APPROXIMATELY 6 per cent of the infants born at Sloane Hospital for Women in New York have severe respiratory depression at birth. To treat these babies successfully, everyone in the delivery room should be familiar with sound principles of resuscitation. “Everyone” includes the obstetrician, the anesthesiologist, the pediatrician, the medical students and the obstetric nurses, both graduate an...

Case 3.1: Harold Harold is a 6-year-old boy recently evaluated by his pediatrician for developmental delay and autistic-like features. Harold’s mother reported early problems with speech production, hyperactivity, and aggressive outbursts. More recently the behavioral problems have intensified, and Harold has begun to hand bite. On physical examination, the pediatrician notes that Harold has a ...

As advocates for children and their families, pediatricians can support and guide expectant parents in the prenatal period. Prenatal visits allow the pediatrician to gather basic information from expectant parents, offer them information and advice, and identify high-risk conditions that may require special care. In addition, a prenatal visit is the first step in establishing a relationship bet...

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The 2007 National Heart, Lung and Blood Institute expert panel asthma guidelines recommend that spirometry be part of routine asthma diagnosis and monitoring of therapy, yet only 35% of pediatric practices use spirometry for patients with asthma. Pediatricians should be aware that routine office spirometry is feasible, practical, and important for optimizing care for children with respiratory s...

This policy statement describes the key issues related to diversity within the pediatrician and health care workforce to identify barriers to enhancing diversity and offer policy recommendations to overcome these barriers in the future. The statement addresses topics such as health disparities, affirmative action, recent policy developments and reports on workforce diversity, and research on pa...

CASE Eric (12 years old, 6th grade) saw a new pediatrician with concern about fatigue and intermittent abdominal pain for the past 2 to 3 months. His mother observed that he appeared more tired and that the “whites of his eyes are more cloudy” than usual. He continued to be active, however, and reported that he played basketball and football without any problems. He slept 8 hours each night wit...