The division currently has the most experience in the world with infants with inherited causes of neonatal respiratory failure, including surfactant protein-B deficiency and ABCA3 deficiency, as well as the genomics of birth defects (Jennifer Wambach, MD, MS and F. Sessions Cole, MD). In addition, we have several experts in the enteric microbiome (Barbara Warner, MD, MS) necrotizing enterocolitis and neonatal neurology (Zachary Vesoulis, MD and Cynthia Ortinau, MD).
The neonatal intensive care unit at St. Louis Children’s Hospital is also experienced in the evaluation of infants for solid organ transplantation, including heart, lung and liver transplantation. The division also offers long-term follow up for patients with a congenital diaphragmatic hernia once a month on Thursdays. This multidisciplinary cooperative effort includes pediatric surgery and newborn medicine faculty (Tasnim Najaf, MD and Patrick Sloan, MD) who provide long-term follow up for these infants.
The division maintains an active neonatal database and is a member of the Vermont-Oxford Network and the Children’s Hospitals Neonatal Consortium collaborative. The division provides other educational opportunities through webcasts of divisional meetings, regional conferences, informal presentations and practitioner participation in clinical services. These opportunities can be developed and arranged through SLCH Physician Services.
The division has experience in international clinical and research collaborations, including the U.K., Netherlands, Italy, Australia and New Zealand. In addition, Joan Downey, MD, MPH, and other Washington University/SLCH sub-specialists visit Juticalpa, Honduras, annually to provide multidisciplinary evaluations and care for infants and children, some of whom come to SLCH for treatment. This is a Washington University School of Medicine Pediatrics Away Rotation and a wonderful global health opportunity for our Pediatric Residents and Neonatal-Perinatal Medicine Fellows.
Newborn medicine practice opportunity
St. Louis Children’s Hospital is consistently ranked as a top ten Children’s Hospital in the country and is affiliated with the Washington University School of Medicine — the most selective medical school in the U.S. — and offers unique opportunities for patient care, research and education.
For more information contact Meghan Plog at firstname.lastname@example.org.
Clinical care highlights
The division faculty provides outpatient and inpatient antenatal consultation services in collaboration with the Division of Maternal-Fetal Medicine, Genetics and Ultrasound of the Department of Obstetrics. Patients with high-risk pregnancies are referred by obstetricians for multidisciplinary consultations with newborn faculty members as well as faculty from other relevant divisions (e.g., Pediatric Cardiology, Pediatric General Surgery, Pediatric Urology, Pediatric Neurosurgery, etc.). Complex fetal conditions are cared for through the Fetal Care Center that provides multidisciplinary diagnostic and interventional treatments for mother and fetus. Interventions include laser therapy for twin-twin transfusion syndrome, in utero myelomeningocele repair, and EXIT procedures for complex airway anomalies among others (see link below). In addition, families have the opportunity to tour the Neonatal Intensive Care Unit, arrange lodging and discuss blood transfusions. The division sees over 500 families as outpatients and approximately 1,000 as inpatients annually.
Washington University Physicians in Illinois, Inc. (WUPI)* provides clinical coverage at the Level 2e special care nursery (SCN), Well Baby Nursery and delivery services at the Memorial Network hospitals in Illinois. WUPI Neonatologists work closely with the WUPI Pediatric Hospitalists to provide newborn coverage 24/7 as well as with private pediatricians, obstetricians and maternal-fetal medicine providers. The obstetric service delivers appropriately 2,000 infants each year. The Level 2e SCN opened in spring 2018 and admits babies born as young as 30 weeks gestation and birth weights greater than 1250g. Therapeutic interventions and capabilities at the Level 2e SCN include conventional mechanical ventilation, non-invasive ventilatory support, central line placement, echocardiograms and diagnostic radiology such as x-rays, ultrasounds and upper GI studies.
Pediatric subspecialist consultation is available from SLCH by phone. Ancillary services include occupational therapy, physical therapy, speech therapy, lactation consultants, respiratory therapy, 24-hour pharmacy support, social services and dietitians.
*Washington University Physicians in Illinois, Inc. (WUPI) is the corporate entity that governs Washington University School of Medicine’s clinical practice in Illinois.
The faculty members in the Division of Newborn Medicine provide clinical coverage at a Level 3 NICU and delivery services at Missouri Baptist Medical Center (MBMC) in a suburban community hospital setting. The division works closely with the Division of Pediatric Hospitalists from Washington University School of Medicine, as well as private and academic pediatricians/obstetricians/maternal-fetal medicine providers. The obstetric service delivers appropriately 4,000 infants each year. The NICU at MBMC has 25 licensed beds (average daily census of 10-18) and has more than 300 admissions per year and 4,600 patient days.
