Undergraduate Degree

  • Haverford College , 1985 , Haverford , PA

Medical School

  • Harvard Medical School , 1990 , Boston , MA


  • Boston Children's Hospital , 1991 , Boston , MA


  • Boston Children's Hospital , 1993 , Boston , MA

Graduate Degree

  • Harvard University School of Public Health , 1995 , Boston , MA


Joint Program in Neonatology
  • Boston Children's Hospital , 1996 , Boston , MA

In the Boston Children’s Hospital (BCH) Neonatal Intensive Care Unit (NICU) our philosophy is to ensure that every patient receives the best care for the best possible outcomes. This requires a team based approach with all members being essential:

Families: We practice family-integrated care; we encourage families to be at the center of all we do, understanding and participating in the care of their baby.

Doctors: At BCH we have an enormous breadth and depth of world-class medical and surgical subspecialists who cover all aspects of pediatric medicine and who are continuously innovating new diagnostics and novel therapies to treat newborn diseases. The treatment of each patient is coordinated by our attending neonatologists.

Nurses: We have highly experienced neonatal nurses and nurse practitioners who devote themselves to the bedside care of babies and their families, working in a primary team model to promote consistency. We are the only NICU in the country to have received the Gold Level Beacon award, a testimony to the extraordinary performance of our nurses.

Ancillary staff: this includes respiratory therapists, nutritionists, lactation consultants, pharmacists, physical and occupational therapists, social workers and interpreters who all work with us to meet our patients’ needs.


My professional activities span the realm of clinical service, administration, research and teaching, all devoted to discovering, implementing and teaching evidence-based clinical care of seriously ill newborns. 
As the NICU director, I am responsible for patient care, research endeavors, and educational needs. I have developed numerous important guidelines for our NICU and have collaborated on a wide range of medical improvements. We were the first NICU in New England to provide a specialized hypothermia program for babies with difficult births and now use sophisticated neurologic imaging to assess brain function. I collaborate with engineering laboratories to develop improved medical devices including a catheter with lower risk of infection. I am the course director of a program to teach communication with families. 

I also work on projects for resources limited settings. I helped develop a nonelectric infant warmer and collaborated with Rwandan doctors and ministry of health to develop and teach their national newborn medicine standards. 

I have authored original research papers and manuals including Manual of Neonatal Mock Codes, Manual of Neonatal Care and Manual of Neonatal Surgical Intensive Care.


