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It is said that neonatal period is the most risky phase in human life. Though it is only 0.1% of the total lifetime, neonatal mortality accounts for 14% of the total deaths. The problem is further compounded by grossly inadequate neonatal care services all over India including our state. We were the first to introduce Super-specialty services in Neonatology in our region during 2004.
The Advanced Neonatal Centre, presently headed by Dr. Satish Mishra, D.M. (Neonatology) has transformed itself in to an unique facility supported with ultra modern equipment, competent staff & the inherent capability to undertake the most sophisticated surgical procedures so as to be regarded as a “Preferred Referral Centre” by the Gynae & Obstetrics community in North India.
We have a state-of-the-art scientifically designed 27 bedded Neonatal Intensive Care Unit (NICU) with 10 ventilator beds. Our NICU is equipped with SLE High Frequency Ventilator, Siemens Servo 300 Ventilators, Centralized Oxygen & Suction, Portable X-ray & USG machines, and uninterrupted power supply over and above the usual neonatal care equipments.
We can effectively and efficiently manage all the problems encountered in neonates like:
Infant Respiratory Distress Syndrome:
Infant respiratory distress syndrome (IRDS), also called neonatal respiratory distress syndrome or respiratory distress syndrome of newborn, previously called hyaline membrane disease (HMD), is a syndrome in premature infants caused by developmental insufficiency of surfactant production and structural immaturity in the lungs. It can also result from a genetic problem with the production of surfactant associated proteins. IRDS affects about 1% of newborn infants and is the leading cause of death in preterm infants. The incidence decreases with advancing gestational age, from about 50% in babies born at 26-28 weeks, to about 25% at 30-31 weeks. The syndrome is more frequent in infants of diabetic mothers and in the second born of premature twins.
IRDS is distinct from pulmonary hypoplasia, another leading cause of neonatal death that involves respiratory distress. It includes conditions like Hyaline Membrane Disease, Meconium Aspiration and Pneumonia etc. We have facilities to provide nasal CPAP or mechanical ventilation with adequate monitoring. Our Neonatologist has vast experience and technical know-how to administer Surfactant, if needed in these babies.
Prematurity and Low Birth Weight:
7% of babies in our community are born premature ( < 37 weeks ) and 30% are low birth weight. These fragile babies need special care, strict asepsis, thermoregulation and appropriate nutrition including Total Parenteral Nutrition. We have the experience and equipment to provide this care.
It is among the most common killers of neonates in India. Birth asphyxia occurs when a baby doesn't receive enough oxygen before, during or just after birth. There are many reasons that birth asphyxia may occur. Our unit can manage even the severest of these cases.
Critical Care of Sick Babies:
We have enough experience and facilities for peritoneal dialysis in acute renal failure and initial stabilization of babies with congenital heart disease.
Neonatal Jaundice: A common but potentially dangerous illness if not treated in time. We have Blue light phototherapy machines, which are more effective. For babies with severe jaundice, we have facilities for double surface phototherapy and Exchange Transfusion.
This is another major cause of neonatal mortality in our country. Neonatal sepsis is defined as a clinical syndrome of bacteremia with systemic signs and symptoms of infection in the first 4 weeks of life. When pathogenic bacteria gain access into the blood stream, they may cause overwhelming infection without much localization (septicemia) or may get predominantly localized to the lung (pneumonia) or the meninges (meningitis). In our NICU, we put great emphasis on asepsis and rational use of antibiotics.
Nitric Oxide Therapy:
Nitric oxide is a colourless, odourless toxic and non-inflammable gas that can be administered via the ventilator circuit as an additional therapy in newborn services. Nitric oxide is used to treat hypoxic respiratory failure of the term and near-term newborns. Hypoxic respiratory failure in neonates born at or near term may be caused by such conditions as primary persistent pulmonary hypertension, respiratory distress syndrome, aspiration syndromes, pneumonia or sepsis, and congenital diaphragmatic hernia. This is the latest therapy in the world for neonates, which we have made available at our centre.
