2,700 Deliveries Annually

The opportunities to learn normal obstetrics is provided in continuity clinics in Paley OBGYN (the residency practice), staffed by board certified Ob-Gyn physicians who review each case individually with residents and direct independent learning. Patients are delivered by the OB resident team with supervision by board certified faculty who cover L&D for twenty-four hours a day, seven days a week, with backup coverage from Maternal Fetal Medicine (MFM) faculty. This allows for continuity of care and teaching. MFM faculty members are immediately available for consultation, evaluation, and care if high risk situations occur. Residents are trained in the use of an Ob-Gyn electronic medical record (EMR) that not only enhances patient care but also prepares them for the future of medical care.

Postpartum care is provided on the postpartum units. If a postpartum patient is admitted to the ICU for a medical or surgical reason, the MFM team acts as a consultant for the patient’s care and collaborates with the specialized unit’s team. Routine postpartum care is supervised by the attending on call for the labor floor and when needed, by other faculty members .

The opportunities to learn high risk obstetrical care occurs on the normal obstetric rotations, the high risk obstetric rotations, the night float rotation and continuity clinics. Patients who are determined to be “high risk” receive care in the high risk obstetrics clinics by the OB resident team under the supervision of the MFM faculty and deliver in L&D under the care of the OB resident team with MFM faculty acting as a consultant. Antepartum patients are admitted under the supervision of the MFM faculty. The resident on the MFM rotation rounds daily under the direct supervision of an MFM attending. The residents under the supervision of the MFM faculty learn how to use consultative services since many of these cases require input from other subspecialties.

Antenatal Testing Unit (ATU)

The resident in the ATU also oversees the continued evaluation and management of high risk patients sent in for testing and consultation, and helps with ultrasounds, high risk consultations, antepartum testing and genetic counseling. The ATU is staffed by specialty trained nurses, technicians, sonologists, genetic counselors and board certified MFM specialists. OB team residents and a specially designated MFM resident participate in the unit. During this rotation, the residents learn how to perform basic, limited, and advanced obstetrical ultrasounds including transvaginal ultrasounds when appropriate. They also learn to perform cervical length ultrasonography and nuchal translucency measurements. OB team residents are instructed on techniques of antenatal fetal assessment including biophysical profiles and NSTs (non stress tests). They participate in genetic counseling with the genetic counseling team and are integrally involved in the evaluation and management of patients with genetic and ultrasound abnormalities throughout all trimesters. Approximately 15,000 procedures are performed annually in this facility including specialized obstetric sonography (transabdominal and transvaginal), nuchal translucency testing by credentialed sonographers and MFM specialists, color doppler sonography, fetal echocardiology, and invasive diagnostic procedures including amniocentesis and cordocentesis. Selective reductions are performed when appropriate.