Physicians at Women & Infants Hospital deliver the vast majority of babies born each year in the region, making the hospital the eleventh largest stand-alone obstetrical service in the United States. In addition to both low risk and high risk obstetrics, we provide a complete range of gynecologic services.
The faculty in the Division of Ambulatory Care is responsible for the administration, teaching and clinical care conducted in the Obstetrics and Gynecology Care Center (OGCC). The OGCC provides comprehensive women’s health services to a diverse population, including a large percentage of patients who are uninsured and/or medically under-served. Clinical services include:
- Women's primary care.
- Prenatal care.
- Postpartum care.
- Family planning.
- General gynecology.
- Specialty clinics in colposcopy and vulvar disorders.
- Pre-operative consultation.
- Ultrasound and fetal evaluation.
The clinic is the primary outpatient teaching site for the third-year medical student clerkship in obstetrics and gynecology at The Warren Alpert Medical School of Brown University and for the obstetrics and gynecology residency at Women & Infants.
The Breast Health Center has developed a model program for total breast care, fully integrating clinical, educational, and support needs. A regional and national leader in clinical research and medical education, the Breast Health Center was awarded a three-year accreditation by the National Accreditation Program for Breast Centers (NAPBC) in 2010. In 2015, the Women & Infants earned a 2015 Women's Choice Award® for its Breast Health Center, making it one of America's best breast centers. This evidence-based designation identifies the country's best health care institutions based on robust criteria that consider patient satisfaction, clinical excellence and what women say they want from a hospital. The Breast Health Center is one of only 32 programs nationwide that offers training in the discipline of breast disease as accredited by the Society for Surgical Oncologists (SSO). To date, 17 physicians have completed training in breast disease at the Center, with 12 of the most recent being SSO accredited fellows. The Center is also responsible for participating in the training of Alpert Medical School’s gynecologic oncology fellows whose four year fellowship includes one year dedicated to breast disease.
Emergency Obstetrics & Gynecology
The Division of Emergency Obstetrics and Gynecology is part of a unique, free-standing women's emergency care unit specializing in the care of women across the life spectrum. The patient care team remains at the forefront of establishing treatment guidelines and clinical care protocols related to issues such as:
- Early pregnancy loss.
- Complications of pregnancy.
- Sexual assault.
The division serves as a major resource for local emergency departments, urgent care centers and physician groups, in addition to providing medical training across multiple disciplines including obstetrics and gynecology, emergency medicine and pediatrics. The division's patient care team is comprised of:
- 45 staff nurses.
- 10 board-certified/board-eligible obstetrics/gynecology attending physicians.
- 6 certified nurse midwives.
- 4 nurse practitioners.
- Other trainees.
Care centers on highlighting the needs of patients and families while maintaining high quality, evidence-based and efficient clinical care.
The Division of Gynecologic Oncology and its Breast Health Center, also known as the Program in Women's Oncology, has created a unique environment which provides highly effective and compassionate care for cancer patients and their families. The Program is built around a steadfast philosophy and core values that focus on a multidisciplinary, prospective, and patient-centered care team. A hallmark of the program is the prospective tumor board process. Following the initial visit, cases go before a multidisciplinary panel that provides expert opinions on the most effective course of treatment when planning makes the most difference in the life of the patient – before treatment begins. The Program in Women’s Oncology has been accredited by the American College of Surgeons Commission on Cancer since 1997, and received a three-year re-accreditation with Gold Standard Commendation as a result of the September 25, 2013 visit.
The Division of Maternal-Fetal Medicine is a unique team of nine faculty members and three fellows who serve both as consultants and primary obstetric providers for women with a wide range of chronic medical conditions, obstetric complications, and fetal abnormalities. The maternal-fetal medicine specialists not only provide the full range of prenatal diagnosis and pregnancy monitoring services, but they are also dedicated to taking care of vulnerable, high-risk women in the hospital. The division's goal is:
- To provide the most up-to-date, evidence-based medical, obstetrical, and surgical care.
- To train medical students, residents and fellows.
- To conduct the highest quality research in the specialty.
In collaboration with the Division of Obstetric and Consultative Medicine at Women & Infants and the Alpert Medical School, the Division introduced New England’s only fully Integrated Program for High-Risk Pregnancy. Maternal-Fetal Medicine is also an integral part of the multi-disciplinary perinatology team at Women & Infants and the Fetal Treatment Program, a joint venture of Women & Infants, Hasbro Children's Hospital, and Brown University.