The MBMC NICU cares for many types of infants, including preterm infants with birth weights of more than 1kg. Therapeutic interventions and capabilities include conventional mechanical ventilation, non-invasive ventilatory support, central line placement, echocardiograms and diagnostic radiology such as x-rays, ultrasounds and upper GI studies.
On-site pediatric subspecialists are available including cardiology and ophthalmology, while additional subspecialty consults from SLCH are also available by phone. Ancillary services include occupational therapy, physical therapy, lactation consultants, respiratory therapy, 24-hour pharmacy support, social services and dietitians.
The birth of a child is always an amazing and exciting experience. Expectant parents often dream of the day when their beautiful, perfect baby will be born. Sometimes, complications can occur for mother or baby before, during or after the delivery, and the baby must receive intensive care. Parents may discover during the pregnancy that their baby is at risk for certain complications (for example, a birth defect like spina bifida is found by ultrasound before delivery, a genetic disease is known to run in the family), complications may arise late in pregnancy (for example, toxemia or preeclampsia) or during delivery.
Whether your child is born prematurely, suffers from a medical condition or has a birth defect, the experts at SLCH’s NICU are ready to provide the very best possible care 24 hours a day, seven days a week.
The 140-bed NICU provides state of the art treatment and monitoring equipment, including ECMO (a heart/lung machine that can be used temporarily to permit recovery when acute heart and/or lung failure occurs), surfactant therapy (a medicine that helps prematurely born babies to breath more easily), high frequency oscillatory ventilation (a type of breathing machine that is necessary for some infants to help their lungs develop and heal), and renal replacement therapies (Aquadex and Prismaflex, variations of dialysis for newborns). The unit is staffed by specially trained physicians, nurse practitioners, staff and nurses and also includes pediatric residents and neonatal fellows (physicians who are specializing in treating children and sick newborns).
In addition, nationally known surgical and medical specialists — heart specialists, brain specialists, spinal cord specialists, kidney specialists and many others — are available to consult on any problem that arises for your baby. All of the physicians, nurse practitioners and nurses take a special interest in ensuring each infant is receiving the proper medications, including pain relief medicines and sedation. NICU pharmacists are available to ensure proper dosing of medicines and selection of drugs. Portable radiologic and diagnostic equipment is used when clinically feasible to reduce the need to move medically fragile patients for tests.
The NICU nursing staff are registered nurses who have special education and training in the care of critically ill babies. The nurses will assist you in learning to care for your baby, as your involvement and presence are very important. Neonatal Advanced Practice Nurses with specialized training and experience partner with the physicians, nursing staff and members of the support staff (for example, respiratory therapists, dietitians, pharmacists and social workers) to provide advanced care for sick babies and their families.
The NICU provides care to high risk, critically ill infants using family-centered care as the guiding principle by which we provide care for the infants. This means parents are encouraged to be active members of the team who cares for their baby while in our unit. The goal of family-centered care is to partner you with your nurse and the medical team to help you feel more confident and comfortable caring for your infant.
Parents are welcome anytime — night or day.
Anyone who is sick or have symptoms of runny nose, cough or fever should not visit. Due to the COVID pandemic, visitation policies are adjusted with some regularity to protect your infant. Parents may be asked to provide a list of other relatives or friends who have permission to visit their baby. Please ask for the current policy to ensure clear communication. Because of space limitations, we request that each baby have only two visitors in the NICU at any time.
In the NICU, there are family participation rooms where parents may room in overnight with their child before they are discharged to gain confidence in feeding, giving medicines, handling special equipment and gaining confidence with their baby.
As your new baby grows stronger and healthier, we want your stay to be as comfortable and pleasant as possible. Parents are encouraged to ask questions, attend rounds, make requests, become involved in discharge planning and learn all they can about the care and treatment of their baby.
A parent support group of veteran parents is available to provide families with advice and support throughout their baby’s stay. Full-time social workers are also available to facilitate parental coping.
We want to provide your baby with whatever they need to have the best possible outcome. We want to help you meet all the needs of your special baby.
The division faculty provide follow up services for infants discharged from one of these units as well as for infants referred for consultation by pediatricians, family practitioners or nurse practitioners. A full range of follow up services is available, including developmental testing, ophthalmologic and audiologic testing and pediatric consultant services. This sees approximately 1,000 children per year. Although the clinic meets every Thursday, faculty are available on any day to see consultations in coordination with other subspecialty visits.
The division faculty provides clinical coverage for the Newborn Intensive Care Unit, Well Baby Nursery and delivery services at Progress West Hospital. In addition, the division collaborates closely with obstetrics faculty members to provide antenatal consultation at this site and with the department’s pediatric hospitalists who cover the newborn services after hours. The obstetrical service delivers approximately 800 babies per year.
The NICU (Level 2) opened in July 2017 and admits babies born as young as 32 weeks gestation.