In: Taeusch HW, Ballard RA, Gleason CA, eds. Avery's Diseases of the Newborn. 8th ed. Philadelpia, Pa: Elsevier Saunders; 2005:410 –426 Textbook of Neonatal Resuscitation. 5th ed. Elk Grove Village, Ill; Dallas, Tex: American Academy of Pediatrics and American Heart Association; 2006. Hospital Discharge of the High-risk Neonate–Proposed Guidelines. American Academy of Pediatrics. Committee on Fetus and Newborn. Pediatrics. 1998;102 :411 –417[Abstract/Free Full Text] Motor and Executive Function at 6 Years of Age after Extremely Preterm Birth. Marlow N, Hennessy EM, Bracewell MA, Wolke D. EPICure Study Group. Pediatrics. 2007;120 :793 –804[Abstract/Free Full Text]

Increasing survival among extremely preterm infants has focused more attention on these babies, who are smaller in birthweight and lower in gestational age. Technological and therapeutic advances have improved during the past 2 decades, increasing survival among the smallest, most immature infants, some as young as 22 to 23 weeks’ gestation. Successful resuscitation and stabilization of the extremely preterm infant requires clinicians trained in delivery room preparation and management as well as immediate newborn care needs of such infants. Particular attention must be paid to the prevention of hypothermia, maintenance of glucose homeostasis, and provision of appropriate nutrition support, as well as the prevention of lung injury, retinopathy of prematurity (ROP), and infection.

Once alerted that a preterm baby will be born, a member of the neonatal team should meet with the expectant family. The scope of the prenatal . . . [Full Text of this Article]

Robert Angert, MD
Albert Einstein College of Medicine
Children's Hospital at Montefiore
Bronx, NY

Henry M. Adam, MD, Editor, In Brief

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