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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.

Infra Structure:

The unit is constructed scientifically as per the recommended requirements and follows open care system with state of the art radiant warmers. The unit has bed strength of 46 as detailed below:

Level III Neonatal Intensive Care Unit- high dependency care12 ventilated beds

Level IIA Special Care Baby Unit- intermediate dependency care- 12 beds

Level IIB Special Care Baby Unit- intermediate dependency care- 10 beds

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

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 level III 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.

Services The following services are offered currently in the unit:

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Advanced Neonatal intensive care, inclusive of: High-frequency ventilation (HFO)- using SLE 5000 ventilators Conventional mechanical ventilation Non Invasive Ventilation Surfactant replacement therapy Neonatal total parenteral nutrition Neurosonography Neonatal echocardiography Surgical correction of neonatal conditions like congenital diaphragmatic hernia and pre and post operative care for neonatal surgery

Comprehensive management of neonatal hyperbilirubinemia warranting intensive phototherapy and exchange blood transfusion

Attendance at high-risk or potentially complicated deliveries

T piece resuscitator services for transport of ventilated babies 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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Clinical screening of well babies Screening for Retinopathy of Prematurity Universal Newborn Hearing Screen by OAE Test Universal Thyroid screening programme Newborn clinics High risk developmental clinic (Tuesday, Saturday) Neonatal follow-up clinic (Wednesday, Saturday) Neonatal cardiac clinic (Thursday) Neonatal Resuscitation Programme (NRP) provider and instructor courses Future Plans:

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Establish additional facilities like therapeutic hypothermia for perinatal asphyxial encephalopathy.

Establish a well structured and accredited post graduate neonatology fellowship programme

Establish universal screening programme for the inborn errors of metabolism