14. Neonatal Assessment and Prediction of Neonatal Outcome

  1. Yehuda Ginosar3,
  2. Felicity Reynolds4,
  3. Stephen Halpern MD, MSc, FRCPC5,6 and
  4. Carl P. Weiner7,8
  1. Vadivelam Murthy MBBS, DCH, MRCPH1 and
  2. Anne Greenough MD, FRCPCH1,2

Published Online: 17 DEC 2012

DOI: 10.1002/9781118477076.ch14

Anesthesia and the Fetus

Anesthesia and the Fetus

How to Cite

Murthy, V. and Greenough, A. (2013) Neonatal Assessment and Prediction of Neonatal Outcome, in Anesthesia and the Fetus (eds Y. Ginosar, F. Reynolds, S. Halpern and C. P. Weiner), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118477076.ch14

Editor Information

  1. 3

    Hadassah Hebrew University Medical Center, Jerusalem, Israel

  2. 4

    Dental Schools of Guy's and St Thomas' Hospitals, London, UK

  3. 5

    Obstetrics and Gynecology, University of Toronto, Toronto, Ontario, Canada

  4. 6

    Obstetrical Anesthesia, Sunnybroook Health Sciences Centre, Toronto, Ontario, Canada

  5. 7

    Obstetrics and Gynecology, Kansas City, USA

  6. 8

    Molecular and Integrative Physiology, University of Kansas, School of Medicine, Kansas City, USA

Author Information

  1. 1

    Division of Asthma, Allergy and Lung Biology, MRC and Asthma UK Centre in Allergic, Mechanisms of Asthma, King's College, College, London, UK

  2. 2

    Kings College School of Medicine and Dentistry, King's College, London, UK

Publication History

  1. Published Online: 17 DEC 2012
  2. Published Print: 20 JAN 2013

ISBN Information

Print ISBN: 9781444337075

Online ISBN: 9781118477076

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Keywords:

  • Newborn;
  • Apgar score;
  • illness severity scores;
  • neurological assessments;
  • pain;
  • neonatal abstinence syndrome

Summary

It is important to assess the degree of compromise in infants who require resuscitation at birth and/or ongoing support in the first weeks after birth, so that outcome can be accurately predicted, parents appropriately counseled, and ongoing management optimized. Acid-base status at birth, Apgar scores, and illness severity scores can reflect the newborn's condition immediately after birth, but they predict long-term outcomes inconsistently. Neurological assessments after birth in term infants, however, can be useful in predicting long-term outcomes. Assessment of specific problems such as pain or neonatal abstinence syndrome can guide appropriate interventions; studies are required to determine the most objective tools.