Several conditions that may require corrective surgery in the newborn period can be detected early in the pregnancy by prenatal ultrasound or testing. Examples of these include congenital diaphragmatic hernia, lung malformations such as cysts or sequestrations, abdominal wall defects such as gastroschisis and omphalocele, and some tumors. If such a condition is identified prenatally, the obstetrician can refer the parents for counseling with a neonatologist and a pediatric surgeon. Discussion with a pediatric surgeon can help a family to understand the anticipated surgical care issues and to ease some of the stress associated with knowing their unborn child has a surgical problem.
The Children's Hospital at Sinai has a multidisciplinary team to provide information to parents expecting a child to be born with a condition requiring corrective surgery. The Institute for Maternal-Fetal Medicine and the Level 3B Neonatal Care Unit (NICU) provide unparalleled care to mothers and their babies at Sinai Hospital. Pediatric anesthesia and general surgical services are readily available. The NICU is staffed by neonatalogists 24 hours a day, 7 days a week. The NICU is in close proximity to labor and delivery. In addition to prenatal consultation with a pediatric surgeon and a neonatologist, a tour of the NICU can be arranged prior to anticipated delivery.