Babies treated in our NICU include term and preterm babies with respiratory distress syndrome, perinatal depression, congenital pneumonia, meconium aspiration syndrome, persistent pulmonary hypertension, sepsis, septic shock, inborn errors of metabolism, surgical emergencies like diaphragmatic hernia/NEC, etc. Interventions like intubation and mechanical ventilation, surfactant therapy, arterial and central lines, exchange transfusions, emergency thoracocentesis etc., are being done by experienced hands.
- All the deliveries are attended by paediatricians trained in neonatal resuscitation
- Counseling is offered for all prospective parents by obstetricians and paediatricians before the birth of the baby
- We have a planned approach to high-risk pregnancies
- Complex neonatal surgeries are being done by an experienced pediatric surgeon
- NICU graduates with risk factors are being followed up regularly at neurodevelopmental follow-up clinic held once a week with a multidisciplinary approach, including screening for Retinopathy of Prematurity and hearing impairment (BERA)
- Well baby clinic for routine check-up and immunization of all babies born here is being conducted twice a week.
In the postnatal ward, every newborn is examined by a team of doctors every day to monitor signs of well being and to identify the sick ones for intensive care. Doctors and trained nursing staff are available round the clock to address emergency issues. Breastfeeding which is initiated at labor rooms is continued in postnatal wards. All problems related to breastfeeding are identified and addressed personally at the earliest.
The common problems encountered during routine rounds in postnatal wards are neonatal hyperbilirubinemia, hypoglycemia in IUGR, early and late-onset sepsis, seizures, etc. Such infants are immediately shifted to NICU for further evaluation and management.
During the hospital stay, mothers are taught methods of keeping the newborn warm including Kangaroo Mother Care (KMC), care of the umbilical cord and recognition of early signs of infection. All babies who received NICU care are followed up in a postnatal ward for feeding, weight gain and completion of antibiotics.
At discharge, a doctor takes responsibility for counseling all the mothers about exclusive breastfeeding, burping, need for appropriate temperature maintenance, bathing etc, and their concerns and doubts are cleared before discharge. A specific date for follow up is given to each of them. Discharge summary which is being given to the patient contains detailed information about antenatal risk factors, intrapartum events, and anthropometry at discharge. For babies who were admitted in NICU for a long time, problem-based details and their specific management are provided for future reference in their discharge summary.
Immunisation and follow up
All babies in the postnatal ward are vaccinated at free of cost according to National Immunisation Schedule (BCG, OPV, Hepatitis B, ) before discharge. Immunization charts with anthropometry are also given to the parents along with discharge summary.
Review dates are given at discharge and parents are contacted over phone one day prior to review to remind them about the visit and ensure well being of the neonate/infant. All high-risk infants are followed up in a well-baby clinic conducted on Wednesday. Neurodevelopmental assessment, vision and hearing evaluation are done for such infants and therapy provided based on their needs.
Details of risk factors are collected before delivery and resuscitation equipment are kept ready. After delivery baby is received in the radiant warmer and resuscitation is performed according to the NRP guidelines. Stable babies are monitored in radiant warmer until the mother is ready for breastfeeding. Sick babies are stabilized in the labour ward and shifted to NICU for further care. A nurse is appointed to clear the used material after each delivery and to keep ready a new resuscitation kit. Periodic cleaning of Labour wards and resuscitation rooms are being done according to infectious disease control department.
The Pediatric OPD is located in the D-block, the ground floor of the hospital building. Children up to 12 years of age attend the pediatric OPD which functions from 8.30 A.M to 4.30 P.M on all weekdays and from 8.30 A.M until 1.00 P.M on weekends. The OPD is run by Assistant Professors, Senior Residents, Postgraduate Students in Pediatrics and CRRIs under the supervision of the Unit Chiefs and the Head of the Department. Apart from the regular OPD services, there are five specialty units that run on specific days of the week to attend to the needs of children who require special, individualized care. The OPD has facilities to provide treatment like Nebulization, Injections and also has the necessary equipment to provide emergency care when required.
