About Us

When your child is under our care, know that he or she is being treated by a knowledgeable team of neonatologists, neonatal nurse practitioners (NNPs) and hospital staff. Pediatrix Medical Group of Texas – San Antonio has been caring for newborns for more than 30 years. Through our hospital partners, we provide comprehensive clinical services to support the most critically-ill and premature newborns. Currently, our practice cares for more than 225 newborns each day in multiple neonatal intensive care units (NICUs).

Our neonatologists and NNPs are available on-site in the NICU. They are on call 24-hours-a-day, seven-days-a- week. The NICU is a special nursery dedicated to taking care of sick newborns. Babies who require special care in the NICU have problems ranging from minor to serious. Some babies may stay only hours, while others may stay for months before they are ready to go home. Your baby’s physician will determine his or her length of stay depending on the care needed.

Our Neonatal Transport Teams serve as a first link to referring staff, facilities, and families 24 hours a day, 7 days a week, for inter-facility transports throughout South Texas.

A team approach to care

Our team consists of a variety of health care providers, each with unique skills and training.

A neonatologist is a pediatrician with special training in caring for babies that are sick and require intensive care after birth. Neonatologists coordinate the care for the majority of babies in the NICU. At times, the neonatologist might consult with other specialists to help with your baby’s care. Although there are many different people involved in your baby’s care while in the NICU, it is the neonatologist who determines and coordinates the daily plan of care.

Neonatal nurse practitioners (NNPs) are neonatal nurses who have obtained a graduate degree (or certificate) with emphasis in caring for the needs of critically-ill newborns and their families. The NNP works in collaboration with a neonatologist to diagnose and treat babies. The NNP also performs procedures to aid in the diagnosis (e.g., spinal taps) and management (e.g., chest tube placement) of medical conditions.

A physician assistant is a nationally certified and state-licensed medical professional who works under the supervision of a physician. A physician assistant’s scope of practice covers the entire life span from newborn to the elderly. A physician assistant examines, diagnoses, treats and educates patients as part of a medical team.

A developmental pediatrician is a specialist within the field of developmental pediatrics, which has been a subspecialty of pediatrics for more than 20 years. This field overlaps with many other areas of pediatrics including neurology, psychiatry, psychology, physical medicine and general pediatrics. Developmental pediatricians frequently manage or evaluate conditions which are considered developmental disabilities, but the field also encompasses ways of preventing some of the impact these disabilities may have on the child and their family.

Well Newborn Services

Our Well Newborn Services Team sees newborns in the nursery within the first 24 hours of life. They will exam your new bundle of joy and, if needed, identify, diagnose and treat any problems arising in the newborn period and make referrals as required. Our Well Newborn Services Team focuses on parent education and keeping newborns safe. Following discharge from the hospital, your baby will be followed by a private pediatrician that you have designated.

Developmental Follow-up Services

Developmental pediatrics has been a subspecialty of pediatrics for more than 20 years. This field overlaps with many other areas of pediatrics including neurology, psychiatry, psychology, physical medicine and general pediatrics. The conditions frequently managed or evaluated are considered developmental disabilities, but the field also encompasses ways of preventing some of the impact these disabilities may have on the child and their family. The developmental clinic is staffed by developmental pediatricians, neonatologists, pediatric physician assistants, pediatric nurse practitioners and neonatal nurse practitioners that all have additional training to provide this specialized care.

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NICU Follow-up Pediatrician

 

At San Antonio Pediatric Clinic, we recognize that your children are your most precious gift. Our practice focuses on high-risk children, from the time they are discharged from the NICU until their third birthday. We coordinate with local pediatric specialists in order to meet each child’s unique needs and help maximize their potential from day one. We are committed to helping improve the health and wellbeing of your children through personalized care provided in a safe, friendly environment.
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Neonatal Outreach & Transport

Outreach

Pediatrix Medical Group of Texas – San Antonio has established a Neonatal Outreach Program to serve physicians in the South Texas region. Whether you are an obstetrician, pediatrician, family medicine physician or local emergency room provider, our goal is to provide a direct connection to our neonatologists for the purpose of improving overall neonatal outcomes. The Neonatal Outreach Program aims to optimize pre-transport stabilization if maternal transport is not possible. Through educational lectures, quality improvement activities and open communication, our objective is to promote identification of high-risk neonates for prompt referral and transport. Neonatal education topics include: 

  • Neonatal Resuscitation Program/S.T.A.B.L.E. 
  • Simulation Training 
  • Whole Body Cooling 
  • Congenital Heart Defects 
  • Edge of Viability 

To schedule clinical education or a tour of any of our facilities, please contact our Outreach Manager at 877-636-7374 ext. 223

Transport Teams

Our Neonatal Transport Teams serve as a first link to referring staff, facilities, and families 24 hours a day, 7 days a week, for inter-facility transports throughout South Texas. In addition, the teams are available for physician consults to assist in patient management. Our practice is committed to communicating patient updates and facilitating back transfers to birth hospitals so that patients may receive care in their own community prior to being discharged home. 

If you are a clinician and would like additional information on our transport program and/or related outreach education, contact any of the locations listed below. 

Methodist Children’s Hospital 
Neonatal Transfer and Consult Line
800-277-7428
David Lam, MD
Transport Medical Director 

Baptist Health System 
Neonatal Transfer and Consult Line
210-297-2471
Susan Dotzler, MD
Transport Medical Director 

Children’s Hospital of San Antonio 
Neonatal Transfer and Consult Line
877-ALL-KIDZ (255-5439)
Maria Pierce, MD
Transport Medical Director 

Research, Education & Quality

The Pediatrix Medical Group – San Antonio Research Team is actively involved in research studies within the CHRISTUS, Methodist, and Baptist Health Systems. These include a mix of NIH funded clinical trials, industry formula/device studies, compassionate use drug studies, observational studies, database research, and chart reviews. Our goal is to bring cutting edge therapies to our patients and to improve the care of all babies. You may be approached by a Research Team member if your child is eligible for an ongoing clinical study in the NICU. If you have questions at any time about a potential study ask your physician and the Research Team will be contacted for you. 

