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Obstetrics and High-Risk Infant Care All of our pediatric residents rotate through Hutzel Hospital, located near Children's in The Detroit Medical Center. Hutzel, a regional center for high-risk deliveries and the largest maternity center in the state, has one of the busiest obstetrics services in the country, delivering over 7,000 babies each year. About 19 percent of their babies are delivered by cesarean section, and about 12 percent require admission to the neonatal intensive care unit. The volume and intensity of Hutzel's obstetrics service makes it a strong component of our pediatric training program. Residents become skilled with assessment and rapid resuscitation in the delivery room, and proficient in the care of both well and sick neonates. Pediatric residents serve in the delivery area, special care nursery and normal newborn nursery. They attend all complex deliveries, newborn resuscitations, and C-sections. Staff neonatologists and neonatology fellows provide 24-hour, on site back-up. Residents have primary patient-care responsibility for Hutzel's 20-bed NICU, which has the capacity for 14 ventilators. First-year residents are responsible for the normal newborn nursery and work in labor and delivery with second-year residents. Residents also serve as primary pediatricians to Hutzel's staff patients and conduct informal teaching sessions with new parents of healthy newborns. Hutzel's training program includes weekly obstetric/pediatric rounds and conferences.
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