Concepts In Neonatal Nutrition An Issue Of Clinics In Perinatology

Over the past several decades, advances in neonatal nutrition have focused on the provision of early parenteral nutrition and the development of formulas and supplements that most closely approximate maternal breast milk. The overall outcomes for infants, including premature infants, have greatly benefited from these advances, but there are still many nutritional unknowns that impact the lives of neonates. This is an exciting time in neonatal nutrition as the focus has shifted from survival and growth, which are still important goals, to effects of each micro/macronutrient on development, prevention of disease states such as ROP, the effects of neonatal nutrition on future health as an adult, and opportunities to improve long-term neurodevelopmental outcomes by optimal early nutrition. This issue focuses on aspects of enteral and parenteral nutrition that are at the forefront of neonatal care: assessing growth, parenteral nutrition components (including alternate lipid formulations), optimal storage and use of human milk (including donor milk), post-discharge nutrition, and the effects of various micro/macronutrients on long-term developmental outcomes. It is anticipated that the study and implementation of many of these novel concepts into the care of neonates, many of whom are severely premature, will be of value to practitioners, researchers, and, most of all, patients.

Over the past several decades, advances in neonatal nutrition have focused on the provision of early parenteral nutrition and the development of formulas and supplements that most closely approximate maternal breast milk. The overall outcomes for infants, including premature infants, have greatly benefited from these advances, but there are still many nutritional unknowns that impact the lives of neonates. This is an exciting time in neonatal nutrition as the focus has shifted from survival and growth, which are still important goals, to effects of each micro/macronutrient on development, prevention of disease states such as ROP, the effects of neonatal nutrition on future health as an adult, and opportunities to improve long-term neurodevelopmental outcomes by optimal early nutrition. This issue focuses on aspects of enteral and parenteral nutrition that are at the forefront of neonatal care: assessing growth, parenteral nutrition components (including alternate lipid formulations), optimal storage and use of human milk (including donor milk), post-discharge nutrition, and the effects of various micro/macronutrients on long-term developmental outcomes. It is anticipated that the study and implementation of many of these novel concepts into the care of neonates, many of whom are severely premature, will be of value to practitioners, researchers, and, most of all, patients.

In this issue of Clinics in Perinatology, guest editors Akhil Maheshwari and Jonathan R. Swanson bring their considerable expertise to the topic of Neonatal and Perinatal Nutrition. Top experts in the field cover key topics such as nutritional assessment, genomics and nutrient needs, lipids and fatty acids, glucose homeostasis, and more. Contains 16 relevant, practice-oriented topics including maternal nutrition and fetal/infant development; infant nutrition in the developing world; short bowel syndrome and motility; malabsorption syndromes and food intolerance; and more. Provides in-depth clinical reviews on neonatal and perinatal nutrition, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Clinics in Perinatology, guest editors Drs. Brenda Poindexter and Amy B. Hair bring their considerable expertise to the topic of Neonatal Nutrition. Emphasizing evidence to support clinical decision making, top experts in the field discuss important topics in the nutrition of neonates with the goals of reducing infant mortality and morbidity. Contains 14 practice-oriented topics including maternal diet for babies in the NICU; myths and fallacies about feeding healthy term and late-preterm infants during neonatal transition; enteral nutrition: evidence for feeding practices; post-NEC nutrition; nutrition management of high-risk neonates after discharge; and more. Provides in-depth clinical reviews of neonatal nutrition, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Clinics in Perinatology, guest editors Drs. Brenda Poindexter and Amy B. Hair bring their considerable expertise to the topic of Neonatal Nutrition. Emphasizing evidence to support clinical decision making, top experts in the field discuss important topics in the nutrition of neonates with the goals of reducing infant mortality and morbidity. Contains 14 practice-oriented topics including maternal diet for babies in the NICU; myths and fallacies about feeding healthy term and late-preterm infants during neonatal transition; enteral nutrition: evidence for feeding practices; post-NEC nutrition; nutrition management of high-risk neonates after discharge; and more. Provides in-depth clinical reviews of neonatal nutrition, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue the Guest Editors provide a contemporary look at the epidemiology, clinical manifestations, treatment and outcomes for neonatal-perinatal infections. Contributors include neonatologists, infectious disease, and critical care specialists with a wide variety of research interests in this arena. Readers will be exposed to the latest information on dosing of antibiotics, antivirals, and antifungals. This information is critical in the infant population given the rapid changes in physiology, metabolic pathways and renal elimination that occur over the first months of life. There is an extensive examination of infectious processes that commonly present in infants including meningitis, bloodstream infections, and urinary tract infections. Additional topics include infectious processes affecting the newborn (chorioamnionitis and TORCH infections) and premature infants (necrotizing enterocolitis). Specific pathogens are highlighted in articles on HSV, CMV/VZV, staphylococcal species, and Candida. Finally, the rationale for the most recent changes to guidelines for initiating therapy for early-onset neonatal sepsis are reviewed.

Kidney anomalies are the most frequent abnormality detected on prenatal ultrasound. Some are inconsequential and others are life-threatening. All must be addressed by neonatologists. This edition of Pediatric Clinics of Perinatology covers these anomalies. In addition, it addresses a variety of other nephrology and urology issues that neonatologists confront. Some are rare and the chapter may then serve as an important resource. Others are common, and thus will provide updated information on diagnosis and management.

In this issue of Clinics in Perinatology, guest editors Akhil Maheshwari and Jonathan R. Swanson bring their considerable expertise to the topic of Neonatal and Perinatal Nutrition. Top experts in the field cover key topics such as nutritional assessment, genomics and nutrient needs, lipids and fatty acids, glucose homeostasis, and more. Contains 16 relevant, practice-oriented topics including maternal nutrition and fetal/infant development; infant nutrition in the developing world; short bowel syndrome and motility; malabsorption syndromes and food intolerance; and more. Provides in-depth clinical reviews on neonatal and perinatal nutrition, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.