  • American Board of Pediatrics, Neonatal-Perinatal Medicine


Publications powered by Harvard Catalyst Profiles

  1. Improving Access to Lactation Consultation and Early Breast Milk Use in an Outborn NICU. Pediatr Qual Saf. 2019 Jan-Feb; 4(1):e130. View abstract
  2. Early Management of Infants With Robin Sequence: An International Survey and Algorithm. J Oral Maxillofac Surg. 2019 Jan; 77(1):136-156. View abstract
  3. Reducing time to initiation and advancement of enteral feeding in an all-referral neonatal intensive care unit. J Perinatol. 2018 07; 38(7):936-943. View abstract
  4. Implementation of a Guideline to Decrease Use of Acid-Suppressing Medications in the NICU. Pediatrics. 2017 Dec; 140(6). View abstract
  5. A Regional Evaluation of Survival of Infants with End-Stage Renal Disease. Neonatology. 2017; 112(1):73-79. View abstract
  6. The Development and Implementation of a Newborn Medicine Program in a Resource Limited Setting . Public Health Action. 2015. View abstract
  7. A bioinspired omniphobic surface coating on medical devices prevents thrombosis and biofouling. Nat Biotechnol. 2014 Nov; 32(11):1134-40. View abstract
  8. Falls and comorbidity: the pathway to fractures. Scand J Public Health. 2014 May; 42(3):287-94. View abstract
  9. Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. Acad Pediatr. 2014 Jan-Feb; 14(1):47-53. View abstract
  10. Whole genome sequencing identifies SCN2A mutation in monozygotic twins with Ohtahara syndrome and unique neuropathologic findings. Epilepsia. 2013 May; 54(5):e81-5. View abstract
  11. Placental pathology in asphyxiated newborns meeting the criteria for therapeutic hypothermia. Am J Obstet Gynecol. 2010 Dec; 203(6):579.e1-9. View abstract
  12. Can induced hypothermia be assured during brain MRI in neonates with hypoxic-ischemic encephalopathy? Pediatr Radiol. 2010 Dec; 40(12):1950-4. View abstract
  13. Donation after cardiac death: the potential contribution of an infant organ donor population. J Pediatr. 2011 Jan; 158(1):31-6. View abstract
  14. An interdisciplinary, family-focused approach to relational learning in neonatal intensive care. J Perinatol. 2011 Mar; 31(3):212-9. View abstract
  15. Early versus late MRI in asphyxiated newborns treated with hypothermia. Arch Dis Child Fetal Neonatal Ed. 2011 Jan; 96(1):F36-44. View abstract
  16. Correlation of 2-methoxyestradiol levels in cord blood and complications of prematurity. Pediatr Res. 2010 May; 67(5):545-50. View abstract
  17. Premature infant swallowing: patterns of tongue-soft palate coordination based upon videofluoroscopy. Infant Behav Dev. 2010 Apr; 33(2):209-18. View abstract
  18. Maternal preeclampsia predicts the development of bronchopulmonary dysplasia. J Pediatr. 2010 Apr; 156(4):532-6. View abstract
  19. MAp44, a human protein associated with pattern recognition molecules of the complement system and regulating the lectin pathway of complement activation. J Immunol. 2009 Dec 01; 183(11):7371-8. View abstract
  20. Polymorphisms in mannan-binding lectin (MBL)-associated serine protease 2 affect stability, binding to MBL, and enzymatic activity. J Immunol. 2009 Mar 01; 182(5):2939-47. View abstract
  21. Neonatal arterial thrombosis at birth: case report and literature review. Am J Perinatol. 2008 Jun; 25(6):347-52. View abstract
  22. Inhaled epinephrine for the treatment of transient tachypnea of the newborn. J Perinatol. 2008 Mar; 28(3):205-10. View abstract
  23. No certain predictors for mutation status in a Danish cohort with familial hypercholesterolemia: a descriptive study. Clin Biochem. 2007 Dec; 40(18):1347-52. View abstract
  24. Potential substitution of cord blood for infant blood in the neonatal sepsis evaluation. Biol Neonate. 2005; 88(1):12-8. View abstract
  25. Antenatal neurosurgical counseling: approach to the unborn patient. Pediatr Clin North Am. 2004 Apr; 51(2):491-505. View abstract
  26. Once-daily gentamicin dosing for the preterm and term newborn: proposal for a simple regimen that achieves target levels. J Perinatol. 2003 Dec; 23(8):635-9. View abstract
  27. Very low birthweight Infant's placenta and its relation to pregnancy and fetal characteristics. Pediatr Dev Pathol. 2000 Sep-Oct; 3(5):419-30. View abstract
  28. Very low birthweight placenta: clustering of morphologic characteristics. Pediatr Dev Pathol. 2000 Sep-Oct; 3(5):431-8. View abstract
  29. Plasminogen activator inhibitor-1: defining characteristics in the cerebrospinal fluid of newborns. J Pediatr. 2000 Jul; 137(1):132-4. View abstract
  30. Sonographically detected subarachnoid hemorrhage: an independent predictor of neonatal posthemorrhagic hydrocephalus? Clin Imaging. 2000 May-Jun; 24(3):121-9. View abstract
  31. Labor and delivery characteristics and risks of cranial ultrasonographic abnormalities among very-low-birth-weight infants. The Developmental Epidemiology Network Investigators. Am J Obstet Gynecol. 1999 Oct; 181(4):997-1006. View abstract
  32. Thymic transplantation across an MHC class I barrier in swine. J Immunol. 1999 Oct 01; 163(7):3785-92. View abstract
  33. Medical management of neonatal posthemorrhagic hydrocephalus. Neurosurg Clin N Am. 1998 Jan; 9(1):95-104. View abstract
  34. CNS fibrinolysis: a review of the literature with a pediatric emphasis. Pediatr Neurol. 1998 Jan; 18(1):15-21. View abstract
  35. Intraventricular urokinase for the treatment of posthemorrhagic hydrocephalus. Pediatr Neurol. 1997 Oct; 17(3):213-7. View abstract
  36. Cerebrospinal fluid plasminogen activator inhibitor-1: a prognostic factor in posthaemorrhagic hydrocephalus. Acta Paediatr. 1997 Sep; 86(9):995-8. View abstract
  37. Predictors of ventriculoperitoneal shunt among babies with intraventricular hemorrhage. J Child Neurol. 1997 Sep; 12(6):381-6. View abstract
  38. Central apnea in a child with congenital autonomic dysfunction and universal pain loss. J Child Neurol. 1996 Mar; 11(2):162-4. View abstract