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Giuseppe Buonocore
Rodolfo Bracci
Michael Weindling
Editors
Neonatology
A Practical Approach to
Neonatal Diseases
Second Edition
Neonatology
Giuseppe Buonocore • Rodolfo Bracci
Michael Weindling
Editors
Neonatology
A Practical Approach to Neonatal
Diseases
Second Edition
With 568 Figures and 386 Tables
Editors
Giuseppe Buonocore Rodolfo Bracci
Department of Pediatrics Department of Pediatrics
Obstetrics and Reproductive Medicine Obstetrics and Reproductive Medicine
University of Siena University of Siena
Siena, Italy Siena, Italy
Michael Weindling
Liverpool Women’s Hospital Neonatal Unit
Liverpool, UK
ISBN 978-3-319-29487-2 ISBN 978-3-319-29489-6 (eBook)
ISBN 978-3-319-29488-9 (print and electronic bundle)
https://doi.org/10.1007/978-3-319-29489-6
Library of Congress Control Number: 2018940273
1st edition: # Springer-Verlag Italia 2012
# Springer International Publishing AG, part of Springer Nature 2018
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or
part of the material is concerned, specifically the rights of translation, reprinting, reuse of
illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way,
and transmission or information storage and retrieval, electronic adaptation, computer software, or
by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this
publication does not imply, even in the absence of a specific statement, that such names are exempt
from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this
book are believed to be true and accurate at the date of publication. Neither the publisher nor the
authors or the editors give a warranty, express or implied, with respect to the material contained
herein or for any errors or omissions that may have been made. The publisher remains neutral with
regard to jurisdictional claims in published maps and institutional affiliations.
Printed on acid-free paper
This Springer imprint is published by the registered company Springer International Publishing
AG part of Springer Nature.
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Introduction
Neonatology is a science in rapid evolution. The speed of this evolution may
cause some to doubt what a traditional textbook is able to achieve in bringing
the most up-to-date developments to a reader’s attention. Although the inter-
ested reader will use other electronic means to access current information, this
is not always possible. We firmly believe that, through their own experience,
experts are able to bring their own perspective and interest to a subject and act
as a guide to the interested and committed reader. We therefore believe that this
textbook should act as a conduit of reliable information from the expert to the
clinician. We have tried to make this textbook into a genuine guide to the best
and most up-to-date answers for neonatologists who are striving to give the
best and highest quality care to sick babies.
All practicing clinicians work within their own culture and resources. Each
has to make judgments about the best and most appropriate application of
available resources to the care of their small sick patients. We hope that this
textbook will support the dedicated clinician by providing the best evidence
available in the various sub-specialisms of neonatology, particularly when the
issue of best treatment continues to be debated. The reader who needs rapid
and comprehensive information about a topic requires that the information
provided should be synthetized intelligently, exhaustively, and clearly. Sub-
jects should be updated as much as possible. We have endeavored to meet
these requirements. We think that the aim of a modern textbook should be to
describe the present state of the science, suggesting ways in which this might
be improved, and to provide a sound understanding of pathophysiology and
diagnostic and therapeutic procedures. Our overall aim is to support and
optimize the care of the newborn. In this way, our approach is “practical”
and aims to assist neonatologists in their daily work.
In this second edition, the text has been largely revised by experts who
contributed to the previous volume. They have added new information, some
of it through short- and long-term follow-up, to support the evidence that
underpins good clinical practice. Some chapters are completely new.
We are grateful to all the authors for their time and contributions. We would
also like to thank Andrew Spencer, Tina Shelton, Vasowati Shome, and the
publication team of Springer for their great efforts in publishing this book.
