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Woman And Infants
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Woman And Infants

Pediatrics - High Risk Follow-up Program

Neonatal Follow-up Program of Women and Infants Hospital

The Follow-up Program has been providing supplemental care to infants who are cared for in the Special Care Nursery since 1974. Our goal is to support optimal growth and development for all babies.

Specialized Services

Eligible infants
Premature infants with a birth weight less that 1250 grams.
Infants with special problems in the newborn period.
Infants discharged on oxygen or a monitor.

Staff
Medical director, developmental pediatricians, neonatologists, nurse practitioner, psychologist, psychometrist, and nutritionist.

Assessment
A comprehensive evaluation of each child is conducted by the Follow-up team. A physical exam, growth parameters, and tests of reflexes, vision, hearing and development are completed. Language and motor assessments are done as indicated. If a special need is identified a referral is made to an appropriate resource in your community. Results are discussed at the end of the visit and set to the child's private physician.

Management of Cardiorespiratory Monitors (home monitors) for Reflux or Apnea

  1. Monitor alarms, clinical events, and downloads are reviewed
  2. Physical and neurological examination completed
  3. Parents counseled on "normal alarms" which occur at home
  4. Medications and medication levels reviewed; tapered and discontinued as indicated
  5. Pulse oximetry done as needed; on oxygen, off oxygen, during a feed
  6. Feeding observed
  7. Repeat pneumogram or download ordered to assess ongoing events or alarms at home
  8. Review 4-6 week memory monitor downloads

Management of Bronchopulmonary Dysplasia

  1. Monitor respiratory status
  2. History, physical and neurological assessment
  3. Monitor medications
  4. Monitor oxygenation-perform pulse oximetry
  5. Monitor growth
  6. Nutrition assessment- calculate intake of liquid, calories, protein, and calcium

Management of Reflux

  1. Review history of clinical reflux and alarms
  2. Physical and neurological assessment
  3. Review download if indicated and order pneumogram as necessary
  4. Monitor growth
  5. Nutrition assessment- calculate intake of liquid, calories, protein, fat, and calcium
  6. Reflux management - medications, elevation of bed, small feeds, thickened feeds

Management of slow growth

  1. Nutrition consults with assessment of total caloric, protein, fat and carbohydrate intake
  2. Assessment of growth velocity and weight length ratio
  3. Monitor growth between visits
  4. Observe a feed

In addition to the Follow-up Program visits, regular appointments with you family doctor must be maintained. Well baby care and immunizations are not part of the program.

The follow-up staff looks forward to serving you and your baby in this special program.

Location:
Women & Infants Hospital, Level 0
101 Dudley Street
Providence, Rhode Island
Phone 401-453-7750- during clinic hours
Phone 401-274-1122, extension 1227 - during off hours

Hours:
Tuesdays, 9:00 am - noon
Wednesdays, 12:30 - 4:30 pm
The third Thursday of each month, 9:00 am - noon

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