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2 • WINTER 1996 ISSUE
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SINAI HOSPITAL
SPECIAL ADVER TI SEMENT
Comprehensive Obstetrics Center
Meets Women's Needs In New Location
inai Women's Health is relo-
cating the Comprehensive
Obstetrics Center to the new
Sinai Women's Health build-
ing. Sinai is adapting to
women's needs by providing them with
a range of healthcare services in one
convenient location.
The Comprehensive Obstetrics Cen-
ter, formerly called the High Risk Preg-
nancy Program, serves pregnant
women susceptible to a full range of ac-
tual or potential risks to either mother
or infant. Housed in the new Sinai fa-
cility on West Maple Road, between
Farmington and Orchard Lake Roads
in West Bloomfield, the obstetric com-
ponent joins the recently opened Breast
Care Center.
The Comprehensive Obstetrics Cen-
_ ter is a multi-disciplinary program for
pregnant women with actual or poten-
tial complications such as diabetes, high
blood pressure, multiple pregnancy
or a loss of a previous
pregnancy. The four
physicians at the center
are perinatologists
David B. Schwartz,
MD, Gregory L. Goyert,
MD, Richard Bron-
steen, MD, and Debra
Wright, MD, who are
specialists in treating t
pregnant patients with
complications. The per-
sonnel include special-
ly trained nurses and
technicians who help
provide fetal assess-
ment services such as
ultrasound scanning,
amniocentesis and non-
stress testing. In addi-
tion, on-site counseling
services include those of a certified ge-
netics counselor as well as those for the
psychological stresses from a pregnan-
cy loss. The nurses are certified nurse
practitioners and specially trained in
providing emotional support and as-
sisting with educational programs and
in managing these high-risk patients.
Thus, patients and their primary care
physicians have access to a multi-
skilled team of health-care providers.
The Comprehensive Obstetrics Cen-
ter provides consultation (second opin-
ion) services to physicians and their
patients. However, should medical care
during a pregnancy become a concern,
the patient may be a candidate for co-
management by the obstetrician and
by the specialists at the Center. Some-
times, though, a mother's problems are
so significant it is in her best interest
to have her care trans-
ferred exclusively to the
Center's specialists.
Since the Comprehen-
sive Obstetrics Center is
an extension of care al-
ready provided by Sinai
Hospital, mothers can de-
pend on continued access
to specialized services
when they deliver. The
hospital conducts a special
fellowship training pro-
gram in obstetric anesthe-
siology which allows for 24
hour availability of anes-
thesia procedures, includ-
ing epidurals. In addition
to the Center's skilled com-
plement of four perinatol-
ogists, Sinai also boasts
Level III nursery certifi-
cation. The neonatal in-
tensive care unit is staffed
Above: Sinai's Comprehensive Obstetrics Center offers a full range of services to
pregnant women with actual or potential complications. For appointments or
information, call 810-539-4572.
Left: David B. Schwartz, MD, Chairman of the Department of Obstetrics and Gynecology
at Sinai, counsels a couple on a high risk obstetrics problem.
Hope is Available
for Infertility
24 hours-a-day by one of six neonatal-
ogists, who are physicians specially
trained and certified to take care of
newborn problems.
Dr. Schwartz, Chairman of the De-
partment of Obstetrics and Gynecolo-
gy, and the committee charged with
developing the women and infant ser-
vice's strategic plan, is proud of what's
been accomplished. "I think the center
is another major innovation that we
have accomplished; it continues to ad-
dress the issue of taking service sites
out into the community. The Compre-
hensive Obstetrics Center will bring
a range of services and personnel
together in a very unique way, com-
bining a convenient site with a combi-
nation of services not easy to duplicate."
continues on page 6
11:Sinal
pproximately 15 percent of couples in the childbearing years
encounter infertility. Technically, a couple isn't termed infer-
tile unless they are unable to conceive a child after at least a
year of regular intercourse without using any form of birth control.
The inability to conceive can be due to problems with the man,
the woman or both. Sometimes there is no obvious explanation
for why they cannot conceive. Infertility can occur at any time, even
after you have already had children.
Infertility can result from many different causes. In men, the
number and quality of sperm can affect a man's ability to impreg-
nate a woman. Something as simple as the temperature of the scro-
tum can influence a man's fertility. Infection (such as mumps in
adulthood), venereal disease or hormone imbalances can also cause
infertility in a man.
A woman's reproductive system can be affected by infection,
hormone imbalance, endometriosis, scar tissue, fibroids and many
other conditions.
Depending on the source of the infertility, different treatment op-
tions are available which may help a couple become pregnant. Once
a couple has been evaluated for infertility, deciding on the appro-
priate therapy can be difficult. There is an array of choices, espe-
cially for women. To help make the best choice for them, Sinai has
three specialists in Reproductive Endocrinology — David
A
continues on page 6