We sincerely hope that this volume has built on the success of its prede-
cessor and continues to support clinicians in a readily accessible and
useful way.
v
Contents
Volume 1
Part I Epidemiology and Fetal Neonatal Medicine . . . . . . . . . . . 1
1 Development and General Characteristics of Preterm and
Term Newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Domenico Arduini, Gaia Pasquali, Stefano Parmigiani,
Daniela Gianotti, and Giulio Bevilacqua
2 Risk Factors for Gestational Diseases . . . . . . . . . . . . . . . . . . 27
Silvia Vannuccini, Michela Torricelli, Filiberto Maria Severi,
and Felice Petraglia
3 Epigenetic Mechanisms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Felicia M. Low and Peter D. Gluckman
4 Congenital Malformations and Syndromes: Early
Diagnosis and Prognosis in Neonatal Medicine . . . . . . . . . . . 49
Giovanni Corsello and Mario Giuffrè
5 Prenatal and Postnatal Inflammatory Mechanisms ....... 73
Kirsten Glaser and Christian P. Speer
6 The Fetus at Risk: Chorioamnionitis . . . . . . . . . . . . . . . . . . . 95
Mikko Hallman and Tuula Kaukola
7 Diagnosis of Fetal Distress . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Silvia Vannuccini, Caterina Bocchi, Filiberto Maria Severi,
and Felice Petraglia
8 In Vitro Fertilization and Multiple Pregnancies . . . . . . . . . . 129
Maria Angela Rustico, Mariano Lanna, and Enrico Ferrazzi
9 Intrauterine Growth Restriction: Obstetric and Neonatal
Aspects. Intervention Strategies . . . . . . . . . . . . . . . . . . . . . . . 147
Enrico Bertino, Giovanna Oggè, Paola Di Nicola,
Francesca Giuliani, Alessandra Coscia, and Tullia Todros
vii
viii Contents
10 Late Preterm Infants at Risk for Short-Term and
Long-Term Morbidity and Mortality . . . . . . . . . . . . . . . . . . . 171
Avroy A. Fanaroff
11 Ethical Problems in Neonatal Medicine . . . . . . . . . . . . . . . . . 183
Otwin Linderkamp
12 Care of Extremely Low-Birth-Weight Infants and
Timing of Discharge. Information and Psychosocial
Intervention in Neonatology . . . . . . . . . . . . . . . . . . . . . . . . . . 203
Fabio A. Mosca, Monica Fumagalli, Maria Elena Bolis, and
Massimo Agosti
13 The Process of Decision-Making in Neonatology . . . . . . . . . . 219
Endla K. Anday and Michael Spear
14 Follow-Up Outcomes of High-Risk Infants . . . . . . . . . . . . . . 229
Neil Marlow
15 Early Markers of Poor Outcome in Neonatal Medicine . . . . 237
Fabrizio Ferrari, Licia Lugli, Elisabetta Garetti, Isotta Guidotti,
Marisa Pugliese, and Laura Lucaccioni
16 Quality of Neonatal Intensive Care and Outcome
for High-Risk Newborn Infants . . . . . . . . . . . . . . . . . . . . . . . 251
Liz McKechnie and Kathryn Johnson
17 Cerebral Plasticity and Functional Reorganization in
Children with Congenital Brain Lesions . . . . . . . . . . . . . . . . 265
Viviana Marchi, Andrea Guzzetta, and Giovanni Cioni
Part II Perinatal and Neonatal Care . . . . . . . . . . . . . . . . . . . . . . . . . 277
18 Organization of Perinatal Care: Training of Doctors and
Nurses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279
Neil Marlow
19 Neonatal Transport Services . . . . . . . . . . . . . . . . . . . . . . . . . . 291
Rocco Agostino, Roberto Aufieri, and Maurizio Gente
20 Risk Management of Newborns . . . . . . . . . . . . . . . . . . . . . . . 305
Isabelle Ligi and Sophie Tardieu
21 Guidelines and Protocols for Newborns . . . . . . . . . . . . . . . . . 315
Rinaldo Zanini and Roberto Bellù
22 Physical Environment for Newborns: The Thermal
Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323
Daniele Trevisanuto and Gunnar Sedin
23 Neonatology and the Law . . . . . . . . . . . . . . . . . . . . . . . . . . . . 347
