Riley Children's Health Annual Report – October 2026

RESEARCH HIGHLIGHTS

MATERNITY & NEWBORN HEALTH

With the expertise to manage the highest-acuity maternal conditions, obstetric specialists at Riley Children’s Health provide comprehensive care for all pregnant patients. From those seeking low-intervention, routine obstetric care to individuals with significant medical or pregnancy-related complications, our multidisciplinary team is equipped to support every birthing person’s needs. MATERNITY SERVICES

Clinical trials underway at Riley Children’s SERENE study – Assess the safety and effectiveness of the KOKO™ device in treating primary abnormal postpartum uterine bleeding or hemorrhage. RETAIN study – Evaluate the safety and effectiveness of the Novocuff Cervical Control System™ in retaining amniotic fluid and improving latency in patients with preterm premature rupture of membranes. Advanced therapies and procedures ■ Comprehensive care for women with cervical and cesarean scar ectopic pregnancies, including fertility-preserving options for patients meeting the criteria ■ Collaboration with gynecologic oncology physicians for management of placenta accreta spectrum disorders ■ Fetal surgery program, including laser treatment for twin-to-twin transfusion syndrome, insertion of bladder and chest shunts, therapy for amniotic band syndrome and myelomeningocele repair using mini-laparotomy/percutaneous fetoscopic approach ■ Transcervical and transabdominal cerclage ■ Percutaneous umbilical cord blood sampling and intrauterine transfusion

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TOP DISTINCTIONS

Inpatient maternity and obstetric services are provided at the Maternity Tower at Riley Hospital for Children in downtown Indianapolis. Skilled expertise, a collaborative care model and a commitment to leading-edge care and safety, benefit all patients, regardless of risk level.

Committed to training future specialists

Obstetric Emergency Department Dedicated, high-acuity access point for pregnant and postpartum patients requiring immediate evaluation and treatment. Staffed 24/7 by obstetric trained clinicians, the OB ED provides rapid triage and management for the full spectrum of obstetric and medical emergencies. LifeLine Perinatal Transport Team Specialized, 24/7 transport for pregnant and postpartum patients requiring higher-level maternal care. Expert IU Health transport team delivers advanced stabilization and monitoring during ground or air transport, ensuring safe, seamless transfer to our Level IV maternal care center. Obstetric Anesthesia

■ One of only two Level IV maternal care centers in Indiana ■ Only maternal hospital in the state with an Obstetric Intensive Care Unit; three beds with full intensive care capabilities and staffed 24/7 by an adult intensive care physician ■ Provides highest level of maternal care capability, including comprehensive subspecialty support, advanced critical care resources and management of the most complex maternal conditions Level IV maternal care center: Reflects highest level of maternal care capability, including comprehensive subspecialty support, advanced critical care resources and the ability to manage the most complex maternal conditions. Level IV verification aligns with national standards for maternal levels of care and underscores the exceptional clinical resources and expertise available at Riley Children’s.

Riley obstetric physicians partner with maternal fetal medicine specialists to offer a maternal fetal medicine fellowship at IU School of Medicine. The fellowship provides specialized training in a high-volume, high-acuity clinical environment that exposes learners to the full array of maternal and fetal health conditions.

3,781 Total deliveries

85 OB ICU admissions

Maternity Services Volume: 2025

Dedicated obstetric anesthesia service with two anesthesia physicians on site 24/7 and a specialized team of advanced practice providers. This expert group delivers continuous, high-quality anesthesia care for all patients—from those seeking low-intervention support to individuals with the most complex, high-risk conditions. Complex Family Planning IU Health in Indianapolis provides both surgical and medical abortions within the legal limits of Indiana law, including for the indications of pregnancy affected by lethal fetal anomaly and/or health- and life- threatening medical or pregnancy conditions and/or pregnancy as a result of rape or incest. Water Birth Offering a low-intervention labor experience, water birth is an option in our hospital’s designated birthing suites. This service is supported by trained clinicians to ensure a safe and personalized birth for those who meet criteria and desire this birthing experience.

DIRECTOR Caroline E. Rouse, MD Associate Professor of Clinical Obstetrics and

Gynecology, IU School of Medicine > Connect with Dr. Rouse on Doximity.

25 board certified/board eligible physicians

See full team member list >

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