Neonatal-perinatal medicine

Custodian: Dr. Amelie Stritzke
Reviewer:

ROYAL COLLEGE OBJECTIVES: NEONATAL-PERINATAL MEDICINE

1. Fetal growth, development, and physiology, including the role of the placenta
2. Aspects of labour and delivery that affect the neonate
3. Demographic, medical, and psychosocial factors that influence perinatal mortality and morbidity, including conditions associated with high-risk pregnancies such as maternal systemic disease
4. Process of neonatal adaptation to extrauterine life
5. Outcomes for survival and factors influencing outcome in the term and preterm neonate
6. Conditions
   • Abnormal fetal growth
   • Apnea
   • Asphyxia and perinatal distress, including standardized assessment for indications for therapeutic hypothermia
   • Birth trauma
   • Chronic lung disease
   • Cyanosis
   • Drug withdrawal
   • Electrolyte and glucose abnormalities
   • Feeding problems
   • Hematologic conditions presenting in the newborn
   • Hyperbilirubinemia
   • Intraventricular and intracranial hemorrhage
   • Neurologic issues
   • Prematurity
   • Respiratory distress
   • Retinopathy of prematurity
   • Sepsis
   • Surgical problems of the newborn including diaphragmatic hernia, gastroschisis, intestinal atresia, necrotizing enterocolitis, omphalocoele and tracheoesophageal fistula
7. Principles and algorithms for neonatal resuscitation
8. General principles of care of the newborn, including skin care, temperature regulation, feeding, fluid and metabolic homeostasis, and pain management
9. Newborn screening protocols
10. Care and follow-up of the premature infant and high-risk newborn after discharge

USEFUL WEBSITES

1. Neonatal Neurocritical Care lecture series: https://vimeo.com/showcase/7178163
2. Neonatal Neurocritical Care learning modules: https://nncceducation.thinkific.com/
3. Canadian Pediatric Society Practice points and Position Statements
   1. Fetus and Newborn committee: https://www.cps.ca/en/documents/authors-auteurs/fetus-and-newborn-committee
   2. Neonatal Resuscitation Program subcommittee: https://www.cps.ca/en/documents/authors-auteurs/neonatal-resuscitation-program-education-subcommittee
4. Optimizing Lactation Success, lecture Toronto Sick Kids: https://www.youtube.com/watch?v=Mr3k8ojeqI4

PRACTICE QUESTIONS

1. Neonatal Jaundice Cards: http://cards.ucalgary.ca/deck/83

LECTURES AND REVIEW ARTICLES