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Description of Institutions


The University of Texas Medical Branch at Galveston

The University of Texas Medical Branch Hospitals are John Sealy Hospital; Children's Hospital; John Sealy Annex; Jennie Sealy Hospital; Rebecca Sealy Hospital; R. Waverley Smith Pavilion; Mary Moody Northern Pavilion; Texas Department of Criminal Justice (TDCJ) Hospital, operated jointly by TDCJ and UTMB. Shiners Burns Hospital, operated by the Shiners of North America, is a UTMB-affiliated center.

 

The University of Texas Medical Branch operates 928 hospital beds of which 414 are in John Sealy Hospital. There were 36,229 admissions to UTMB in 1997 and 797,846 outpatient visits. There were 88,378 additional emergency room visits.

 

The Department of Obstetrics and Gynecology

The Department of Obstetrics and Gynecology is composed of five divisions: Education, Gynecology (General gynecology, Urogyn, and Pediatric Gyn), Gynecology Oncology, Maternal Fetal Medicine and Reproductive Endocrinology and Infertility.  The clinical coverage includes Residentsí OB and GYN clinics, Ultrasound clinic, Womenís Health clinic (Victoria), Primary Care Pavilion (private practice) and 19 Regional Maternal Children Health Program Clinics throughout southeast Texas.  The Department of Obstetrics and Gynecology has total of 650 employees.

 

During Dr. Garland. Andersonís tenure as Chairman, the department has consistently ranked among the top 20 in National Institutes of Health research funding, and most recently was ranked fourth in the nation.

 

Regional Maternal & Child Health Program Clinics

The University of Texas Medical Branch at Galveston, Department of Obstetrics and Gynecology operates 19 Regional Maternal & Child Health Program clinics in Southeast Texas.  During the FY2006, these clinics managed 123,600 Obstetrical visits and 83,600 high risk obstetrical visits.  MFM fellows participate care of high risk obstetrical patients at the Pasadena RMCHP clinic along with team of High Risk Nurse Practitioners.  During FY2006, they managed 4796 high risk obstetrical clinic visits by patients with multiple medical and obstetrical complications such as cardiomyopathy, pulmonary hypotension, breast cancer, Class B-R diabetes mellitus, connective tissue disorders, placenta accreta, incompetent cervix, multigestations, twin-twin transfusion and hypertensive disorders.

 

Obstetrical Ultrasound Clinics

Level II Ultrasounds are performed by Maternal Fetal Medicine faculties at Galveston clinic and Pasadena clinic.  During FY2006, 11,874 level II, Doppler studies and follow-up sonograms and 157  genetic or Rh-isoimmunization amniocentesis procedures were performed.  MFM fellows spent 5 months on the ultrasound rotations with hands-on experience in sonogram scans, genetic amniocentesis, cystocentesis, amnioreduction and cordocentesis procedures.  During L&D rotation and the night/weekend calls, the fellows will also perform level II sonogram evaluation of high risk pregnancies admitted to L&D or antepartum services on Philips En Visor ultrasound.

 

John Sealy Hospital Labor and Delivery Unit and R. Waverley Smith Pavilion

During FY2006, 6878 total deliveries were performed by residents, Certified Nurse Midwives and private physicians.  Total of 2,365 cesarean section deliveries, 658 postpartum bilateral tubal ligations and 15 cesarean hysterectomies were performed.  The obstetrical service is composed of two obstetrical teams of residents managing labor and delivery units, 15-25 antepartum patients, postoperative and complicated postpartum patients with the supervision from MFM fellows and faculties.  These antepartum patients have complications such as preterm labor, premature rupture of membrane, pre-eclampsia remote from delivery, cardiac disease, sickle cell crisis, SLE flare or TTP on exchange plasmaphoresis therapy.  Fellows participated in intrauterine transfusions for Rh-isoimmunization and fetal parvovirus infection with hydrops.  Multiple amnioreductions were performed for complications of twin-twin transfusions.

 

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This site published by Brandie Davis for the Department of Obstetrics and Gynecology's Maternal Fetal Medicine Fellowship
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Last modified 11/12/2007