NewYork-Presbyterian High-Risk Obstetrics and Neonatal Care 2018 Clinical and Scientific Innovations Highlights

• Welcome
• Measures of Distinction
• Innovations at a Glance
• Outcomes in Neonatal Cardiac Surgery

Dear Colleague:

We are pleased to bring you highlights from our 2018 Report on Clinical and Scientific Innovations in High-Risk Obstetrics and Neonatal Care at NewYork-Presbyterian. During the past year, NewYork-Presbyterian – in collaboration with our distinguished medical schools, Columbia University Vagelos College of Physicians and Surgeons and Weill Cornell Medicine – continued to build on the strengths of its many clinical and research endeavors to advance care for pregnant women who may be at risk for a premature or complicated delivery and their newborns.

Mary E. D’Alton, MD
Director of Services
NewYork-Presbyterian Sloan Hospital for Women
Chair, Obstetrics and Gynecology
Willard C. Rappleye Professor of Obstetrics and Gynecology
Columbia University Irving Medical Center

Laura E. Riley, MD
Obstetrician and Gynecologist-in-Chief
NewYork-Presbyterian/Weill Cornell Medical Center
Chair, Obstetrics and Gynecology
Professor of Clinical Obstetrics and Gynecology
Weill Cornell Medicine

Jeffrey M. Perlman, MB, ChB
Chair, Newborn Medicine
NewYork-Presbyterian Komansky Children’s Hospital
Professor of Pediatrics
Weill Cornell Medicine

Richard A. Polin, MD
Director, Neonatology
NewYork-Presbyterian Morgan Stanley Children’s Hospital
Vice Chair, Academic and Clinical Affairs, Pediatrics
William T. Speck Professor of Pediatrics
Columbia University Irving Medical Center

For More Information

nyp.org/womens

Measures of Distinction

Clinical Care

• 29 Maternal-Fetal Medicine Specialists

• 39 Neonatologists

• 112 NICU Bassinets

• 17 Infant Cardiac ICU Bassinets

• 143 Neonatal (<30 days) Cardiac Surgery Procedures

Specialized Programs

• Maternal-Fetal Medicine

  • Carmen and John Thain Center for Prenatal Pediatrics

  • Fetal Care Center

  • The Mothers Center

  • Preterm Birth Prevention Center

   

• Neonatology-Perinatology

  • ECMO Center

  • Gentle Respiratory Care

  • Neonatal Neurodevelopment Follow-Up Program

  • Survival after Norwood or hybrid surgery

  • Neonatal Nutrition Program

  • Neonatal-Perinatal Comfort Care Program

   

Graduate Medical Education

• 49 residents in obstetrics and gynecology

• 18 fellows in maternal-fetal medicine

• 39 fellows in neonatolgy-perinatology

Innovations at a Glance

• Constructing the NewYork-Presbyterian Alexandra Cohen Hospital for Women and Newborns, a first-of-its kind, state-of-the-art hospital in the region, which will include 60 neonatal intensive care bassinets and 20 maternal critical assessment treatment rooms

  

• Demonstrated that whole-exome sequencing could serve as a valuable addition to standard prenatal genetic tests, with the potential to improve perinatal care for infants with genetic conditions

• Developing a fetal cardiac intervention program for the treatment of certain cardiac anomalies in utero

  

• Advancing predictive monitoring as an alternative approach to assessing hemodynamic status of infants in the NICU to optimize end-organ tissue oxygenation and decrease morbidity and mortality

• Established The Mothers Center, which serves as a national model for providing comprehensive, multidisciplinary care for maternal complications before, during, and after a high-risk pregnancy with a single point of access to all of the subspecialists patients may need

  

• First to implant a Berlin Heart as a bridge to transplant in the youngest patient ever to receive one – an infant only three days old

  

• Established the only cardiac ICU in the nation exclusively dedicated to the care of newborn infants with congenital heart disease

• Leaders in treating low-birthweight infants with early complicated conditions involving either a ventricular septal defect or aortic arch anomalies

• Participated in a nationwide initiative to establish recommendations on reducing racial and ethnic disparities in maternal morbidity and mortality rates in the United States

  

• Leader in New York State in efforts to reducing maternal morbidity and mortality, including New York State’s Safe Motherhood Initiative and Maternal Mortality Review Board

• Implemented a Premature Care Bundle pilot project in Tanzania to increase survival of premature infants, achieving an overall 26 percent reduction in neonatal mortality

  

Outcomes

Neonatal Cardiac Surgery - Age <30 Days

In 2017, NewYork- Presbyterian’s survival rate after the Norwood procedure was 92%, which is among the best in the country.

Volume
2013 - 2017

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Mortality
2013 - 2017

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Source: Society of Thoracic Surgeons (STS) National Database 2017

Mortality Based on Complexity of Cases
2013 - 2017

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Survival Following Arterial Switch Operation
2013 - 2017

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Norwood Procedure Hospital Discharge Mortality
2013 - 2017

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