KING EDWARD MEMORIAL HOSPITAL

Seth Gordhandas Sunderdas Medical College

Acharya Donde Marg, Parel,
Mumbai 400 012. India.
Tel.: 91-22-2410 7000 Fax: 91-22-2414 3435

Facilities Available

 

Physical facilities

NICU, Department of Neonatology, has bed strength of 42 and total area of 6275.50 sq. feet.

Areas Type of Services Cot strength
Inborn unit Babies born in K.E.M. Hospital who are not infected are cared in Inborn unit. 13
Inborn and outborn unit Babies born in K.E.M. hospital who are at risk of developing infection or babies transferred from other hospitals are managed here. 12
Transitional care unit This section renders intermediate care to the neonates. The babies who do not require close and continuous monitoring are looked after here. 12
Advanced ventilation unit The babies requiring advanced ventilatory care are closely monitored and managed in this section. 05
Mothers’ resting area
Human Milk Bank
Kangaroo Mother Care Center

 

 

Inborn unit:

New Picture

Transitional care unit:

New Picture (1)

Inborn & outborn unit:

New Picture (2)

Advanced ventilation unit:

New Picture (3)

Human Milk Bank

HMB is an institution established for the purpose of collecting, screening, processing, storing & distributing donated human milk that is dispensed to recipients who are not the biological offsprings of the donor mother.

New Picture (4)

 

Mothers’ resting area
Vatsalya is resting area for mothers whose babies are admitted in NICU

Kangaroo Mother Care (KMC) Center
The department is selected as the center of excellence for initiating KMC for Low Birth Weight babies in India. We are the first in the country to start Ambulatory KMC Center inaugurated on 15th August 2005. LBW infants discharged from NICU are regularly followed up for growth, neurodevelopmental status & early intervention therapy is instituted when required.

New Picture (5)      New Picture (6)

 

2. Patient Care Services

 

Neonatal Care: The department of Neonatology caters to over 7500 deliveries per year including high risk referrals, approximately 35% being LBW babies requiring special  care.

Neonatal Intensive Care services:
Level III Neonatal Intensive Care Unit manages over 1800 – 2000 neonatal intensive care admissions per year. NICU is the major referral centre for babies from various municipal as well as private hospitals and maternity homes.
The facilities for providing advanced neonatal care are available in the unit. We ventilate approximately 225 – 250 babies annually. We have 2 High frequency ventilators, 12 class 1 ventilators, 2 Variable flow CPAP machines, & 8 Bubble CPAP machines. We practice patient triggered ventilation as well as High Frequency Ventilation. The sick neonates are closely monitored with multiparameter monitors, capnometers, transcutaneous monitors, and online airway graphics. These babies also receive total parenteral nutrition which is prepared under the laminar flow housed in the NICU. We have a facility for in house ultrasonography. We provide Total body cooling therapy & Nitric oxide therapy. We have facility to monitor cerebral function.

Humane Neonatal Care: The doors of NICU were opened for mothers of critically ill babies to get them actively involved and participate in the care of their babies. Humane Neonatal Intensive Care approach was established by observing an ideal NICU protocol for protection of babies from over stimulation and by observing the minimal handling protocol to reduce the NICU environmental stress related complications for optimal recovery and positive health of sick neonates.

Kangaroo Mother Care:
Our babies receive Kangaroo Mother Care in the NICU as a part of Developmental Supportive Care program & this has made significant impact in reducing duration of hospital stay, morbidity & mortality in these VLBW babies.

Human Milk Bank services:
For better survival of preterm and low birth weight babies, it is very important that we guarantee a constant and adequate supply of human milk. Today a more controlled system of to ensure the availability of bacteriologically safe milk exists in form of HMB. HMB is possible as there are mothers whose lactation exceeds the requirements of their infants.

Follow up care program:
We believe in well organized and multidisciplinary follow up care program for better neurodevelopmental outcome of high risk NICU graduates. We run a special High risk OPD and Kangaroo Mother Care Center where these babies are followed up longitudinally for a period of 5 years. Hearing and visual assessment is done in the center itself by the experts for all high risk babies and early intervention therapy is instituted when indicated.

 

Department of Neonatology, Seth GSMC & KEMH, Mumbai

Year-wise clinical data:

 

2012 2013 2014* 2015* 2016* 2017*
Total No. of deliveries 8182 8575 6780 6780 6512 611
Total No. of Births 8372 8796 6902 6920 6645 631
Total Live Births 7990 8383 6598 6559 6336 606
Still Births 382 413 304 363 309 25
Twins 180 197 113 123 124 20
Triplets 6 12 3 7 5 01
Male 4412 4303 3535 3544 3354 309
Female 3958 4077 3354 3368 3282 322
Ambiguous genitalia 4 3 13 8 9 0
Preterm 2156 1723 1537 1558 1572 164
Term 6180 6631 5332 5343 5042 466
Post term 35 26 33 19 31 1
LBW 3594 3239 2493 2644 2419 239
HRLBW 1427 1131 1007 1020 977 108
VLBW 770 530 473 521 540 61
ELBW 302 137 205 233 232 14

 

*NICU renovation period

 

Department of Neonatology, Seth GSMC & KEMH, Mumbai

2012 2013 2014 2015 2016
PNMR 43.74 45.57% 40.31 46.64 36.8
EPNMR 69.12 69.68% 60.17 70 56.66
CPNMR 41.14 44.87% 37.92 45.29 34.46
NMR 21 20.13% 16.90 14.7 9.63
ENMR 17.05 17.34% 12.29 13.15 8.18
CNMR 18.33 19.40% 14.44 13.3 7.22
SBR 27.13 29.08% 28.37 33.93 28.84

 

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