What is Gomella’s Neonatology, 8th Edition?
Gomella’s Neonatology, 8th Edition, is a comprehensive clinical reference focused on neonatal management, procedures, on-call problems, diseases, infectious conditions, and pharmacology. It is particularly relevant to clinicians and learners working with newborns and infants who need a broad reference covering routine care, intensive care, emergencies, procedures, and neonatal disorders.
Introduction
Neonatal medicine requires clinicians to move rapidly between routine newborn assessment, delivery-room stabilization, intensive care, diagnostic evaluation, procedures, infectious diseases, pharmacology, and unexpected clinical problems.
A useful neonatal reference therefore needs to cover more than individual diseases. It needs to reflect the way neonatal care is actually encountered in clinical practice.
Gomella’s Neonatology, 8th Edition, is organized around this broad clinical approach. Its full title is Gomella’s Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs.
The eighth edition is edited by Tricia Lacy Gomella, MD, with Fabien G. Eyal, MD, as senior associate editor and Fayez Bany-Mohammed, MD, FAAP, as associate editor. The book is identified as a LANGE medical book and was published by McGraw-Hill Education in 2020.
The scope is substantial. Rather than concentrating on a narrow aspect of newborn medicine, the book brings together prenatal and delivery management, basic neonatal care, advanced management, practical procedures, on-call clinical problems, general neonatal diseases, infectious diseases, and neonatal pharmacology. Its contents also include appendices containing practical reference material.
This makes the book particularly interesting for readers who want a single neonatal reference that connects foundational care with more complex clinical situations.
Book Overview
|
Book detail |
Information |
|
Full
title |
Gomella’s Neonatology: Management,
Procedures, On-Call Problems, Diseases, and Drugs |
|
Edition |
Eighth Edition |
|
Editor |
Tricia Lacy Gomella, MD |
|
Senior
Associate Editor |
Fabien G. Eyal, MD |
|
Associate
Editor |
Fayez Bany-Mohammed, MD, FAAP |
|
Publisher |
McGraw-Hill Education |
|
Publication
year |
2020 |
|
Series |
LANGE medical book |
|
Medical
specialty |
Neonatology / neonatal-perinatal
medicine |
|
ISBN |
978-1-25-964482-5 for the eBook
edition |
These bibliographic details are stated in the book's front matter and publication information.
The editorial structure extends beyond the three principal editors. The book identifies section editors, an international editorial board, and a large group of contributors working across neonatal procedures, pharmacology, infectious diseases, cardiology, imaging, surgery, nutrition, neurology, and neonatal intensive care.
What This Book Covers
One defining characteristic of Gomella’s Neonatology 8th Edition is the breadth of its organization. The material is divided into eight major sections followed by appendices.
1. Prenatal, Labor, Delivery, and Transport Management
The opening section establishes the clinical pathway before and around birth. It includes:
- Fetal assessment
- Obstetric anesthesia and the neonate
- Resuscitation of the newborn
- Neonatal transport
This section places neonatal care within the broader perinatal setting rather than beginning only after admission to a neonatal unit.
2. Basic Management
The second section addresses fundamental areas of newborn care:
- The Golden Hour
- Gestational age and birthweight classification
- Newborn physical examination
- Temperature regulation
- Respiratory management
- Fluid and electrolytes
- Nutritional management
These subjects establish important foundations for the assessment and management of newborn infants.
The newborn physical examination chapter, for example, addresses systematic clinical assessment and includes discussion of abdominal findings and congenital abnormalities. The book also connects physical examination findings with disorders such as congestive heart failure, infection, renal abnormalities, and congenital anomalies.
3. Advanced Management
The advanced-management section expands the clinical scope considerably. Topics include:
- Imaging studies
- Management of extremely low birthweight infants during the first week
- Management of late preterm infants
- Pain in the neonate
- Newborn screening
- Genetic and genomic testing
- Neurologic evaluation
- Blood component therapy
- Extracorporeal life support
- Follow-up of high-risk infants
- Complementary and integrative medical therapies
- Neonatal bioethics
- Neonatal palliative care
This progression from basic management to advanced care gives the book a broad clinical framework.
4. Neonatal Procedures
A major component of the book is its dedicated procedures section. It includes chapters covering arterial and venous access, airway management, drainage procedures, sampling, resuscitation-related procedures, therapeutic hypothermia, point-of-care ultrasound, and other interventions.
