Paediatrics & Neonatology - Ernakulam

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Overview

 

The Advanced Neonatal & Paediatric Tertiary Care Centre of the hospital provides health and medical care to new born babies, infants, toddlers and children up to the age of 18.

 

Treating a child with an illness is not the same as treating an adult, as it requires specialized care and a different degree of understanding. Unlike adults, children cannot always say what is bothering them nor can often provide reliable answers to medical questions. It is also difficult to medically examine an infant or a child as they tend to be restive and probably non co-operative during the process. The clinician must also take into account the immature physiology of the infant or child when considering symptoms, prescribing medications, and diagnosing illnesses. A paediatrician should also be more concerned about congenital defects, genetic variance and developmental issues than a physician treating an adult.

 

The Paediatrics & Neonatology department of the hospital comprises of a team of well qualified specialist consultants, junior consultants and a group of nursing staff specially trained in delivering neonatal & paediatric patient care. This is complemented by excellent support from other multidisciplinary specialist departments, when required, especially in life threatening emergencies. All these factors have made the department a front runner in providing comprehensive paediatric healthcare and has earned the status of a referral unit in the region.

 

Facilities we provide

 

  • Level III neonatal care with 1:1 patient-nurse ratio for the diagnosis, treatment and follow-up of extremely premature and medically fragile neonates.
  • Housed in a spacious environment with facility for parents to stay overnight.
  • Availability of a resident paediatrician providing 24×7 service.
  • Specialized multidisciplinary support such as obstetrics, neurology, paediatric surgery for handling emergencies.
  • State-of-the-art operation theatre suite for handling a variety of surgeries.
  • Separate ICUs for neonatal and paediatric cases.
  • Neonatal ICU (30 bed facility) with ventilator
  • Paediatric ICU (17 bed facility)
  • Specially trained nursing staff providing one-to-one care in the ICUs
  • Modern equipment for monitoring the child’s condition such as pulse oximeters, syringe infusion pumps and life saving devices such as paediatric ventilators.
  • Other routine therapies such as blue photography, incubators
  • Imaging services that includes Neurosonography, MRI, CT, Colour Doppler, X-ray, ECG

 

Our services

 

While the primary focus of the Paediatrics & Neonatology department is to provide timely and effective clinical care to infants and children, we are also concerned about the traumatic effect an illness of a child can bring to their family. Therefore we strive to provide a family-centered care approach in treating our young patients, where we work closely with the parents during the entire treatment plan to relieve their anxiety, as well as that of the patient. For complex cases that require more specialized attention, our multidisciplinary medical team will be providing additional support.

 

The services that we provide include:

 

  • Outpatient & Inpatient services for children aged upto 18 years
  • Well Baby Clinic for your child’s immunization needs
  • Exchange transfusion for neonatal jaundice
  • Retinopathy of prematurity screening and laser therapy
  • Hearing assessment and speech therapy
  • Neuro developmental assessment and intervention
  • Paediatric emergency care and CPR (Cardiopulmonary resuscitation)
  • Neonatal and paediatric surgery
  • Paediatric orthopaedics – Correction of limb deformities & endoscopic removal of foreign bodies
  • Paediatric endocrinology – For child obesity, juvenile jaundice, hypothyroidism and other hormone disorders
  • Nutritional assessment and dietary advice
  • Child psychology and counseling services
  • Education on safe parenting

 

Some of the common conditions for which we provide clinical treatment both as outpatient and one that might involve hospital stay are given below. While the medical conditions listed below does not reflect the entire range of our treatment, you are requested to contact our specialists for more details or to discuss about an illness related to your child, that you cannot find in the list.

 

Paediatrics

 

Some of the common paediatric conditions treated are:

 

  • Infections
  • Asthma
  • Diaper dermatitis
  • Eczema
  • Scabies
  • Impetigo
  • Gastroenteritis
  • Otitis Media
  • Pin Worms
  • Strep throat
  • Urinary tract infection
  • Genetic and congenital conditions
  • Organ diseases and dysfunctions
  • Injuries
  • Other common childhood illnesses

 

Apart from treating the illness due to the conditions listed above, we are also involved with the prevention, early detection and management of problems that arise out developmental delays and disorders, behavioral problems, functional disabilities or social stress. Some of the conditions treated include:

 

  • Attention-Deficit Hyperactive Disorder (ADHD)
  • Autism
  • Down syndrome
  • Cerebral palsy
  • Child obesity

 

Neonatology

 

The neonatology unit comprises of three separate divisions based on the grading of risks.

