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Neonatal division PDF Print E-mail


 

Assistant Professor N. Iacovidou - Dellagrammaticas

Assistant Professor T. Boutsikou

 

 

upadate

 

 

The Neonatal Division of the 2nd Department of Obstetrics and Gynecology of the National and Kapodistrian University of Athens, at Manghinio Maternity Hospital has 38 Level I and 6 Level II cots.
It is located on the 1st Floor of the Hospital, next to the labour ward and operating theatre to ensure prompt transportation of the neonate, particularly in urgent situations.
The Division comprises of two wards. The first is reserved for post-delivery two- hour observation of neonates before they are transported to their mothers in the Obstetrical Ward. During this transitional period they remain under close observation to ensure normal adaptation to extrauterurine life. Our policy is rooming-in, thus neonates remain by their mothers’ side during their whole hospital stay. This practice has multiple beneficial effects on the mother-infant bonding, on the establishment of breastfeeding, etc.
The second ward is reserved for preterm neonates with gestational age > 33 weeks, for neonates with intrauterine growth restriction (IUGR) or large for gestational age (LGA), for neonates with respiratory problems (not requiring mechanical support), infections or other conditions treatable in a level II care unit.
Neonates with gestational age < 33 weeks, or with very low birth weight (< 1500 g), as well as neonates requiring intensive care or involvement of paediatric subspecialties, are transported to the Neonatal Intensive Care Units (NICUs) of the Paediatric Hospitals “Aghia Sophia” or “P&A Kyriakou”, provided they have received appropriate resuscitation and have stabilized before transport.
Equipment
The Neonatal Division disposes:
•    38 cots for neonates
•    6 incubators (1 of the open and 5  of the closed type)
•    1 transport incubator
•    Two open type incubators appropriately equipped (with ventilator and Neopuff®), used for resuscitation of the neonates at birth, can be found in the Labour Ward and the Operating Theatre.
•    Over-head heating units for protecting neonates from heat loss during the transitional period
•    Nasal CPAP circuits with humidifiers
•    Monitors for continuous observation of heart rate, respiration and arterial blood pressure
•    Pulse oxymetres        
•    Oxygen analysers      
•    Phototherapy units    (conventional and intensive)
•    Pumps for administration of fluids and medication
•    Blood gases analyzer

Medical and Nursing Staff
•    4 Pediatricians subspecialised in Neonatology holding University appointments (Professor A. Malamitsi-Puchner, Assistant Professor N. Iacovidou - Dellagrammaticas, Lecturer Z. Iliodromiti-Vrachni and), provide 24 – hour cover of the Unit. They also provide information to parents about their babies’ condition on a daily basis.
•    4 Residents in Paediatrics. Our Department provides a 6 – month training period in Neonatology. This is compulsory during the 4 – year training required for certification in Paediatrics
•    1 Head Midwifes specialised in Neonatology
•    5 Μidwifes specialised in Neonatology
•    Assistant Staff  for cleaning the premises and equipment

Breast feeding is actively promoted and supported. Part of this is rooming – in, practiced under the close observation and support of the Division’s midwives.
Along with the clinical work the Division is involved in active academic teaching and research. Local and international congresses are organised by the Division’s staff. Also post-doctoral medical students attend the activities of the Division and participate in research, presentations in scientific meetings and publications. The Division presents each year a considerable number of publications in international peer-reviewed journals. Furthermore, the Medical and Nursing Staff are often invited to local and international congresses as guest speakers.

 
 
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