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>> SO MANY FAMILIES BELIEVE, ONCE THEY HAVE A DIAGNOSIS
OF CONGENITAL HEART DISEASE, THAT THEY'RE GOING TO HAVE
TO HAVE A C-SECTION, AND THAT'S JUST NOT THE REALITY.
>> THERE'S VERY FEW SITUATIONS WHERE IT IS
INTRINSICALLY NECESSARY TO DELIVER BY A CAESAREAN
SECTION.
>> A VAGINAL DELIVERY IS SAFE,
AND THE MOTHER CAN GO THROUGH THAT NORMAL PROCESS.
>> THE FACT THAT WE'RE ABLE TO DELIVER BABIES WITHIN OUR
OWN SYSTEM IN THE SPECIAL DELIVERY UNIT WITH OUR OWN
TEAM OF HIGH-RISK OBSTETRICIANS WORKING
WITH US AS PART OF THE TEAM IS INVALUABLE.
>> THERE WAS A TEAM FOR THE BABY AND A TEAM FOR,
YOU KNOW, MONITORING EVERYTHING THAT
WAS GOING ON.
IT WAS A LITTLE OVERWHELMING,
BUT IT MADE--IT WAS COMFORTING TO KNOW HE WAS
HERE RIGHT AWAY.
>> THAT WAS TOUGHER.
THAT'S WHEN IT REALLY KICKS IN,
THAT THIS IS NOT GOING TO BE A NORMAL DELIVERY.
>> FOR MOST CIRCUMSTANCES, WE DO HAVE AN OPPORTUNITY
TO HAVE PERHAPS DAD HOLD THE BABY FOR A MOMENT,
FOR MOM TO LOOK AT THE BABY.
BUT IN THE VAST MAJORITY OF CASES,
THERE WILL BE A NEED TO PERFORM THESE VARIOUS
PROCEDURES, AND THE BABY WILL THEN BE TRANSFERRED
TO THE INTENSIVE CARE UNIT FOR MANAGEMENT.
AND IT'S REALLY IN THE INTENSIVE CARE UNIT WHERE
FAMILIES WILL HAVE THEIR BEST,
MOST VALUABLE TIME WITH THE BABY.
>> ONCE THEY DID THEIR ASSESSMENT,
YOU KNOW, THEN I WAS AT LEAST ABLE TO GO SEE HIM,
WHICH WAS GOOD.
HE WAS PINK, YOU KNOW, AND EVERYTHING.
SO, YOU KNOW, HE LOOKED HEALTHY,
YOU KNOW, FROM OUR STANDPOINT,
BUT IT WAS STILL A JOY.
>> IT'S A HUGE BENEFIT FOR MOTHERS AND FATHERS TO BE
ABLE TO BE GEOGRAPHICALLY CLOSE TO THEIR BABIES.
>> WHAT FREQUENTLY HAPPENS IN OTHER INSTITUTIONS
IS THAT MOTHERS ARE CARED FOR IN SEPARATE HOSPITALS
FROM BABIES.
>> THE SPECIAL DELIVERY UNIT ENABLES THE ENTIRE FAMILY
UNIT TO BE ON SITE AT CHOP.
>> TO REALLY INTEGRATE THE CARE OF THESE KIDS
FROM BEFORE BIRTH, THROUGH THE BIRTH PROCESS,
INTO WHATEVER PALLIATION OR OPERATION THEY MAY NEED
IMMEDIATELY AFTER BIRTH.
>> WHAT THIS DOES IS ALLOW US TO HAVE INSTANT ACCESS
TO THESE BABIES WHO NEED IMMEDIATE CARE,
WHETHER IT BE CARDIAC CARE OR OTHER CARE.
>> THE SPACE IS CONTIGUOUS USE WITH THE CARDIAC
OPERATING ROOMS AND CATHETERIZATION
LABORATORIES, SO A BABY COULD LITERALLY BE BORN IN
ONE ROOM AND GO TO THE NEXT ROOM FOR A TREATMENT,
AND THE MOM IS RIGHT THERE.
AND SHE'S RIGHT THERE BEFORE DELIVERY AND AFTER DELIVERY.
>> SO IT PROVIDES A CONTINUITY OF CARE.
IF THERE'S A PROBLEM WITH THE BABY IN THE DELIVERY
ROOM, THE CARDIAC INTENSIVIST WHO'S GOING
TO BE TAKING CARE OF THE BABY COULD PARTICIPATE--
>> TO ASSESS THE BABY'S CARDIOVASCULAR SYSTEM,
TO PLACE LINES INTO THE BELLY BUTTON OF THE NEWBORN
TO ACT AT IVS WHERE WE CAN ADMINISTER MEDICATION.
>> OFTEN, IT'S A VERY SHOCKING SITUATION FOR
FAMILIES TO SEE THEIR CHILD LIKE THIS.
NOW, FORTUNATELY, WE HAVE THE ABILITY TO TAKE
THE FAMILIES TO THE ICU BEFOREHAND,
SO I THINK THE SHOCK VALUE, BASED UPON WHAT WE CAN DO
WITH THE FETAL HEART PROGRAM,
IS ACTUALLY MUCH LESS.
>> SHE WAS IMMEDIATELY GIVEN IV LINES AND MONITORS IN HER
BELLY BUTTON TO WATCH HER HEART FUNCTION
AND GIVE HER MEDICINE.
>> THESE KIDS ARE REALLY STABLE,
AND THAT'S A GOOD THING, TO BE ABLE TO WORK WITH
FAMILIES ABOUT THAT.
VERY RARELY IS THERE AN EMERGENCY THAT YOU NEED
TO TAKE A BABY TO THE OPERATING ROOM URGENTLY,
UNEXPECTEDLY.
MORE OFTEN THAN NOT, IT REALLY IS AN UNEVENTFUL
BIRTH, IF YOU WILL, WITH MEDICATION STARTED.
AND THE BABY GOES TO A CARDIAC INTENSIVE CARE UNIT
INSTEAD OF A NEWBORN NURSERY,
BUT IT'S A BABY WHO WE'RE ABLE TO KEEP RELATIVELY
STABLE FOR EVEN A FEW DAYS UNTIL SURGERY NEEDS
TO HAPPEN.