Pivotal Milestones in Neonatal Care

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The evolution and development of newborn medicine has been surrounded by controversy and a lack of resources. Fundamental ethical questions remain and should remain in our minds for complex issues like the viability of severely premature babies and the long-term outcomes. These more complex ethical and cost issues, and medical and technical advances are hot topics in the developed world, while in the developing world the agenda is a call for more resources to implement low tech, low cost basic solutions. This highlights the gap between rich and poor countries.

1) Gilbert, W.M., Nesbitt, T.S., and Danielsen, B. (2003), ‘The cost of prematurity: quantification by gestational age and birth weight’, Obstetrics and Gynecology, 102:3, 488-92.

2) BLISS (2005), Special Care for Sick Babies: Choice or Chance? London report cited references: Project 27/28, Confidential Enquiry into Stillbirths and Death in Infancy, April 2003 and Riley K, Wyatt JS, Roth S, Sellwood M. Changes in survival and neurodevelopmental outcome in 22 to 25 week gestation infants over a 20 year period (abstract). Pediatric Research. 2004: 56(3): 502

3) Department of Health Expert Working Group on Neonatal Intensive Care Services (2003), Report of the Neonatal Intensive Care Services Review Group.

4) American Academy of Pediatrics (2004), ‘Policy Statement: Levels of Neonatal Care’, Pediatrics, 114:5, 1341- 47.

5) BLISS (2005), Special Care for Sick Babies: Choice or Chance? London.

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