Vittorio Fineschi, Francesca Maglietta, and
Emanuela Turillazzi
Contents ix
24 Environment and Early Developmental Care for
Newborns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 357
Dominique Haumont
25 Neonatal Pain: Neurophysiology, Recognition, Prevention,
and Management with Nonpharmacological
Interventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 365
Carlo Bellieni, Celeste Johnston, Marsha Campbell-Yeo,
Britney Benoit, and Timothy Disher
26 Neonatal Anesthesia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 383
Nicola Disma, Leila Mameli, Rachele Bonfiglio,
Clelia Zanaboni, and Pietro Tuo
27 Neonatal Care in the Delivery Room: Initial Management
and Approach to Low Risk Newborns . . . . . . . . . . . . . . . . . . 395
Tara M. Randis and Jennifer M. Duchon
28 Early Detection of Neonatal Depression and Asphyxia . . . . . 409
Paolo Biban and Davide Silvagni
29 Resuscitation of the Newborn . . . . . . . . . . . . . . . . . . . . . . . . . 423
Ola D. Saugstad
30 Oxygen Toxicity in Newborns . . . . . . . . . . . . . . . . . . . . . . . . . 439
Rodolfo Bracci, Serafina Perrone, Maximo Vento, and
Giuseppe Buonocore
31 Physical Examination of the Newborn . . . . . . . . . . . . . . . . . . 457
Alessandra Coscia, Paola Di Nicola, Enrico Bertino, and
Claudio Fabris
32 Primary Investigations in the Term and Preterm
Newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 471
Diego Gazzolo, Francesco Risso, and Andrea Sannia
33 Oxygen Saturation Monitoring in Neonatal Period . . . . . . . . 481
Augusto Sola and Sergio Golombek
Part III Nutrition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 501
34 Physiology of the Gastrointestinal Tract in Newborns . . . . . 503
Arieh Riskin, Carlo Agostoni, and Raanan Shamir
35 Hormones and Gastrointestinal Function of Newborns . . . . 535
Flavia Prodam, Simonetta Bellone, Roberta Ricotti,
Alice Monzani, Giulia Genoni, Enza Giglione, and Gianni Bona
36 Human Milk and Formulas for Neonatal Nutrition . . . . . . . 557
Riccardo Davanzo, Jenny Bua, and Laura Travan
37 Nutritional Recommendations for the
Very-Low-Birth-Weight Newborn . . . . . . . . . . . . . . . . . . . . . 587
Ekhard E. Ziegler
x Contents
38 Enteral Feeding of the Very-Low-Birth-Weight Infant . . . . . 595
Johannes B. (Hans) van Goudoever
39 Parenteral Nutrition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 605
Jacques Rigo and Thibault Senterre
40 Postdischarge Nutrition in Preterm Infants . . . . . . . . . . . . . . 619
Richard J. Cooke
41 Calcium and Phosphorus Homeostasis: Pathophysiology . . . 639
Jacques Rigo, Catherine Pieltain, Renaud Viellevoye, and
Franco Bagnoli
42 Micronutrients and Vitamins . . . . . . . . . . . . . . . . . . . . . . . . . 669
Olivier Claris and Guy Putet
Part IV Pharmacology and Infants of Smoking, Addicted, and
Diabetic Mother . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 675
43 Safety of Medications During Pregnancy and Breastfeeding:
Infants of Drug-Addicted Mothers . . . . . . . . . . . . . . . . . . . . . 677
Karel Allegaert, Timvan Mieghem, and John N. van den Anker
44 Developmental Pharmacology and Therapeutics in Neonatal
Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 693
Karel Allegaert, Janko Samardzic, Milica Bajcetic, and
John N. van den Anker
45 Infants of Smoking Mothers . . . . . . . . . . . . . . . . . . . . . . . . . . 709
Roberto Paludetto, Letizia Capasso, and Francesco Raimondi
46 Infants of Diabetic Mothers . . . . . . . . . . . . . . . . . . . . . . . . . . 717
Erin A. Osterholm, Jane E. Barthell, and Michael K. Georgieff
Volume 2
Part V Respiratory System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 731
