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Neonatology, The perspective of a neonatologist at Santa Maria Hospital 

By etavares On 30 November, 2010 Open Space | 2010 Comments Off on Neonatology, The perspective of a neonatologist at Santa Maria Hospital  No tags

Since the XIX century, Medicine has been interested in sick, particularly premature, newborn babies. First incubators and gavage feeding techniques where used by then.

In the second half of the XX century, with technological development, several practices will become available like invasive and non-invasive ventilation, monitoring devices, parenteral nutrition, prenatal corticosteroids and exogenous surfactant, ultrasonography, inhaled oxide nitric, induced hypothermia and ECMO. These advances will allow the survival, globally with less impairment, of a much greater number of newborn babies. These facts are well documented by the evolution of perinatal and neonatal mortality rates in developed countries.

“Neonatology” is first used in 1960.

In Portugal, as well, since the beginning of the 70s (at Santa Maria Hospital in 1973) are made available “nurseries”, “premature wards” and delivery room paediatric attendance. “Basic Perinatal Care” is structured at national level for public hospitals in the late 70s.

The first ventilator to be used in this hospital was a Loosco® (from Anaesthesiology), in 1976, by Dr Ofélia Guerreiro. The first premature baby survived after being ventilated in 1977. Since then, and until 1983, ten babies survived ventilation. Newborn-type ventilators (BearCub® BP 200 e BP 2001) where then acquired. Medical neonatal staff is available since 1986, even if a specific graduation in this area was only recognised, first within medical public career, in the 90s and afterwards by Portuguese Medical Board. The sub-speciality was recognised in 2003. Since the 90s there will be a progression of increasingly more sophisticated ventilators such as synchronized, volume-guaranteed and high-frequency types and the highly important non-invasive ventilation.

The organization of perinatal care, proper equipment acquisition and staffing, along with the implementation of a specific newborn transport system in the late 80s where a major advance for the improvement of newborn care in Portugal. Our results did match the best.
We received at Santa Maria Hospital the coordination of the newborn transport system in Lisbon, in 1987 (Dr Lincoln Silva). It was transferred latter to Alfredo da Costa Maternity Hospital.

As long as this technological development occurred, the importance of individualized care was also being recognised, and comfort care, family support and all the psychological and social aspects are dealt with to enhance child development. The neonatal team will include now psychologists, nutritionists, physical therapists and social service staff beyond multidisciplinary medical paediatric and non-paediatric areas. We are a neonatal reference centre for surgery, neurosurgery, metabolic, neurological and kidney diseases.

Far beyond intensive care, we welcome the birth of normal newborns. In this field we emphasize screening procedures, prevention of disease and accidents and promotion of health in its utmost sense. We are preparing ourselves to become a UNICEF “baby friendly hospital”, thereby confirming our total support of breastfeeding as a major health benefit.

Teaching has always been important. We are involved in pre and post-graduate Paediatric training and specific neonatal post-graduate teaching. A lot of resources are used to train other health practitioners both from within and outside the hospital.
Margarida Ejarque Albuquerque
guida.ejarque@gmail.com

____________________
Bibliography:

Cardoso B, Oliveira G, Albuquerque, ME. Ventilação Assistida na UCERN desde 2000.
Sessão clínica do serviço de pediatria do HSM. 2008. np
Guerreiro, O. Unidade de Neonatologia do HSM 1973-2005. Apontamentos.
Jornadas de Neonatologia do HSM. 2005. np
Videira Amaral, JM. A Neonatologia no Mundo e em Portugal. Factos Históricos.
Angelini, 2004

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Index - News # 17 | out/nov. 2010
 Editorial Note
 Hospital for Small Children
 Recorded interview with Professor Gomes-Pedro
 Interview Professor Paulo Ramalho 
 T. Berry Brazelton, MD – João Carlos Gomes Pedro Homage
 Cultural Soirée of the 100th anniversary of FMUL
 Last Lecture by Professor João Carlos Gomes-Pedro
 Opening of the 2010/2011 Academic Year Ceremony – University of Lisbon
 Medicine Evening 2010
 Medical Students Street Party
 Facilities, Equipments, and Information Technologies Unit
 Invitation to Participate in the 13th “Education for Science” Workshop
 Publications FMUL/HSM/IMM
 Lecturers’ Participation in Academic Examination Panels in other institutions(by 31 October 2010)
 FMUL students awarded prizes at the 5th YES Meeting
 IMM Seminars
 An ongoing PhD thesis in Pediatric Research: Interventions and Outcomes in Clinical Trials of Bronchiolitis
 Words to Professor J. Gomes-Pedro
 Bags and Rucksacks: “weights” today and “burdens” tomorrow (PART I)
 Feeding newborn babies at risk
 Valuing Differences
 Sexual education in schools
 Health at Schools Programme
 Cardio-pneumologists at the Paediatric Laboratory For Respiratory Function Studies
 Neonatology, The perspective of a neonatologist at Santa Maria Hospital 
 Introduction to Medicine – Subject Development and Episodes in the Life of a Member of Staff
 Paediatric Origins of Chronic Pulmonary Disease in Adults
 Breastfeeding the Turning Point in 2010
 The importance of a multidisciplinary team in child development
 Science and Health Research 
 Hospital Indicators of the Pediatric University Unity
 Social Values Stock Exchange: “Is Laughing the Best Therapy?” Project
 Swine Flu (H1N1) Pandemics in Portugal (1918-2009): echoes and schisms of the past in the present
 Course “ABC of Clinical Genetics” 2010
 14th Annual Meeting of the Portuguese Society of Human Genetics – 18-20 November 2010
 Workshop “Looking for the Clown Inside You” – 20 November
 Food Bank Against Hunger – 27 and 28 November
 Caminho Book Market – From 29 of November to 17 of December
 ENJOY Med’10 – Deadline for submitting abstracts: 30 November
 Grande Prémio Fundação AstraZeneca 2010
 Obituary
My Company

100 AnosPropriedade e Edição: Faculdade de Medicina da Universidade de Lisboa NIPC: 502662875  Periodicidade: Mensal  Diretor: Prof. Doutor Fausto J. Pinto Conselho Editorial: Prof. Doutor Fausto J. Pinto, Profª. Doutora Ana Sebastião, Prof. Doutor Mamede de Carvalho, Prof. Doutor António Vaz Carneiro, Prof. Doutor Miguel Castanho, Dr. Luís Pereira  Equipa Editorial:  Ana Raquel Moreira, Cristina Bastos, Isabel Varela, Joana Sousa, Maria de Lurdes Barata, Rui Gomes, Sónia Teixeira  Colaboração:  Gabinete de Relações Públicas, Internacionais e Comunicação  Versão Inglesa: AP|PORTUGAL- Language Services  Conceção: Metatexto, Lda. e-mail: news@medicina.ulisboa.pt  Sede do Editor e Sede da Redação: Avenida Prof. Egas Moniz, 1649-028 Lisboa Estatuto Editorial Anotado na ERC 

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