Examples include:
- Arterial puncture
- Percutaneous arterial catheterization
- Umbilical artery catheterization
- Bladder aspiration
- Bladder catheterization
- Chest tube placement
- Defibrillation and cardioversion
- Endotracheal intubation and extubation
- Exchange transfusion
- Gastric and postpyloric tube placement
- Heelstick blood sampling
- Laryngeal mask airway
- Lumbar puncture
- Ostomy care
- Paracentesis
- Pericardiocentesis
- Therapeutic hypothermia
- Point-of-care ultrasound
- Intraosseous infusion
- PICC placement
- Peripheral IV catheterization
- Umbilical vein catheterization
- Venipuncture
The dedicated procedural structure is one of the most clinically practical aspects of the book's organization.
5. On-Call Problems
The fifth section is particularly focused on situations that clinicians may encounter during neonatal on-call work.
The contents include abdominal distension, abnormal blood gases, apnea and bradycardia, arrhythmias, bloody stool, cyanosis, neonatal death, eye discharge, gastric residuals, gastrointestinal bleeding, hematuria, hyperbilirubinemia, glucose and electrolyte abnormalities, hypertension, hypotension and shock, discharge readiness, pneumoperitoneum, pneumothorax, polycythemia, poor perfusion, pulmonary hemorrhage, rash, seizures, traumatic delivery, and thromboembolic problems.
This clinical problem-based structure is valuable because it organizes information around presentations rather than only disease names.
For example, the book includes algorithms and practical decision-making material in its discussion of neonatal jaundice. One algorithm addresses assessment of jaundice, bilirubin measurement, follow-up, and treatment decisions.
6. Diseases and Disorders
The general diseases section covers a wide spectrum of neonatal medicine.
Topics range from
- ABO and Rh incompatibility
- Acute kidney injury
- Air-leak syndromes
- Anemia
- Apnea
- Bronchopulmonary dysplasia
- Calcium and magnesium disorders
- Coagulation disorders
- Congenital heart disease
- Disorders of sex development
- Eye disorders
- Hydrocephalus and ventriculomegaly
- Hyperbilirubinemia
- Inborn errors of metabolism
- Infants of diabetic mothers
- Intracranial hemorrhage
- Fetal growth restriction
- Meconium aspiration
- Necrotizing enterocolitis
- Neonatal encephalopathy
- Patent ductus arteriosus
- Persistent pulmonary hypertension
- Polycythemia and hyperviscosity
- Respiratory distress syndrome
- Retinopathy of prematurity
- Seizures
- Surgical disorders
- Thrombocytopenia
- Thyroid disorders
- Transient tachypnea of the newborn
The breadth of this section makes clear that the book is designed as a wide-ranging neonatal clinical reference rather than a single-disease textbook.
7. Infectious Diseases
Neonatal infection receives a separate major section.
The book includes chapters on:
- Chlamydial infection
- Cytomegalovirus
- Neonatal dengue infection
- Enteroviruses and parechoviruses
- Gonorrhea
- Hepatitis
- Herpes simplex viruses
- HIV
- Lyme disease
- Meningitis
- MRSA infections
- Parvovirus B19
- Pertussis
- Respiratory syncytial virus
- Rubella
- Sepsis
- Syphilis
- TORCH/TORCHZ infections
- Toxoplasmosis
- Tuberculosis
- Ureaplasma
- Urinary tract infection
- Varicella-zoster infections
- Congenital Zika syndrome
This section demonstrates the attention given to both common and specialized infectious problems affecting newborns.
8. Neonatal Pharmacology
The final major section is devoted to pharmacology and includes medications used in the neonatal intensive care unit as well as the effects of drugs and substances on lactation and infants.
The contributor information also identifies dedicated pharmacology contributions covering neonatal medications, emergency therapies, aerosol therapy, medications for neonatal seizures, and pharmacologic management of conditions such as hyperkalemia, hypotension, and hypertension.
Key Features
The book's strongest educational features, based on its organization and contents, include:
- Broad neonatal coverage spanning perinatal care through intensive neonatal management.
- Dedicated on-call problem chapters organized around common and urgent clinical presentations.
- A substantial procedures section covering practical neonatal interventions.
- Dedicated neonatal pharmacology coverage.
- Separate infectious-disease section covering a wide range of congenital, perinatal, and neonatal infections.
