PEDIATRICS

• Introduction

• Courses Offered

• Staff

• Units / Functional Areas

• Teaching

• Research

• Clinical Trials

• Ongoing Thesis/Study in the Department

• Publications

• Community Services

• Evaluation Patterns

• P.G. Teaching Schedule

• Special Clinics

• Newborn Care Unit

• Achievements

• Papers and Posters

   

 

 

 

 

 

 

Introduction

The department of paediatrics was established in 1949, provides teaching to students of MBBS, post graduate students of M.D. Paediatrics, Diploma in child health, Physiotherapy.

Courses Offered

M.D.
PG Intake Capacity  - Total 12

M.D Paediatrics         – 12 seats

NO. OF STUDENTS REGISTERED ANNUALLY IN P.G. COURSE:

1) M.D. ----- 12 / YEAR

Staff

Faculty Names

Evaluation Patterns

UG: Beside clinical evaluation at end of pediatric posting & practical examination.
Theory exams - prelims + final M.B.B.S. Theory and practical examination.

PG: Assessment proforma of PGs is regularly maintained and assessed at the department level.
Regular assessment of dissertation done from time to time.
Final theory and viva practicals and dissertation evaluation done at the end of residency programme before awarding of M.D.Degree.

Ongoing thesis/ study in the department:

1. Study of various risk factors for development of retinopathy of prematurity in preterms with specific emphasis on postnatal weight gain, by Dr Anuja Datar 3rd year resident under Dr Sheila Aiyer.
2. Study of Acute Encephalitis Syndrome and predictors of outcome in paediatric age group, by Dr Diksha Deepak 3rd year resident under Dr Vaishali Chanpura
3. Randomized control study to compare efficacy of short term (14 days) and conventional 21 days regime for treatment of neonatal pyogenic meningitis by Dr Khushboo Mehta under Dr Shwetal Bhatt.
4. Utility of platelet indices and organism specific platelet response in culture positive sepsis in neonates weighing less than 1.8 kg, by Dr Dipal Zanzrukiya under Dr Paresh Thakkar.
5. Prospective study on outcome of cue-bases feeding versus scheduled- feeding in nursery of SSGH, by Dr Mufaddal Bookseler under Dr Jayesh Solanki.
6. Bacteriology profile with their antibiogram and outcome of neonatal sepsis, by Dr Manisha Suddamalla under Dr Sheila Aiyer.
7. Role of Aminophylline in prevention of kidney injury in birth asphyxia, by Dr Priyanka Parmar under Dr Sheila Aiyer.
8. Comparison between InSurE and LISA methods of surfactant administration, by Dr Akshit Ganasva under Dr Omprakash Shukla.

Publications from the department during last 3 years:

Community Service

1. International breastfeeding week is celebrated every year in the first week of August. Mothers are encouraged to breastfeed their babies, benefits of breastfeeding to mother and baby and to community are explained.
2. International ORS week celebration in the last week of July, outlining how to prepare and use Oral Rehydration Solution at home.
3. Collaboration with Make A Wish Foundation, dedicated to in granting the most cherished wish of children diagnosed with a life- threatening medical condition.
4. Nutritional rehabilitation centre and Annapoorna Trust for treatment of malnourished children, including dietary advice in special conditions like children with diabetes, Celiac disease, etc.
5. Regular Medical Camps are arranged by Vadodara Municipal Corporation at various peripheral healthcare centres, School Health Camps, attended by resident doctors.

DEPARTMENT OF PAEDIATRICS, MEDICAL COLLEGE, VADODARA
PG TEACHING SCHEDULE 2019-20

Teams:     team A                            team B                             team C

              Dr Paresh Thakkar           Dr Sheila Aiyer                Dr Omprakash Shukla

               Dr Shwetal Bhatt            Dr Vaishali Chanpura      Dr Jayesh Solanki

               Dr Snehal Vasava           Dr Rinki Shah                   Dr Ashruti Kacha

                                                          Dr Nayan Tada

PG teaching was withheld from 23rd March 2020 upto 15th May 2020 due to lockdown and COVID -19 Pandemic. Teaching was resumed in third week of May with the help of audio- visual aids and online meeting platforms.

