Newborn Care

Birth of a newborn is an amazing feeling. While on one hand, the newborn’s parents try to put maximum efforts to understand the needs of her little one, on the other, this transition to life outside the mother's belly is quite challenging for the baby too.

Newborn babies who need intensive care are often admitted into a special area of the hospital called the Neonatal Intensive Care Unit (NICU). The NICU has all advanced medical equipments and trained medical practitioners to provide specialised medical care or nursing care required by these little ones.

Follow-Up Of High Risk Neonates:

Certain neonates who are discharged from the NICU have certain high risk factors for which they should be monitored at a regular basis as they are at risk of growth and developmental delays. These babies need to be followed up closely so that any problems may be detected and treated at an earlier stage. These high risk factors include:

  • Gestation 32 weeks or less
  • Birth-weight 1500 gm or less
  • Severe IUGR (Birth-weight less than 3rd centile for gestation)
  • Artificial ventilation for >5 days
  • Seizures in neonatal period
  • Intraventricular hemorrhage grade 3 or more
  • Neonatal encephalopathy
  • Hypoxic ischemic encephalopathy stage 2 or 3
  • Jaundice requiring exchange transfusion
  • Developmental malformation of central nervous system
  • Neonatal meningitis
  • Recurrent or refractory hypoglycemia in neonatal period
  • Stormy neonatal course with neonatologist's concern regarding baby's growth and development

The Children’s Hospital, Mumbai has a weekly growth and development clinic for all high risk neonates every Wednesday between 11 noon and 2 pm. The baby is examined by a neonatologist and pediatric physiotherapist. Baby is assessed for age appropriate milestones and his/her growth is checked and plotted on a growth chart. At the end, parents are advised about baby's progress, areas where special attention is needed, baby's diet and further follow-up.