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.
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
- High frequency ventilation for respiratory failure
- Nitric oxide for pulmonary hypertension
- Total body cooling for perinatal asphyxia
Our Division provides comprehensive coverage for nurseries at Duke Hospital, Durham Regional and Alamance Regional Hospital. For detailed descriptions of these nurseries, click here.
- 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.
- 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.
- 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
|Name||Areas of Special Interest|
|Patricia L. Ashley, MD, PhD||Convalescent care of chronically ill neonates; acute care of mild to moderately ill newborns|
|Kamlesh V. Athavale, MD, MBBS||Prematurity, care of the critically ill neonate, neonatal ventilation|
|Eric J. Benner, MD, PhD||Optimizing outcomes of critically ill newborns with evidence-based practice; neuroprotein and white matter injury associated with prematurity|
|Margarita Bidegain, MD, MHS-CL||High-risk neonatal care, prenatal, neonatal and pediatric palliative care|
|C. Michael Cotten, MD, MHS||Optimizing care for newborns with evidence-based practice; special interest in infectious disease in low birthweight infants, perinatal asphyxia, congenital diaphragmatic hernia, genome-guided approaches 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, congenital diaphragmatic hernia|
|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, resident education|
|Robert W. Lenfestey, MD, MHS||Pediatric pharmacology, neuroprotection of very low birth-weight infants|
|Deesha D. Mago-Shah, MD|
|William F. Malcolm, MD||Duke Transitional Care Nursery; convalescent and follow-up care of high-risk infants|
|P. Brian Smith, MD, MHS, MPH||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|
|Name||Areas of Special Interest|
|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.|
|Erica Davis, PhD||Functional interpretation of variation at the DNA level beyond the resolution of genetics arguments; mapping pathogenic alleles back to disease phenotypes.|
|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.|
|Ricki F. Goldstein, MD||Neurodevelopmental follow-up of high-risk infants.|
|Mary Hutson, PhD||Growth factor signalling and cardiac development.|
|Chay Kuo, MD, PhD||Neurodevelopmental research of neural stem cells.|
|William Malcolm, MD||Diagnosis and management of gastroesophageal reflux.|
|P. Brian Smith, MD, MPH, MHS||Nosocomial infections, neonatal candidiasis, neonatal pharmacology.|
|David Tanaka, MD||Health care economics.|
Neonatal-Perinatal Research Unit Staff
|C. Michael Cotten, MD, MHS||Medical Director|
|Kimberley Fisher, PhD, FNP-BC, IBCLC||Director of Operations|
|Joanne Finkle, JD||Clinical Research Associate II|
|Emily Patterson||Patient Services|
|Megan Traky||Senior Business Manager|
Clinic Hours and Location
Duke Children's Hospital & Health Center
2301 Erwin Road
Durham, NC 27710
Durham Regional Hospital
3643 Roxboro Road
Durham, NC 27704
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.
Duke Children's Ranked for Top Pediatric Care
Nationally recognized by U.S. News & World Report as one of the best neonatology programs, we are dedicated to innovative, compassionate and life-changing care for all children. [Learn more]
For Parents and Families
- Pediatric Division of Neonatology
(Duke School of Medicine)
- Pediatric Clinical Trials (Neonatology)
- Pediatric Surgery
- Congenital Diaphragmatic Hernia
- Admits, Transfers & Referrals
- Child and Adolescent Life Program
- Duke Intensive Care Nursery (ICN) Family Advisory Board