Perinatal Services For Referring Providers

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Mitchell Burke
7 years ago
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1 Perinatal Services For Referring Providers

2 Perinatal Programs and Services Prenatal Diagnosis Program Maternal Fetal Consultation High Risk Pregnancy Clinic Diabetes in Pregnancy Program Perinatal Palliative Care Program Consultations and Referrals: Maternal Transport and Immediate Consultation Phone: Neonatal Transport and Immediate Consultation Phone: Prenatal Diagnosis Program Phone: Fax: High Risk Pregnancy Clinic and Outpatient Consultations and Diabetes in Pregnancy Program Phone: Fax: Outreach Services Phone: Breast Feeding Support Phone: or Prenatal Diagnostics Genetic Counseling by Certified Genetic Counselors Preconceptional counseling Pediatric Cardiology services Ultrasound diagnostics First Trimester Screen Targeted ultrasound Chorionic Villous Sampling Doppler Studies Amniocentesis Fetal Echocardiogram

3 Conditions for consultation with maternal fetal medicine physician Maternal conditions: Cardiac disease Chronic hypertension Cystic fibrosis Diabetes all types Hemolytic incompatibility History of or current coagulation concern Hyper/hypo thyroid Pulmonary disease (including active asthma) Renal disease Seizure disorder Any maternal condition that may affect the pregnancy Fetal conditions Anomalies Multiple gestation Intrauterine Growth Restriction (<10%) Any fetal condition that may require specialized care during pregnancy or after birth Pregnancy Complications Preeclampsia Pregnancy induced hypertension Oligohydramnios Polyhydramnios Prior infant demise or 2nd trimester loss Any complication that may affect the pregnancy

4 High Risk Pregnancy Program High Risk Obstetric Clinic The Center for Perinatal Care provides primary management or co-management care for women with medical, obstetrical and fetal conditions that complicate pregnancy. The care coordination team is supported by clinical nurse specialists, registered nurses, social workers, dietitians and spiritual care providers to provide high quality, evidence based prenatal, intrapartum and postpartum care. Assistance with scheduling: Referrals to specialties related to maternal or fetal conditions Follow-up ultrasound or other diagnostic tests Neonatology consult if anticipated NICU admission Social Work consult Antenatal testing Spiritual Care consultation Provide information and assist with coordinating prenatal classes, Birthing Center and NICU tours Care planning for inpatient stay. Diabetes in Pregnancy Program The Diabetes in Pregnancy Program provides diabetes care and education* from preconception through postpartum for women with diabetes. The program is designed to help women achieve optimal glucose control and minimize the risk of diabetes related complications during pregnancy. The program offers the latest glucose monitors, therapies and strategies to promote glycemic control, including glucose sensors and insulin pump therapy. Instructors of the education* program include a certified diabetes educator and registered dietitian.

5 The Meriter Diabetes Self Management Education Program has been Recognized by the American Diabetes Association for Quality Self-Management Education*. Birthing Center and Antepartum/Post Partum Units The Maternal Fetal Medicine Program provides inpatient Level III obstetric care for antepartum, intrapartum and postpartum patients. Maternal transports by ground or air are accepted by the attending maternal fetal medicine specialists 24 hours a day, seven days a week. Newborn Intensive Care Services The neonatal team University of Wisconsin boardcertified neonatologists, neonatal nurse practitioners, hospitalists, nurses, nutritionists, pharmacists, lactation consultants, and social workers along with physical, occupational, speech and respiratory therapists. The team cares for more than 450 premature and/or ill infants each year. The team shares a commitment to transferring infants back to their community hospitals when they have made sufficient progress.

6 The 30-bed, tertiary-care Newborn Intensive Care Unit offers a comprehensive spectrum of pediatric and surgical sub-specialties. The NICU is supported by state-of-the-art facilities for resuscitation of the high-risk infant, and by a Neonatal Simulation Center that is used for optimizing provider training in the skills applied in neonatal resuscitation. Family-centered care is provided in private single-family rooms. The UW Department of Obstetrics and Gynecology Reproductive Sciences Division, the UW Department of Pediatrics and Division of Neonatology, the Waisman Center, and the Center for Perinatal Care are nationally and internationally recognized for participation in research in maternal, fetal and neonatal physiology and disorders. New Era In Neonatal Follow-Up We are pleased to introduce our partnership with the UW Department of Pediatrics and the Waisman Center, an internationally recognized center for the advancement of knowledge about human development, developmental disabilities. Qualifying infants who graduate from the Meriter NICU will be enrolled in a new NICU follow-up clinic based at the Waisman Center where they will have developmental screening and support for complications of prematurity and other disorders of the high-risk infant.

7 Research Projects In Neonatal Medicine Include: Nursing Approaches to Optimize the Development of Preterm Infants Use of screening by pulse oximetry and blood pressure measurement for serious congenital heart disease Neonatal simulation as a tool for optimal training in neonatal resuscitation and education Factors contributing to subsequent risk for RSV infection in NICU graduates Iron metabolism and its role in infant health Effect of delayed cord clamping on neonatal anemia Placental immunobiology Identification of genetic risk factors that may predict premature birth Ion channels and channelopathies and their effects on development of the neonatal eye, heart and lung Developmental biology of the heart Understanding the pathobiology of retinopathy of prematurity Use of stem cells in retinal biology Development of the immature lung Role of infection and inflammation in lung injury and the development of chronic lung disease of prematurity Understanding the molecular basis for brain injury in hypoxic-ischemic encephalopathy Mechanisms of neuroplasticity, specifically in the respiratory motor control system Neonatal follow-up of outcomes of the high risk infant

8 Research Projects In Maternal Fetal Medicine Include: Clinical research: Proteinuria in Diabetic Pregnancies and Preeclampsia S.W.E.E.T.-P (Sugar in Women, Expert Evaluation and Treatment in Pregnancy) Database Mycoplasma Infection During Pregnancy TAP (Term Amniotic fluid testing methods and Positive predictive value) Renin and IGF BP-1 Expression in Preeclamptic Placenta Basic Research: Human Umbilical Vein Endothelial Cells (HUVEC) Dysfunction in Preeclamptic Pregnancies. Mechanism of Renal Injury in an RAS Mouse Model of Preeclampsia Mechanism of Vascular Dysfunction (VSMC) in a Mouse Model of Preeclampsia The Impact of 17-Hydroxyprogesterone e on Adrenal Steroidogenesis and Responsiveness in the Hypothalamic Pituitary Adrenal Axis in a Rhesus Model. Metabolic Gene Profile on Aneuploidy Relevant to Fetal Growth Abnormalities. Role of Steroid Hormone Biosynthesis in Preterm Labor Phenotype Segregations Network Analysis of Obstetrical Risk. Determining Contributors to Maternal Obesity in Madison.

10 Center for Perinatal Care Meriter Hospital 202 S. Park Street Madison, WI meriter.com 12/12/1000

Patient & Family Guide Pre-Existing Diabetes and Pregnancy

Patient & Family Guide Pre-Existing Diabetes and Pregnancy Center for Perinatal Care Meriter Hospital 202 S. Park Street Madison, WI 53715 608.417.6667 meriter.com 09/12/1000 A Meriter Hospital and University