47 Neonatal Lung Development and Pulmonary
Malformations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 733
Corrado Moretti and Paola Papoff
48 Neonatal Pulmonary Physiology of Term and Preterm
Newborns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 759
Corrado Moretti and Paola Papoff
49 Control of Breathing in Newborns . . . . . . . . . . . . . . . . . . . . . 775
Ruben E. Alvaro and Henrique Rigatto
50 Meconium Aspiration Syndrome . . . . . . . . . . . . . . . . . . . . . . 791
Simone Pratesi and Carlo Dani
Contents xi
51 Molecular Structure of Surfactant: Biochemical Aspects
in Newborns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 801
Tore Curstedt
52 Surfactant Metabolism in Neonatal Lung Diseases . . . . . . . . 809
Virgilio P. Carnielli and Paola E. Cogo
53 Respiratory Distress Syndrome: Predisposing Factors,
Pathophysiology, and Diagnosis . . . . . . . . . . . . . . . . . . . . . . . 823
Mikko Hallman, Timo Saarela, and Luc J. I. Zimmermann
54 Treatment of Respiratory Failure in Newborn: Mechanical
Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 843
Colin Morley and Gianluca Lista
55 Pulmonary Hemorrhage, Transient Tachypnea, and
Neonatal Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 865
Mary Elaine Patrinos and Richard J. Martin
56 Pulmonary Air Leakage in Newborns . . . . . . . . . . . . . . . . . . 873
Paola Papoff and Corrado Moretti
57 Bronchopulmonary Dysplasia/Chronic Lung Disease of
the Newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 887
Vineet Bhandari
58 Lung Ultrasound in Neonatal Diagnostic . . . . . . . . . . . . . . . . 913
Francesco Raimondi, Fiorella Migliaro, and Letizia Capasso
59 Rare Lung Diseases of Newborns . . . . . . . . . . . . . . . . . . . . . . 917
Paolo Tagliabue and Elena Ciarmoli
60 Persistent Pulmonary Hypertension of the Newborn . . . . . . 933
Jason Gien, John P. Kinsella, and Steven H. Abman
61 Pulmonary Hypertension in Congenital Diaphragmatic
Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 963
Jason Gien, John P. Kinsella, and Steven H. Abman
62 Continuous Positive Airways Pressure and Other
Noninvasive Respiratory Techniques in Newborns . . . . . . . . 971
Fabrizio Sandri, Gina Ancora, Gianluca Lista, and
Luc J. I. Zimmermann
63 Lung Diseases: Surfactant Replacement Therapy in
Newborns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 995
Henry L. Halliday
64 Extracorporeal Membrane Oxygenation
for Neonates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1007
Anne Greenough, Niovi Papalexopoulou, Munir Ahmed, and
Adam P. R. Smith
xii Contents
65 Lung Diseases: Problems of Steroid Treatment of Fetus
and Newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1015
Henry L. Halliday
66 Apnea of Prematurity and Sudden Infant Death
Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1021
Christian F. Poets
Part VI Cardiovascular System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1035
67 Cardiovascular Physiology, Pathology, and Clinical
Investigation in Neonatal Medicine . . . . . . . . . . . . . . . . . . . . 1037
Luciane Piazza, Angelo Micheletti, Javier Fernandez Sarabia,
Diana Negura, Carmelo Arcidiacono, Antonio Saracino,
Mario Carminati, and Francesca R. Pluchinotta
68 Early Diagnosis of Congenital Heart Disease: When and
How to Treat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1065
Francesca R. Pluchinotta, Luciane Piazza, Angelo Micheletti,
Javier Fernandez Sarabia, Diana Negura, Carmelo Arcidiacono,
Antonio Saracino, and Mario Carminati
69 Patent Ductus Arteriosus . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1079
Bart Van Overmeire
70 Cardiac Emergencies in the Newborn . . . . . . . . . . . . . . . . . . 1093
