TY - CHAP M1 - Book, Section TI - Neonatal Mortality and Morbidity A1 - Fanaroff, Avroy A. A2 - Kline, Mark W. PY - 2018 T2 - Rudolph's Pediatrics, 23e AB - The accurate definition and reporting of perinatal deaths (ie, fetal and neonatal deaths) is a critical first step in understanding the magnitude and causes of these important events, and in ultimately reducing mortality and morbidity. Infant mortality is an important outcome measure of the health services of a population. In the United States, where there are approximately 4 million births each year, the infant mortality is around 6 per 1000 live births. The highest risk period for infant death is within 24 hours of birth, but mortality and morbidity rates remain high during the neonatal period, until the 28th day of life. The fetus and newborn are most vulnerable during labor, delivery, and the neonatal period because central nervous system injury may result in lifelong morbidity and neurodevelopmental impairment. The perinatal period, from 28 weeks of gestation to the 28th day of life, is the period of greatest mortality. In the modern era, with survival of extremely-low-birth-weight (ELBW) infants, postneonatal mortality also contributes significantly to the infant mortality rate (IMR). SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1182918744 ER -