The UNC Special Infant Care Clinic (SICC) provides a multidisciplinary approach to the developmental follow-up of high-risk infants from birth to 2 years of age. A team of physicians, nurse practitioners, speech pathologists, occupational therapists, and physical therapists provide comprehensive developmental evaluations and link infants to community services such as Early Childhood Intervention. Babies can also receive hearing, feeding and nutrition evaluations. In addition, the SICC provides follow-up for patients involved in clinical research protocols. This service is available to infants who have been transferred to community hospitals for the remainder of their growth and recovery from acute illness or prematurity as well as those who complete their full stay in the UNC Newborn Critical Care Center.
Babies with the following conditions may qualify to receive care through this clinic: prematurity, low birth weight, congenital anomalies (birth defects), breathing problems, or other high-risk conditions. Additional criteria are described below.
Infants at risk for neurodevelopmental delays should be invited for follow-up in SICC. The first appointment should be scheduled at 6 months adjusted age. For very high risk infants, such as those discharged on oxygen or with a tracheostomy, or with significant family support needs, providers should schedule the first appointment 1-3 months after discharge. Notify clinic staff, Janice Wereszczak or Carol Hubbard at 919-966-3476 of these special requests or for questions/advice. You can also contact Lori Carter at 919-843-0956. A child service coordinator referral should be made for all infants who will follow-up in SICC.
This clinic generally meets the second and fourth Thursday of each month. Clinic is also held on some Fridays. For inquiries and patient appointments, please contact Lori Carter, RN, at 919-843-0956.
The Center for Maternal and Infant Health provides staff support to this clinic. Our care coordinator, Lori Carter, works with multiple specialists to insure that babies see all of their care providers at this "one stop shopping" visit. She also provides follow up after the visit to insure that families have been given all necessary referrals.
Specific Selection Criteria
- Infant with birthweight less than or equal to 1250 grams or gestational age less than 30 weeks
OR ANY OF THE FOLLOWING:
- Grade III or IV Intra ventricular hemorrhage
- Periventricular leukomalacia
- Perinatal Asphyxia (umbilical cord pH ,7.0, 5 minute apgar <5, multisystem organ involvement, abnormal EEG, hypoxic ischemic encephalopathy)
- Severe Chronic Lung Disease: discharged home on oxygen
- PPHN requiring nitric oxide, high frequency oscillator ventilation or ECMO
- Hyperbilirubinemia requiring exchange transfusion
- Post-op patients of major congenital heart disease
- Neurologic disorders, hyper or hypotonia, or seizures
- Symmetric Inutero Growth Restriction
- Genetic syndromes associated with neurodevelopmental delays
- Hydrocephalus requiring VP-shunt
- Congenital infections
- Infants with high parental psycho-social risk (substance use/teenage parent)
- Other conditions that the team feels will place the infant at high-risk.