Integrated Program for High-Risk Pregnancy
Every pregnancy deserves special treatment. But when a normal pregnancy becomes complicated or a woman with medical issues becomes pregnant, she needs highly specialized care. A service of the divisions of Maternal-Fetal Medicine and Obstetric and Consultative Medicine at Women & Infants Hospital and the Alpert Medical School, the Integrated Program for High-Risk Pregnancy brings together the expertise of a wide range of clinical specialists with extensive experience in the care of high-risk pregnancies to help ensure the best possible outcomes for mothers and babies.
Fetal Treatment Program
The Fetal Treatment Program combines the expertise of hundreds of specialists to offer the full spectrum of fetal and maternal care in a seamless experience. The providers specialize in the diagnosis of fetal anomalies, and the management and treatment of the unborn child.
Minimally Invasive Surgery
While Women & Infants is no stranger to excellence in minimally invasive surgery (MIS) for gynecologic issues, this program represents new levels of clinical support, programmatic infrastructure and leadership. In cooperation with Women & Infants Surgical Services, the Robotic Surgery Program, and Care New England (CNE), this program will lead the way to the best education, support and guidance for our surgeons, participation in national registries, and the best outcomes for MIS patients. The program has achieved designation as a Center of Excellence in Minimally Invasive Gynecology (COEMIG Center) through the Surgical Review Corporation, an affiliate of the American Association of Gynecologic Laparoscopists (AAGL), for its commitment to offering women the most effective diagnostic and therapeutic techniques in minimally invasive surgery.
Fiscal year 2015 saw 8,803 deliveries at Women & Infants, ranking us the 11th largest stand-alone obstetrical service in the nation. Inpatient Obstetrics continued to work toward improved clinical performance and patient satisfaction. All clinical indicators continued to show high levels of performance or improvement. In an effort to sustain and continue that improvement, the department's first Obstetric Dashboard was developed as part of the ongoing effort of Inpatient Obstetrics to lead Care New England-wide initiatives to standardize care. In addition, Inpatient Obstetrics played an integral role in Women & Infants' Best Fed Beginnings initiative, implementing the 10 Steps to Successful Breastfeeding as outlined by the World Health Organization. In 2015, Women & Infants earned Baby Friendly USA® designation and continued collaborative work with Blue Cross Blue Shield of Rhode Island to develop the region's first Maternity Bundle.
Reproductive Endocrinology and Infertility
The mission of the Division of Reproductive Endocrinology and Infertility (REI) is to provide the necessary services, coordinate care and walk the journey with patients in building their family, one step at a time. The staff is dedicated to the needs of patients first, while enhancing technological innovations and teaching the future leaders in the field, providing comprehensive care to couples experiencing fertility difficulties, those seeking to preserve their fertility, those seeking to preserve their fertility, those experiencing recurrent pregnancy losses, those who are carriers or affected with genetic disorders, and those suffering from reproductive hormonal dysfunction across the spectrum of their reproductive timeline. The division also plays a pivotal role in medical student, resident and fellow education. Several new educational initiatives were recently launched by faculty that led to the development of a residency curriculum in gynecological ultrasound, as well as pediatric and adolescent gynecology. The division is also home to an American Board of Obstetrics and Gynecology (ABOG) fellowship in REI, from which four young leaders have graduated to date.
Urogynecology and Reconstructive Pelvic Surgery
The Division of Urogynecology and Reconstructive Pelvic Surgery at Women & Infants is a tertiary care center whose faculty is all subspecialty fellowship trained board-certified/board-eligible in Female Pelvic Medicine and Reconstructive Surgery (FPMRS). It is the only group of fellowship trained and FPMRS-certified urogynecologists in Rhode Island. The division's clinical expertise is in the diagnosis and treatment of pelvic floor disorders such as:
- Urinary incontinence.
- Pelvic organ prolapse.
- Defactory dysfunction.
- Interstitial cystitis and fistulas.
Its clinical center is one of eight national clinical sites of the NICHD Pelvic Floor Disorders Network (PFDN) and conducts multi-centered trials studying pelvic floor disorders.
Surgical Services at Women & Infants Hospital has seen great advancements in recent years. 2014 saw the opening of a brand new, state-of-the-art operating room equipped with all of the latest technology, signifying Women & Infants' commitment to keeping the surgical care of women at the forefront of technology. During the course of the year, Women & Infants also added Plasma Jet technology to the hospital's armament of techniques available for cytoreduction of metastatic carcinoma.