Montefiore Medical (MMC) Center of the Albert Einstein College of Medicine is one of 18 designated regional perinatal centers in New York State. Our health system includes 7 hospitals with neonatal care provided at 4 of the sites: the Jack D. Weiler Hospital of the Albert Einstein College of Medicine (regional perinatal center, level IV), the Children’s Hospital at Montefiore (CHAM), the Montefiore North Division (level IIIB) and Montefiore New Rochelle (level IIIA). We have active high-risk perinatal referral and delivery services with comprehensive pediatric subspecialty and surgical support services. We are a high-volume center with over 6800 live births annually and over 900 admissions to the neonatal intensive care units. There is a highly integrated risk assessment and maternal transfer program such that more than 90% of high-risk infants are in-born.
The Weiler Division serves as the hub of the regional perinatal center (RPC) for the borough of the Bronx. Our RPC includes the Division of Neonatology, the Children’s Hospital and its many pediatric and surgical subspecialists, and the Department of Obstetrics & Gynecology and Women’s Health and Division of Maternal Fetal Medicine. The Weiler NICU is a 35-bed neonatal intensive care unit that provides the highest, most advanced care for critically ill infants that is collaborative and patient- and family-centered. The neonatal service is supported by a cadre of neonatal practitioners, neonatal respiratory therapists, perinatal social workers, pharmacists, lactation counselors and lactation consultants and registered pediatric dieticians
The Weiler level IV NICU is recognized as a premier intensive care unit at Montefiore Medical Center based upon superiority of its clinical outcomes, neonatal nursing and respiratory care, family and associate satisfaction, cutting edge research (participation in clinical trials and Montefiore investigator-driven research trials), provision of quality medical education and teamwork through the framework of Montefiore’s values of education, excellence and respect. The unit provides specialized neonatal management for critically ill infants born to high risk mothers in the form of ECMO for neonatal respiratory failure, therapeutic hypothermia for the prevention of brain injury and neurointensive care, including 24-hour video EEG capability for the evaluation and treatment of infants with neonatal seizures and suspected perinatal stroke. In addition neonates requiring surgery for congenital and acquired conditions are treated by experienced pediatric surgeons with expertise in general neonatal surgeries as well as cardiothoracic, gastrointestinal, neurologic, ororhinolaryngologic, orthopaedic and urologic surgery. Our neonatal transport program supports the interfacility transport needs within Montefiore’s health system and referring hospitals in the region.
The newborn services at the Wakefield division take care of more than 2500 families each year including over 350 neonates who receive care in our level IIIB NICU. We focus on patient- and family-centered care including couplet care in the newborn nursery. The tiniest of babies and those newborns who require close monitoring, evaluation and treatment are also treated in our 22-bed intensive care unit. The Wakefield division is involved with multiple randomized control trials, performance improvement projects and patient safety initiatives. Our multidisciplinary team includes pediatricians, nurse practitioners, physician assistants, lactation consultants, social workers, neonatal nurses and neonatologists.