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Extra resources for Avery’s Neonatology: Pathophysiology and Management of the Newborn
In some regions of the United States, this gap is being filled by physician assistants and pediatricians working as NICU hospitalists, under the supervision of a neonatologist. 8 Relative distribution of American Board of Pediatrics Neonatal-Perinatal Medicine Diplomates by state, 2013. American Board of Pediatrics. Workforce data 2013-2014. pdf ▪ AMERICAN ACADEMY OF PEDIATRICS RECOMMENDED LEVELS OF NEONATAL CARE The American Academy of Pediatrics Committee on Fetus and Newborn published definitions for Levels of Neonatal Care in 2004 that were subsequently updated in 2012 (43).
LBW infants at any gestational age are at increased risk of mortality and morbidity. 1). Very-low-birth-weight (VLBW) infants are more than 100 times as likely, and LBW babies are more than 25 times as likely to die in the first year of life compared with infants who weigh 2,500 g or more at birth (1). Infant Mortality in the United States and Other High-Resource Countries The United States first began to measure and record the IMR in 1915. 1, during the past 100 years, the US IMR has fallen dramatically from about 100 deaths per 1,000 live births in 1915 to approximately 6 deaths per 1,000 live births in 2011 (2).
26 in 2011 (11). 8 in 2011, with no significant change for non-Hispanic white and Hispanic women (11). 28 in 2011, seen primarily among non-Hispanic black infants in the United States (11). Improved and more consistent reporting of fetal deaths is needed to better understand the risks factors associated with perinatal death and develop strategies for prevention. ▪ THE GLOBAL PERSPECTIVE ON INFANT MORTALITY The dramatic decline in infant mortality during the past century was seen not only in developed countries but also in developing countries and reflects improvements in socioeconomic, sanitation, and educational conditions and in population health, most notably a reduction in malnutrition and infectious diseases.