Article |

Diagnosing Surgical Emergencies on the Day of Birth

Am J Dis Child. 1961;102(1):134-150. doi:10.1001/archpedi.1961.02080010136021.
Text Size: A A A
Published online

Infant mortality has been considerably reduced by medical progress during the past several decades. Neonatal and especially natal day deaths have been much less significantly diminished over the same period. Reduced mortality due to prematurity and birth injury has resulted from advances in obstetric and pediatric care. As a result, congenital anomalies have assumed a greater relative significance as a cause of neonatal death. Infant operative risks have decreased following refinements in surgical and anesthetic techniques and improved supportive care. Nevertheless, it is clear that neonatal surgical salvage can be further increased by earlier diagnosis and treatment. Only about one-fifth of the survivors of operations for esophageal atresia come from the large group operated on after the first 48 hours of life. Delay or inaccuracy of diagnosis has recently been reported to have been the major contributing factor in two-fifths of the 56 deaths in a consecutive series of 163


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.