|  | |||||||
Neonatology
Facilities Available
1. Physical
facilities
Department of Neonatology is located on the 10th floor
of New M.S. Building having bed strength of 37 and total area of 6275.50 sq. feet.
The detail of special care areas and space available is mentioned below
| Sections | Type of Services | Cot strength | Area |
A | Inborn aseptic neonatal care area | 13 | 1000
Sq. feet |
B | Inborn septic and out born neonatal care area | 11 | 450
Sq. feet |
C | Intermediate care area | 09 | 450
Sq. feet |
V | Ventilatory care area | 04 | 312.85
Sq. feet |
Support
service or ancillary care area | - | 1378.23
Sq. feet | |
Mothers'
room area | - | 739.27
Sq. feet | |
Section
A :
Babies born in K.E.M. Hospital who are not infected are kept in
this area.
Section
B :
Babies born in K.E.M. hospital who are at risk of developing infection
or babies transferred from other municipal or private hospitals are managed here.
Section
C :
This section renders intermediate care to the neonates. The babies
who do not require close and continuous monitoring are looked after here.
One
senior and two junior resident doctors are posted in each of the sections to take
care of babies along with 2 trained staff nurses in each duty.
Ventilator
section :
The babies requiring ventilatory care are closely monitored
and managed in this section. One senior registrar and one junior registrar manage
these babies round the clock.
Human
Milk Bank
A human milk bank 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.
Mothers'
resting area
Vatsalya is resting area for mothers whose babies are
admitted in NICU
Kangaroo Mother Care Center
The department
is selected as the center of excellence for initiating Kangaroo Mother Care for
Low Birth Weight babies in India, one of the three centers in the country. We
are the first in the country to start Ambulatory Kangaroo Mother Care Center which
was inaugurated on 15th August 2005. Low birth weight babies discharged from NICU
are regularly followed up here for growth, nutritional status, neuromotor, neurodevelopmental,
& neurosensory assessment & early intervention therapy is institutes when required.
2.
Patient Care Services
Neonatal Care: The department of
Neonatology caters to over 7500 deliveries per year including high risk referrals
from other institutions, approximately 35% being low birth weight babies requiring
special care.
Neonatal Intensive Care services: Level III Neonatal
Intensive Care Unit manages over 1200-1400 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 130
- 150 babies annually. We have 4 ventilators (Bear PSV) and we practice patient
triggered ventilation. The sick neonates are closely monitored with multiparameter
monitors, capnometers 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 will be soon initiating
Variable flow CPAP with Infant Flow Driver and High Frequency Ventilation
in our unit.
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 Human
Milk Bank. Human milk banking 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.
Year-wise clinical data:
| Particulars | 2002 | 2003 | 2004 | 2005 | 2006 |
| Total no. of babies born | 5955 | 6582 | 7132 | 8451 | 7578 |
| No. of LBW babies | 2539 | 2546 | 2971 | 3507
| 3268 |
| NICU admissions | 876 | 993 | 1276 | 1453
| 1643 |
| Preterms | 1014 | 1116 | 2778 | 1668
| 1801 |
| Ventilated neonates | 99 | 139 | 155 | 176
| 229 |
| No. of KMC recipients | - | - | 934 | 1500 | 2959 |
Annual
Statistics
2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | |
| PNMR | 44.46
| 52.19
| 44.27
| 42.40
| 41.60 | 42.04
| 40.19 |
| EPNMR | 63.45
| 77.14
| 65.65 |
63.99 | 60.85 | 56.75
| 54.17 |
| NMR | 23.53
| 28.27
| 17.01
| 25.05
| 12.96 | 17.55
| 11.6 |
| SBR | 21.43
| 24.61
| 27.73
| 38.94 |
27.61 | 27.13
| 29.55 |