Liam Mahoney, Hector Rojas-Anaya, and Heike Rabe
71 Blood Pressure Disorders in the Neonate: Hypotension and
Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1111
Jonathan M. Fanaroff and Avroy A. Fanaroff
72 Polycythemia and Hyperviscosity in Neonates . . . . . . . . . . . . 1125
Otwin Linderkamp
Part VII Hyperbilirubinemia and Liver Diseases . . . . . . . . . . . . . 1141
73 Bilirubin Metabolism, Unconjugated Hyperbilirubinemia,
and Physiologic Neonatal Jaundice . . . . . . . . . . . . . . . . . . . . 1143
Giovanna Bertini and Carlo Dani
74 Pathologic Unconjugated
Hyperbilirubinemia–Isoimmunization, Abnormalities of
Red Blood Cells, and Infections . . . . . . . . . . . . . . . . . . . . . . . 1151
Michael Kaplan, Ronald J. Wong, and David K. Stevenson
75 Kernicterus, Bilirubin-Induced Neurological Dysfunction,
and New Treatments for Unconjugated Hyperbilirubinemia
in Neonates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1169
Christian V. Hulzebos, Claudio Tiribelli, Frans J. C. Cuperus,
and Petr H. Dijk
Contents xiii
76 Treatment of Hyperbilirubinemia in Newborns . . . . . . . . . . 1185
Jon F. Watchko and M. Jeffrey Maisels
77 Pathology and Treatment of Liver Diseases in Newborns . . . 1207
Giuseppe Maggiore, Silvia Riva, and Marco Sciveres
78 Neonatal Cholestasis: Conjugated Hyperbilirubinemia . . . . 1223
Nandini Kataria and Glenn R. Gourley
79 Surgical Treatment of Biliary Tract Malformations in
Newborns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1243
Pierluigi Pedersini
Part VIII Orofacial and Gastrointestinal Malformations and
Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1253
80 Orofacial Malformations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1255
Giorgio Iannetti, Maria Teresa Fadda, Marco Della Monaca,
and Giulio Bosco
81 Esophageal Atresia of Newborns . . . . . . . . . . . . . . . . . . . . . . 1281
Mario Messina, Francesco Molinaro, Alfredo Garzi, and
Rossella Angotti
82 Gastrointestinal Malformations of Newborns . . . . . . . . . . . . 1295
Marcello Dòmini
83 Rare Surgical Emergencies of Newborns . . . . . . . . . . . . . . . . 1331
Mario Messina, Francesco Molinaro, and Rossella Angotti
84 Meconium Plug Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . 1339
Mario Messina, Rossella Angotti, and Francesco Molinaro
85 Hirschsprung’s Disease in Newborns . . . . . . . . . . . . . . . . . . . 1345
Girolamo Mattioli, Maria Grazia Faticato, Alessio Pini Prato,
and Vincenzo Jasonni
86 Gastroenteritis and Intractable Diarrhea in Newborns . . . . 1355
Andrea De Luca and Giacomo Zanelli
87 Rehydration After Diarrhea in Newborns . . . . . . . . . . . . . . . 1365
Carlo V. Bellieni
88 Necrotizing Enterocolitis of Newborns . . . . . . . . . . . . . . . . . . 1373
Sarah Bajorek and Josef Neu
89 Surgical Treatment in Newborns of Necrotizing
Enterocolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1395
Nigel J. Hall and Agostino Pierro
Part IX Hematology, Immunology, and Malignancies . . . . . . . . 1403
90 Hematology and Immunology of Newborns: Overview . . . . 1405
Robert D. Christensen
xiv Contents
91 Pathophysiology of Coagulation and Deficiencies of
Coagulation Factors in Newborn . . . . . . . . . . . . . . . . . . . . . . 1431
Paola Saracco and Rodney P. A. Rivers
92 The Thrombotic Risk of the Newborn . . . . . . . . . . . . . . . . . . 1455
Molinari Angelo Claudio and Paola Saracco
93 Coagulation Disorders: Clinical Aspects of Platelet
Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1471
Antonio Del Vecchio
94 Anemia in the Neonatal Period . . . . . . . . . . . . . . . . . . . . . . . . 1489
Robert D. Christensen and Robin K. Ohls
