Problems of the Newborn and Infant

  • Richard B. Lewan
  • Robert W. Sander
  • Bruce Ambuel


Family-centered care offers diverse opportunities for reducing risk and improving the health of newborns and infants. Premarital, preconception, and prenatal visits allow assessment for genetic disorders, ensure healthy life style changes (e.g., nutrition), provide preconception vitamins, manage chronic diseases such as diabetes, and intervene when prenatal disorders such as toxemia threaten. Optimal care requires preparation for emergencies (e.g., neonatal resuscitation, sepsis), management of common problems, timely referral for complicated conditions, and prevention through early identification of feeding, growth and developmental problems, and family violence. Full family involvement prepares each member for new roles, recruits participation in healthy habits, and maintains cohesiveness when problems arise.


Human Immunodeficiency Virus Sudden Infant Death Syndrome Family Violence Total Serum Bilirubin Neonatal Resuscitation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Bloom RS, Cropley C, AHA/AAP Neonatal Resuscitation Program Steering Committee. Textbook of neonatal resuscitation. Elk Grove Village, IL: American Academy of Pediatrics, American Heart Association, 1994.Google Scholar
  2. 2.
    Centers for Disease Control and Prevention. Prevention of perinatal group B streptococcal disease: a public health perspective. MMWR 1996;45(RR-7):l-24.Google Scholar
  3. 3.
    Cole FS. Bacterial infections of the newborn. In: Taeusch HW, Ballard RS, Avery MA, editors. Schaeffer and Avery’s diseases of the newborn. 6th ed. Philadelphia: Saunders, 1991.Google Scholar
  4. 4.
    American Academy of Pediatrics, Provisional Committee for Quality Improvement and Subcommittee on Hyperbilirubinemia. Practice parameter: management of hyperbilirubinemia in the healthy term newborn. Pediatrics 1994; 94:558–65.Google Scholar
  5. 5.
    Centers for Disease Control and Prevention. Zidovudine for the prevention of HIV transmission from mother to infant. MMWR 1994;43:285–8.Google Scholar
  6. 6.
    Centers for Disease Control and Prevention. U.S. Public Health Service recommendations for human immunodeficiency virus counseling and voluntary testing for pregnant women. MMWR 1995;44(RR-7):3-ll.Google Scholar
  7. 7.
    Landesman SH, Kalish LA, Burns DN, et al. Obstetrical factors and the transmission of human immunodeficiency virus type 1 from mother to child. N Engl J Med 1996; 334:1617–23.PubMedCrossRefGoogle Scholar
  8. 8.
    Chadwick EG, Yogev R. Pediatric AIDS. Pediatr Clin North Am 1995;42:969–92.PubMedGoogle Scholar
  9. 9.
    Luzuriaga K, Sullivan JL. DNA polymerase chain reaction for the diagnosis of vertical HIV infection. JAMA 1996;275: 1360–1.PubMedCrossRefGoogle Scholar
  10. 10.
    Lewan R, Ambuel B, Brownell, E, Pauwels J. Problems of the newborn and infant. In: Taylor RB, editor. Family medicine: principles and practice. 4th ed. New York: Springer-Verlag, 1994.Google Scholar
  11. 11.
    Lawrence PR. Breast milk: best source of nutrition for term and preterm infants. Pediatr Clin North Am 1994;41:925–42.PubMedGoogle Scholar
  12. 12.
    Dewey KG, Heinig MJ, Nommsen-Rivers LA. Differences in morbidity between breast-fed and formula-fed infants. J Pediatr 1995;126:696–702.PubMedCrossRefGoogle Scholar
  13. 13.
    Hardy SC, Kleinman RE. Fat and cholesterol in the diet of infants and young children: implications for growth, development, and long-term health. J Pediatr 1994;125:S69–75.CrossRefGoogle Scholar
  14. 14.
    Treem WR. Infant colic: a pediatric gastroenterologist’s perspective. Pediatr Clin North Am 1994;41:1121–38.PubMedGoogle Scholar
  15. 15.
    Drotar D. Failure to thrive (growth deficiency). In: Roberts MC, editor. Handbook of pediatric psychology. New York: Guilford, 1995:516–36.Google Scholar
  16. 16.
    Leung AKC, Robson WLM, Fagan JE. Assessment of the child with failure to thrive. Am Fam Physician 1993;48:1432–8.PubMedGoogle Scholar
  17. 17.
    Ambuel JP, Harris B. Failure to thrive: a study of failure to grow in height or weight. Ohio State Med J 1963;59:997–1001.PubMedGoogle Scholar
  18. 18.
    Grubb NS, Lyle S, Brodie JH, Gunderson H, Johnson B, Michels F, Berg AO. Management of infants and children 0 to 36 months of age with fever without a source. J Am Board Fam Pract 1995;8:114–19.PubMedGoogle Scholar
  19. 19.
    Baraff LJ, Bass JW, Fleisher GR, et al. Practice guideline for the management of infants and children 0 to 36 months of age with fever without source. Pediatrics 1993;92:1–12.Google Scholar
  20. 20.
    Young PC. The management of febrile infants by primary-care pediatricians in Utah: comparison with published practice guidelines. Pediatrics 1995;95:623–7.PubMedGoogle Scholar
  21. 21.
    Freed GE, Steinshneider A, Glassman M, Winn K. Sudden infant death syndrome prevention and an understanding of selected clinical issues. Pediatr Clin North Am 1994;41:967–89.PubMedGoogle Scholar
  22. 22.
    AAP Task Force on Infant Positioning and SIDS. Positioning and SIDS. Pediatrics 1992;89:1120–6.Google Scholar
  23. 23.
    Phillips DA, Howes C, Whitebook M. The social policy context of child care: effects on quality. Am J Community Psychol 1992;20(l):25–52.PubMedCrossRefGoogle Scholar
  24. 24.
    Singer L, Farkos K, Kliegman R. Childhood medical and behavioral consequences of maternal cocaine use. J Pediatr Psychol 1992;17:389–406.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Richard B. Lewan
  • Robert W. Sander
  • Bruce Ambuel

There are no affiliations available

Personalised recommendations