 

  • Critical Care – For high risk babies needing interventional treatment, modalities including artificial ventilation, exchange transfusion etc. and constant monitoring.
  • High Dependency – In-utero transfers & inborn babies – extreme preterm or babies with neonatal problems requiring close monitoring
  • Low Dependency – Growing Nursery – For low birth weight babies needing careful feeding techniques, aseptic nursing care and close observation

 

The services provided by the Neonatology unit include the following:

 

  • Medical management of care of premature, and extremely premature babies and those with conditions such as IUGR (Intra Uterine Growth Restriction)
  • A measure of the efficiency of our Neonatology unit in the treatment of premature babies can be gauged from the figures given below.

Survival rate of babies greater than 25 weeks
600 to 800 gm      – 60 to 70 %
800 gm to 1 Kg     – 80 % (Figures based on our statistics during the last decade)

 

  • Managing the treatment of critically ill or babies requiring surgery.
  • Stabilize and treat new born with any life threatening medical problems.
  • Diagnose and provide treatment to new born babies for conditions such as
  • Anemia
  • Breathing problems
  • Apnea
  • Broncho Pulmonary Dysplasia (BPD)
  • Persistent Pulmonary Hypertension of the newborn (PPHN)
  • Pneunonia
  • Respiratory Distress Syndrome (RDS)
  • Birth injuries / defects
  • Abdominal distension
  • Blue baby
  • Coughing
  • Excessive crying
  • Forceps marks
  • Neonatal jaundice
  • Lethargy and sleepiness
  • Ensure the nutritional requirement of critically ill babies for healing and growth.
  • Consultation with other specialists such as paediatricians, obstetricians to evaluate any condition that may affect the neonates.

 

Paediatric Surgery

 

All major types of paediatric surgeries for the treatment of congenital deformities or other complaints that require surgical intervention for children are handled by the paediatrics department.

 

Regular Follow up Clinics

 

The department also conducts regular clinics for bringing awareness to the community on the importance of monitoring the health and well being of their children by addressing the following topics:

 

  • Neuro developmental assessment and intervention
  • Growth & nutrition
  • Monitoring screening for Retinopathy Of Prematurity (ROP) & in-house cryo therapy when indicated.
  • Screening for hearing

 

Other Services

 

The “Well Baby Clinic” provides an entire spectrum of immunization needs, growth and development monitoring including counselling on nutrition for children.

 

To ensure continued well being for your children, we also offer a “Child Check” package that includes routine laboratory and radiography investigations along with consultation in Paediatrics, ENT, Ophthalmology and Dentistry by our in-house specialist doctors.

 

Immunization

 

    • Immunization forms one of the most important and cost effective strategies for the prevention of childhood sicknesses and disabilities and is thus a basic need for all children. The department carries out the recommended schedule for the various types of vaccinations for our patients.

 

 

Meet our specialists

Dr. T V Ravi

Dr.T.V.Ravi, MD (Paed.), DCH

Head of the Department

Consultation Timings : 12:00 Noon – 1:30PM  and  6:00 PM – 7:00 PM  (Monday – Saturday)

 

Dr. Grace Thomas

Dr. Grace Thomas , MD, DCH(Neonatology) (UK)

Senior Consultant

Consultation Timings : 08:30 AM -10:00 AM  and 12:00 Noon – 3:30 PM  (Monday – Saturday)

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Dr. M.Narayanan , MD, DCH

Visiting Consultant

 

 

 

 

Dr. M Suma

Dr. M.Suma , MBBS, DCH
Consultant

           Consultation Timings:   9:30 AM – 12:30 PM   ( Monday to Saturday )

 

Dr. Reebi Chacko

 

Dr. Reebi Chacko , MBBS, Dip. Paed. (Vienna)
Consultant

Consultation Timings:   9:30 AM – 12:30 PM   (Monday to Saturday )

 

 

Dr. R Sindhu

Dr. R.Sindhu , MD, DCH,DNB(Paed.)
Junior Consultant

 Consultation Timings : 4:00 PM – 6:00 PM  –  Saturdays only

 

 

Dr. A Indra

Dr. A.Indra , MBBS, DCH
Junior Consultant

 Consultation Timings:  5:00 PM – 7:00 PM  (Monday to Friday)

 

 

Dr. R Srividya

Dr. R.Srividya , MBBS, DCH,DNB
Senior Registrar

 

Dr. Meryl Stanley Parekkat, MD (Paed.) Neonatology Fellowship Fellow

 

Dr.Nisha A.R.  MD, MRCPH

Registrar

 

How to book an appointment