The Department of Neonatology has 4 faculty members: 1 Professor, 1 Associate Professor, 2 Assistant Professor & 1 Superspeciality Medical Officer.

The department has 3 DM residents, 2 Fellows, 5 Senior and 6 Junior residents.

The nursing staff consists of 4 senior nurses and 25 staff nurses round the clock on duty. The department also has 9 labor staff members, a clerk cum typist, part time record assistant.

In addition, the department has staff working on Kangaroo Mother Care, Human Milk bank & Facility Based Newborn Care projects.

No. of units : 1

• Faculty: Professor, Associate Professor, &Assistant Professor: 1 each.
• DM residents: 9 (SR III: 1, SR II: 2, SR I: 6)
• MUHS Fellows: 2
• Junior residents: 10

Dr. Ruchi N. Nanavati,
Professor and Head,
Tel: 24107035
Email: drruchinanavati@gmail.com

Dr. Anitha Ananthan,
Associate Professor
Tel: 241007035
Email: ani.gem81@gmail.com

2003

Dr. S.S. Manchanda Neonatology Research Gold Medal Award for paper entitled “Antenatal Doppler Velocimetry in Fetal Growth Restriction” presented at 40th National Conference of Indian Academy of Pediatrics held in Mumbai in January 2003

2004

• Suman Rao, Senior Resident, Department of Neonatology: Best Resident Award to by Seth G.S. Medical College & K.E.M. Hospital, Mumbai
• Department selected as Center of Excellence for Kangaroo Mother Care
• Establishment of Ambulatory Kangaroo Mother Care Center, the first of its kind in India

2005

• Establishment of Human Milk Bank on 11^th January 2005
• Inauguration of renovated Ambulatory Kangaroo Mother Care Center, the first of its kind in India o0n 15^th August 2015.
• “Room air & 100% Oxygen in Neonatal Resuscitation: A randomized controlled trial”, Research Publication in an International journal, Journal of Tropical Pediatrics in August 2005
• EMBICON Gold Medal for paper entitled “Fluconazole prophylaxis against fungal colonization and invasive infection in Very Low Birth Weight infants” presented at 8th National Conference of Pediatric Infectious Diseases chapter of IAP & EMBICON 2005 held in Mumbai
• Gold Medal for Best & Original Research work in Neonatology for paper entitled “Kangaroo Mother Care for Low Birth Weight Infants- A randomized Controlled Trial” at 25th Annual Convention of National Neonatology Forum held at Indore.

2006

• Foundation Day Trophy for ‘Clean ICU’ awarded to NICU

2007

• Screening of newborns for Congenital Hypothyrodism & Congenital Adrenal Hyperplasia in collaboration with Department of Pediatrics under Indian Council of Medical Research task force project

2008

• Foundation Day Award for “ Best Ward for Biomedical Waste Management”
• Mayors Award for Best Sister In Charge of MCGM : Mrs. Surekha Pale of NICU

2009

• Initiation of High Frequency Ventilation in neonates.
• MCI recognition for starting DM (Neonatology) superspeciality course
• Initiation of MUHS fellowship in Neonatology

2010

• Department of Neonatology is recognized as the “Collaborative Center for Facility Based Newborn Care” under National Reproductive and Child Health Program of Ministry of Health & Family Welfare, Government of India supported by Norway India Partnership Initiative (NIPI) & UNICEF
• Ruchi Nanavati certified as International Board Lactation Consultant from 2010 to 2015.
• Ruchi Nanavati invited by Board of Governors, MCI as a member of the reconstituted Board of Specialty in Neonatology for drafting / updating the curriculum for DM Courses in the specialty of Neonatology.
• Rekha Samant, Senior Staff Nurse has been awarded Neonatal Nursing Excellence Award 2010 by Save The Children USA & 7^th International Conference of Neonatal Nursing 2010 (ICNN). Award ceremony was organized in Durban, South Africa on 24^th October 2010.

