On April 10, the Neonatal Diagnosis and Treatment Center of the Children's Hospital of Fudan University was opened. With the completion of the country's only single-family neonatal building, the neonatal diagnosis and treatment center has started from the "new". It focuses on the diagnosis, treatment and research of all neonatal major diseases, special diseases, and critical and complex diseases. It is worth noting that the new neonatal clinic has opened up a two-storey family care ward, so that the whole family can meet the challenges of life together during the initial growth stage of the child's life. Wang Yi, president of the pediatric hospital, said frankly that babies born before 32 weeks of pregnancy under 1,500 grams are very low and ultra-low weight newborns, and these newborns still have many life problems that need to be solved urgently. The pediatric hospital will gather all specialties to build a neonatal discipline group, and carry out the protection of important organs, the attention to the development trajectory, and the evaluation of healthy growth and development of these premature infants.
Multidisciplinary experts work together to escort premature babies through life difficulties
Today, the reporter saw in the neonatal diagnosis and treatment center of the pediatric hospital that more than 200 newborns have settled in.
The premature intensive care unit on the second floor now treats the smallest one who weighs just over 600 grams.
The glass window of the intensive care unit for premature infants reads "Room for Super Premature Infants", and through the windows, you can see the incubators. The nursing staff told reporters that in order to make these babies who came to the world in advance an environment to catch up and grow, the medical staff tried their best to simulate an environment like in the mother's womb, where there was no light and no sound.
There are four intensive care units, including the premature intensive care unit, the neonatal surgical intensive care unit, the neurological intensive care unit on the fourth floor, and the infection intensive care unit on the fifth floor.
Yuan Lin, Assistant Dean of the Children's Hospital of Fudan University and Executive Director of the Neonatal Diagnosis and Treatment Center, introduced,
The neonatal clinic integrates multiple disciplines such as medicine and surgery, oncology, urology, neurology, plastic surgery, nutrition, and cardiothoracic, and experts from multiple departments work together to escort children through life's difficulties.
How to accurately diagnose premature infants early and then treat them effectively? The multidisciplinary diagnosis and treatment team and strong molecular diagnosis center of the pediatric hospital successfully diagnose and treat hundreds of difficult and rare diseases every year, some of which are reported for the first time at home and abroad, and the global incidence rate is only one in one million to 100,000. Wang Yi, Dean of Fudan Department of Pediatrics, said that this place will also become a highland for neonatal disease-related research, and we will gather the most cutting-edge and cutting-edge neonatal diagnosis and treatment, and various intervention technologies in the process of growth to carry out clinical medical teaching and research. It will also focus on the diagnosis, treatment and research of neonatal major diseases, special diseases, and critical and complex diseases.
Family participatory care brings love one step closer
With the opening of the single-family neonatal building, more parents of premature babies are pleased to find that they can share the family ward for family bedside care and kangaroo care.
Ms. Wang's Erbao couldn't wait to be born early at 29 weeks of her mother's pregnancy, and she was only more than 2 pounds at birth, which made the family sweat. Fortunately, the baby grew up very quickly after living in the incubator for two months, and also passed the dangerous period. Ms. Wang can go to the family companion ward to take participatory care of the baby.
The professional medical team provides personalized care guidance for the child's condition, including daily care, breastfeeding, infant first aid, etc., to improve the family's care skills.
"Thank you so much to the hospital for taking the love one step further and tomorrow my baby will be discharged. Ms. Wang happily shared with reporters that now the baby's gestational age is 39 weeks and his weight is six pounds.
Even if high-risk premature infants are discharged, the neonatal follow-up center on the first floor of the neonatal diagnosis and treatment center provides them with a one-stop escort channel, and the advantages and resources of neonatology, ophthalmology, otolaryngology, rehabilitation, nutrition and other disciplines are integrated to carry out professional and comprehensive follow-up health management for discharged children, improve the long-term prognosis of children and stimulate their maximum potential for growth and development.
Countless stories about love, protection and hope are staged in the neonatal ward
Countless stories of love, protection and hope continue to play out in the pediatric neonatal unit.
The naughty little cloud came to this world more than 3 months in advance, with a gestational age of only 27+2 weeks and a weight of 915g, less than two catties.
After 40 days of hospitalization in the maternity hospital, Xiaoyunduo developed obvious abdominal distention, and considering neonatal necrotizing enterocolitis, she was escorted to the Fudan Department of Pediatrics under the escort of the neonatal transport team affiliated to Fudan University.
Immediately after admission, the neonatal surgeon assessed Xiaoyunduo's abdomen and found that the abdominal lesion was severe and required emergency surgery. However, at this time, her weight was only 1.29kg, the infection was serious, and the risk of surgery was extremely high.
After the operation, Xiaoyun lay quietly in the incubator, and she didn't know the difficulties she was facing. Laboratory tests after admission confirmed that she was infected with a rare and highly fatal bacterium, which also causes significant abnormalities in blood clotting. B-ultrasound examination of the head showed grade IV intracranial hemorrhage in Xiaoyunduo. A series of changes in the condition made the hearts of parents be tightened again.
During the months-long hospitalization, the strong little cloud was like an invincible warrior, under the care of a multidisciplinary medical team, through one danger after another: infection, repeated feeding, prolonged intravenous nutrition, hydrocephalus...... , underwent hydrocephalus drainage and closed enterostomy.
To this day, Xiaoyunduo continues to fight against short bowel syndrome, and the neonatal clinic is her strong backing.
And the miracle of life is also playing out here!
Recently, An An (pseudonym, male), a premature baby with a 31 weeks + 5 days gestation and a birth weight of only 1360 grams, was rushed to the Children's Hospital of Fudan University of the National Children's Medical Center for treatment of severe coarctation of the aortic arch, a rare congenital heart disease. On the 15th day of his birth, the expert team successfully performed balloon dilation of the coarctation of the aortic arch for An An, who weighed only 1,380 grams at the time. An An has become the lowest body weight case reported in China for this type of surgery.
Fudan Pediatric Neonatal Diagnosis and Treatment Center is responsible for the medical security of a large number of difficult and critically ill newborns in Shanghai and even in the whole country, and treats more than 4,000 newborn children every year, making it the children's specialized hospital with the largest number of very low and ultra-low birth weight babies in China every year.
According to Yuan Lin, due to the immaturity of various systems, premature infants can develop respiratory distress syndrome, bronchopulmonary dysplasia, intraventricular hemorrhage, necrotizing enterocolitis and other serious diseases. Facing the challenges of increasing the number of premature babies born and the smaller gestational age at birth, the pediatric neonatal medical team of Fudan has continuously introduced advanced treatment concepts and technologies to carry out refined management of premature infants.
Today, the 2024 Neonatal Development Forum of the National Children's Medical Center, co-sponsored by the Children's Hospital of Fudan University and the Key Laboratory of Neonatal Diseases of the National Health Commission, was held at the same time. A total of 112 tertiary hospitals in 31 provinces (municipalities and special administrative regions) across the country have worked together to build the largest cohort of extremely preterm infants in the country. Preterm infant experts have made China's contribution and voice to the promotion of neonatal/perinatal medical care and the improvement of neonatal outcomes in China and the world.