Since its inception in April 2002, the Department of Neonatology serves as one of the largest referral centres in Kerala for high risk neonates, including care for preterm infants from 23 weeks gestation. With the availability of all Paediatric medical and surgical sub-specialities, we are able to cater to every need of the neonate.
We house 30 neonatal beds (16 intensive care, 6 high dependency and 8 stepdown). All high risk deliveries are attended by a team of Neonatologists and neonatal nurses. We are well equipped to manage any newborn critical illness. All modalities of ventilation including high frequency oscillatory ventilation (HFOV) and inhaled nitric oxide therapy are carried out in our unit. In critically ill newborns, surgeries such as congenital diaphragmatic hernia repair, laparotomy for intestinal perforations, closure of patent ductus arteriosus are performed in the NICU itself. Although we prefer in-utero transfers, our transport team (a neonatal trained doctor and emergency medicine trained staff) transports sick outborn infants to our unit in a dedicated transport incubator with portable ventilator.
We also receive tiny tots from both neighbouring Indian states and other countries as well.Together with the obstetricians and perinatologists, we function as a close-knit multi-disciplinary team; thus preparing us to anticipate and deal with any sort of emergency in the delivery suite.The backbone of this ICU is a team of extremely devoted nursing staff and our enthusiastic medical social worker; who are always willing to take up additional responsibilities at any time, three hundred and sixty five days of the year. Our responsibility towards the NICU graduates goes beyond home discharge. We regularly do follow-ups for neurodevelopmental evaluation and even enrol them in the early intervention program prior to discharge.The outcome of infants is comparable to international data bases. Naturally, inborn infants have a slight positive edge over outborn infants in terms of outcome with lower morbidity and mortality.
Family centred care with health care providers (physicians, nurses, respiratory therapists, early interventionists, social workers) working as a team to achieve a survival of a newborn without residual handicaps. As several of our referred patients have extremely complex medical and surgical problems, it will not be surprising to see an infant being taken care of by several consultants of various paediatric subspecialties in unison. This team work approach is the reason for the successful outcome of our patients.
- 30 neonatal beds including isolation facilities to manage infectious pathologies.
- Round the clock availability of a neonatologist in the NICU to attend to the high risk deliveries and emergencies in both the NICU and elsewhere in the hospital.
- All modalities of non-invasive and invasive ventilation.
- Provision for extracorporeal membrane oxygenation (ECMO).
- Tecotherm machine that delivers Therapeutic hypothermia (whole body cooling) with aEEG monitoring and bedside video EEG recording.
- Point of care testing and portable equipment including x-ray machines, ECHO and ultrasound scanners.
- A dedicated cytogenetic lab and advanced molecular diagnostics including PCR.
- Centre for advanced fetal diagnostics and therapy (Fetal medicine and fetal surgery).
- Clinics specialised in our field addressing both inhouse and outpatient services- Cardiology, Pulmonology, Endocrinology, Nephrology, Gastroenterology, Hematology, Neurology, Oncology, Dermatology, Genetics, Radiology, Pediatric Surgery, Cardiovascular Thoracic Surgery, Neurosurgery, ENT, Ophthalmology including Retina eye specialists, Urology, Orthopedics, Plastic Surgery and Maxillofacial Surgery.
- Early intervention and Neurodevelopmental therapy clinic.
- Neonatal swallow assessment clinic.
- Brachial plexus clinic.
- Multidisciplinary pre-natal counselling.
We offer the following Neonatology training courses for Pediatricians- post MD and DCH:
- Two year fellowship in Neonatology under Amrita Vishwa Vidyapeetham University.
- National Neonatology Forum accredited fellowship (12 and 18 month’s duration for MD ad DCH candidates respectively).
- One year Neonatal Advanced training course (Post-Doctoral Certificate Courses).