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  NICU  
   
     
  Neonatal Intensive Care Unit (NICU)  
     
 
HISTORY
 

In 1978 the KEM Neonatal Intensive Care Unit was the first to open its doors in Pune to provide care for new born babies. A rapidly developing area of medicine, the NICU specifically cares for newborn babies with complex medical conditions. 1996 saw further modernization of this specialty ICU. NICU is 40-bedded. It is accredited by the National Neonatology Forum of India and is one among only 17 such units in the country.

 
 
 
 

It provides the best neonatal care at costs that are affordable. It has become a referral center in the state with a very large referral base of nearly 200 kms around Pune. Nearly 60% of the admissions to the NICU are babies born outside the KEM Hospital.

 
     
 
SURVIVAL STATISTICS
 

The NICU manages about 1200 to 1400 admissions in a year out of which nearly 125 babies weigh less than 1000 grams. Over 40% of the babies undergo major surgery and 300 babies receive artificial ventilation. Our survival rates are comparable to other top centers in the country.

 
 
 

The smallest survivor in the country, born in the year 2005, weighing just 500 gms, was cared for at the NICU at KEM Hospital

 
     
  THE TEAM  
     
 

During the baby's stay in the Unit, many people are involved in its care. The team primarily responsible for the infant's care comprises

 
     
 

Highly skilled, Consultant Neonatologists, Pediatricians and a dedicated staff who work closely with the doctors to co-ordinate the baby's care from admission to discharge. They also work with parents to help them understand the problem and cope with them.

8 Neonatal Registrars are working round-the-clock.

 
 

Having a baby in the NICU is stressful and can impact every aspect of life. It also raises many unexpected issues. Medical Social Workers who offer emotional support to the parents, to answer queries about the hospital or financial concerns. A NICU Poor Patients' Fund has been created to help those infants whose family members cannot raise the requisite finances.

Physiotherapists that specialize in the care of newborns and prematurely born infants also form part of this team. The physiotherapists are trained in infant massage too.

 
     
 

Consultants

 
     
 
Dr. Anand Pandit- Director, Dept. of Peadiatrics, M.D.,D.C.H.
Dr. Umesh Vaidya, M.D.
Dr. Sandeep Kadam, M.D., D.M
Dr. Sudha Chaudhari, D.C.H., D.N.B
Dr. Jayant Deodhar, M.D., D.C.H.
Dr. Avinash Kinikar, M.D.,MRCP(UK),MRCP(Ireland)
Dr. Amrish Mishra, M.D.,Gen Pead.
Dr. Ashesh Bavadekat, D.C.H.,D.N.B.
Dr. Nandan Yardi, M.D.
Dr. Usha Pratap, M.D., Pead Cardiology
Dr. Koumudri Godbole, M.D.
Dr. Shailesh Karivinde, M.D, Pead Haematology
Dr. Manoj Matnani, M.D, Pead Nephrology
Dr. Archana Kadam,M.D., D.N.B.
 
     
  THE UNIT:  
     
  The Unit is divided into the following distinct areas:  
     
  High-dependency unit  
     
 

This caters to the treatment of the critically sick infants, who require ventilation (life support) and intravenous feeding. This level of care is called Level 3 Neonatal Care equipped with 9 beds with multi channel monitors, infusion pumps and bubble CPAP ventilation facilities.

 
     
  Low-dependency unit  
     
 

For infants who require close monitoring and care such as supplemental oxygen for respiratory distress or phototherapy for jaundice. This level of care includes tube feeding and also includes the care of babies recovering from illnesses or operations like tracheoesophageal atresia/ dichromatic hernia.

 
     
 

There are 2 advanced ventilation beds. We have facilities for high frequency ventilation, a highly sophisticated form of artificial respiration in which very sick babies are ventilated at breathing rates of up to 600 breaths per minute which helps in managing complicated cases needing advanced care.

 
     
 
Isolation unit
 

2 isolation rooms cater for babies needing strict infection control measures, such as those suffering from severe sepsis

 
 
  Rooming-in unit  
     
 

Infants and their mothers are given a chance to bond together prior to discharge. The mothers are also helped to mange their babies confidently before discharge and trained to attend the special needs of their infants/new born.

 
     
  Facilities  
     
  Besides ultra modern equipment, the NICU has the following facilities:  
     
 

Surfactant and other respiratory intensive care support systems

Total Parenteral Nutrition (TPN)
Surfactant therapy for HMD in the Neonates
In-house Ultrasound and electroencephalography (EEG)
 
 

Highly complex, investigative services including MRI, CT scans, metabolic and laboratory tests, echocardiography,etc.

A special prayer room in the unit where family members can pray for their sick child.Most of the babies are fed with their mother's milk and we encourage the presence of mothers. Parents are free to visit their babies at any time.

 
     
  OTHER SERVICES  
     
  Neonatal Transport Ambulance  
     
 

KEM Hospital runs a neonatal transport ambulance service round the clock, which reaches babies in distress and brings them to the NICU. We offer this service to hospitals in and around Pune. Our ambulances are well equipped with necessary equipment and are manned by our resident doctors. High-risk babies thus receive high quality medical care right at the point of birth.

 
     
 

This service can be booked by contacting telephone numbers: 66037344 or 66037426.

 
     
  High Risk Baby Follow-up  
     
 

All high risk babies undergo developmental follow up for early identification of developmental problems. The infants are assessed for growth, development, vision and hearing. These early intervention programs for high-risk infants are backed by excellent rehabilitation support.

 
     
Hearing screening  
     
 

Future Plans

 
     
 
Inhalation Nitric Oxide (INO) therapy for neonates with lung disease
Neonatal Cardiac Surgery
Multi-centric trials
 
     
  Research  
     
 

We conduct several research projects to advance scientific knowledge. We are a part of National Neonatal Database. Currently research is being carried out in the following areas

 
     
 
Osteopenia of prematurity
Normative blood pressure data
Hearing screening and early identification of impaired hearing
Comparison of Feeding techniques
Gastric aspirate studies
Comparison of various methods of giving CPAP
High frequency ventilation
Long term neurodevelopment follow up
 
     
ACADEMICS  
     
 

We train students for DCH, FCPS, DNB and MD degrees in Paediatrics. A specialty-training program in DNB Neonatology has been started.

 
     
  CONTACT:  
     
  Ph. No.: 66037344  
     
  Ambulance : 66037426.  
     
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