Obladen M
Abteilung für Neonatologie, Universitäts-Kinderklinik Berlin.
Monatsschr Kinderheilkd. 1988 Jan;136(1):2-7.
The worldwide reduction in infant mortality and low birthweight lethality has also been observed in the Federal Republic of Germany during the past two decades. In many countries, neonatology has emerged as a scientifically active subspecialty of pediatrics. Its main characteristic is an understanding of partially mature function and perinatal adaptation. In West Germany, however, education programs for neonatologists have not been inaugurated and neonatology has been identified with pediatric intensive care. Sophisticated neonatal transport systems, expensive special care units, and highly aggressive therapeutic approaches have resulted. Neither perinatal centers for high-risk deliveries nor regionalization programs for intrauterine transport to the neonatal special care unit have been created. Neonatology may drift towards obstetrics if established pediatrics continues to ignore educational, organizational and manpower needs of neonatal care.
在过去二十年中，德意志联邦共和国也出现了全球范围内婴儿死亡率和低出生体重致死率下降的情况。在许多国家，新生儿学已成为儿科学中一个积极开展科研工作的亚专业。其主要特点是了解部分成熟功能和围产期适应情况。然而，在西德，尚未启动针对新生儿科医生的教育项目，并且新生儿学一直被等同于儿科重症监护。这导致了复杂的新生儿转运系统、昂贵的特殊护理单元以及高度积极的治疗方法。既没有设立用于高危分娩的围产期中心，也没有制定将胎儿转运至新生儿特殊护理单元的区域化项目。如果现有的儿科学继续忽视新生儿护理的教育、组织和人力需求，新生儿学可能会向产科学靠拢。
