Labor and Delivery at Emory University Hospital Midtown (4 months)
The Emory University Hospital Midtown (EUHM) labor and delivery unit is a mixed academic-private practice service which does 3,500-4,000 deliveries per year. The service provides both routine and high-risk obstetrical care. The unit specializes in pregnant patients with significant structural or functional heart disease. These patients are co-managed with obstetricians, perinatologists, and cardiologists (both congenital heart disease and congestive heart failure specialists).
Labor and Delivery at Grady Memorial Hospital (4 months)
The Grady Memorial Hospital labor and delivery unit is a public practice service that does about 2,500-3000 deliveries per year providing both routine and high-risk care. Ex- Utero Intrapartum Treatment (EXIT) procedures are also performed at Grady Hospital and this has become one of the top referral centers for these procedures in the southeastern region. This facility has a fully-equipped, dedicated OB High-Risk Unit in which ill parturients are co-managed with obstetricians, pulmonologists, cardiologists, and other medical specialties.
NICU/MFM (1 month)
The neonatal ICU experience and maternal-fetal medicine experience take place at Emory University Hospital Midtown. The NICU at EUHM is a Level 3 nursery with particular experience in head cooling protocols for hypoxic brain injury. Training in neonatal resuscitation including intubation and invasive line placement will be emphasized. The fellow will also attend MFM clinic during this month and will learn to evaluate high-risk parturients, learn to interpret NSTs/OCTs and fetal lung maturity tests as well as develop an understanding of the basics of the ultrasound examination of the fetus and placenta.
Research Time (3 months)
Time is allotted for participation in on-going research projects involving either the OB anesthesia faculty or with projects in conjunction with the obstetric or neonatology faculty. Advanced fellows may be able to prearrange fellow-initiated projects upon consultation with the program director and a faculty mentor.
- Transthoracic Echocardiography (1-2months)
- The OB anesthesiology fellow will work alongside cardiac anesthesiologists to obtain high-quality images and Doppler information necessary for the performance of a focused TTE examination according to the ASE/SCA guidelines. This elective rotation can be combined with research months and will be located at Grady Hospital. The trainee will acquire and apply knowledge of transthoracic focused echocardiography as it is related to the peri-partum patient with recommendations to help guide necessary interventions
ECMO Experience
The opportunity to take part in ECMO initiation and weaning will occur during the fellowship year on an ad hoc basis. Relief from other clinical/research duties will permit participation in a few of these procedures. This experience will occur at Children’s Healthcare of Atlanta Egleston campus.