Perinatal Services For Referring Providers

Perinatal Programs and Services • PrenatalDiagnosisProgram • MaternalFetalConsultation • HighRiskPregnancyClinic • DiabetesinPregnancyProgram • PerinatalPalliativeCareProgram

Consultations and Referrals: • MaternalTransportandImmediateConsultation Phone:1.877.246.8957 • NeonatalTransportandImmediateConsultation Phone:1.877.246.8957 • PrenatalDiagnosisProgram Phone:608.417.6667 Fax:608.417.5928 • HighRiskPregnancyClinicandOutpatient ConsultationsandDiabetesinPregnancyProgram Phone:608.417.6667 Fax:608.417.6364 • OutreachServices Phone:608.417.6990 • BreastFeedingSupport Phone:608.417.6547or1.800.261.4449

Prenatal Diagnostics • GeneticCounselingbyCertifiedGeneticCounselors • Preconceptionalcounseling • PediatricCardiologyservices • Ultrasounddiagnostics –FirstTrimesterScreen –Targetedultrasound –ChorionicVillousSampling –DopplerStudies –Amniocentesis –FetalEchocardiogram

Conditions for consultation with maternal fetal medicine physician • Maternalconditions: –Cardiacdisease –Chronichypertension –Cysticfibrosis –Diabetes–alltypes –Hemolyticincompatibility –Historyoforcurrentcoagulationconcern –Hyper/hypothyroid –Pulmonarydisease(includingactiveasthma) –Renaldisease –Seizuredisorder –Anymaternalconditionthatmayaffectthepregnancy • Fetalconditions –Anomalies –Multiplegestation –IntrauterineGrowthRestriction(<10%) –Anyfetalconditionthatmayrequirespecializedcareduringpregnancy orafterbirth • PregnancyComplications –Preeclampsia –Pregnancyinducedhypertension –Oligohydramnios –Polyhydramnios –Priorinfantdemiseor2ndtrimesterloss –Anycomplicationthatmayaffectthepregnancy

High Risk Pregnancy ProgramHigh Risk Obstetric ClinicTheCenterforPerinatalCareprovidesprimarymanagementorco-managementcareforwomenwithmedical,obstetricalandfetalconditionsthatcomplicatepregnancy.Thecarecoordinationteamissupportedbyclinicalnursespecialists,registerednurses,socialworkers,dietitiansandspiritualcareprovidersto providehighquality,evidencebasedprenatal,intrapartumandpostpartumcare.

• Assistancewithscheduling: –Referralstospecialtiesrelatedtomaternalorfetalconditions –Follow-upultrasoundorotherdiagnostictests –NeonatologyconsultifanticipatedNICUadmission –SocialWorkconsult –Antenataltesting –SpiritualCareconsultation • Provideinformationandassistwithcoordinatingprenatalclasses, BirthingCenterandNICUtours • Careplanningforinpatientstay.

Diabetes in Pregnancy Program TheDiabetesinPregnancyProgramprovidesdiabetescareandeducation*frompreconceptionthroughpostpartumforwomenwithdiabetes.

Theprogramisdesignedtohelpwomenachieveoptimalglucosecontrol andminimizetheriskofdiabetesrelatedcomplicationsduringpregnancy. Theprogramoffersthelatestglucosemonitors,therapiesandstrategiesto promoteglycemiccontrol,includingglucosesensorsandinsulinpumptherapy.Instructorsoftheeducation*programincludeacertifieddiabeteseducator andregistereddietitian.

TheMeriterDiabetesSelfManagementEducationProgramhasbeenRecognizedbytheAmericanDiabetesAssociationforQuality Self-ManagementEducation*.

Birthing Center and Antepartum/Post Partum Units TheMaternalFetalMedicineProgramprovidesinpatientLevelIIIobstetric careforantepartum,intrapartumandpostpartumpatients.Maternaltransports bygroundorairareacceptedbytheattendingmaternalfetalmedicinespecialists24hoursaday,sevendaysaweek.

