Neonatology pp 221-225 | Cite as

Approach to Low Risk Newborns

  • Jennifer M. Duchon


Of the approximately 4 million live births occurring annually in the United States [1] over 90% require nothing but routine care of the infant in the delivery room. The majority of these births are considered low risk, but the percentage of deliveries that are categorized as low risk has decreased in recent years. This is in part due to increasing numbers of births at the extremes of childbearing age, an increase in complications due to maternal morbidities such as obesity, and an increasing preterm birth rate.


Exclusive Breastfeed Delivery Room Fetal Magnetic Resonance Imaging Hemorrhagic Disease Healthy Term Infant 
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.


  1. 1.
    Martin JA, Hamilton BE, Sutton PD et al (2009) Births: Final data for 2006. Natl Vital Stat Rep 57(7):1–104Google Scholar
  2. 2.
    Kattwinkel J (ed) (2006) Textbook of Neonatal Resuscitation, 5th edn. American Academy of Pediatrics and American Heart Association, Elk Grove Village, ILGoogle Scholar
  3. 3.
    Fadda GM, Capobianco G, Balata A et al (2009) Routine second trimester ultrasound screening for prenatal detection of fetal malformations in Sassari University Hospital, Italy: 23 years of experience in 42,256 pregnancies. Eur J Obstet Gynecol Reprod Biol 144:110–114PubMedCrossRefGoogle Scholar
  4. 4.
    Lee YM, Simpson LL (2007) Major fetal structural malformations: the role of new imaging modalities. Am J Med Genet C Semin Med Genet 145:33–44Google Scholar
  5. 5.
    Gartner LM, Morton J, Lawrence RA et al (2005) Breastfeeding and the use of human milk. Pediatrics 115:496–506PubMedCrossRefGoogle Scholar
  6. 6.
    Soll RF (2008) Heat loss prevention in neonates. J Perinatol 28:S57–S59PubMedCrossRefGoogle Scholar
  7. 7.
    Fanaroff AA, Martin RI, Walsh MC (eds) (2005) Neonatal-perinatal medicine: Diseases of the fetus and infant, 8th edn. Mosby Elsevier, St LouisGoogle Scholar
  8. 8.
    Polin RA, Fox WW, Abman SH (eds) (2004) Fetal and neonatal physiology, 3rd edn. Saunders Elsevier, PhiladelphiaGoogle Scholar
  9. 9.
    Cote CJ, Todres DI, Lerman J (eds) (2009) A practice of anesthesia for infants and children, 4th edn. Saunders Elsevier, PhiladelphiaGoogle Scholar
  10. 10.
    Righard L, Alade MO (1990) Effect of delivery room routine on success of first breast-feed. Lancet 336:1105–1107PubMedCrossRefGoogle Scholar
  11. 11.
    Dyson L, McCormick FM, Renfrew MJ (2005) Interventions for promoting the initiation of breastfeeding. Cochrane Database Syst Rev 2:CD001688PubMedGoogle Scholar
  12. 12.
    Mariani G, Dik PB, Ezquer A et al (2007) Pre-ductal and post-ductal O2 saturation in healthy term neonates after birth. J Pediatr 150:418–21PubMedCrossRefGoogle Scholar
  13. 13.
    Altuncu E, Ozek E, Bilgen H et al (2008) Percentiles of oxygen saturations in healthy term newborns in the first minutes of life. Eur J Pediatr 167:687–688PubMedCrossRefGoogle Scholar
  14. 14.
    Hutton EK, Hassan ES (2007) Late vs Early Clamping of the Umbilical Cord in Full-term Neonates: Systematic Review and Metaanalysis of Controlled Trials. JAMA 297:1241–1252PubMedCrossRefGoogle Scholar
  15. 15.
    Committee on Fetus and Newborn, American Academy of Pediatrics (1993) Routine evaluation of blood pressure, hematocrit, and glucose in newborns. Pediatrics 92:474–476Google Scholar
  16. 16.
    Taeusch HW, Ballard RA, Gleason CA (eds) (2005) Avery’s diseases of the newborn, 8th edn. Saunders Elsevier, PhiladelphiaGoogle Scholar
  17. 17.
    Pildes R, Cornblath M, Warren I (1974) A prospective controlled study of neonatal hypoglycemia. Pediatrics 54:5–14PubMedGoogle Scholar
  18. 18.
    Cornblath M, Hawdon JM, Williams AF et al (2000) Controversies regarding definition of neonatal hypoglycemia: Suggested operational thresholds. Pediatrics 105:1141–1145PubMedCrossRefGoogle Scholar
  19. 19.
    Inder T (2008) How low can I go? The impact of hypoglycemia on the immature brain. Pediatrics 122:440–441PubMedCrossRefGoogle Scholar
  20. 20.
    Canadian Paediatric Society Infectious Diseases and Immunization Committee (2002) Recommendations for the prevention of neonatal ophthalmia. Paediatr Child Health 7:480–483Google Scholar
  21. 21.
    Chen J (1992) Prophylaxis of ophthalmia neonatorum: comparison of silver nitrate, tetracycline, erythromycin and no prophylaxis. Pediatr Infect Dis J 11:1026–1030PubMedCrossRefGoogle Scholar
  22. 22.
    Guala A, Guarino R, Zaffaroni M et al (2005) The impact of national and international guidelines on newborn care in the nurseries of Piedmont and Aosta Valley, Italy. BMC Pediatr 5:45PubMedCrossRefGoogle Scholar
  23. 23.
    Van Winckel M, De Bruyne R, Van De Velde S, Van Biervliet S (2008) Vitamin K, an update for the paediatrician. Eur J Pediatr 168:127–134PubMedCrossRefGoogle Scholar
  24. 24.
    Hey E (2003) Vitamin K-what, why, and when. Arch Dis Child Fetal Neonatal Ed 88:F80–F83PubMedCrossRefGoogle Scholar
  25. 25.
    Golding J, Paterson M, Kinlen LJ (1990) Factors associated with childhood cancer in a national cohort study. Br J Cancer 62:304–308PubMedCrossRefGoogle Scholar
  26. 26.
    Canadian Paediatric Society, College of Family Physicians of Canada (1997) Routine administration of vitamin K to newborns: A joint position statement of the Fetus and Newborn Committee and the Committee on Child and Adolescent Health. Paediatr Child Health 2:429–431Google Scholar

Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  • Jennifer M. Duchon
    • 1
  1. 1.Department of Pediatrics, Division of Neonatology/PerinatologyColumbia UniversityNew YorkUSA

Personalised recommendations