RT Book, Section
A1 Ohls, Robin K.
A1 Bishara, Nader
A1 Wong, Wendy
A1 Glader, Bertil
A2 Stevenson, David K.
A2 Cohen, Ronald S.
A2 Sunshine, Philip
SR Print(0)
ID 1109793925
T1 Anemia in the Neonatal Period
T2 Neonatology: Clinical Practice and Procedures
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071763769
LK accesspediatrics.mhmedical.com/content.aspx?aid=1109793925
RD 2024/09/09
AB The  newborn  period  marks  a  time  when  red  blood  cell  (RBC)  indices  change  significantly.  Anemia  can  occur  at  various  times  in  the  neonatal  period,  from  the  perinatal  and  immediate  postnatal  period  through  the  first  months  of  life.  Hematocrits  2  or  more  standard  deviations  below  the  normal  range  for  gestation  are  seen  frequently  and  should  be  evaluated.  Conversely,  true  anemia,  the  inability  to  adequately  deliver  oxygen  to  tissues,  is  less  common.  Anemia  can  be  classified  into  the  following  3  major  processes:  hemolysis,  hemorrhage,  or  hypoproliferative  disease.  Anemia  can  also  result  from  overlapping  processes.  For  example,  sepsis  can  result  in  hemolysis,  disseminated  intravascular  coagulation  (DIC),  and  subsequent  hemorrhage.  This  chapter  reviews  fetal  and  neonatal  erythropoiesis,  discusses  the  etiology  and  diagnosis  of  anemia  in  the  neonatal  period,  and  offers  management  options  for  anemic  term  and  preterm  infants.