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Neonatology

The Neonatal Intensive Care Unit at Jubilee Mission Medical

College is the largest neonatal tertiary referral centre in

Thrissur city catering annually for 5000 babies born in the

hospital and a sizable number of babies referred from Thrissur,

Malappuram and Palakkad districts of Kerala.

World Class Neonatal Care at affordable cost!

A renovated centrally air conditioned neonatal unit with the

state of the art facilities was inaugurated near the delivery

suites on 13/10/2011. The new unit has adequate space,

controlled access, nominated sterile areas, uninterrupted power

supply, efficient medical gas distribution systems and modern

medical infrastructure in an environment that is sensitive to the

needs of the baby and the family.

Facilities exists in the unit for providing the safest critical care

to the premature babies including the ELBWs (extremely low

birth weight babies weighing less than 1000 gms) and those

newborns with a wide variety of complex medical, cardiac and

surgical problems.

The unit has a heavy occupancy rate of 100% in level III beds

and 96% in level II beds throughout the year.

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Infra Structure:

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The unit is constructed scientifically as per the recommendedrequirements and follows open care system with state of theart radiant warmers.

The unit has bed strength of 46 as detailed below:

Level III Neonatal Intensive Care Unit- high dependency care-12 ventilated beds

Level IIA Special Care Baby Unit- intermediate dependencycare- 12 beds

Level IIB Special Care Baby Unit- intermediate dependencycare- 10 beds

Level IIC Special Care Baby Unit- low dependency care- 12beds

Caring hands for the tiny ones!

The unit is run by a team of neonatologists under the

leadership of Dr V C Manoj and is well supported by paediatric

post graduate residents and efficient nursing staff trained in

neonatal care. The unit has 1:1 nurse patient ratio in the levelIII section and comparable staff strength in the other three

sections. The unit seeks to continuously improve the quality of

care by using evidence-based treatment and regular audit of

health outcomes.

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Services

The following services are offered currently in the unit:

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Advanced Neonatal intensive care, inclusive of:o High-frequency ventilation (HFO)- using SLE 5000 ventilatorso Conventional mechanical ventilationo Non Invasive Ventilationo Surfactant replacement therapyo Neonatal total parenteral nutritiono Neurosonographyo Neonatal echocardiographyo Surgical correction of neonatal conditions like congenital

diaphragmatic hernia and pre and post operative care for

neonatal surgery

Comprehensive management of neonatalhyperbilirubinemia warranting intensive phototherapy and

exchange blood transfusion

Attendance at high-risk or potentially complicateddeliveries

T piece resuscitator services for transport of ventilatedbabies to the NICU

Prenatal consultation and counselling for parents Foetal medicine services Genetic counselling Breastfeeding support 24-hour consultation and advice on neonatal problems

to paediatricians in the periphery

Newborn Screening

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o Clinical screening of well babieso Screening for Retinopathy of Prematurityo Universal Newborn Hearing Screen by OAE Testo Universal Thyroid screening programme

Newborn clinicso High risk developmental clinic (Tuesday, Saturday)o Neonatal follow-up clinic (Wednesday, Saturday)o Neonatal cardiac clinic (Thursday)

Neonatal Resuscitation Programme (NRP) provider andinstructor courses

Future Plans:

Establish additional facilities like therapeutic hypothermia forperinatal asphyxial encephalopathy.

Establish a well structured and accredited post graduateneonatology fellowship programme

Establish universal screening programme for the inborn errorsof metabolism