- Coverage of both basic and advanced management.
- Specific attention to extremely low birthweight and late preterm infants.
- Coverage of neonatal bioethics and palliative care.
- Newborn screening and genetic/genomic testing content.
- Appendices containing practical reference information, including abbreviations, Apgar scoring, blood pressure determination, chartwork, immunization and isolation guidelines, and conversion tables.
- Contributions from clinicians across multiple disciplines and international institutions.
Who Should Read This Book?
The book itself does not provide a single formal list defining its intended readership. However, its subject coverage makes its contents relevant to several groups involved in neonatal care.
Medical Students
Students studying pediatrics or neonatal medicine can use the broad structure to understand how newborn care progresses from delivery-room assessment through diagnosis and management of disease.
Residents and Interns
Residents and interns may find the combination of basic management, on-call problems, procedures, and disease chapters particularly relevant to clinical learning.
Neonatal and Pediatric Specialists
The book contains advanced subjects such as extracorporeal life support, extremely low birthweight infant management, neonatal neurologic evaluation, genetic testing, complex infectious diseases, and neonatal pharmacology.
Nurses and Advanced Practice Clinicians
The procedural and problem-oriented organization covers many situations encountered in neonatal intensive care. The contributor list also includes neonatal nurse practitioners and other healthcare professionals, reflecting multidisciplinary participation in the book.
Pharmacists
The dedicated pharmacology section and contributions from clinical pharmacists make the book relevant to professionals involved in medication use in neonatal settings.
Exam Candidates
The book contains a large number of core neonatal topics that overlap with the clinical knowledge expected during pediatric and neonatal training. However, the book itself does not make a specific claim that it is designed as an examination-preparation book, so it should not be characterized exclusively as an exam text.
Why Gomella’s Neonatology 8th Edition Is Useful
Clinical relevance
The organization closely follows real neonatal clinical work. A clinician may begin with delivery and resuscitation, progress to the Golden Hour and basic management, encounter an on-call problem, perform a procedure, investigate a disease, and then address infection or medication-related questions.
The book's structure brings these areas together rather than isolating them.
Practical applications
The dedicated procedures section is particularly relevant to practical clinical learning. The book does not merely list procedural topics; it gives procedures their own section within the overall clinical framework.
Problem-oriented learning
The on-call section is another important feature. Instead of requiring the reader to begin with a known diagnosis, chapters are organized around clinical problems such as apnea and bradycardia, cyanosis, hypoglycemia, hypotension, pneumothorax, seizures, and poor perfusion.
Learning efficiency
The extensive contents and index make it possible to approach the book according to the reader's immediate learning objective. A learner can study a specialty area systematically, while a clinician can locate a particular clinical problem or procedure.
The index also cross-references clinical topics across different sections, supporting navigation between on-call problems and disease-specific chapters.
Evidence and clinical references
Individual chapters incorporate references and published evidence. For example, clinical discussions may include laboratory reference tables and cite the studies from which particular neonatal reference values were derived.
At the same time, the book's own notice emphasizes that medicine changes over time and advises readers to confirm information with current sources, particularly medication information. Therefore, the 2020 edition should be used with awareness of the publication date when making contemporary clinical decisions.
Table of Contents Overview
The major organization of Gomella’s Neonatology 8th Edition is
- Prenatal, Labor, Delivery, and Transport Management
- Basic Management
- Advanced Management
- Procedures
- On-Call Problems
- Diseases and Disorders, General
- Infectious Diseases
- Neonatal Pharmacology
- Appendices
The book contains 156 numbered chapters, followed by appendices and an index. The contents list begins with fetal assessment and newborn resuscitation and extends through neonatal pharmacology and practical reference appendices.
Strengths of the Book
From an academic and clinical perspective, several strengths are evident from the book's structure.
Comprehensive scope
The book covers an unusually broad range of neonatal topics within a single reference. Basic care, advanced intensive care, procedures, emergencies, disease management, infectious diseases, and pharmacology are all represented.
Strong clinical orientation
The inclusion of a dedicated On-Call Problems section gives the book a presentation-oriented dimension. This is different from organizing all content exclusively around diagnostic categories.
Practical procedures
The procedures section gives considerable attention to hands-on neonatal care, including vascular access, airway procedures, drainage procedures, sampling, and emergency interventions.
