I am pleased to present the sixth edition of Neonatology. Since the first
edition was published in 1988, Neonatology: Management, Procedures,
On-Call Problems, Diseases, and Drugs
continues to be widely accepted
both in the United States and internationally. To date, various editions
of this book have been translated into eight languages: Polish, Portuguese,
Russian, Spanish, Yugoslavian, Turkish, Greek, and Chinese (short form).
This worldwide acceptance is only made possible because of the contributions
of our outstanding group of associate editors and contributors.
The specialty of neonatology continues to advance and the sixth edition
has been completely updated to reflect the changes in our dynamic field.
We have kept our basic format in this edition but changed most sections
to alphabetical listings to make it easier to locate a chapter quickly.
Section I, "Basic Management," is not alphabetical but is organized in
a logical way with "Antepartum and Intrapartum Fetal Assessment" and "Obstetric
Anesthesia" in the beginning and "Follow-up of High-Risk Infants" and "Neonatal
Bioethics" at the end.
Some very interesting chapters are new to this edition. Section I now
includes "Newborn Screening," which includes a discussion of some of the
29 screening tests recommended by the American College of Medical Genetics.
Other additions include "Blood Component Therapy," "Management of the Late
Preterm Infant," a relatively new area that focuses on the unique problems
of late preterm infants, and "Complementary and Alternative Medical Therapies
in Neonatology." Many families and practitioners are now interested in
the complementary and alternative topic, another relatively new area in
neonatology. The chapter includes a discussion of topics such as aromatherapy
and sound and music therapy. "Defibrillation and Cardioversion" was added
to the Procedure section and reviews indications and techniques.
The very popular and practical Section III, "On-Call Problems," was thoroughly
updated and has the new chapter "Rash and Dermatologic Problems." The "On-Call
Problems" continue to be the most popular and most commonly used section
in the book. In Section IV, "Diseases and Disorders," the following sections
are new: "Enteroviruses and Parechoviruses," "Eye Disorders of the Newborn
and Retinopathy of Prematurity," "Methicillin-Resistant Staphylococcal Aureus
Infections," "Orthopedic and Musculoskeletal Problems," "Parvovirus B19,"
Infections," and the new "Urologic Disorders".
Experienced users of the book will take note of the extensive revision
and additions to Section V, "Neonatal Pharmacology." The sixth edition
now contains one of the most comprehensive lists of neonatal medications
available in a manual. We have combined the two tables on effects of drugs
and substances taken during pregnancy and the effects of drugs and substances
on breast-feeding to one table to make it more user friendly. The appendix
has many new abbreviations, an updated blood pressure table to include
very low birthweight infants, new growth charts, and a very useful isolation
We are fortunate to have contributors from all over the United States
with a good representation of all geographic regions. Contributors from
Egypt, Finland, Australia and Canada help further internationalize the
book. It is important to have many different centers represented because
there are many different methods of caring for infants. Where appropriate,
we have tried to include several different approaches to the management
of the neonate. We recognize that some areas of neonatology are generally
accepted as standard of care, whereas others are more controversial. The
areas of controversy are noted as such in the text. For areas that are
more controversial, it is always best to follow your local institutional
I would like to thank Drs. Doug Cunningham and Fabien Eyal, my valued
associate editors; Dr. Deborah Tuttle, consulting editor; Dr. Barbara McKinney;
and all contributors to this and previous editions of the book. I also
express my appreciation to Dr. Anne Sydor, Alyssa Fried, Harriet Lebowitz
and the entire editorial and production staff at McGraw-Hill and their
colleagues abroad for their extensive assistance during the two year journey
to complete this edition. A special thanks to my husband, Lenny, who helped
me extensively concerning matters of editorial content, and my children,
Leonard, Patrick, Andrew, and Michael, who helped troubleshoot computer
issues and tolerated many sacrifices while I worked on the book.
Lastly, I would like to acknowledge the origins of this book. The idea
of the manual was developed during my neonatal fellowship at the University
of Kentucky. I had the unique opportunity to finish my fellowship at Johns
Hopkins University where I completed the project and added a new group
of authors and ideas.
Any suggestions and comments about this manual are always welcome. Correspondence
should be addressed to:
Tricia Lacy Gomella, MD
c/o McGraw-Hill Medical Publishers
Two Penn Plaza, 23th Floor
New York, NY 10121-2298
firstname.lastname@example.orgTricia Lacy Gomella, MD