Williamson Women's Services May 21, 2008

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Women's services at Seton Medical Center Williamson are expected to play an important role in area health care in the years to come as the phenomenal growth in the Williamson County region brings more young families and, subsequently, more babies. The county is near the top of almost every list of fastest growing areas in the nation.

The influx of more people will also result in an increase of about 30 percent in the number of births to young families between now and 2015.

"We are seeing an extraordinary amount of young, healthy women," comments Round Rock Obstetrician/Gynecologist Kevin H. Brown, MD, FACOG, of Round Rock OBGYN, PA, who delivered the first baby born at SMCW. Dr. Brown moved to the area last year to build his practice. "We are seeing a higher percentage of pregnancies than I expected, most likely because the population is disproportionately young, which is a contrast to most counties."

Round Rock Obstetrician/Gynecologist Saima K. Jehangir, MD, agrees. "Families from all over the country are moving here and seeking new physicians. We need to be able to provide comprehensive care for younger women, those who need maternity services and women who need care beyond the childbearing years. I think the most important thing for them to know is that they don't have to travel very far to get the care then need. We have our own self-sufficient, free-standing hospital and physicians available to provide the full scope of care patients will need."

SMCW Women's Center

The dedicated Women's Center includes obstetrics and gynecology, labor and delivery, postpartum care, transitional care and a Level II special care nursery. In addition, SMCW supports a full range of women's surgical services.

Dr. Brown is pleased that SMCW can handle a high volume of laparoscopic procedures. "This is a brand new hospital designed from day one for today's equipment," he says. "Laparoscopic procedures can be done in an hour or so. Many hospitals were built prior to laparoscopy and didn't have a place to store the equipment and weren't set up for the digital technology necessary for monitoring. Now there is an efficient use of space, every patient chart is available at the bedside and we no longer waste time or energy tracking things down."

"We have a very strong women's service line," says SMCW VP Michelle Robertson, RN, chief operating officer for the hospital. We know Williamson County has a high proportion of women with young families. The start of a healthy family is the health of a mother."

Staffing For Difference

Michelle recruited the clinical staff for SMCW from other Seton Family of Hospitals facilities in the region. Nurses in the Women's Center average more than 14 years experience.

Four Seton family hospitals - Dell Children's Medical Center of Central Texas, Seton Medical Center Austin, Seton Northwest Hospital and University Medical Center at Brackenridge - recently were recertified as Magnet hospitals by the credentialing arm of the American Nurses Association. Elite Magnet hospitals are noted for employing and retaining the best nurses in the business and creating as well as following best practices in care.

The Seton Family recently received the Ernest Amory Codman Award from the Joint Commission, the predominant standards-setting and accrediting body in healthcare. The award recognizes excellence in improving quality and safety outcomes, in this case, achieving a 93 percent reduction in birth trauma rates.

"We were already at about half the national birth trauma rate, but we needed to do better," says Seton President and CEO Charles J. Barnett. "Through the good work of our nurses and physicians, we've been able to reduce our rates even more. In fact, over the past year, we've experienced zero birth traumas, which is really remarkable."

Many of the clinical staff at SMCW participated in the initiative.

SMCW's Level II Neonatal Nursery

Another important element for care at SMCW involves its neonatal nursery.

"It definitely allows us to keep babies with some difficulties in the birthing process closer to home," says Dr. Jehangir. If the baby needs care, he or she doesn't have to be separated from the mother if there is a C-section or a complication."

In the nursery, clinical skill is essential.

"Many highly skilled Level III neonatal nurses from the Marialice Shivers Regional Neonatal Intensive Care Unit at Seton Medical Center Austin who live in Williamson County," says Neonatal Services VP Susan Crane, RN. "Although they all wanted to work closer to home at least part of the time, the nurses did not want to completely abandon caring for complex Level III patients. Many of our nurses are certified in High Risk NICU nursing which requires working a certain number of hours in a Level III nursery to maintain certification. all these considerations initiated the development of a plan to rotate staff between Austin and Williamson so everyone can work close to home part of the time, but still keep their advanced skills and certifications active."

The unique staff sharing approach conveys additional clinical skills for SMCW's nursery in addition to maintaining a seamless relationship with the advanced neonatal ICUs at both SMCA, University Medical Center at Brackenridge and Dell Children's Medical Central of Central Texas.

"We are pleased with the synergies that will allow us to help improve the health of area residents," adds Michelle.

Maternity Virtual Tour

We have created a Maternity Virtual Tour to introduce you to our new women's space at Seton Medical Center Williamson. Take time to look at our facilities and meet some of our associates who will care for you while you are there.

Kevin H. Brown, MD, FACOG
Round Rock OBGYN, PA
1000 Hester's Crossing, Suite 400
Round Rock, TX 78681
(512) 255-7762

Dr. Brown received a Bachelor of Science degree Magna Cum Laude from the University of Georgia, studied medicine at Medical College of Georgia, then pursued specialty training in obstetrics and gynecology at the University of South Florida in Tampa. He is board certified by the American Board of Obstetrics and Gynecology.

He is in private practice with his wife Dr. Ingrid Brown at Round Rock OBGYN, PA. Dr. Brown serves on the editorial advisory board for "The Prescriber's Letter" and "The Pharmacist's Letter" national publications for doctors and pharmacists. He was recognized as a reviewer in the top 10 percent for the official journal of the American College of Obstetricians and Gynecologists, "Obstetrics and Gynecology."

Saima K. Jehangir, MD
Lotus OB/GYN
301 Seton Parkway, Suite 407
Round Rock, TX
(512) 716-0971

Dr. Jehangir is an Austin native and alumnus of the University of Texas at Austin. She received a Master's degree in Public Health and a medical degree from the University of Texas Health Science Center in San Antonio. She interned at the World Health Organization in Geneva, Switzerland. She was chief resident in Baltimore, MD and spent part of her time training at Johns Hopkins University. She received an Award for Excellence in laparoscopic Surgery as a resident.

Dr. Jehangir speaks several languages, including Urdu, Hindi, French, Spanish and some Arabic.

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