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Doody's Review ServiceReviewer: Jay P. Goldsmith, MD (Tulane University School of Medicine)
Description: This is a comprehensive review of the basic science, metabolism, nutritional requirements, and nutritional management of the neonate. Chapters concentrate mostly on the preterm and sick neonate, with greatly expanded sections in this second edition (first edition in 1999) on clinical aspects of nutritional care.
Purpose: The purpose is to provide information to optimize the nutritional management of the sick and especially extremely preterm infant, since evidence shows that "prolonged periods of undernutrition during critical periods of development adversely affects long-term growth and neurodevelopmental and neurocognitive outcomes." These are worthy objectives, but not all contributors have synthesized the data in their chapters into practical algorithms for use by the clinician.
Audience: The book is written for practicing neonatologists, neonatal nutrionalists, or other clinicians working with sick preterm infants in a neonatal intensive care unit. The editors and authors of individual chapters are international authorities in this field.
Features: A collection of 48 chapters covers various aspects of neonatal nutrition, mostly dealing with aspects of nourishing the extremely preterm infant. Unique chapters cover the long-term effects of fetal and neonatal growth on health in late life. The chapters are relatively comprehensive and stand alone reviews on each subject. The book might benefit from the organization of these chapters into sections on: prenatal nutrition, postnatal nutrition, nutrients, methods of providing nutrition, nutrition in certain disease states, etc.
Assessment: This is now the standard text on neonatal nutrition. No general text devotes this much time and space to this critical aspect of neonatal care. Although there are books on breastfeeding, intravenous nutrition, vitamin and mineral requirements in the neonate, and general neonatal gastroenterology which all cover certain aspects of this topic, no comparable text is as comprehensive in this field. This reference should be available to all practitioners who work in Level III neonatal intensive care units. This edition seven years after the first edition, is needed due to rapid changes in this area of neonatology.