Antenatal counseling of high risk mothers:
Antenatal care is a key component of a healthy pregnancy. Regular antenatal care helps to identify and treat complications and to promote healthy behaviours. There is enough evidence to suggest that neonates born to mothers who do not receive antenatal care are 3 times more likely to be of low birth weight, and 5 times more likely to die, compared with neonates born to mothers who receive antenatal care. In addition to medical care, antenatal care includes counselling and education. We have the wherewithal for antenatal counseling of high risk mothers.
Approximately 10% of newborns require some assistance to begin breathing at birth. Less than 1% require extensive resuscitative measures. Although the vast majority of newly born infants do not require intervention to make the transition from intrauterine to extrauterine life, because of the large total number of births, a sizable number will require some degree of resuscitation. We have the facilities and skilled staff for carrying out effective neonatal resuscitation.
Well baby clinic, Vaccination, Growth and neuro-developmental monitoring and management of common Pediatric problems.
Sick Baby Ambulance:
The weakest link in the management of sick neonates is their transport. We have an efficient transport team of well-trained personnel, equipped with a sophisticated transport incubator with battery back-up, infusion pumps, vital signs monitor, oxygen and resuscitation equipment. We transport sick babies to our NICU from referring hospitals within a radius of 60 kilometers.
We aim to provide world class neonatal care at affordable prices.
The Advanced Neonatal & Paediatric Surgical Centre was established in Nov 2002 as part of the ongoing process of creating super speciality services under one roof.
As most of the congenital deformities can be diagnosed during antenatal check-ups, the parent counseling, plan of management, advice regarding time and mode of delivery can be discussed with the concerned obstetrician and the changes in the management can be made.
Various neonatal surgical conditions have been successfully treated at our Centre, which is equipped with the required neonatal surgical ICU having incubators, mechanical ventilator and other necessary equipment. Trained paediatric nurses work round the clock under the guidance of a qualified paediatric surgeon for accurate monitoring of operated babies. So far, several babies with esophageal atresia, anorectal malformations, duodenal atresia, abdominal wall defects, meningomyelocele etc were operated successfully and are under regular follow-up.
The Centre is totally equipped with facilities for operations of GIT, hepatobiliary, PSARP and pull through procedures. We also have facilities for interventional radiology whenever needed.
It is an important subspeciality of urology. Only a few centres have the facility to look after paediatric urology patients. The hospital has a full set of paediatric endoscopes. Common urological problems like post-urethral valves, vesico-uretric reflux & pelvi-uretric obstruction are managed routinely. The operation theatre is well equipped to look after this age group. Approximately 40% of paediatric surgery cases pertain to paediatric urology, which includes post uretheral valves, VUR, hydronephrosis, hypospadias, extrophy of bladder etc. As the hopital was originally looking after kidney problems, all these conditions have been dealt with during the last one year.
Paediatric Neurosurgery (PNS):
Meningoceles, meningomyeloceles, encephalocele and congenital hydrocephalous are various problems of PNS, which are being treated by us.
Complete facilities are available for Laparoscopic intervention of abdominal testes (UDT), inter sex anomalies, cholecystectomy etc.
It has brought about a remarkable change in the management of various urological diseases. The hospital provides well-developed interventional radiology services. Procedures like PCN, ureteral stenting, uretheral stenting etc. are done routinely. It is also used in the management of post transplant complications like urinary leak, ureteral stricture, lymphocele etc.
The hospital has upgraded the services of Neuro-Urology & Urodynamics. The facility of advanced computerized Urodynamic evaluation including Video-Urodynamic is available. This hospital is one of the few centres in India having advanced Urodynamics.
The hospital has a well-equipped biochemical, heamatological, microbiological and renal laboratory, which is run by an experienced pathologist and a microbiologist. Emergency investigations are carried out round the clock while specialized investigations are done during working hours. Highly specialized investigations are carried out in association with reference laboratories. We offer specialty care to children of all ages, from the premature infant to the 12-year-olds. We have an active and up to date laparoscopic team.