Fellowship in Maternal-Fetal Medicine

David S. McKenna, M.D., Director

Facilities

Clinical Facilities

Inpatient Facilities

Maimi Valley Hospital All facilities for the clinical training of the fellows are located at one site: Miami Valley Hospital in the Berry Women's Health Pavilion, a facility dedicated solely to obstetric and women’s care. This maximizes the time fellows can spend in clinical activities, and permits fellows to read, study and perform clinical research activities when there is clinical “down time.”

MVH is an 800+ bed tertiary care hospital with 24/7 coverage by all clinical specialties. Fellow supervision is provided by the MVH faculty. During normal duty hours there is always an MFM faculty in-house for fellow supervision. Fellows are credentialed by the hospital for privileges in general obstetrics and gynecology, and are permitted to practice within this scope while on call. When the fellows take call, there is always an MFM faculty on back up call for consultation and assistance. Labor and Delivery is located on the second floor. The labor and delivery unit has 41 total beds broken down as follows: 16 labor, delivery and recovery (LDR) rooms; seven perinatal intensive care unit (PICU) rooms; three dedicated obstetric operating rooms; a dedicated pre-operative holding unit with two beds; a dedicated post-anesthesia unit with four beds and nine triage beds. All rooms have centralized electronic fetal monitoring that can be viewed on monitors located throughout the Berry Building and also remotely over the Internet or on a smartphone.

The PICU rooms are designed for the care of high risk antepartum, intrapartum and postpartum patients. Capacities of the PICU include standard obstetrical procedures, invasive and non-invasive cardiac and hemodynamic monitoring and intravenous infusions of medications for critically ill patients (e.g., patients with diabetic ketoacidosis and severe hypertension). Obstetrical patients requiring mechanical ventilation are co-managed by the MFM fellows along with consulting services in the MVH Medical Intensive Care Unit (MICU) and/or the Cardiac Care Unit (CCU).

There are two General Electric Logic mobile ultrasounds located on labor and delivery.

There are a total of 40 private postpartum rooms located on the first floor, directly below labor and delivery. There are 16 private antepartum rooms located on the second floor, adjacent to labor and delivery. The antepartum rooms are identical to the postpartum rooms and can be used for either purpose if there is overflow of patients on either ward. All antepartum and postpartum rooms have the capacity for central fetal monitoring. Both the antepartum and postpartum floors have one negative pressure room used for pregnant or post-partum patients with communicable diseases.

In addition to the labor and delivery beds, there are four beds in Family Beginnings, an in-hospital alternative birthing unit for low-risk obstetrical patients. Fellows are not responsible for patients who deliver in Family Beginnings. However, we feel it is important the fellows become familiar with this growing niche.

The Neonatal Intensive Care Unit (NICU) is a 61-bed Level III unit located in the Berry Building contiguous to the labor and delivery operating rooms with a resuscitation room that opens into the NICU. The NICU was recently renovated to provide private rooms for each patient. The NICU has the only extracorporeal membrane oxygenation (ECMO) unit in Ohio Perinatal Region II. There is a dedicated pediatric surgical operating room, and a dedicated neonatal laboratory in the NICU.

Outpatient Facilities

The Five River’s Health Center Center for Women's Health (CWH) is located on the Wyoming Street level of the Berry Building. The CWH is approximately 16,000 square feet, with 18 patient exam rooms, three procedure rooms and two consultation rooms. There were over 20,000 outpatient visits in 2012. The fellows attend the high-risk obstetrics clinics and the Infectious Diseases/Substance Abuse Clinic. There are two General Electric Logic 400 ultrasound units in the clinic.

The Center for Maternal-Fetal Medicine, Ultrasound and Genetics (CMFMUG) is located on the ground floor of the Berry Building, above the CWH, and is approximately 14,000 square feet in size. The unit contains:

  • Eight ultrasound examination rooms (all equipped for procedures)
  • Nine ultrasound machines (six Siemens S2000, two General Electric Voluson, and one Siemens Antares)
  • One reading/control room with multiple image review and computer workstations and physician workspace
  • One chief sonographer office (two chiefs)
  • One sonographer office
  • Two genetic counseling offices
  • Five private antepartum testing rooms, with central fetal monitoring
  • One diabetic teaching/counseling office
  • One dietitian teaching/counseling office
  • One chief nurse's office

In addition, the unit contains the MFM attendings' offices, fellows' office, clinical research and Fetal Medicine Foundation/USA offices and a large education/conference room.

Research Facilities

Miami Valley Hospital Campus

The MFM fellows have the Department of Obstetrics and Gynecology's Laboratory of Endocrine and Perinatal Investigation available for basic science research. The laboratory is located at MVH, adjacent to the Berry Building in the basement of the Weber Building. There are 676 square feet of laboratory space. The laboratory is self-sufficient in basic and molecular biology techniques, protein chemistry, all types of cell culture, ELISA, PCR Direct or RT, Northern and Western Blots, DNA/RNA techniques and immunohistochemistry. The laboratory is equipped with centrifuges, water baths, CO2 Incubator, pH meter, Mettler Balances, Spectrophotometer, ELISA reader, microscopes, refrigerator and -85° freezers. There is a full time laboratory technician on site available to assist fellows. Recently, Drs. Kovac and Shields have lent their expertise from their MFM fellowship training at Madigan U.S. Army Medical Center to design and implement an ex-vivo Placental Perfusion Model. This well established model for the study of pharmacologic effects on placental perfusion is one of a handful in the country.

Wright State University Campus

WSU campusDuring the 12 months of blocked research time, the fellow is located at the Wright State campus. Located about 10 miles from MVH, the WSU Boonshoft School of Medicine has state-of-the-art laboratories for collaboration in Maternal-Fetal Medicine Division research. The faculty is funded, and there are ample resources for investigation in proteomics, genomics and animal research to name just a few of the active areas. The fellow is provided with personalized instruction in laboratory techniques, expert assistance with procedures, supervision and evaluation by the faculty. Follow these links for more information: