Paediatrics & Neonatology

The department of Pardiatrics & Neonatology at Aster Hospital provides clinical care to an adequate number of newborn children and grown up children to fulfill its exploration and instructive objectives. The department offers extraordinary clinical support and medical care, which is made conceivable by a very much trained group of pediatricians, neonatologists and pediatric intensive care doctors, capably bolstered by nurses who are specialty trained. Our neonatologists, nurses and whole staff are prepared whenever to take the compassionate and master care of you and your infant. We've found that basically understanding the NICU and how it functions can help lessen fears. If your infant needs NICU care, our staff clarifies the circumstance, answer your inquiries and keep you intimated about your infant's condition. We have practical experience in customized, family-focused care for the small babies and the most complex cases.

Available Hospitals

We provide excellent care, right from diagnosis to the treatment and beyond at our world-class hospitals.

Facilities

Well equipped with the latest medical equipment, modern technology & infrastructure, Aster Hospital is one of the best hospitals in India.

NICU

Most infants admitted to the NICU are untimely (delivered before 37 weeks of pregnancy), have low birth weight (under 5.5 pounds), or have a medical condition that requires unique care. Almost a large portion of a million children are delivered preterm, and a significant number of these infants likewise have low birth weights. Twins, triplets, frequently are admitted to the NICU, as they have a tendency to be delivered before than single birth children. Babies with medical conditions, for example, heart issues, or birth deformities are likewise watched over in the NICU. NICU at Aster MIMS Kottakkal is equipped with a best in class level 3 NICU under the direction of all around trained and qualified Neonatologists. We gather in appropriate proof based administration at reasonable cost. The NICU has exceptional offices for, cutting edge neonatal ventilation including high recurrence ventilation, care of to a great degree low weight infants, extraordinary care for postoperative checking (counting cardiovascular cases), surfactant administration, exchange transfusion, total parenteral nourishment, Central venous catheterization

PICU

Our PICU offers access to subspecialties and the most exceptional technologies accessible, and is devoted to giving the largest medical care to our pediatric patients. Subspecialty administrations accessible through the PICU incorporate cardiothoracic surgery, neurosurgery, orthopedics, cardiology, pulmonary, general surgery, oncology, hematology, and bone marrow transplant.

Care in the PICU dependably gives family-focused treatment that is formatively and age-centered, empathetic, and effective for the treatment of different medical issues. Pediatric Intensive Care Unit gives round the clock services to basically sick newborn infants and children, overseen by extraordinarily trained and experienced work force under direct supervision of pediatric specialists.

The facilities include

  • Invasive and non-invasive ventilators 
  • LED phototherapy and consistent multi-parameter checking consolidated with devoted nursing care
  • Pediatric ventilator
  • Pediatric indoor admissions
  • Central venous catheterization
  • Specially trained staff etc.
Key facilities for Paediatrics & Neonatology

Neonatal resuscitation
Newborn care
Immunisation
Management of pediatric and neonatal emergencies

Paediatric Genetics

We provides comprehensive medical care to children affected with various genetic disorders. We also provide counseling sessions for the parents regarding the recurrence risk in subsequent pregnancies & offer prenatal diagnosis.

We do provide detail clinical evaluation & management services for chromosomal abnormalities, microdeletion syndrome, single gene disorders, skeletal dysplasia, storage disorders, neuro degenerative disorders, Intellectual disability & learning disorders, Inborn errors of metabolism childhood deafness & blindness, connective tissue disorder like Marfan syndrome, Ehlers Danlos syndrome primary amenorrhea, familiar cancer.

We truly focus on antenatal services targeted to the most beneficiary group in our hospital.

Early detection of fetal aneuploidies like down syndrome, Edward syndrome, Patau syndrome & neural tube defects by offering 1st trimester screening test & confirmatory genetic test is advised if screening tests comes as positive by doing chronic villus sampling/amniocentesis.
Early detection of fetal anomalies by offering target anomaly scan & ECHO before 2nd trimester
We do offer periconceptional counseling:

Couples having a previous child with down syndrome
Couples where one of the parents is a translocation carrier
Couples with history of RPL, BOH, infertility (R/C pregnancy loss, R/C abortion)
Elderly couple’s especially maternal age > 35 years old (Advanced maternal/paternal age)
Couples who are married in relation (consanguineous marriage
Couples with family history of known genetic disorders
We offer Diagnostic facilities (genetic test) & post confirmatory test counseling sessions to our patients. Various diagnostic genetic tests available for confirmatory in our department are:

Karyotype
High resolution karyotype
chromosomal microarray
FISH for trisomies, sex chromosome
FISH for microdeletion syndrome
MLPA
TP- PCR (triplet primed PCR)
EXOME sequencing

State of the art technology

Dept of Pediatrics at MIMS has expanded by leaps and bounds; we started off with a good Neonatal Intensive Unit and a general pediatric department in 2002. In the year 2004, in addition to existing clinics The department started different speciality clinics like pediatric Asthma Clinic, Pediatric Rheumatology Clinic and Child Development Clinic. The department has conducted state level CMEs in Pediatric Pulmonology and Pediatric Rheumatology. Our Pediatric Asthma Clinic is conducted with the support of Pulmonology department. Patient education regarding Inhaler Therapy and Prevention of Asthma are highlighted in these clinics. The Pediatric Rheumatology Clinic started with the help of Rheumatology department is the first of its kind in the state. The Child Development Clinic was started with the aim to follow up high risk babies and normal babies for detection of early developmental aberrations so that early help can be instituted. The clinic offers a package of multispecialities which includes ENT, Ophthalmology, Physical Medicine. In special circumstances services of Orthopaedic Surgeon, Child Psychologist, Speech Therapist, Physiotherapist and Occupational Therapists are sought.

Pediatric ICU
Pediatric Ventilation
All Pediatric Procedures including Bone Marrow, Liver Biopsy, Bronchoscopy
Pediatric Asthma Clinic
Pediatric Developmental assessment
IQ Testing
Vaccination services
Pediatric Neurology clinic
Pediatric Rheumatology Clinic

Paediatric Intensive Care Unit (PICU)

Aster Medcity offers a dedicated 10 bedded Level 3 Pediatric Intensive Unit equipped with state-of-the-art monitoring and diagnostic equipment. Manned 24/7 by a team internationally trained Pediatric Intensive Care Physicians and Nurses who stand for ethical and evidence based practices, the PICU provides advanced organ support for critically ill children and life-support services including mechanical ventilation like HFOV and Inhaled Nitric Oxide Therapy. The Unit, for the first time in Kerala, offers Pediatric Intensive Care Retrieval service, where the Retrieval Team, comprising Pediatric Intensive Care Physicians and Nurses triage, stabilise and transport critically ill children in an ambulance that is a Level 3 Paediatric Intensive Care Unit by itself, from peripheral hospitals to Aster Medcity.

The Unit also offers:

Invasive cardiovascular monitoring and support including extra corporeal life support Advanced renal support like CVVH and hemodialysis for children
Post-operative care for children who have had specialised surgery at Aster Medcity
Multi-disciplinary in approach and works closely with other Specialities for Pediatric surgery like Oncology, Neurology, Renal, Spinal Surgery, ENT, Respiratory and Endocrinology
Multi-disciplinary in approach for trauma care with support from specialist teams including Neurosurgery, Pediatric surgery, and Pediatric Orthopedics, ENT and Craniofacial surgery
Round the clock triaging and pre-transport stabilisation advice to assist Retrieval
Zero tolerance for error prescription policy
100 % adherence to infection control practices
Dedicated team to address patient safety and risk management
Allied services including Respiratory Therapists, Dietician , Clinical Pharmacists and Physiotherapists
Counselling and Psychosocial services for bystanders and focus for creating a stress free environment during the most difficult period in their lives

Neonatal Intensive Care Unit

Procedures

Endo tracheal intubation
Umbilical line placement
Chest tube placement
Percutaneous (PICC) line placement
Ventilator support including high frequency ventilation + inhaled nitric-oxide treatment
Intravenous access and maintenance
Total Body Cooling
Exchange transfusion
Hemodynamic monitoring
Total parenteral nutrition
Oxygen saturation monitoring
Surfactant therapy
Thermoregulation
Per Oral/tube feeding
Promotion of breast feeding and lactation assistance/advice
Peritoneal dialysis
Developmental interventions - Environmental and Developmental Care of Infants

The Child Development Centre

The Child Development Centre at Aster Medcity is a dedicated clinic for differently abled children, providing customised treatment through early identification, intervention, school age and specialised services. Community based, accessible, inclusive and responsive to the needs of the child at all stages of development, these services are delivered in a culture of excellence, diversity and respect, with focus on quality, stability, innovation and positive out come for both the child and his or her family.

The treatment strategy is planned after a detailed assessment by way of “scores” based on the way the child plays with toys, interacts with friends and also information provided by parents on his or her behavioural pattern, food and sleep habits, with inputs from Developmental Paediatrics, Child Psychiatry, Child Psychology, Speech and Language, Hearing, Occupational therapy, Physiotherapy departments and also Special instructors and Play therapists. The behavioural and developmental interface addresses common conditions like Attention deficit disorder, Attention deficit hyperactive disorder, Obsessive Compulsive Disorder and Autism spectrum disorder.

Adolescent Medicine unit

The Adolescent Medicine unit at the Centre of Excellence in Child and Adolescent Care provides comprehensive and personalised primary specialty care to children aged 12 to 18. The unit, which offers consultation, diagnosis and treatment for health problems that are common during this age, has a team of trained Doctors and professionals who have extensive experience in handling the physical, emotional and social needs of adolescents from puberty though young adulthood and also management of long-lasting conditions like eating disorders, obesity and chronic pain.

The unit has dedicated clinics for pediatric and adolescent gynecology, eating disorders, substance use and behavioral issues, where psychosocial and school problems that start during the teen years or have deepened due to the stress of growing up are effectively managed, through detailed diagnosis and treatment. The Biofeedback programme here teaches teens to handle chronic ailments with confidence and courage, making life more meaningful and enjoyable .The Unit would be soon staring Cyber and Digital detox therapies for young children and young adults, who are addicted to electronic and digital gadgets.
Aster Medcity, through Aster Foundation has initiated several programmes in the interest of children and their well being in the society.

Faqs

Want to find out more about the treatment? The answer to your questions can be found below.

What are the most common childhood diseases?

  • Infectious diseases like flu, gastroenteritis, hand foot mouth diseases, malaria, chickenpox, dengue
  • Congenital anomalies and syndromes
  • Allergic diseases and asthma
  • Neonatal jaundice
  • Prematurity
  • Neonatal sepsis
  • Metabolic disorders
  • Surgical illness
  • Nutritional deficiency disorder
  • Developmental and behavioral problems
  • Congenital heart disease
  • Injuries and poisoning

What does a pediatric doctor do?

The pediatric doctor sees your baby many times from birth to 18 yrs of age. Do general examinations, vaccines asses’ growth and developmental milestones in behaviour and skills, diagnosis and treat your child illness, infections, injuries and other health problems. Educates and gives information about your Child’s health, safety, nutrition and fitness needs, refers and collaborates with pediatric specialists if a child needs care beyond the paediatrician expertise.
 

What equipment is used in NICU?

Our NICU is the state of art level IV NICU facility with a good patient-to-nurse ratio and a highly skilled specialist available around the clock offering the highest standards of neonatal care.  Our NICU is equipped with advanced neonatal incubators, including transport incubators, invasive and noninvasive ventilators, high-frequency ventilators, transport ventilators, LED, phototherapy units, multiple monitors, invasive blood pressure monitors.

The concept of keeping baby and mother together has been well established, and we try to maintain the same. Exclusive breastfeeding from birth and frequent lactation counselling to ensure adequate and fruitful lactation are emphasised to all mothers.

We treat all the complicated cases like severe RDS, congenital pneumonia, birth asphyxia requiring ventilation and therapeutic hypothermia, PPHN, congenital heart disease and other surgical emergencies, neonatal injuries, haematological and metabolic conditions, case of extremely premature and extremely LBW babies, NNT requiring IV immunoglobulin’s or exchange transfusion central lines, umbilical catheter ICD tubes, PD catheters are well placed.

All the preterm babies and sick babies are exposed to early intervention programs right from NICU, and we understand that optimum development occurs only with psychological well being. We provide kangaroo mother care and family-centred care as a part of a comprehensive approach to preterm care.

Our department works in conjunction with various sub-specialities to provide multidisciplinary and comprehensive services.

Vaccinations are initiated in the hospital and followed up in our immunisation clinic.

Follow up care of preterm and high-risk babies is provided at over high-risk clinics with developmental assessment and educating need for ROP screening, BERA, regular physical therapy.

We provide antenatal counselling, genetic counselling apart from adequate support for parents.
 

What are paediatrics and neonatology?

Paediatrics is the speciality of medical science dealing with the physical, mental and social health of infants, children and adolescents from birth to young adulthood (up to 18yrs of age).
Neonatology is the sub-speciality of paediatrics that consists of newborn infants’ medical care, especially the ill or premature newborn.
 

Can I stay somewhere near my baby?

Yes, our Ramesh hospital; believes in taking all measures to keep mother and child close. We encourage frequent visits of the parents to the NICU and spend some time with the baby. We also have the facility of kangaroo mother care where the mother takes care of her preterm baby in a separate ward under the supervision and aims at family center care.

What type of support services do you offer in the NICU and the hospital for parents?

Our NICU is the state of art level IV NICU facility with a good patient-to-nurse ratio and a highly skilled specialist available around the clock offering the highest standards of neonatal care.  Our NICU is equipped with advanced neonatal incubators, including transport incubators, invasive and non-invasive ventilators, high-frequency ventilators, transport ventilators, LED, phototherapy units, multiple monitors, invasive blood pressure monitors.

The concept of keeping baby and mother together has been well established, and we try to maintain the same. Exclusive breastfeeding from birth and frequent lactation counselling to ensure adequate and fruitful lactation are emphasised to all mothers.

We treat all the complicated cases like severe RDS, congenital pneumonia, birth asphyxia requiring ventilation and therapeutic hypothermia, PPHN, congenital heart disease and other surgical emergencies, neonatal injuries, haematological and metabolic conditions, case of extremely premature and extremely LBW babies, NNT requiring IV immunoglobulin’s or exchange transfusion central lines, umbilical catheter ICD tubes, PD catheters are well placed.

All the preterm babies and sick babies are exposed to early intervention programs right from NICU, and we understand that optimum development occurs only with psychological well being. We provide kangaroo mother care and family-centred care as a part of a comprehensive approach to preterm care.

Our department works in conjunction with various sub-specialities to provide multidisciplinary and comprehensive services.

Vaccinations are initiated in the hospital and followed up in our immunisation clinic.

Follow up care of preterm and high-risk babies is provided at over high-risk clinics with developmental assessment and educating need for ROP screening, BERA, regular physical therapy.

We provide antenatal counselling, genetic counselling apart from adequate support for parents.

What is the difference between neonatologists and pediatricians?

The paediatrician is a physician who is specially trained in concerned with the health, nutrition, welfare, development, and diseases of children, adolescents, and young adults.

A neonatologist is a physician practicing neonatology who initially receives training as a pediatrician and then completes additional training in neonatology.

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