Fetal Neonatal

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The Fetal Neonatal service line at Children’s Medical Center offers a robust continuum of state-of-the-art care, including a Fetal Evaluation and Treatment Alliance (FETAL), a Level IV Neonatal Intensive Care Unit (NICU), a TeleNICU Program and a Low Birth Weight Follow-up Clinic. Our programs address the complex and multidisciplinary diagnoses and management of any fetal or neonatal patient from birth through age 5.

What We Treat

Challenges of Prematurity

  • Apnea
  • Chronic Lung Disease (CLD or BPD)
  • Feeding difficulties
  • Gastroesophageal reflux
  • Hydrocephalus
  • Intraventricular hemorrhage and stroke
  • Necrotizing enterocolitis (NEC)
  • Patent ductus arteriosus (PDA)
  • Respiratory Distress Syndrome (RDS)
  • Retinopathy of prematurity (ROP)
  • Short bowel syndrome
  • Very low birth weight

Congenital (birth) Anomalies and Disorders

  • Ambiguous genitalia
  • Arteriovenous malformations
  • Diaphragmatic hernia
  • Gastroschisis/omphalocele
  • Genetic disorders, including metabolic disorders
  • Muscular disorders/hypotonia (poor tone, “floppy” babies)
  • Myelomeningocele (i.e. spina bifida)
  • Skeletal dysplasias/abnormalities

Other situations and conditions

  • Congenital infections (syphilis, rubella, CMV etc.)
  • Hirschsprung's Disease
  • Hydrops
  • Hyperbilirubinemia
  • Hypoxic-ischemic encephalopathy (HIE)
  • Intestinal disorders, including malrotation, atresias and obstructions
  • Meconium aspiration
  • Persistent pulmonary hypertension
  • Prenatal drug exposure
  • Seizures
  • Sepsis (infections)/meningitis
  • Skin disorders

Program Highlights

  • Offers a highly coordinated team of providers including board certified Neonatologists, Advanced Practice Neonatal Nurse Practitioners and Neonatal Medicine fellows, who provide exceptional neonatal care from birth through discharge.
  • A new, 36 bed NICU with state-of-the-art equipment and computer systems opened in July 2009.
  • More than 300 admissions in 2009 from both local and regional hospitals
  • Provides neonatal support to outside obstetricians and maternal fetal medicine specialists through our Fetal-Neonatal Program. This multidisciplinary team, including maternal fetal medicine, neonatology, pediatric surgery, cardiology and other pediatric subspecialists, provides prenatal consults for patients' with diagnoses of fetal anomalies or when a complex postnatal course is anticipated.
  • Daily bedside rounds include medical staff, neonatal respiratory therapists, nutritionists, child life specialists, pastoral care and developmental psychiatrists to provide the highest level of family-centered care.
  • All neonatologists are faculty at UT Southwestern Medical Center. The Division of Neonatal-Perinatal Medicine has been a participating member in the National Institutes of Health Neonatal Network since its inception in 1986.
  • Access to a full range of neonatal therapies, including high frequency and jet ventilation, ECMO, nitric oxide and total body cooling.
  • Immediate availability of pediatric subspecialty consultations.
  • Full access to radiology services provided by radiologists with neonatal expertise.
  • Access to our highly trained transport team dedicated solely to pediatric, neonatal and high risk obstetrical transport.

Research

UT Southwestern Medical Center at Dallas is ranked as one of the top biomedical institutions in the world. UT Southwestern's distinguished faculty includes four Nobel laureates and 19 members of the National Academy of Science Institute of Medicine and is home to the research laboratories of the Neonatal-Perinatal Medicine faculty and collaborating investigators in other clinical and basic science departments. To see a list of current research projects and recent publications please visit our division webpage.

Why Children’s Health℠?

The program is dedicated to quality enhancements and research in hopes of better outcomes for the tiniest of patients everywhere.  The center is one of 17 in the National Institute of Child Health and Development Neonatal Research Network. In 2013, the team launched Texas’ first dedicated neonatal telemedicine service, which offers physicians at other hospital NICUs 24-hour access to our experienced, board-certified neonatologists via two-way, real-time communications.