Newborn Intensive Care ServicesTheneonatalteam—UniversityofWisconsinboard-certifiedneonatologists,neonatalnursepractitioners,hospitalists,nurses,nutritionists,pharmacists,lactationconsultants,andsocialworkersalongwithphysical,occupational,speechandrespiratorytherapists.Theteamcaresformorethan450prematureand/orillinfantseachyear.Theteamsharesacommitmenttotransferringinfantsbacktotheircommunityhospitalswhentheyhavemadesufficientprogress.

The30-bed,tertiary-careNewbornIntensiveCareUnitoffersacomprehensivespectrumofpediatricandsurgicalsub-specialties.TheNICUissupportedbystate-of-the-artfacilitiesforresuscitationofthehigh-riskinfant,andbyaNeonatalSimulationCenterthatisusedforoptimizingprovidertrainingin theskillsappliedinneonatalresuscitation.Family-centeredcareisprovided inprivatesingle-familyrooms. TheUWDepartmentofObstetricsandGynecologyReproductiveSciencesDivision,theUWDepartmentofPediatricsandDivisionofNeonatology,theWaismanCenter,andtheCenterforPerinatalCarearenationallyandinternationallyrecognizedforparticipationinresearchinmaternal,fetal andneonatalphysiologyanddisorders.

New Era In Neonatal Follow-Up WearepleasedtointroduceourpartnershipwiththeUWDepartmentofPediatricsandtheWaismanCenter,aninternationallyrecognizedcenterfortheadvancementofknowledgeabouthumandevelopment,developmentaldisabilities.QualifyinginfantswhograduatefromtheMeriterNICUwillbeenrolledinanewNICUfollow-upclinicbasedattheWaismanCenterwheretheywillhavedevelopmentalscreeningandsupportforcomplicationsofprematurityandotherdisordersofthehigh-riskinfant.

Research Projects In Neonatal Medicine Include:

• NursingApproachestoOptimize theDevelopmentofPreterm Infants • Useofscreeningbypulseoximetry andbloodpressuremeasurement forseriouscongenitalheart disease • Neonatalsimulationasatoolforoptimaltraininginneonatal resuscitationandeducation • FactorscontributingtosubsequentriskforRSVinfectioninNICU graduates • Ironmetabolismanditsroleininfanthealth • Effectofdelayedcordclampingonneonatalanemia • Placentalimmunobiology • Identificationofgeneticriskfactorsthatmaypredictprematurebirth • Ionchannelsandchannelopathiesandtheireffectsondevelopment oftheneonataleye,heartandlung • Developmentalbiologyoftheheart • Understandingthepathobiologyofretinopathyofprematurity • Useofstemcellsinretinalbiology • Developmentoftheimmaturelung • Roleofinfectionandinflammationinlunginjuryandthedevelopment ofchroniclungdiseaseofprematurity • Understandingthemolecularbasisforbraininjuryinhypoxic-ischemic encephalopathy • Mechanismsofneuroplasticity,specificallyintherespiratorymotor controlsystem • Neonatalfollow-upofoutcomesofthehighriskinfant

Research Projects In Maternal Fetal Medicine Include: Clinical research: • ProteinuriainDiabeticPregnancies andPreeclampsia • “S.W.E.E.T.-P”(SugarinWomen, ExpertEvaluationandTreatment inPregnancy)Database • MycoplasmaInfectionDuring Pregnancy • TAP(TermAmnioticfluidtesting methodsandPositivepredictivevalue) • ReninandIGFBP-1ExpressioninPreeclampticPlacenta Basic Research: • HumanUmbilicalVeinEndothelialCells(HUVEC)Dysfunctionin PreeclampticPregnancies. • MechanismofRenalInjuryinanRASMouseModelofPreeclampsia • MechanismofVascularDysfunction(VSMC)inaMouseModelofPreeclampsia • TheImpactof 17-HydroxyprogesteroneeonAdrenalSteroidogenesisand ResponsivenessintheHypothalamicPituitaryAdrenalAxisinaRhesusModel. • MetabolicGeneProfileonAneuploidyRelevanttoFetalGrowthAbnormalities. • RoleofSteroidHormoneBiosynthesisinPretermLabor • PhenotypeSegregationsNetworkAnalysisofObstetricalRisk. • DeterminingContributorstoMaternalObesityinMadison.

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Center for Perinatal CareMeriter Hospital

202 S. Park StreetMadison, WI 53715

608.417.6667

meriter.com