Surgery
Volume 28, Issue 1 , Pages 1-4, January 2010

Foetal to neonatal transition — how does it take place?

Peter Reynolds MBBS PhD FRCPCH is a Consultant Neonatologist at St Peter's Hospital, Chertsey, Surrey, UK. Conflicts of interest: none declared

Abstract 

The rapid adaptation of the newborn baby to respiratory, cardiovascular, metabolic and neurological independence is only successful because of a series of evolved critical mechanisms and practised manoeuvres. This article reviews the physiology of these adaptations. It is particularly useful for clinicians to understand the underlying physiology as the treatments for maladaptation are based not only on treating the underlying disease which may be contributing, but also aimed at reversing the abnormal physiological processes. At the bedside, such understanding proves to be invaluable.

Keywords: Foetal transition, newborn physiology, postnatal adaptation

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PII: S0263-9319(09)00252-X

doi:10.1016/j.mpsur.2009.10.012

Surgery
Volume 28, Issue 1 , Pages 1-4, January 2010