2011

• Foundation Day Award of “Best Medicine Management” to NICU
• Foundation Day Award of Cleanliness to KMC OPD
• S.S. Manchanda Neonatology Research Award: Gold Medal, at 48th Annual National Conference of Indian Academy of Pediatrics, held at Jaipur in January 2011 for paper presentation entitled “Comparative Efficacy of Kangaroo Mother Care versus Expressed Breast Milk administration on pain associated with removal of adhesives in Very Low Birth Weight Infants : A Randomized Trial

2012

• Ruchi Nanavati : National faculty for Facility Based Newborn Care Program under National Reproductive and Child Health Program of Ministry of Health & Family Welfare, Government of India supported by Norway India Partnership Initiative (NIPI) & UNICEF
• Department of Neonatology recognized as the regional “Regional Collaborative Center for Facility Based Newborn Care” under National Reproductive and Child Health Program of Ministry of Health & Family Welfare, Government of India supported by Norway India Partnership Initiative (NIPI) & UNICEF

• Conducted 8 Facility Based Newborn Care Observership Training programs of 14 days each for pediatricians & nurses form Orissa & Rajasthan.
• Social Neonatology Gold medal award at the Annual Conference of National Neonatology Forum at Delhi for the paper entitled: KAP study of the Kangaroo Mother Care practices in a tertiary care centre. Does knowledge really affect the attitude and practice? authored by Shruti Agarwal, Dr. Ruchi Nanavati, Dr. Shraddha Sureka, Dr. Surabhi Ranjan, Dr. Nandkishor Kabra.
• Best poster award at National Conference of IAP Neonatology Chapter for the paper entitled: Predictors of INSURE therapy in babies with respiratory distress syndrome – An Indian Experience: authored by Bonny Jasani, Ruchi Nanavati, Kabra NS
• Second prize, PG neonatology quiz at the Annual Conference of National Neonatology Forum at Delhi. Post graduate team – Dr. Sarfaraz Momin & Dr. Meghana Nadigar

2013

• Ruchi Nanavati : National faculty for Facility Based Newborn Care Program under National Reproductive and Child Health Program of Ministry of Health & Family Welfare, Government of India supported by Norway India Partnership Initiative (NIPI) & UNICEF
• Department of Neonatology recognized as the regional “Regional Collaborative Center for Facility Based Newborn Care” under National Reproductive and Child Health Program of Ministry of Health & Family Welfare, Government of India supported by Norway India Partnership Initiative (NIPI) & UNICEF
• Conducted 7 Facility Based Newborn Care Observership Training programs of 14 days each for pediatricians & nurses form Orissa & Rajasthan.
• Ruchi Nanavati : Lifetime Achievement Award by Mumbai Breastfeeding Promotion Committee during Inaugural Program of World Breastfeeding Week on 3/8/13 at Nair Hospital
• Ruchi Nanavati : Awarded Dr. S. F. Irani Oration during 10^th Maharashtra State Conference of National Neonatology Forum India at Nanded on 9^th November, 2013.
• Ruchi Nanavati : Awarded Dr. Elizabeth John Oration during South Zone Conference of National Neonatology Forum India at Bangalore on 17^th November, 2013.
• Dr Nandkishor Kabra: International Editor for Journal of Clinical Neonatology.
• Dr Bonny Jasani: Awarded travel Scholarship to attend 27^th International Congress of Pediatrics held from 24-29 August 2013 at Melbourne, Australia.

2014

• Ruchi Nanavati : National faculty for Facility Based Newborn Care Program under National Reproductive and Child Health Program of Ministry of Health & Family Welfare, Government of India supported by Norway India Partnership Initiative (NIPI) & UNICEF
• Department of Neonatology recognized as the regional “Regional Collaborative Center for Facility Based Newborn Care” under National Reproductive and Child Health Program of Ministry of Health & Family Welfare, Government of India supported by Norway India Partnership Initiative (NIPI) & UNICEF
• Conducted 9 Facility Based Newborn Care Observership Training programs of 14 days each for pediatricians & nurses from Orissa & Rajasthan.
• Conducted 6 Facility Based Newborn Care Mentoring Visits to SNCUs in Orissa & Rajasthan.
• 1^st Runner Up prize during award paper presentation session at 7^th National Conference Neonatology Chapter of Indian Academy of Pediatrics on 1^st & 2^nd November 2014 at Meerut for the paper entitled Comparision of Non-invasive positive pressure ventilation Vs N-CPAP as primary modality for VLBW neonates. A randomized controlled clinical trial. Jasani BB, Nanavati RN, Kabra NS
• 1^st Runner Up prize during Oral paper presentation session at 7^th National Conference Neonatology Chapter of Indian Academy of Pediatrics on 1^st & 2^nd November 2014 at Meerut for the paper entitled Multi drug resistant gram negative septicemia in neonates : An underated conundrum; Desai SA, Jasani BB, Nanavati RN.
• Organization of 6^th Annual Lecture Series in Research Methodology consisting of 13 lectures organized from July to October 2014.

