Irene Roberts

Neonatal Haematology


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       Library of Congress Cataloging‐in‐Publication Data applied for

      Hardback ISBN: 9781119371588

      Cover Design: Wiley

      Cover Image: Courtesy of Irene Roberts

      This neonatal haematology guide aims to fill a gap in an important, but often poorly understood, area of diagnostic haematology by focusing particularly on common blood problems in this unique group of patients, although not neglecting the rarities that can also be important. We specifically chose to use a text‐atlas format because the starting point for so many haematological problems in neonates is the information to be found through careful evaluation of a blood film in conjunction with an automated blood count. Given that many neonates with haematological abnormalities weigh less than 1000 g at birth and have an estimated blood volume at birth of 40–80 ml with very precarious vascular access, there is huge practical value in being able to extract the maximum amount of diagnostic information from a single drop of blood.

      The book has been organised into four chapters based on the most frequently occurring clinical problems: interpretation of normal results and blood film appearances (Chapter 1); anaemias and haematological causes of jaundice (Chapter 2); diagnosis of systemic disorders, such as infection, and less common leucocyte disorders, such as leukaemia and storage disorders (Chapter 3); and disorders of coagulation and thrombosis, including common causes of thrombocytopenia and their investigation (Chapter 4). We hope that this handbook will be a core resource for haematologists on call in any hospital with a maternity unit who may not be neonatal experts, and that it will act as a core text for neonatal and paediatric haematologists. It is very much aimed to be a practical resource, based on real‐life experience of neonatal haematology in large teaching hospitals and contains algorithms, tables and illustrative cases with full colour images. While the focus is on common problems, we also describe when to look for, and how to spot, rare haematological disorders presenting in the neonatal period.

      This book would never have been written without the help and support of a number of other people. Above all, I am hugely indebted to my co‐author, Professor Barbara Bain. She brought to the book her 50 years’ experience of diagnostic haematology. Her expertise, experience, diligence and patience, as well as her friendly advice, were invaluable. I am similarly hugely grateful to Mandy Collison at Wiley who never gave up on the project despite repeated delays on my part. Finally, I have to thank my family (Allan, Duncan and Ewan), who accepted the neonatal haematology geek in their midst, and supported the whole project from the beginning.

      Irene Roberts