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Neonatology

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enhanced understanding of newborn physiology, improved sanitation practices, and development of specialized units for neonatal intensive care. Around the mid-19th century, the care of newborns was in its infancy and was led mainly by obstetricians; however, the early 1900s, pediatricians began to assume a more direct role in caring for neonates. The term neonatology was coined by Dr. Alexander Schaffer in 1960. The American Board of Pediatrics established an official sub-board certification for neonatology in 1975.
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Denuce was the first to publish a description of his own similar incubator design, and was the first physician to describe its utility in the support of premature infants in medical literature. By 1931, Dr. A Robert Bauer added more sophisticated upgrades to the incubator which allowed for humidity control and oxygen delivery in addition to heating capabilities, further contributing to improved survival in newborns.
2479: 2509: 2519: 404: 151: 2499: 52: 2489: 415:(NICU). They may also act as general pediatricians, providing well newborn evaluation and care in the hospital where they are based. Some neonatologists, particularly those in academic settings who perform clinical and basic science research, may follow infants for months or even years after hospital discharge to better assess the long-term outcomes. 798:
Encouragingly, an increasing number of programs focused on collaboration of newborn care are now being established all over the world. The International Neonatal Consortium Newborn Care International, Newborn Care International, and the Global Newborn Society are some notable examples. The goal is
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Between 2000 and 2012, the number of neonatal stays (births) in the United States fluctuated around 4.0 million stays, reaching a high of 4.3 million in 2006. Maternal and neonatal stays constituted 27 percent of hospital stays in the United States in 2012. However, the mean hospital costs remained
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In 1835, the Russian physician Georg von Ruehl developed a rudimentary incubator made from two nestled metal tubs enclosing a layer of warm water. By the mid-1850s, these "warming tubs" were in regular use at the Moscow Foundling Hospital for the support of premature infants. 1857, Jean-Louis-Paul
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is one of the most common reasons for hospitalization. The average hospital costs from 2003 to 2011 for the maternal and neonatal surgical services were the lowest hospital costs in the U.S. In 2012, maternal or neonatal hospital stays constituted the largest proportion of hospitalizations among
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Though high infant mortality rates were recognized by the medical community at least as early as the 1860s, advances in modern neonatal intensive care have led to a significant decline in infant mortality in the modern era. This has been achieved through a combination of technological advances,
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and in the sub-specialty of Neonatal-Perinatal Medicine also by the American Board of Pediatrics or American Osteopathic Board of Pediatrics. Most countries now run similar programs for post-graduate training in Neonatology, as a subspecialisation of pediatrics.
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the lowest of the three types of hospital stay (medical, surgical, or maternal and neonatal). The mean hospital cost for a maternal/neonatal stay was $ 4,300 in 2012 (as opposed to $ 8,500 for medical stays and $ 21,200 for surgical stays in 2012).
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Neonatologists earn significantly more than general pediatricians. In 2018, a typical pediatrician salary in the United States ranged from $ 221,000 to $ 264,000, whereas the average salary for a neonatologist was about $ 299,000 to $ 355,000.
251:(NICU) was established at Yale-Newhaven Hospital in Connecticut in 1965. Prior to the development of the NICU, premature and critically ill infants were attended to in nurseries without specialized resuscitation equipment. 392:, a physician wishing to become a neonatologist would enroll in an eight-year paediatric specialty training programme. The last two to three years of this would be devoted to training in neonatology as a subspecialty. 1349: 1370: 1404: 262:) could be successfully treated through exposure to artificial blue light. This led to widespread use of phototherapy, which has now become a mainstay of treatment of neonatal jaundice. 1507: 364:, then completes an additional training called a fellowship (for 3 years in the US) in neonatology. In the United States of America most, but not all neonatologists, are 1613: 1465: 685: 1575: 1537: 293: 1341: 991:"Diseases of the Newborn, ed. 3, by Alexander J. Schaffer, M.D., and Mary Ellen Avery, M.D. Philadelphia/London/Toronto: W. B. Saunders, 1971, 919 pp., $ 22.00" 1374: 2008: 1396: 2349: 121: 373: 1948: 265:
In the 1980s, the development of pulmonary surfactant replacement therapy further improved survival of extremely premature infants and decreased
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Rather than focusing on a particular organ system, neonatologists focus on the care of newborns who require hospitalization in the
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that consists of the medical care of newborn infants, especially the ill or premature newborn. It is a
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A 30 minutes old infant in Iran. The nurse is providing necessary care after birth.
