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Additional info for Avery’s Neonatology: Pathophysiology and Management of the Newborn
American Board of Pediatrics. Workforce data 2013-2014. pdf ▪ AMERICAN ACADEMY OF PEDIATRICS RECOMMENDED LEVELS OF NEONATAL CARE The American Academy of Pediatrics Committee on Fetus and Newborn published definitions for Levels of Neonatal Care in 2004 that were subsequently updated in 2012 (43). These updated definitions provide common terms that can be used to compare outcomes, resource use, and health care costs. Standardized nomenclature is important for public health purposes, for health care professionals who provide neonatal care, and for families making decisions about a delivery hospital.
It is appreciated that no volume such as this can have more than a finite useful lifetime. Yet while its currency lasts, I hope it will serve as a practical guide to therapy and an aid in the understanding of pathophysiology for those active in the care of newborns. Gordon B. Avery MD, PhD 1 The Scope and Organization of Neonatology: North American and Global Comparisons Judy L. Aschner Stephen W. Patrick Ann R. Stark Shoo K. Lee ▪ INTRODUCTION In the past 50 years, we have witnessed extraordinary advances in perinatal medicine accompanied by dramatic improvements in birth outcomes.
In low-income countries, more than 90% of extremely preterm babies (<28 weeks) die in the first few days of life; less than 10% of these babies die in highincome countries (15). Most preterm births happen spontaneously, but in high-income countries, some preterm births are due to early induction of labor or caesarean birth, for medical and nonmedical reasons. Late preterm births comprise the vast majority of all preterm births. Compared to term infants, these infants have a higher incidence of morbidity, including respiratory distress syndrome, temperature instability, and jaundice and have three times the IMR (1,18,19).