{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T21:01:18Z","timestamp":1783803678315,"version":"3.55.0"},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"S 01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>\n            Objective\u2003This article describes the experience in the planning and development of a special delivery unit (SDU) at our free-standing children's hospital in Austin, Texas.<\/jats:p><jats:p>\n            Study Design\u2003Description of various aspects of the development of the SDU. In addition, telephone surveys were obtained from five other institutions regarding the planning and current status of their SDUs.<\/jats:p><jats:p>\n            Results\u2003Since the advent of the SDU at Children's Hospital of Philadelphia in 2008, several free-standing children's hospitals have opened similar units at their institutions. Developing an obstetrical unit in a children's hospital can be a daunting task on many fronts. The costs of providing 24-hour obstetrical, nursing, and anesthesiology coverage must be considered. Although most SDUs are associated with a fetal center and fetal surgery\/interventions, some units function exclusively for the delivery of pregnancies complicated by major fetal conditions where the neonate will require immediate surgical care or other interventions.<\/jats:p><jats:p>\n            Conclusion\u2003Research on the cost-effectiveness and the effect of SDUs on clinical outcome, teaching, and patient satisfaction is warranted.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/a-2107-1923","type":"journal-article","created":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T23:25:31Z","timestamp":1686180331000},"page":"e2216-e2224","source":"Crossref","is-referenced-by-count":3,"special_numbering":"S","title":["The Special Delivery Unit: A Novel Concept for Mother\u2013Baby Continuity for Major Fetal Abnormalities"],"prefix":"10.1055","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5028-8426","authenticated-orcid":false,"suffix":"Jr.","given":"Kenneth J.","family":"Moise","sequence":"additional","affiliation":[{"name":"Department of Women's Health, Dell Medical School\u2013University of Texas at Austin, Austin, Texas"},{"name":"Comprehensive Fetal Care Center, Dell Children's Medical Center, Austin, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael W.","family":"Bebbington","sequence":"additional","affiliation":[{"name":"Department of Women's Health, Dell Medical School\u2013University of Texas at Austin, Austin, Texas"},{"name":"Comprehensive Fetal Care Center, Dell Children's Medical Center, Austin, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Nix","sequence":"additional","affiliation":[{"name":"Department of Women's Health, Dell Medical School\u2013University of Texas at Austin, Austin, Texas"},{"name":"Ascension Medical Group, Austin, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Thomas","sequence":"additional","affiliation":[{"name":"Ascension Dell Children's Medical Center, Austin, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Kosko","sequence":"additional","affiliation":[{"name":"Ascension Dell Children's Medical Center, Austin, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,7,10]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1053\/j.sempedsurg.2012.10.002","article-title":"The Garbose Family Special Delivery Unit: a new paradigm for maternal-fetal and neonatal care","volume":"22","author":"L J Howell","year":"2013","journal-title":"Semin Pediatr Surg"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1161\/CIRCULATIONAHA.113.003711","article-title":"Prenatal diagnosis, birth location, surgical center, and neonatal mortality in infants with hypoplastic left heart syndrome","volume":"129","author":"S A Morris","year":"2014","journal-title":"Circulation"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"e205239","DOI":"10.1001\/jamanetworkopen.2020.5239","article-title":"Trends in neonatal intensive care unit utilization in a large integrated health care system","volume":"3","author":"D Braun","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1097\/AOG.0000000000003077","article-title":"ACOG Committee Opinion No. 765 Summary: avoidance of nonmedically indicated early-term deliveries and associated neonatal morbidities","volume":"133","author":"ACOG Committee Opinion No","year":"2019","journal-title":"Obstet Gynecol"},{"issue":"18","key":"ref6","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1002\/bdr2.1589","article-title":"National population-based estimates for major birth defects, 2010-2014","volume":"111","author":"C T Mai","year":"2019","journal-title":"Birth Defects Res"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1097\/AOG.0000000000004793","article-title":"Care levels for fetal therapy centers","volume":"139","author":"A A Baschat","year":"2022","journal-title":"Obstet Gynecol"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1097\/AOG.0000000000003599","article-title":"Certification process of fetal centers in Texas and developing national guidelines","volume":"135","author":"K J Moise Jr.","year":"2020","journal-title":"Obstet Gynecol"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1097\/AOG.0000000000004913","article-title":"Care levels for fetal therapy centers","volume":"140","author":"K J Moise Jr.","year":"2022","journal-title":"Obstet Gynecol"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2107-1923.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T13:36:08Z","timestamp":1730813768000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2107-1923"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,7]]},"references-count":8,"journal-issue":{"issue":"S 01","published-online":{"date-parts":[[2024,5,13]]},"published-print":{"date-parts":[[2024,5]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2107-1923","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,6,7]]},"published":{"date-parts":[[2023,6,7]]}}}