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American Academy of Pediatrics Subcommittee on Hyperbilirubinemia (July 2004).
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of the newborn, allowing for survival at an increasingly smaller birth weight.
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Lussky, Richard C.; Cifuentes, Raul F.; Siddappa, Ashajyothi M. (April 2005).
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Neonatal nursing is subspecialty of nursing that specialize in neonatal care.
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The 1950s brought a rapid escalation in neonatal services with the advent of
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to organize and standardize newborn care, and coordinate research efforts.
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demonstrated that hyperbilirubinemia of prematurity (a form of
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Physician performing a physical exam on a newborn baby after a
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deal primarily with the United States and do not represent a
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Lucey, Jerold; Ferreiro, Mario; Hewitt, Jean (1968-06-01).
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infants, adults aged 18–44, and those covered by Medicaid.
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infants who are ill or require special medical care due to
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Medical care of newborns, especially the ill or premature
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The Journal of Pediatric Pharmacology and Therapeutics
177:(NICUs). The principal patients of neonatologists are 1598:"Costs for Hospital Stays in the United States, 2012" 1596:
Moore B; Levit K & Elixhauser A (October 2014).
1455:"2018 Compilation of Physician Compensation Surveys" 2395: 2333: 2094: 2022: 1977: 1886: 1757: 1742: 130: 101: 96: 83: 71: 63: 58: 1373:. American Osteopathic Association. Archived from 1191:"Neonatal Intensive Care: A History of Excellence" 1558:Witt WP, Wiess AJ, Elixhauser A (December 2014). 360:, the physician initially receives training as a 1050:Archives of Pediatrics & Adolescent Medicine 686:Persistent pulmonary hypertension of the newborn 1490:Weiss AJ; Barrett ML; Steiner CA (July 2014). 1720: 1528:Wiess, AJ & Elixhauser A (October 2014). 422:, and its physiological systems, such as the 290:The examples and perspective in this article 173:-based specialty and is usually practised in 8: 44: 1097:Journal of the American Medical Association 2009:Reproductive endocrinology and infertility 1754: 1727: 1713: 1705: 884:"A 50-year overview of perinatal medicine" 50: 2350:Bachelor of Medicine, Bachelor of Surgery 1309: 1147: 957: 853: 328:Learn how and when to remove this message 122:Bachelor of Medicine, Bachelor of Surgery 1530:"Overview of Hospital Utilization, 2012" 1397:"Training and development (paediatrics)" 402: 374:American Osteopathic Board of Pediatrics 940:Philip, Alistair G. S. (October 2005). 