The cardiology clinic is run by a competent team comprising a cardiologist, a Pediatrician, Cardiology and Pediatric Postgraduate students and CRRIs. Children born with congenital cardiac anomalies like VSD, ASD, Tetrology of Fallot, cardiomyopathies and children with commonly acquired heart conditions like rheumatic fever and rheumatic heart disease are managed in this clinic. Apart from the periodic evaluation of the underlying cardiac conditions, children are also assessed in the domains of growth and development to ensure wholesome care. Echocardiography is done by experienced hands and procedures like CT angiography and cardiac catheterization are planned in consultation with the CTVS unit. Treatment is closely collaborated with the surgical team in order to provide timely surgical interventions when the need arises. The treating team also makes necessary arrangements with the help of hospital social workers to help economically backward patients reap the benefits of the chief minister’s health insurance scheme.
Well baby / Immunization /High Risk baby follow up Clinic
True to the adage that “Prevention is better than Cure”, the well-baby clinic functions to promote healthy and safe child-rearing practices. Assistant Professors, Senior Residents and Postgraduates working in the Newborn Unit run this specialty clinic to deliver continuing care and follow up. All babies attending the Immunization and Well Baby Clinic are administered vaccines, free of cost in accordance with the National Immunization Schedule. Child’s growth and development is meticulously assessed during each visit and any deviation from the normal is addressed immediately. Exclusive breastfeeding until 6 months of age and age-appropriate complementary feeding practices is emphasized. NICU graduates receive added attention to identify potential morbidities and receive appropriate treatment often in association with specialists of other departments like Ophthalmology, ENT, Physiotherapy and Occupational Therapy.
Neurology and Child Rehabilitation clinic
Children with chronic neurological problems like epilepsy, developmental delay, cerebral palsy and neurodegenerative disorders etc., pose challenging problems that call for a team of specialists to deliver the best possible care. Our Pediatricians, with the help of a neurologist with expertise in managing children with neurological problems, physiotherapists and occupational therapists strive to provide such care to these children attending the neurology clinic. Parents are educated regarding disease conditions and are also provided support to cope with their children’s health problems. Regular follow up and compliance with treatment schedule is also emphasized.
Nephrotic syndrome and urinary tract infections are among the commonly occurring renal problems in children that require regular follow up. The Nephrology unit takes care of such children in addition to the follow up of children with chronic kidney disease, acute kidney injury, congenital genitourinary disorders and rare conditions like renal tubular acidosis. Assessment of growth, blood pressure and evaluation of the underlying problem is undertaken during each visit. The child’s family is also involved in the successful management of these children wherever applicable. Consultations are also sought from the surgeons and urologists in cases where surgical intervention might be needed.
Child Guidance Clinic
The need for a dedicated unit of specialists with expertise in the field of child and adolescent psychology and psychiatry to address the issues of children requiring such care is being recognized these days. The child guidance clinic functions to meet that end, under the supervision of a psychiatrist, a Pediatrician in addition to Post Graduates in the Departments of Psychiatry and Pediatrics to correctly diagnose and treat problems like ADHD, autism, learning disabilities and a host of other psychiatric and psychological conditions. The team also spends quality time providing unbiased and valuable information regarding these conditions to the concerned family to allay their anxiety and improve their understanding of the condition, which is the cornerstone of the management.
Developmental Pediatrics Clinic
This special clinic was started with an aim to identify children with developmental problems and to provide remedial services like occupational, speech and behavioural therapy for children with needs.
The clinic is run by a multi-disciplinary team comprising of consultants from varied specialities like Pediatric Neurology, Neonatology, Developmental Pediatrics, Psychiatry, Ophthalmology, ENT, Orthopedics, Dental surgery and Plastic surgery, professionals offering therapy services like Child psychology, Occupational therapy, Physiotherapy, Speech therapy, and Nutrition counseling. A dedicated large area with all the requisite equipments for offering comprehensive therapy has been instituted in the I Block of the hospital.