2015

• Renovation of NICU under MCGM CSR project by Mazgaon Dock Ltd. State of art NICU of 42 beds.
• Initiation of Total Body Cooling therapy for neonates with Perinatal Asphyxia
• Initiation of Nitric Oxide Therapy for treatment of Primary Pulmonary Hypertension in neonates
• Cerebral Function Monitoring in neonates with convulsions, asphyxia & neonatal encephalopathy
• Initiation of delivery room CPAP for neonates with Respiratory Distress Syndrome
• Department of Neonatology recognized as the regional “Regional Collaborative Center for Facility Based Newborn Care” under National Reproductive and Child Health Program of Ministry of Health & Family Welfare, Government of India supported by Norway India Partnership Initiative (NIPI) & UNICEF
• Ruchi Nanavati : National faculty & In charge Regional Collaborative Centre of Facility Based Newborn Care Program under National Reproductive and Child Health Program of Ministry of Health & Family Welfare, Government of India supported by Norway India Partnership Initiative (NIPI) & UNICEF
• Ruchi Nanavati: Member of Task Force on Standard Treatment Guidelines, An initiative by National Health Systems Resource Centre, Ministry of Health & family Welfare, Government of India
• Ruchi Nanavati: Member of Technical Advisory Committee on Stillbirths, Ministry of Health & family Welfare, Government of India
• Ruchi Nanavati : President Maharashtra State Chapter of National Neonatology Forum
• Ruchi Nanavati : Organizing Chairperson of National conference of Neonatology Chapter of IAP, Maharashtra State Chapter of NNF, & Neonatology Forum Mumbai, November 2015.
• Organization of 4 Observership training programs (14 days each) for pediatricians & nurses from Odisha & Rajasthan under National Reproductive and Child Health Program of Ministry of Health & Family Welfare, Government of India
• Organization of 10^th annual workshop on Neonatal Ventilation from 20^th to 25^th April 2015
• Organization of 2^nd annual Nursing CME on 19^th November 2015
• Gold medal for the research work on “To compare transcutaneous bilirubin with total serum bilirubin in preterm neonates receiving phototherapy” at National conference of Neonatology Chapter of IAP, Maharashtra State Chapter of NNF, & Neonatology Forum Mumbai in November 2015.

2016

• Renovation of NICU under MCGM CSR project by Mazgaon Dock Shipbuilders Ltd. State of art NICU of 42 beds inaugurated on 29/12/ 2016.
• Initiation of Continuous Positive Airway Pressure (CPAP) in delivery room for preterm neonates with Respiratory Distress Syndrome
• Initiation of Bailey Scale of Infant Development (BSID) III for neurodevelopmental assessment of NICU graduates during follow up
• Initiation of hearing screen for all NICU graduates
• Dr. Ruchi Nanavati: Member of Task Force on Standard Treatment Guidelines, An initiative by National Health Systems Resource Centre, Ministry of Health & family Welfare, Government of India
• Dr. Ruchi Nanavati: Member of Technical Advisory Committee on Stillbirths, Ministry of Health & family Welfare, Government of India
• Dr. Ruchi Nanavati : President Maharashtra State Chapter of National Neonatology Forum
• Dr. Ruchi Nanavati: Organizing Chairperson of Annual State Conference of Maharashtra State Chapter of National Neonatology Forum, October 2016. <
• Organization of 4 SNCU Observership training programs (14 days each) for pediatricians & nurses from Odisha & Chhatisgarh under National Reproductive and Child Health Program of Ministry of Health & Family Welfare, Government of India
• Organization of 3 SNCU Observership training programs (14 days each) for nurses from peripheral hospitals and maternity homes of MCGM.
• Organization of 9th annual workshop on Neonatal Ventilation from 4th to 9th April 2016
• Organization of 2nd workshop on High Frequency Oscillatory Ventilation for Pediatricians and Neonatologists on 13th October, 2016
• Organized workshop on “Bailey Scale of Infant Development (BSID) III: Assessing key developmental domains in young children” on 20th October 2016.
• Organization of 4th annual Nursing CME on 14th December 2016
• First prize for the research work on “Comparison of Neonatal Pain Agitation and Sedation Scale with Premature Infant Pain Profile for assessment of pain in preterm neonates on assisted ventilation” at State conference of Maharashtra State Chapter of National Neonatology Forum in October 2016
• Third prize for research work on “Comparison of feeding regimens in preterm neonates with abnormal antenatal doppler : a randomized controlled trial” at State conference of Maharashtra State Chapter of National Neonatology Forum in October 2016
• First prize for poster presentation on “Effect of Expressed Breastmilk vs Swaddling vs Sucrose on alleviation of pain associated with suctioning in preterm neonates on assisted ventilation” at State conference of Maharashtra State Chapter of National Neonatology Forum in October 2016
• Third prize for award paper presentation on “Effect of Expressed Breastmilk vs Swaddling vs Sucrose on alleviation of pain associated with suctioning in preterm neonates on assisted ventilation” at National conference of IAP, in October, 2016
• Research entitled “Labour Room Continuous Positive Airway Pressure in preterm neonates <34 weeks Gestational age with respiratory distress syndrome- the pressure that works” awarded as one of the top 10 best practices in NICU by “Indian Foundation of Premature Babies”