95 Fetal and Neonatal Hydrops . . . . . . . . . . . . . . . . . . . . . . . . . . 1515
Gennaro Vetrano and Mario De Curtis
96 Physiology and Abnormalities of Leukocytes in
Newborns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1523
Kurt R. Schibler
97 Neonatal Hereditary Neutropenia . . . . . . . . . . . . . . . . . . . . . 1549
Gaetano Chirico and Carmelita D’Ippolito
98 Recombinant G-CSF Treatment of Severe Chronic
Neutropenia in Neonates and Infants . . . . . . . . . . . . . . . . . . . 1561
Robert D. Christensen
99 Fundamentals of Feto-Neonatal Immunology . . . . . . . . . . . . 1575
Akhil Maheshwari and Edmund F. La Gamma
100 Congenital Immunodeficiencies in Newborns . . . . . . . . . . . . 1607
Alessandro Plebani, Gaetano Chirico, and Vassilios Lougaris
101 Inflammatory Mediators in Neonatal Asphyxia and
Infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1619
Kaoru Okazaki, Akira Nishida, and Hirokazu Kimura
102 Neonatal Malignancies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1641
Serena Catania, Stefano Chiaravalli, Franca Fossati-Bellani,
and Maura Massimino
Volume 3
Part X Fetal and Neonatal Infections . . . . . . . . . . . . . . . . . . . . . . . 1661
103 Fetal Infections: Cytomegalovirus, Herpes Simplex, and
Varicella . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1663
Giovanni Nigro
104 Fetal Infections: Rubella, HIV, HCV, HBV, and Human
Parvovirus B19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1681
Pier Angelo Tovo, Stefania Bezzio, and Clara Gabiano
Contents xv
105 Fetal Infections: Congenital Syphilis and
Tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1703
Pier Angelo Tovo, Carlo Scolfaro, Silvia Garazzino, and
Federica Mignone
106 Toxoplasmosis in the Fetus and Newborn . . . . . . . . . . . . . . . 1711
Wilma Buffolano
107 Neonatal Bacterial and Fungal Infections . . . . . . . . . . . . . . . 1727
Mauro Stronati and Alessandro Borghesi
108 Neonatal Septic Shock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1773
Rajesh K. Aneja, Ruby V. Aneja, Misty Good, and
Joseph A. Carcillo
109 Neonatal Viral Infections: Enteroviruses and Respiratory
Syncytial Virus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1785
Paolo Manzoni, Davide Montin, Elena Tavella, and
Pier Angelo Tovo
110 Vaccinations and Neonatal Immunity . . . . . . . . . . . . . . . . . . . 1793
Alberto G. Ugazio and Alberto E. Tozzi
Part XI Endocrine, Metabolic, and Renal Diseases . . . . . . . . . . . 1803
111 Inborn Errors of Metabolism and Newborns . . . . . . . . . . . . . 1805
Nicola Brunetti-Pierri, Giancarlo Parenti, and Generoso Andria
112 Endocrine Diseases and Disorders of Thyroid Function in
Newborns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1833
Paolo Ghirri, Antonio Balsamo, Massimiliano Ciantelli,
Paolo Cavarzere, Alessandro Cicognani, Antonio Boldrini, and
Alessandra Cassio
113 Disorders of Sexual Development in Newborns . . . . . . . . . . . 1893
Antonio Balsamo, Paolo Ghirri, Silvano Bertelloni,
Rosa T. Scaramuzzo, Franco D’Alberton, Alessandro
Cicognani, and Antonio Boldrini
114 Pathophysiology of Fetal and Neonatal Kidneys . . . . . . . . . . 1919
Farid Boubred and Umberto Simeoni
115 Acute and Chronic Renal Failure in the Newborn Infant . . . 1935
Jean-Pierre Guignard and Uma Sankari Ali
116 Diagnosis and Treatment of Renal and Urinary Tract
Malformations in Newborns . . . . . . . . . . . . . . . . . . . . . . . . . . 1955
Vassilios Fanos, Marco Zaffanello, and Michele Mussap
xvi Contents
Part XII Neurology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1997
117 Brain Development and Perinatal Vulnerability to Cerebral
Damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1999
