Neonatology

A NICU has a specific routine in place. By knowing the routine you can be better prepared as to what to expect during your stay. Find out how long the shifts are, and what time shift change takes place. Ask what time rounds are made, and if you are allowed to be there during these times.

Birth of your baby is a joyous occasion. However, the experience of being in the Neonatal Intensive Care Unit (NICU) can be overwhelming. Concern and fear may take over the excitement surrounding the birth as you are now faced with varied emotions.

Welcome to Neonatal Intensive care at Rela hospital. This is a 15 bedded quaternary care center hospital which provides complete care of the preterm baby. Our ambulance service stretches to our neighborhood and towns and villages nearby. 

We care for medically unstable and critically ill newborns requiring constant nursing, complicated surgical procedures, continual respiratory support, or other intensive interventions.

We,

1. Observe critical infants.  
2. Monitor critical infants electronically.  
3. Carry out advanced therapeutic procedures.  
4. Promote maternal child contact to the fullest extent possible.

The staff who work in NICU have a strong commitment to providing exceptional care to infants and their families. We believe that the parent-child relationship should be nurtured from the beginning, throughout and beyond their time in NICU. In order to facilitate this, we work with the following goals in mind: 

1. To have best survival of extreme prematurity and IUGR with intact neuro developmental outcome.
2. To avoid hospital acquired infection to minimum level  
3. Early stimulation:
   1. Early Oral Stimulation
   2. Position and Nesting
4. Zero-Separation Neonatal Care (Mother – Infant dyad)

• Liver Related Donor
• Cadaver Liver Transplant(Split Liver Transplant)
• Combined Liver-Kidney Transplant
• Auxiliary liver Transplant
• Monosegmental Liver Transplant(for babies less than 5 kg )

INPATIENT

• Management of High Risk Infants
• Management of Pre-Term & Low Birth Weight Babies
• Management of Neonatal Surgical Problems
• Resuscitation Services – 24 x 7
• Incubator Care
• Phototherapy
• Exchange Transfusion
• Arterial Blood Gas
• Total Parenteral Nutrition
• CPAP
• Ventilator Support (Conventional, High Frequency)
• Surfactant Therapy
• Nitric Oxide Therapy
• Whole Body Cooling (Therapeutic hypothermia)
• New Born Screening

POINT OF CARE

• Echocardiography
• Hearing Assessment

OUTPATIENT CLINIC

• High Risk Infant Follow Up
• High Risk Pregnancy Counselling
• Vaccination

EXCLUSIVE FACILITY AT RIMC

• Family Centered Care
• Neonatal Liver Transplant
• Transportation of Sick Babies – 24 x7

• Hypoglycemia
• Hypothermia
• Jaundice
• Sepsis
• Prematurity
• Low Birth Weight
• Feeding Issue
• Transport
• Twin Pregnancy
• Acute Liver Failure
• Chronic Liver Diseases ( Biliary atresia, PFIC, etc )
• Metabolic Liver Diseases

CONTACT NUMBER NICU CUG: 9384053858 (Any concern regarding baby)

1. What is oral stimulation for breastfeeding?

During feeding, perioral stimulation with rhythmic pressure is applied to the baby’s tongue, and this supports the stability of the jaw and tongue. Nonnutritive nipple sucking promotes coordination of oral movements in infants. After such treatment, infants’ oral movements significantly improve. This consists of five steps, i.e., stroking cheeks, lips, jaw and tongue, and rubbing gums

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2. Why are supported positions and nesting in NICU important?

• They help normal muscle development and normal movement of your baby’s arms and legs. 
• They minimize head flattening known as ‘plagiocephaly’, or ‘Positional plagiocephaly’. 
• They minimize the tightness of your baby’s neck, shoulder and hips. 
• They promote self-comforting behaviors. 
• They reduce stress and how much energy your baby uses. 
• They promote easier breathing and blood circulation. 
• They preserve energy levels as your baby is more comfortable and does not move around so much.

3. Why is zero separation must ((Mother – Infant dyad)

In exchange with international healthcare professionals and consulting the World Health Organization (WHO) recommendations, it appeared this separation had been decided on no current evidence. The WHO supports rooming-in and skin-to-skin contact, especially immediately after birth and during establishment of breastfeeding, regardless whichapplies to all mothers including suspected or confirmed COVID-19 infection.

Zero separation promotes : 

• Healthy weight gain
• Neurologic development and
• Increased breastfeeding rates

4. What can be expected from NICU staff?

• The NICU team is here to help you at all times and ensure you are kept up to date about your baby’s progress.
• Our aim is to ensure that all parents are confident and skilled in looking after their baby. 
• We want to help you get home as a family as soon as possible.