The goal of pregnancy is to give babies the time they need to develop fully inside their mothers’ bodies. But life and pregnancy do not always go as planned. Although medicine has evolved to where babies now have a fighting chance if they are born much earlier than 40 weeks, it is important to understand preventative steps to help reduce the risk of facing prematurity. As the nation’s largest provider of NICU services and care for premature babies, MEDNAX is committed to taking great care of our patients, including our youngest.
With any pregnancy comes the risk of gestational diabetes. It does not mean you had pre-existing diabetes before becoming pregnant, and it does not mean you will have diabetes after giving birth. However, it is something you should take seriously.
Fetal surgery is rare, but there are some patients who depend on lifesaving surgery before they are even born. MEDNAX-affiliated physician Corey Iqbal, MD, medical director of pediatric surgery and fetal surgery at Overland Park Regional Medical Center in Kansas, is among a small group of specially trained surgeons who treat certain rare conditions on babies still in the womb.
Twin-to-twin transfusion syndrome is the most frequent illness Dr. Iqbal and his team encounter. This is a disease of the placenta where identical twins receive disproportionate blood flow due to abnormal blood vessels. In roughly half of the cases, the severity of the blood flow will place both twins in danger, with a high risk of death. "In those cases, the benefits of fetal surgery often outweigh the risks," said Dr. Iqbal. Spina bifida is another condition that may benefit from fetal surgery, as well as less common cases such as in utero bladder obstruction or highly vascular tumors of the lung or tailbone that can cause heart failure.
In truth, fetal surgery may not always be the first or most appropriate course of action. Much of Dr. Iqbal's treatment is observation. "The reality is, many conditions are best left alone," he said. But while a mother and baby may never require surgery, fetal surgery programs such as Overland Park Regional Medical Center provide more than just a procedure. They also provide expert knowledge and experience.
"We are growing our program with the hope of becoming a hub for maternal and fetal care," said Dr. Iqbal. The practice focuses on a multidisciplinary approach that specifically seeks to work in tandem with a patient's referring physician.
Our "Values in Action" series celebrates individuals and teams across all of MEDNAX who are living the Values of our company.
Empower AllWe raise the bar and learn from our experiences.
We embrace autonomy while recognizing and rewarding courageous determination.
We empower ourselves and our teams to achieve individual and organizational goals.
MEDNAX is fully aware of the effect opioid addiction has on maternal-fetal and neonatal medicine, as well as anesthesia and pain management care. In response to the cycle of opioid addiction - from maternal use to infant withdrawal - our comprehensive initiative includes advocacy efforts, research projects, a National Opioid Management Collaborative and various educational activities.
Our opioid-specific continuing education is available for free to clinical professionals within MEDNAX and outside of our company, and was inspired by MEDNAX's long history of treating patients on the continuum of care. Our company is an accredited provider of continuing medical and nursing education, hosting live conferences and webinars, and online education to support clinicians in a wide variety of areas.
About the educationProvided through The MEDNAX Center for Research, Education, Quality and Safety (CREQS), our webinars are unique in that they optimize multi-disciplinary fields to provide broad information access for clinicians. The fields of medicine will include maternal-fetal, anesthesiology and neonatology, with topics in epidemiology, screening and prevention.
Experts share current knowledge to help clinicians better understand what has led to this crisis, which is an important step in addressing specific and effective treatments. The webinars cover perinatal through postnatal care, including how opioids affect pregnancy, how opioid addiction affects pregnancy and Neonatal Abstinence Syndrome. We also address pain management, such as proper prescribing of opioids and interdisciplinary outpatient chronic pain management.
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Opioid Portfolio Webinar Schedule
National Sickle Cell Awareness Month was developed to raise awareness about this inherited disorder that alters red blood cells, ultimately leading to a range of serious health complications. For women, sickle cell and pregnancy, is deemed high risk. But there is hope. Under the care of maternal-fetal medicine (MFM) specialists, many women are able to carry a child to term even with a sickle cell diagnosis. And through technology advances, genetic testing can help determine when babies are at risk for the disease themselves.
Our “Values in Action” series celebrates individuals and teams across all of MEDNAX who are living the Values of our company.
Twenty years ago, Janet Hilsabeck, NNP, moved with her young children to Victoria, Texas. A lifelong resident of Oklahoma City, Hilsabeck was looking for a fresh start within a day’s drive from Oklahoma. “I had never even heard of Victoria, Texas, and I was nervous about fitting in at my new practice,” said Hilsabeck. “I had been with the same neonatologist since I was 18 years old.”
For a critically ill infant, a completely human-based milk diet offers tremendous health benefits. That is why breast milk is highly encouraged by neonatologists treating premature babies. But physicians understand breastfeeding in the NICU may have additional challenges. The American Academy of Pediatrics (AAP) agrees, releasing an updated policy statement this year speaking to the use and safety of donor milk in NICUs.
It is through practice that any human prepares for action. Simulation is a valuable tool that allows even experienced medical professionals to strengthen their abilities and preserve their existing skills. MEDNAX established its Simulation Program in January 2016 and currently provides training for anesthesia, neonatology and OB hospitalist service lines.