Paediatrics 4 – Neonatology and Neonatal Intensive Care

The Neonatology Department at Olgahospital, unique in its kind in Stuttgart, along with the Women's Clinic of the Bad Cannstatt Hospital, forms the Perinatal Centre (PNC) of Stuttgart. It is acknowledged, after Berlin, as Germany's second largest perinatal centre and as top perinatal centre of the highest level of care. More than 1,100 premature and sick neonates are treated and monitored each year at three stations. The intensive care and monitoring station in the perinatal centre are located next door to the delivery room area. Thus, there are optimal conditions for birth (especially in high-risk pregnancy, multiple pregnancies, foetal illness and premature delivery attempts). A paediatrics specialist is present around the clock and is automatically called at any high-risk birth.

Highly qualified paediatricians and paediatric nurses treat young patients in close cooperation with specialists from across Olgahospital. We are the first clinic in Germany where a senior physician is additionally present around the clock.

• Level 1 Perinatal Centre according to GBA
• Care of premature infants with great expertise in medical and nursing services
• CPAP respiratory assistance instead of artificial ventilation, to protect the lungs, surfactant administration without intubation
• Surgical treatment of premature and newborn infants by paediatric surgeons and paediatric anaesthesiologists
• Children's diagnostic cardiology and cardiac surgery by cardiologists
• Differentiated, very gentle breathing techniques in lung diseases
• Bronchoscopy in infants and premature children
• Medical surgery of neonates with congenital problems of the upper respiratory system by specialised ENT physicians
• Differentiated brain function diagnosis
• Careful diagnosis with ultrasound
• Specific consulting on prenatally diagnosed problems (prenatal diagnostics)
• After care programme

• Neonatal Intensive Care Unit adjacent to the delivery room
• Training centre for kinaesthetic in newborns
• Regular joint visits with the employees of the institute for hygiene
• Palliative and pain treatment team
• Offers in music therapy
• Consulting on breast feeding, parental care, psychosocial services, case management for newborns of drug addicted parents
• Follow-up programme for newborns and premature infants with special developmental risks

• Short ventilation times through early surfactant administration and protecting respiratory support instead of artificial respiration
• Prenatal diagnostics of the highest level in case of foetal diseases (in cooperation with the Women’s Clinic)
• Foetal magnetic resonance tomography in cases of foetal diseases (with the paediatric radiology)
• Hydrocephalus treatments in newborns and premature infants (with paediatric neurosurgery)
• Bronchoscopy and surgery for diseases of the respiratory tract (with the ENT)
• Operational duct ligature in premature infants (with the cardiac surgery)
• Nitric oxide ventilation for newborns with respiratory failure
• Dialysis treatment for kidney failure in premature and newborn infants (with the paediatric nephrology)

• Comparative analysis of non-invasive Surfactant application under CPAP supported spontaneous respiration and conventional therapy of respiratory syndrome in very small premature children (NINSAPP). Multicentre clinical testing. Management: Uni-Kinderklinik Köln. (Köln Paediatric Clinic). End of recruiting phases was 2012.
• Deutsches Frühgeborenen-Netzwerk – German Neonatal Network (GNN). Multicentre neonatologic research network. Management: Uni-Kinderklinik Lübeck (Lübeck Paediatric Clinic)
• Effects of transfusion thresholds on neurocognitive outcome of extremely low birth weight infants (ETTNO). A blinded randomized controlled multicentre trial. Clinical study – DFG supported. Management: Uni-Kinderklinik Tübingen (Tübingen University Paediatric Clinic)
• Prevention of congenital cytomegalovirus infection in infants of mothers with primary cytomegalovirus infection during pregnancy. A randomised, open, controlled, prospective, multicentre and multinational study investigating efficacy and safety of Cytotect FH, nanometer filtered (BT094). Management: Uni-Frauenklinik (University Women’s Clinic), LMU Munich

• Level 1 Perinatal Centre (GBA)
• Statutory minimum of treatments in very small premature children was achieved
• Annual supervision of results’ quality in neonatal survey of Baden-Württemberg (AQUA institute)
• Regularly single-case analysis in the neonatal study group of Stuttgart and Ulm
• Regular perinatological  colloquia together with the women’s clinic of the perinatal centre
• Participation in Neo-Kiss