Neonatal/Perinatology

Your patient is a 2-month-old boy of Native American and Puerto Rican descent undergoing evaluation of fever, hepatomegaly, and pancytopenia of uncertain cause.

Breast is best but success isn't a given. These guidelines help you encourage mothers to breastfeed and give them the support they need to do well--without short-changing reimbursement.

Your latest case: A 3-month-old girl with a pink, macular, anterior inguinal rash with satellite lesions that suggests diaper candidiasis, and a firm, nontender, 1 x 1-cm mass in the right inguinal area that is freely mobile.

You've been called down to the emergency department early this morning by the ED attending to see a 5-month-old girl brought in by her parents because of vomiting. The attending does not see signs of dehydration, but reports that the baby "looks funny."

High blood pressure in an infant can be the presenting sign of serious illness. Here’s a road map for how to proceed-from making the diagnosis to finding and treating the cause.

The bad news: No easy or standardized treatment exists to prevent complications of asthma in very young children. The good news? Research is pointing the way to improved therapy.

Wheezing is common in children younger than 5 years, but asthma is hard to diagnose in this age group. Research holds promise for earlier identification, before uncontrolled symptoms lead to complications.

Putting their baby in day care is an emotional occasion for parents, as well as a subject that often comes up during office visits. You're in an opportune position to provide advice and support on returning to work and finding the best child-care arrangement for the family.

I've been on service this month caring for hospitalized patients and, once again, I'm reminded that managing illness in children isn't as straightforward as it used to be.

The earlier that social-emotional problems are recognized, the better the outcome is likely to be. Several recent screening tools for children from birth to 3 years can facilitate this process using parent-completed questionnaires.

Finding an acceptable alternative to breast milk has proved to be a complicated quest that continues today.

Does supplementing infant formula with long-chain polyunsaturated fatty acids have an effect on visual acuity, growth, and cognitive development?

Here is a look at problems that may arise when switching from gavage feedings to breast feedings, the use of fortified human milk, discharge planning needs, and the requirements of infants at risk of feeding problems.

When a newborn or his mother is too ill for him to nurse, the pediatrician can do much to help her pump properly, maintain her milk supply, initiate breastfeeding, and more.

Dissuade mothers from switching formulas unnecessarily and help them avoid disappointment by knowing how formulas differ and what constitutes genuine intolerance.

Pain in infants is often undertreated. A new synthetic opiate, a parenteral NSAID now approved for use in patients as young as 1 year, and improvements in the use of local anesthetics have expanded physicians' options.

A single "best way" just doesn't emerge from the data available. What's a pediatrician to do? Know the science of medicine, but also be ready to practice the art.

The baby who suffers a "spell" marked by apnea, choking, or color changes presents a frightening dilemma: Is it an apparent life-threatening event (ALTE) or something less serious? The author offers detailed advice on how to evaluate spells and follow up if necessary. First of two parts.