Multidisciplinary authorship
The contributor and editorial information shows participation by neonatologists, pediatricians, surgeons, pharmacists, nurses, radiologists, ophthalmologists, geneticists, cardiologists, and other specialists.
International contribution
An international editorial board includes contributors from multiple countries and institutions, providing a broad professional representation within the book.
Useful reference material
The appendices include practical material such as Apgar scoring, blood pressure determination, chartwork, immunization guidelines, isolation guidelines, temperature conversion, and weight conversion.
Limitations
The principal limitation identifiable directly from the book is its publication date. This is the 2020 eighth edition, and neonatal medicine continues to evolve.
This is particularly important for treatment recommendations, medication dosing, contraindications, antimicrobial practices, screening recommendations, and other areas that can change with new evidence or updated guidelines.
The book itself explicitly cautions readers that medical science is continually changing and recommends confirming relevant information with other current sources, including drug product information.
A second limitation is that the available material does not provide independent reader reviews, ratings, comparative outcome data, or other evidence that would justify making claims about user satisfaction or superiority over competing textbooks. Such claims have therefore not been included.
Comparison With Similar Books
It explicitly combines management, procedures, on-call problems, diseases, infectious diseases, and neonatal pharmacology within one reference.
Readers comparing it with other neonatal references should therefore consider factors such as the organization of each book, publication date, depth in particular subspecialties, procedural coverage, pharmacology content, and the currency of recommendations.
FAQs
Gomella’s Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs is the eighth edition of a comprehensive neonatal medicine reference edited by Tricia Lacy Gomella, with Fabien G. Eyal and Fayez Bany-Mohammed as senior associate and associate editors. It was published by McGraw-Hill Education in 2020.
The book covers prenatal and delivery management, neonatal resuscitation, basic and advanced management, procedures, on-call problems, general neonatal diseases, infectious diseases, neonatal pharmacology, and practical appendices.
Yes. The eighth edition has a dedicated procedures section covering numerous neonatal procedures, including airway management, vascular access, lumbar puncture, chest tube placement, exchange transfusion, pericardiocentesis, therapeutic hypothermia, and point-of-care ultrasound.
The book contains a dedicated On-Call Problems section addressing clinical presentations such as apnea and bradycardia, cyanosis, hypoglycemia, hypotension and shock, pneumothorax, pulmonary hemorrhage, seizures, poor perfusion, and other neonatal problems.
Yes. Section VIII is devoted to neonatal pharmacology and includes medications used in the neonatal intensive care unit and the effects of drugs and substances on lactation and infants.
Yes. The infectious-disease section includes bacterial, viral, congenital, and other neonatal infections, including sepsis, meningitis, CMV, HSV, HIV, toxoplasmosis, tuberculosis, syphilis, rubella, Zika virus infection, and several others.
The book contains foundational neonatal assessment and management as well as advanced management, procedures, on-call problems, and disease-specific chapters. These subjects can support learning at different stages of medical training. The book does not, however, state a formal readership list in the bibliographic information available here.
The eighth edition was published in 2020. Because neonatal medicine and drug recommendations change, current guidelines, institutional protocols, and medication information should be checked alongside the book when applying information to contemporary patient care. The book itself explicitly advises readers to confirm medical and drug information because of the changing nature of medical science.
Conclusion
Gomella’s Neonatology 8th Edition presents neonatal medicine as a broad clinical discipline rather than a collection of isolated diseases. Its structure moves from prenatal and delivery care through basic neonatal management, advanced intensive care, practical procedures, on-call clinical problems, general diseases, infectious diseases, and pharmacology.
For learners, the organization provides a pathway through many of the major areas encountered in neonatal medicine. For clinicians, the problem-oriented chapters and dedicated procedural content provide a clinically focused reference structure. The extensive contributor network and multidisciplinary subject coverage further support the book's role as a comprehensive neonatal reference.
The book's 2020 publication date should remain an important consideration, particularly when consulting material related to medications, treatment recommendations, screening, and rapidly changing clinical practice. The book itself recommends checking current information alongside its contents.
Overall, the educational value of Gomella’s Neonatology 8th Edition lies in its breadth and practical organization. It brings together neonatal management, procedures, emergencies, diseases, infections, and pharmacology in one substantial reference, making it a potentially useful study and reference resource for professionals and learners engaged in neonatal care.
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