Prenatal care
We have a multidisciplinary prenatal diagnostic team consisting of a perinatologist and ultrasound obstetrician, neonatologist, clinical geneticist, biologist, pathologist, radiologist, pediatric cardiologist and pediatric surgeon.
Weekly meetings are held where all pregnant women at risk of fetal pathology and fetal malformations are monitored jointly and following established protocols. All the support techniques for the diagnosis of fetal pathology are available. Counseling is given in all cases and genetic counseling when required.
Perinatal care
We have a multidisciplinary perinatal team, which meets weekly to discuss cases that require the coordination of obstetrics and neonatology, in 2 committees:
- Prenatal Diagnostic Committee
- Perinatal Committee
This ensures the correct assistance of the at-risk pregnant woman and her child when she has to be admitted to the Neonatal Unit.
Both committees discuss clinical cases and clinical sessions on prevalent pathologies.
When the pregnant woman needs admission due to a high risk of premature birth, or any other pathology that may pose a risk to the baby, the professionals in the Neonatology Unit provide information to the pregnant woman and the family before the birth.
Attendance at the delivery room
The Neonatology Unit assists in the delivery room all risk parts and whenever the obstetrics team requests it.
The delivery rooms are equipped with thermal cots for advanced neonatal resuscitation, with controlled pressure ventilation systems.
Neonatal hospital care
The Neonatal Unit is a Level III B unit, has qualified professionals (specialists in neonatology and pediatric nurses specializing in neonatal care), advanced technology, support and advice from other pediatric or perinatal specialties.
All babies of any gestational age and birth weight born at Sabadell Hospital or transferred from other centers are cared for. It has advanced respiratory support with high frequency oscillating ventilation and administration of inhaled nitric oxide. Pediatric Surgery Service for major surgery and Neurosurgery Service. Cardiac surgery is derived, except for persistent ductus interventions from the premature.
Our care model is based on Development and Family Focused Care: the unit is open to parents 24 hours a day, with 2 full single rooms, for internally mother / father-child, with incubator or cot (thermal or conventional). We promote the kangaroo method, allowing skin-to-skin contact at an early stage, favoring the mother-child bond and the establishment of breastfeeding. We promote breastfeeding and have bank breast milk. We take care of the microenvironment and macroenvironment.
Maternity floor attendance
After childbirth, babies of more than 35 weeks of asymptomatic gestation and without risk criteria, who do not need to enter the Neonatology Unit stay with their mother and receive one basic neonatal care.
First visit filled with neonatal medical history and physical examination before 12 hours of age. Care model based on fostering the mother / father-child bond with mostly single rooms, favoring breastfeeding and avoiding mother / father-child separation. Visit, physical examination and filling in the pediatric data of the registered Health Card.
Early hospital discharge
It is the discharge of the mother and baby before 48 hours of age. A physical examination is performed at the time of discharge and when they come to the control visit. The auditory screening is carried out before discharge and the early detection test is performed at the control visit. At all times, the importance, great benefits and technique of breastfeeding are advised and instructed.
Risk baby
Babies receiving specific neonatal care but next to his mother in the area of obstetric hospitalization (risk of infection, premature more than 35 weeks of gestation, out birth weight less than 2.500 g, birth weight greater than 4.200 g, child of diabetic mother pre-gestational or gestational, and any other baby who needs more special control).
An individualized observation and attention is made to the needs it requires. There is a daily visit and a hospital discharge report.
Assistance with external consultation
Follow-up of all premature babies weighing less than 1.500 g and / or less than 32 weeks of gestation. A multidisciplinary follow-up protocol is available for these patients.
Follow-up of babies who have suffered other pathologies according to the criteria of the Neonatal Unit. Care for babies from other hospitals or from primary care.
Follow-up of babies who have been with their mother who present a situation that motivates complementary examinations or follow-up of any signs or symptoms observed during their hospital stay.
Referral to other pediatric specialties of the hospital.
Pediatric specialties that support the Neonatal Unit
- Pediatric Cardiology
- Pediatric Dermatology
- Pediatric Endocrinology
- Pediatric gastroenterology
- Pediatric Hemato-Oncology
- Pediatric Neurosurgery
- Pediatric Neurology and CDIAP
- Pediatric ophthalmology
- Pediatric ORL
- Pediatric Pulmonology and Respiratory Physiotherapy
- Pediatric and Interventional Radiology
- Psychological care service
- Social work
Pathologies attended to
Pathology of prematurity
- Care for all preterm infants with no gestational age limit or weight
- Specialized attention to the extreme preterm and its complications
- State-of-the-art intensive and intermediate care incubators
Respiratory pathology
- Respiratory distress, hyaline membrane disease
- Meconium aspiration syndrome
- Thoracic air (pneumothorax, pneumomediastinum)
- Neonatal pneumonia
- Any other respiratory pathology
The unit has high technology for respiratory pathology:
- Non-invasive ventilation
- Conventional mechanical ventilation
- High frequency ventilation
- Administration of nitric oxide
Cardiovascular pathology
- Heart failure
- Shock
- Pneumopericardium and pericardial effusion
- Suspected study of major or minor congenital heart disease
- Persistent pulmonary hypertension syndrome
- Persistence of the arterial duct
- Heart rhythm disorders
- Myocarditis
Neurological pathology
- Hypoxic-ischemic disease
- Encephalopathy of any etiology
- convulsions
- Neuromuscular diseases, hypotonia
- CNS infections
- Intracranial hemorrhage
- Neural tube defects- Encephalocele, myelomeningocele, etc.
Digestive pathology (surgical or not)
- Necrotizing enterocolitis
- Congenital diaphragmatic hernia
- Esophageal atresia
- Intestinal obstruction
- Meconial Ili
- Hirschprung's disease
- Anorectal atresia
- Omphalocele
- Gastroschisi
- Perforation of hollow and solid viscera
- Peritonitis of any cause
Kidney pathology
- Renal failure
- Pathologies that require hemodiafiltration systems
- Renal thrombosis
Hematological and coagulation pathology
- Neonatal hemolytic disease
- Anemia
- Jaundice of any etiology
- Active bleeding
- Disseminated intravascular coagulation
- Polycythemia
- Hydrops fetalis
Infectious pathology
- Sepsis
- Meningitis
- Congenital infections
Endocrine-metabolic pathology
- Sd. adrenal-genital
- Inadequate ADH secretion
- Congenital errors of metabolism
- Hydroelectrolytic disorders
Oncological pathology
- Treatment of neonatal tumors: teratomas, hepatoblastomas, brain tumors, kidney tumors, congenital leukemias, etc.