807: 581:Neonatal respiratory distress syndrome 368:in the specialty of Pediatrics by the 356:) practicing neonatology. To become a 43: 1471:from the original on October 24, 2020 1207:from the original on October 25, 2021 727:anomalous pulmonary venous connection 7: 2488: 2249:Physical medicine and rehabilitation 1185: 1183: 1062:10.1001/archpedi.1981.02130310062020 1039: 1037: 1035: 877: 875: 873: 815: 813: 811: 626:Neonatal alloimmune thrombocytopenia 2498: 1635:"International Neonatal Consortium" 2385:Medical Scientist Training Program 1371:"Specialties & Subspecialties" 959:10.1203/01.PDR.0000151693.46655.66 742:Transposition of the great vessels 737:Transient tachypnea of the newborn 236:In 1952, the anesthesiologist Dr. 25: 1109:10.1001/jama.1937.92780220002008a 768:Vertically transmitted infections 2517: 2507: 2497: 2487: 2478: 2477: 521:Hemolytic disease of the newborn 501:Diffuse neonatal hemangiomatosis 420:adaptations to extrauterine life 281: 2518: 1691:from the original on 2022-01-20 1666:from the original on 2022-01-23 1641:from the original on 2022-01-23 1616:from the original on 2014-11-29 1578:from the original on 2018-09-24 1540:from the original on 2014-12-24 1510:from the original on 2014-08-03 1436:from the original on 2021-09-20 1407:from the original on 2021-09-13 1352:from the original on 2021-09-26 1274:from the original on 2021-09-20 1091:Bauer, A. Robert (1937-05-29). 1021:from the original on 2021-09-20 922:from the original on 2021-09-20 536:Hypoxic ischemic encephalopathy 531:Hypoplastic left heart syndrome 491:Congenital diaphragmatic hernia 451:Benign neonatal hemangiomatosis 191:intrauterine growth restriction 2375:Doctor of Osteopathic Medicine 1809:Oral and maxillofacial surgery 1044:Cone, Thomas E. (1981-07-01). 989:Vulliamy, David (1972-09-01). 942:"The Evolution of Neonatology" 486:Congenital adrenal hyperplasia 446:Atrioventricular septal defect 418:The infant is undergoing many 116:Doctor of Osteopathic Medicine 1: 1198:National Institutes of Health 1130:Calmes, Selma H. (May 2015). 691:Persistent truncus arteriosus 175:neonatal intensive care units 2355:Bachelor of Medical Sciences 2122:Neurosurgical anesthesiology 1660:"Newborn Care International" 1149:10.1213/ANE.0000000000000659 900:10.1016/0378-3782(92)90056-m 716:Supraventricular tachycardia 681:Periventricular leukomalacia 586:Neonatal lupus erythematosus 566:Neonatal abstinence syndrome 556:Meconium aspiration syndrome 413:Neonatal Intensive Care Unit 388:and completing the two-year 370:American Board of Pediatrics 249:neonatal intensive care unit 546:Intraventricular hemorrhage 541:Inborn errors of metabolism 304:, discuss the issue on the 2560: 1426:"What is Neonatal Nursing" 1342:"What is a Neonatologist?" 1136:Anesthesia & Analgesia 882:Avery, M. E. (June 1992). 701:Retinopathy of prematurity 621:Neonatal diabetes mellitus 611:Neonatal bowel obstruction 461:Bronchopulmonary dysplasia 67:Doctor, Medical Specialist 36: 29: 2473: 838:10.5863/1551-6776-10.2.76 763:Ventricular septal defect 758:VACTERL/VATER association 732:Tracheoesophageal fistula 561:Necrotizing enterocolitis 49: 2309:Transplantation medicine 2200:Clinical neurophysiology 2117:Obstetric anesthesiology 2037:Interventional radiology 1797:Digestive system surgery 1685:"Global Newborn Society" 1464:. AMN Healthcare. 2018. 