Neonatal-Perinatal Medicine
The Division of Neonatal-Perinatal Medicine provides comprehensive care for premature and full-term infants with a complex of neonatal problems. The ICN is a major referral center for term infants with respiratory failure and persistent pulmonary hypertension, perinatal asphyxia, extracorporeal membrane oxygenation (ECMO) and complex surgical problems, especially those with congenital diaphragmatic hernia where the survival for uncomplicated cases is greater than 90%. Special services offered in our nursery include high frequency ventilation, nitric oxide, hypothermia for perinatal asphyxia, and comprehensive neonatal health care. We also provide long-term neurodevelopmental follow-up for high-risk infants who are discharged from the intensive care nursery. The Division of Neonatal-Perinatal Medicine is a member of the National Institute of Child Health and Human Development (NICHD) Neonatal Research Network, a consortium of the leading neonatal intensive care units in the country that perform cutting-edge, collaborative clinical research.
The Division benchmarks patient care outcomes with this group of 16 of the leading intensive care nurseries in the country. Our low birth weight mortality and rate of broncho-pulmonary dysplasia and retinopathy of prematurity are consistently among the lowest.
The Division of Neonatal-Perinatal Medicine offers a NICHD sponsored fellowship program for pediatricians interested in advanced training in neonatal basic or clinical research. The Division houses the Jean & George Brumley Jr., Neonatal-Perinatal Research Institute which includes over 80 investigators at Duke interested in developmental biology and problems of the neonate and fetus.
Treatments
Our expertise includes a continuum of care:
- Critically ill newborns
- Premature infants
- Low birth weight infants
- Complex surgical conditions
- Perinatal asphyxia
- Sepsis and septic shock
- Newborns with congenital malformations
- Respiratory failure in newborns
- Congenital diaphramatic hernia
We offer:
- High frequency ventilation for respiratory failure
- Nitric oxide for pulmonary hypertension
- Total body cooling for perinatal asphyxia
- ECMO
Our Division provides comprehensive coverage for nurseries at Duke Hospital, Durham Regional and Alamance Regional Hospital:
- Duke Intensive Care Nursery Our 50-bed neonatal intensive care unit provides care for more than 800 infants each year.
- Duke Transitional Care Nursery This "step-down" unit helps transition infants from the ICN to home.
- Neurodevelopmental Follow-Up Clinic This clinic provides comprehensive follow-up and assessment of our at-risk patients.
- Duke Special Infant Care Nursery Our multidisciplinary medical and neurodevelopmental clinic provides follow-up care for high risk infants.
- Durham Regional Hospital Special Care Nursery This nursery, staffed by Duke neonatologists, provides care for acutely ill and convalescing infants at our nearby Durham Regional Hospital.
- Alamance Regional Medical Center Special Care Nursery This is our newest nursery, located 35 miles from Duke Hospital and staffed by Duke neonatologists.
- Special Infant Care Clinic (SICC) This is a multidisciplinary comprehensive medical and neurodevelopmental follow-up clinic that is unique in its holistic approach to not only assessing development but providing nutritional, feeding, physical, and speech therapy for our patients. It assures that medical conditions are properly cared for and that recommendations are transmitted to primary care physicians and appointments for community services are utilized.
- Neonatal-Infant Palliative Care Program (NIPCP)
This family-centered program is offered for newborns and infants diagnosed with serious life-threatening conditions or overwhelming illnesses that are no longer responding to curative care.
Physicians and Staff
Physicians
| Name | Areas of Special Interest |
|---|---|
| Patricia L. Ashley, MD, PhD | Convalescent care of chronically ill neonates and the acute care of mild-moderately ill newborns |
| Kamlesh V. Athavale, MD | Prematurity, bronchopulmonary dysplasia, neonatal ventilation |
| Richard L. Auten, MD | Critically ill newborns, newborns with congenital malformations, severe respiratory failure, ECMO, high frequency ventilation, nitric oxide |
| Adrianne W. Bagley, MD | Neonatal-perinatal medicine |
| Margarita Bidegain, MD | High-risk neonatal care |
| C. Michael Cotten, MD | Optimizing care for newborns with evidenced-based practice; special interests are in infectious disease in low birth-weight infants, perinatal asphyxia, congenital diaphragmatic hernia and the genomic approach to neonatal diseases |
| Jeffrey M. Ferranti, MD, MS | Medical informatics, computerized patient safety initiatives, quality improvement metrics, electronic research data exchange, medical data standards and interoperability, neonatal critical care, CPOE, electronic medical records |
| Ronald N. Goldberg, MD | Care of the low birth-weight infant, perinatal asphyxia, persistent pulmonary hypertension, sepsis and septic shock |
| Ricki F. Goldstein, MD | Neonatal intensive care, neuro-developmental follow-up of high risk infants |
| Susan D. Izatt, MD | Intensive and transitional care of the ill newborn, neonatal skin, skin care and breast-feeding of the preterm |
| William F. Malcolm, MD | Transitional Care Nursery, convalescent and follow up care of high risk infants |
| Hugo A. Navarro, MD | Care of the critically ill neonate with special interest in respiratory disorders |
| P. Brian Smith, MD, MHS | Nosocomial infections in preterm neonates, drug safety and efficacy in neonates |
| David T. Tanaka, MD | High-risk neonatal care, financial process analysis |
| Yui-Lin Tang, MD, MHS | High risk neonatal care, developmental care |
Research Faculty
| Name | Areas of Special Interest |
|---|---|
| Richard L. Auten, MD | Mechanisms by which oxidative stress disrupts postnatal lung development in premature newborns. |
| Margarita Bidegain, MD, MHS | Palliative care. |
| C. Michael Cotten, MD, MHS |
Use of cord blood therapy for perinatal asphyxia, use of genomic studies to diagnose and guide neonatal therapy. |
| Jeffrey Ferranti, MD, MS | Use of medical informatics, computerized patient safety initiatives. |
| Ronald Goldberg, MD |
Perinatal asphyxia, use of stem cell/cord blood therapy for perinatal asphyxia. |
| Mary Hutson, PhD | Growth factor signalling and cardiac development. |
| Margaret Kirby, PhD | Etiology and pathogenesis of congential heart defects. |
| Chay Kuo, MD, PhD |
Neurodevelopmental research of neural stem cells. |
|
William Malcolm, MD |
Diagnosis and management of gastroesophageal reflux. |
| David Tanaka, MD | Health care economics. |
Clinical Research Program Staff
| Name | Position |
|---|---|
| C. Michael Cotten, MD, MHS |
Director of Clinical Research |
| Kimberly Fisher | Associate Director of Clinical Research |
NICHD Neonatal Research Network Staff
| Name | Position |
|---|---|
| Malissa Dunn |
Clinical Research Nurse |
| Katherine Foy | Clinical Research Coordinator, Neonatal Research Network |
| Sandra Grimes | Coordinator of Industry and Investigator Research |
| Charles Vajdl | Clinical Trials Assistant |
Staff
| Name | Position |
|---|---|
| Jennifer McLamb |
Patient Services |
| Emily Patterson |
Patient Services |
Clinic Hours and Location
2301 Erwin Road
Durham, NC 27710
Tel: 919-668-4000
3643 Roxboro Road
Durham, NC 27704
Tel: 919-470-4000
1240 Huffman Mill Road
Burlington, NC 27215
Tel: 336-538-7000
Appointments and Contact Information
Referrals 24/7: 800-MED-DUKE (800-633-3853) or call the Intensive Care Nursery directly and ask to speak to the fellow or attending on call: 919-681-5551
Urgent calls during business hours: 919-681-5551