Achievements: 2017

• Initiation of 2D Echo facility in NICU
• Initiation of cranial, lung and abdominal USG facility in NICU
• Ruchi Nanavati awarded as “Officer of the Month” in January 2017 by Honorable Municipal Commissioner of Mumbai for the excellent patient care in Neonatology and for renovation to the state of art NICU in KEM Hospital under CSR project with Mazagon Dock Shipbuilders Ltd.
• Department of Neonatology recognized as the regional “Regional Collaborative Center for Facility Based Newborn Care” under National Reproductive and Child Health Program of Ministry of Health & Family Welfare, Government of India.
• Organization of 7 SNCU Observership training programs (14 days each) for pediatricians & nurses from Odisha & Chhattisgarh under National Reproductive and Child Health Program of Ministry of Health & Family Welfare, Government of India
• Organization of 10^th annual workshop on Neonatal Ventilation from 24^th to 29^th April 2017
• The research entitled “Use of Children’s Hospital of Philadelphia (CHOP) score to predict the onset of retinopathy of prematurity in Indian preterm neonates: A prospective observational study” presented in the award paper category in the national conference by IAP Neonatology chapter, held in Hyderabad from 8-10^th November, 2017.

Achievements: 2018

• Increase in seats from 1 to 4 in DM Neonatology by MCI
• Dr Ruchi Nanavati: National expert (team member) for formulating Neonatal standard treatment workflow guidelines of Ayushman Bharat scheme
• Department of Neonatology recognized as the regional “Regional Collaborative Center for Facility Based Newborn Care” under State Implementation NUHM Program of Government of Maharashtra.
• Ruchi Nanavati: In charge “Regional Collaborative Center for Facility Based Newborn Care” under State Implementation NUHM Program of Government of Maharashtra.
• Ruchi Nanavati: Member of task force on standard treatment guidelines, an initiative by national Health Systems Resource centre, Ministry of Health & Faamily Welfare, Government of India.
• Ruchi Nanavati: Member of Superspeciality Board of Studies of MUHS
• Ruchi Nanavati: Advisor to the association of Neonatal therapists.
• Ruchi Nanavati: Advisor for Neonatology Refresher course by Neonatology Chapter of IAP & Neonatology Forum Mumbai held in Mumbai; September 2018
• Organisation of 7 SNCU Observership training (14 days each)/ Mentoring programs for Pediatricians & nurses from Rajasthan & Chattisgarh under national reproductive and Child health program of Ministry of Health & family welfare, Government of India
• Organization of 11^th annual workshop on Neonatal ventilation from 25^th to 30^th June 2018
• Organization of 6^th annual nursing CME on 22^nd to 30^th November 2018

Courses Conducted & Training in Neonatology

1. DM in Neonatology:

KEM Hospital is the only institution in western India and second in India to offer super specialty DM Neonatology course. Every year 2 post MD or post DNB (Pediatrics) students are selected by All India Common Entrance test held in the month of May / June (contact www.dmer.org & www.dmer.gov.in/ )