Luca A. Ramenghi, Monica Fumagalli, and
Veena Supramaniam
118 Inflammation and Perinatal Brain Injury . . . . . . . . . . . . . . . 2019
Henrik Hagberg, Carina Mallard, and Karin Sävman
119 Normal and Abnormal Neurodevelopmental and Behavioral
Outcomes of Very Low-Birth Weight (VLBW) Infants . . . . . 2031
Betty R. Vohr
120 Neurological Examination of the Newborn Infant . . . . . . . . . 2055
Fabrizio Ferrari, Licia Lugli, Luca Ori, Elisa della Casa,
Isotta Guidotti, Natascia Bertoncelli, and Laura Lucaccioni
121 Neonatal Electroencephalography . . . . . . . . . . . . . . . . . . . . . 2081
Lena K. Hellström-Westas
122 Neuroimaging Studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2091
Luca A. Ramenghi and Petra S. Hüppi
123 Malformations of Cortical Development in Newborns:
Genetic Aspects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2113
Renzo Guerrini and Elena Parrini
124 Congenital Malformations of the Brain: Spectrum
and Causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2125
Elie Saliba
125 Biochemical Basis of Hypoxic-Ischemic Encephalopathy . . . 2143
Maria Delivoria-Papadopoulos, Panagiotis Kratimenos, and
Endla K. Anday
126 Clinical Aspects and Treatment of the Hypoxic-Ischemic
Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2165
Floris Groenendaal and Frank van Bel
127 Neuroprotective Strategies for Newborns . . . . . . . . . . . . . . . 2185
Bobbi Fleiss, Claire Thornton, and Pierre Gressens
128 Cerebral Hemorrhage in Newborns . . . . . . . . . . . . . . . . . . . . 2201
Linda S. de Vries and Axel Heep
129 Neonatal Stroke: Mechanisms . . . . . . . . . . . . . . . . . . . . . . . . 2225
Paul P. Govaert and Jeroen Dudink
130 Neonatal Stroke: Clinical Presentation, Imaging, Treatment,
and Prognosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2251
Paul P. Govaert and Jeroen Dudink
Contents xvii
131 Neonatal Seizures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2287
Lena K. Hellström-Westas and Malcolm Levene
132 The Timing of Neonatal Brain Damage . . . . . . . . . . . . . . . . . 2295
Serafina Perrone and Giuseppe Buonocore
133 Epidemiology of Adverse Cerebral Outcome of
Newborns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2315
Neil Marlow
134 Neuromuscular Disorders in Newborns . . . . . . . . . . . . . . . . . 2323
Salvatore Grosso and Silvia Ferranti
Part XIII Ophthalmology, Orthopedics, and Skin Diseases . . . 2337
135 Ocular Malformations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2339
Elena Piozzi and Alessandra Del Longo
136 Retinopathy of Prematurity . . . . . . . . . . . . . . . . . . . . . . . . . . 2349
José Carlos Rivera, Elsa Duchemin-Kermorvant,
Allison Dorfman, Tianwei Ellen Zhou, Luis H. Ospina, and
Sylvain Chemtob
137 Neonatal Orthopedic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . 2387
Peter D. Pizzutillo and Martin J. Herman
138 Neonatal Skin Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2391
Michele Fimiani, Roberta Bilenchi, Filomena Mandato,
Stefania Mei, Niccolò Nami, Rosa Maria Strangi, and
Arianna Lamberti
Part XIV Appendices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2427
139 Laboratory Medicine: Reference Values and Evidence-Based
Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2429
Mariangela Longini, Fabrizio Proietti, Francesco Bazzini, and
Elisa Belvisi
140 Laboratory Medicine: Reference Intervals for Laboratory
Tests and Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2433
Mariangela Longini, Fabrizio Proietti, Francesco Bazzini, and
Elisa Belvisi
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2459
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