Physician Education

Pediatrix Medical Group of Texas – San Antonio is an affiliate of MEDNAX, Inc. MEDNAX, Inc. is a national medical group that comprises the nation’s leading providers of neonatal, anesthesia, maternal-fetal and pediatric physician subspecialty services. Physicians and advanced practitioners practicing as part of MEDNAX are reshaping the delivery of care within their specialties and subspecialties, using evidence-based tools, continuous quality initiatives and clinical research to enhance patient outcomes and provide high-quality, cost-effective care. In an effort to better understand, assess and improve the care we provide, our clinicians contribute to and learn from the Pediatrix Clinical Data Warehouse, the largest known database of neonatal outcomes in the world.

Educational Initiatives

Supported by Mednax Center for Research, Education and Quality, our practice offers many educational initiatives to enhance professional development and patient care. These activities are intended not only for our clinicians, but also for our local colleagues. Educational conferences include: 

  • Cardiac S.T.A.B.L.E. 
  • Innovations in Neonatal Care 
  • Neonatal Cardiac Symposium 
  • Neonatal Resuscitation Program/S.T.A.B.L.E 
  • Not So Scary Kid Conference 
  • Registered Nurse Certified Review Course 

Continuous Quality Improvement

Our practice is focused on continuous quality improvement and engages in workgroups in order to identify best processes in a variety of neonatal care areas. 

Working in a collaborative environment, our neonatologists and advanced practitioners participate in ongoing research and continuous quality improvement (CQI) programs to enhance outcomes. We participated in one of Pediatrix Medical Group’s large-scale quality improvement initiatives, the 100,000 Babies Campaign. Our current projects include initiatives to: 

  • Newborn / Neonatal Safe Sleep Practices 
  • Improve Breastfeeding Rates at Discharge 
  • Improve Nutrition / Growth in Our Premature Population 
  • Reduce Incidence of Necrotizing Enterocolitis 
  • Improve Delivery Room Management / Golden Hour 
  • Reduce Incidence of Hypothermia Upon Admission 
  • Reduce Catheter-Associated Bloodstream Infections 
  • Reduce Incidence of Retinopathy of Prematurity 
  • Reduce Incidence of Intraventricular Hemorrhage 
  • Reduce Ventilator-Associated Pneumonia and Chronic Lung Disease 
  • Improve Health Literacy for Parents / Families 

CareConnections – Palliative Care Team

If you would like to inquire about scheduling a CareConnections Team consult for your patient, please contact 210-504-8650

Bereavement Resources

Our multidisciplinary team specializes in babies that have been diagnosed with a life-threatening or life-limiting illness. Our goal is to provide support to these babies and their families from the time of diagnosis until the time of death. We build connections that extend from the prenatal setting, to labor and delivery, to the neonatal intensive care unit, and when called for, on to hospice or the home setting. Our team focuses on the special concerns of neonates and their families as they face a difficult time in their lives. 

An uncertain diagnosis lends itself to many questions about the future. Families may feel alone and unsure how to navigate the months leading up to the day of birth and days or months thereafter. Our team is dedicated to walk beside mothers and families who are choosing to continue a pregnancy even when the outcome is unsure. By meeting the family in the prenatal setting, we can help you address the wishes of the family and provide a familiar, consistent face in the hospital at the time of delivery and beyond. 

When a diagnosis of a life-threatening or life-limiting illness is made, we meet with the family in an open and supportive manner to discuss the potential medical issues and what problems their baby may face. 

Our CareConnections Team will: 

  • Support the family emotionally and spiritually during all phases of illness, from the prenatal setting on through the bereavement process. 
  • Arrange a meeting with members of the team to help the family establish a birth plan and help coordinate any necessary care. The birth plan will cover every aspect of the birth and empower the parent(s) to have control of how the delivery and recovery will proceed. This birth plan will include topics such as photography, religious considerations, autopsies and genetic testing. We will answer any questions in a non-judgmental manner and provide a forum for discussion about different decision paths the family may face. 
  • Prevent and relieve pain in our patients and improve the quality of life. 
  • Arrange a tour of the NICU and Labor and Delivery. We will also provide all involved teams at the hospital with a copy of the birth plan so that everyone is well informed and able to carry out the family’s wishes upon arrival. 
  • Establish a plan if the baby is able to come home and arrange home nursing or hospice. 
  • Provide the family with a handbook of community resources, frequently asked questions and support groups. 

CareConnections is a multidisciplinary team that may include: 

  • The Referring OB or MFM Physician 
  • Neonatologist 
  • Neonatal Nurse Practitioner 
  • Neonatal Nurse 
  • Social Worker 
  • Geneticist & Genetic Counselor 
  • Child Life Specialist 
  • Chaplain 
  • Pathologist 
  • Radiologist 
  • Home Health & Hospice 
  • Other subspecialists as needed 

The Importance of Palliative Care 

  • Palliative care affirms life and acknowledges dying as a natural part of life. 
  • Palliative care neither hastens nor postpones death. 

Apply to the PA Neonatal Post-Graduate Training Program

Applications are now accepted for the PA Neonatal Post-Graduate Training Program Click here to apply

 

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