These students are exposed to intensive and formal training in various aspects of Neonatology (Conventional- patient triggered ventilation, surfactant administration, total parenteral nutrition, routine as well as emergency neonatal ward work, outpatient work, training in allied specialties and superspecialities, fetal and neonatal Ultrasonography, Echocardiography, Neuroimaging, EEG, Administrative work, Teaching and training juniors, presenting papers and publishing scientific research, exchange of skills with fellow colleagues at other institutions of India, Neurodevelopmental assessment and managing High risk NICU graduates and Community Neonatology)

These residents need to submit original research work as thesis for their DM Neonatology. Apart from the thesis, they are supposed to write one case report and or a short study every year for the three years training.

Their curriculum is as per the MCI norms

PG Teaching Schedule is as follows:

• 1st and 3rd Monday of every month at 12 noon is NICU Death review meets
• 4th Monday of every month is Clinico Pathological Meeting with Dept of Pathology
• 4th Friday of every month is Common Perinatal Mortality Meet with Dept of Obstetrics

2. Fellowship In Neonatology:

KEM Hospital is the first institution in Maharashtra to offer super specialty Fellowship course under the aegis of Maharashtra University of Health sciences. Every year 2 post MD or post DNB (Pediatrics) students are awarded the fellowship & are extensively trained.

3. Training of Post Graduate Residents :

Students on completion of their training in Pediatrics, (MD, DCH or DNB) from various places in Maharashtra and India prefer working in the department for special training in Neonatology for a period of 6 months to a year. In addition junior residents from Pediatrics & Obstetrics are posted in Neonatology for 3- 6 months during their post graduate tenure.

4. Training of Observers :

Practicing Pediatricians from different parts of the country join the departmental onservership program to updating themselves in Neonatal Care for a period of 1 to 3 months.

5. Nursing Training programme :

Regular teaching sessions are held twice a week for staff nurses from NICU, PNC & LR. Nurses from in and around Mumbai come to the department for a period of one month for formal training in Neonatology.

The department is in forefront in teaching medical as well as paramedical personnel the art & science of Basic & Advanced Neonatal Care & has many workshops, training programs & conferences to its credit. We conduct the following training programs annually.

• Workshop in Art of Neonatal Ventilation
• Training Program in Lactation Management & Infant Nutrition
• Workshop in Kangaroo Mother Care
• Lecture Series in Research Methodology

The department has published various books (mentioned below) in the subject which are referred by postgraduate students & practicing pediatricians all over the country.

• Manual of Neonatal Protocols
• Manual of Neonatal Resuscitation
• Manual of Neonatal Procedures
• Manual of Neonatal Ventilation
• Training Manual on Kangaroo Mother Care

Booklets on Newborn Care, Kangaroo Mother Care & Breastfeeding written in local languages are popular in the community. The staff members & students of the department have many publications in national & international journals. Paper presentations at conferences is a common feature. Last 4 years our research papers have been selected at award paper sessions at National Pediatric & Neonatology Conferences & we have bagged Gold Medal thrice since 2003.

• Neonatal care: short term goals & long term goals
• Medical education
• Research

Neonatal care: Short term goals –

• 2DEcho services in NICU
• Ultrasound Imaging in NICU
• Hearing screening in NICU
• Neonatal Screening before discharge
• Strengthening of Human Milk Bank
• Computerization of all NICU data & KMC OPD

Neonatal Care: Long term Goals –

Renovation of HMB

Multidisciplinary programs –

• Neonatal Cardiac Program
• Fetal Medicine OPD ( Restructuring Birth Defects OPD)
• National Nodal Centre for training in Neonatology

Education :

• Increase in seats for DM Neonatology
• Rotation of residents to Pediatric surgery, Radiology & Cardiology
• Rotation of students in other units in India as well as exchange programs in Australia & Canada where ex students from KEM are program heads
• Publication of neonatal books: protocols, atlas

Research :

• Dedicated faculty for research
• Sabbatical leave for dedicated research development

Whats New

1. In house USG facility since February 2006.

2. In house screening for Retinopathy of Prematurity in all high risk babies.

3. In house screening for Hearing Impairment in all high risk babies.