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Neonatology

  • Yutaka Kawamoto, MD; Professor of Neonatal Medicine
INDEX :  Main Areas and Themes of Research    Clinical Features
       Educational Features

Main Areas and Themes of Research

  • Nitrogen and oxidative stress in the premature baby; Relationship to maternal morbidity and plasma 3-nitrotyrosine levels in cord blood
  • The development of the standardized ordering system in NICU and the assessment of its safety and efficacy
  • The progressive pathophysiological mechanism of twin to twin transfusion syndrome (TTTS)
  • Epidemiology and prevention of chronic lung disease (CLD)

Clinical Features

Our NICU contains 6 intensive care and 16 intermediate care beds, accepts admissions for all neonates up to 44 weeks corrected gestational age from nearby private obstetrics department clinics, and from other NICUs for unusual or challenging problems in Okayama prefecture. Consultation from all pediatric and surgical specialties is available, including services such as inhaled nitric oxide therapy, whole body hypothermia therapy and amplitude EEG.

Bedside Ordering System and Perinatal & Follow-up Database (BSOS)

We originally developed the bedside ordering system (BSOS), which was incorporated into a perinatal & follow-up database based on the Vermont-Oxford and NICHD database, and introduced it to the NICU from 2007. BSOS accumulates data in the follow-up clinic as well as each order of input in everyday use in the NICU as an individualized text file that can be utilized for later clinical research analyses. BSOS has enabled us to realize precise and rapid ordering for sick newborns, and as a consequence we have seldom experienced simple medical errors regarding infusion and medication following the introduction of this system.

High-Risk Infant Follow-Up Clinic

We offer a multidisciplinary Follow-Up Clinic with health care professionals from pediatrics, pediatric surgery, plastic surgery, audiology, physical and occupational therapy, and social work for high-risk infants after discharge from the NICU. The follow-up data are input to the BSOS database for clinical research, as well as to track each infant seen in the clinic.

Newborn Transports

Newborn transports are staffed by a faculty member or fellow. Our Transport Team operates in close collaboration with the other two perinatal centers in the prefecture. Air transport is now under contemplation.

Educational Features

We offer an accredited 3-year training program in Neonatal-Perinatal Medicine. The program's goal is to train pediatricians for a successful career in neonatal-perinatal medicine. The training program integrates a strong background in basic and clinical research, excellent clinical training in the care of sick neonates, and involves comprehensive follow-up of infants discharged from the NICU.

Perinatal Clinical Conference (Mon 17:30-18:30)

The main purpose of this conference is making decisions concerning a prenatal treatment strategy for high-risk pregnancies by discussion with obstetricians, pediatric surgeons and nursing staff.

Fellows' Conference (Thurs 12:00-13:00)

Two to three sessions each month are presentations and discussions by fellows. The curriculum covers topics on development of the fetus and neonate, pathophysiology of maternal and neonatal diseases, management of maternal-fetal and neonatal problems, and basic research techniques.

Journal Club (Fri 8:30-9:00)

Standardized basic science literature or journals regarding perinatal medicine are used to review and appraise the evidence supporting the reviewed topics.