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Pregnancy and Newborn Services

Care for Complex Problems

Our treatment programs address the challenging medical and surgical needs of high-risk obstetrical patients and newborns. Physicians and surgeons from all relevant specialties have a long history of collaborating on a high volume of complex cases. Bringing together specialists from every field of medicine and surgery, we develop treatment programs and therapeutic option to ensure the best possible outcome for our patients. Our maternal-fetal medicine and neonatology physicians work closely with experts in:

  • Anesthesiology
  • Endocrinology
  • Pediatric cardiology
  • Pediatric gastroenterology
  • Pediatric neurology
  • Pediatric oncology
  • Pediatric orthopedics
  • Pediatric surgery
  • Pediatric urology
  • Psychiatry

Complex birth defects, which affect about three percent of newborns, are the focus of our fetal and newborn treatment teams. Among the advanced procedures we offer are:

  • in utero fetal blood transfusion for Rh sensitization, severe anemia, and other blood disorders.
  • multifetal reduction procedures
  • catheter placement for poorly functioning kidneys

Our neonatologists and collaborating specialists provide care for newborns with conditions, including:

  • Congenital Heart Defects
    • Aortic stenosis
    • Atrioventricular canal defect
    • Coarctation of the aorta
    • Congenital heart block
    • Double outlet right ventricle
    • Hypoplastic left heart syndrome (HLHS)
    • Hypoplastic right ventricle
    • Pulmonary stenosis
    • Tetralogy of Fallot
    • Transposition of the great arteries
    • Ventricular septal defect (VSD)
  • Chest Abnormalities
    • Bronchopulmonary sequestration
    • Congenital cystic adenomatoid malformation
    • Congenital diaphragmatic hernia (CDH)
    • Congenital high airway obstruction syndrome
    • Esophageal atresia
    • Tracheoesophageal fistula
  • Abdominal Defects
    • Fetal abdominal mass
    • Fetal bowel obstruction
    • Gastroschisis
    • Omphalocele
  • Central Nervous System Abnormalities
    • Aqueductal stenosis
    • Dandy Walker malformation
    • Hydrocephalus
    • Intraventricular hemorrhage
    • Neural tube defects
  • Urologic Anomalies
    • Bladder outlet obstruction
    • Dysplastic kidney
    • Hydronephrosis
    • Hydroureter
    • Polycystic kidney disease
  • Skeletal Abnormalities
    • Cervical teratoma
    • Hemivertebrae
    • Sacroccycgeal teratoma
    • Skeletal dysplasia
  • Abnormalities Specific to Multiple Gestations
    • Discordant anomalies
    • Twin-reversal arterial perfusion sequence

Neonatal Intensive Care Unit (NICU)

The NICU is one of the busiest and most highly regarded units in the country, caring for more than 1,000 critically ill infants each year with a variety of life-threatening problems. These may include extreme prematurity, respiratory failure, gastrointestinal disorders, as well as congenital anomalies, congenital heart disease and other conditions that may require surgery.

Respiratory
Our NICU has been recognized by the National Institutes of Health for excellence in the treatment of respiratory disorders, in particular, its extremely low incidence of chronic lung disease.

We were among the first centers in the country to offer extracorporeal membrane oxygenator (ECMO) therapy for infants with severe respiratory failure unresponsive to conventional therapies, and today, we are one of only three facilities in the tri-state area to offer ECMO, an artificial heart and lung that supports oxygenation until a baby's lungs can function on their own. We have particular expertise in treating newborns with congenital diaphragmatic hernia using a protocol we designed that allows gentle support of the fragile lungs of these babies. In addition, we manage respiratory complications with ventilators and continuous positive airway pressure (CPAP) methods to assist infants who cannot maintain adequate oxygen levels.

Neurological
The Hospital's physicians also apply the latest neurological advances, such as electroencephalography (EEG) methods to access brain function, and head cooling caps, which lower the baby's head and body temperature to help lessen the risk of a neurological disability.

Nutritional
Major contributions have been made by our staff to the fields of neonatal nutrition. Our neonatal nutritionist is an integral member of the healthcare team, providing recommendations to optimize the nutritional care of the critically ill newborn.

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