671:Patent ductus arteriosus 636:Neonatal hemochromatosis 496:Congenital heart disease 481:Coarctation of the aorta 384:, after graduation from 195:congenital malformations 37:Not to be confused with 2180:Intensive care medicine 2154:Mass gathering medicine 1999:Maternal–fetal medicine 888:Early Human Development 711:Spinal muscular atrophy 631:Neonatal herpes simplex 591:Neonatal conjunctivitis 217:Historical developments 1772:Cardiothoracic surgery 1602:HCUP Statistical Brief 1564:HCUP Statistical Brief 1534:HCUP Statistical Brief 1496:HCUP Statistical Brief 1311:10.1542/peds.114.1.297 1244:10.1542/peds.41.6.1047 456:Brachial plexus injury 408: 231:mechanical ventilation 159: 2423:Personalized medicine 2282:Reproductive medicine 2207:Occupational medicine 2161:Evolutionary medicine 1007:10.1542/peds.50.3.508 651:Neonatal hypoglycemia 431:Anemia of prematurity 406: 165:is a subspecialty of 153: 32:Neonatology (journal) 30:For the journal, see 2443:Traditional medicine 2403:Alternative medicine 2270:Addiction psychiatry 2084:Transfusion medicine 2079:Medical microbiology 1994:Gynecologic oncology 1846:Reproductive surgery 696:Pulmonary hypoplasia 656:Neonatal cholestasis 526:Hirschsprung disease 441:Atrial septal defect 436:Apnea of prematurity 390:foundation programme 310:create a new article 302:improve this article 267:chronic lung disease 247:The first dedicated 207:pulmonary hypoplasia 2465:History of medicine 2448:Veterinary medicine 2255:Preventive medicine 2107:Adolescent medicine 1949:Infectious diseases 1346:HealthyChildren.org 725:Total (or partial) 721:Tetralogy of Fallot 641:Neonatal meningitis 46: 2413:Molecular oncology 2370:Doctor of Medicine 2360:Master of Medicine 2277:Radiation oncology 2149:Emergency medicine 2102:Addiction medicine 2069:Clinical chemistry 2064:Clinical pathology 1856:Transplant surgery 1814:Orthopedic surgery 1792:Colorectal surgery 946:Pediatric Research 676:Perinatal asphyxia 646:Neonatal hepatitis 596:Neonatal pneumonia 409: 160: 110:Doctor of Medicine 103:Education required 2531: 2530: 2365:Master of Surgery 2329: 2328: 2314:Tropical medicine 2260:Prison healthcare 2175:Hospital medicine 2139:Disaster medicine 2129:Aviation medicine 1944:Hospital medicine 1851:Surgical oncology 1836:Pediatric surgery 1830: 1777:Endocrine surgery 1377:on 13 August 2015 1200:. October 1992 . 747:Tricuspid atresia 576:Neonatal jaundice 506:DiGeorge syndrome 338: 337: 330: 312:, as appropriate. 273:Academic training 260:neonatal jaundice 156:Caesarean section 148: 147: 18:Neonatal medicine 16:(Redirected from 2551: 2521: 2520: 2511: 2501: 2500: 2491: 2490: 2481: 2480: 2185:Medical genetics 2170:General practice 2047:Nuclear medicine 1922:Gastroenterology 1878:Vascular surgery 1828: 1755: 1729: 1722: 1715: 1706: 1700: 1699: 1697: 1696: 1681: 1675: 1674: 1672: 1671: 1656: 1650: 1649: 1647: 1646: 1631: 1625: 1624: 1622: 1621: 1593: 1587: 1586: 1584: 1583: 1555: 1549: 1548: 1546: 1545: 1525: 1519: 1518: 1516: 1515: 1487: 1481: 1480: 1478: 1476: 1470: 1459: 1451: 1445: 1444: 1442: 1441: 1422: 1416: 1415: 1413: 1412: 1393: 1387: 1386: 1384: 1382: 1367: 1361: 1360: 1358: 1357: 1338: 1332: 1331: 1313: 1289: 1283: 1282: 1280: 1279: 1238:(6): 1047–1054. 1223: 1217: 1216: 1214: 1212: 1206: 1195: 1187: 1178: 1177: 1151: 1142:(5): 1060–1064. 1127: 1121: 1120: 1088: 1082: 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Index

Neonatal medicine
Neonatology (journal)
Neontology

Specialty
Pediatrics
Doctor of Medicine
Doctor of Osteopathic Medicine
Bachelor of Medicine, Bachelor of Surgery
Hospitals
Clinics

Caesarean section
pediatrics
hospital
neonatal intensive care units
newborn
prematurity
low birth weight
intrauterine growth restriction
congenital malformations
birth defects
sepsis
pulmonary hypoplasia
birth asphyxia
mechanical ventilation
Virginia Apgar
Apgar score
neonatal intensive care unit
Jerold Lucey

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