GUEST LECTURES AND CASE PRESENTATIONS BY PG STUDENTS HOSTED BY DEPARTMENT OF PAEDIATRICS IN 2019-20

Special clinics being run by the department and number of patients in each

Special clinics
The following special clinics are working as a part of departmental outpatient services

Well baby clinic (under 5 clinic)
All newborn babies discharged from our postnatal wards are placed on follow-up at our well baby clinic. The services offered here are as follows:
Growth monitoring at each visit with measurement of anthropometric parameters: length, weight, head circumference
Assessment of development.
Routine immunization
Nutritional assessment and counselling regarding breastfeeding and IYCN
Micronutrient supplementation as and when required.
Management of minor illnesses. Timing: Every Monday 3:00pm to 5:30 Pm

HIGH RISK FOLLOW UP CLINIC
Newborns discharged from NICU and having high risk factors are provided focused and comprehensive follow up and management at our HighRisk Clinic.
Criteria for HRC follow-up:
Preterm newborns < 35 weeks gestation.
LBW babies<1800g
Newborns having Moderate to Severe Birth Asphyxia
Neonatal seizures
Those requiring mechanical ventilation
Septicaemia with pyogenic meningitis
Neonatal hyperbilirubinemia requiring exchange transfusion
Infants of PLHA seropositive mothers
Orphan and institutional babies
Services offered at HRC clinic:
Growth monitoring at each visit and interventional measures for growth faltering
Neurodevelopmental assessment at each visit using TDSC charts. Infants who show significant lag are referred for formal developmental assessment using DASII.
Routine immunization
Nutritional counselling including breastfeeding, IYCN and micronutrient supplementation
Universal hearing assessment using OAE
ROP and follow up ophthalmic examination in cases where indicated.

Timing: Every Saturday 9:00 am to 12:30 pm Consultants in charge: Dr Sheila Aiyer, Dr Shwetal Bhatt, Dr Vaishali Chanpura

PEDIATRIC EPILEPSY CLINIC
A special clinic for management of pediatric epilepsy is working in our department since last 20 years.
Patients managed at epilepsy clinic:
• Those having>2 unprovoked convulsions
• Epilepsy syndromes
• Associated conditions like intellectual disability, cerebral palsy, behavioural disorders
• Classification: As per ILAE 2017

Patients are called for follow-up every month and the following are noted:
• Change in frequency/ type of seizures
• Drug compliance
• Neurodevelopment
• Any drug related complications
• Other health related problems

Medications provided at epilepsy clinic:
First line AEDs: sodium valproate, carbamazepine, levetiracetam
Second line AEDs: Lamotrigine, topiramate, clobazam, clonazepam
Third line AEDs: ACTH, Zonisamide, Lacosamide

Timing: every Thursday 3:00 to 5:30 pm
Consultants in charge: Dr Vaishali Chanpura, Dr Snehal Vasava, Dr Nayan Tada

PEDIATARIC HEMATOLOGY CLINIC
Treatment of common haematological conditions is carried on at special haematology clinic which has been established since the last 5 years.
Diseases managed:
• Thalassemia major
• Sickle cell disease
• Other haemolytic anaemias
• Hemophilia A and B as well as von Willebrand disease.

Services provided:
• Blood transfusion to patients of Thalassemia major and sickle cell disease at regular intervals.
• Provision of medications like iron chelators, hydroxyurea, folic acid
• Monitoring of complications of Thalassemia major and SCD.
• Monitoring of side effects of medications
• Factor VIII, IX transfusion for patients of Hemophilia free of cost.
• Monitoring of parameters like growth, endocrine functions, liver and cardiac functions , blood transfusion related infections like HIV and Hepatitis B and C.
• Monitoring of Quality of life in patients of Hemophilia with provision of orthopaedic and Physiotherapy interventions.

Timing: Every Thursday 3:00pm to 5:30 pm
Consultants in charge: Dr Sheila Aiyer, Dr Ashruti Kacha

NUTRITIONAL REHABILITATION CENTER
Established since the last 20 years
It provides holistic management of malnourished children referred from all over the district.

Criteria for admission:
Patients falling under SAM as per WHO criteria:
• Wt/Ht< -3SD
• Visible severe wasting
• Presence of complications
• MUAC<115mm
• Bilateral pedal oedema

Staff at NRC:
• Dedicated consultant in charge: Dr Rinki Shah
• Two special nutrition consultants who prepare special diets for the patients
• Cook and assistant
• Special nutrition nurse

Services provided:
• Management of SAM as per WHO guidelines:
• Provision of freshly prepared special diets like F-75, F-100 and Energy and Protein rich diet (EPD)
• Micronutrient supplementation
• Stimulation and play therapy
• Counselling of mothers for nutrition after discharge and regular follow up.
• Infant and child friendly colourful, lively and stimulating environment
• Daily recording of weight, charting and management of any complications
Round 100-150 patients are managed every year at our NRC.

NEWBORN CARE UNIT
The department has a well equipped Level III Newborn care unit. It includes the following:
Kangaroo mother care unit:
We have a 40 bedded KMC unit. Low birth weight and preterm neonates are provided round the clock KMC here with lactation support, temperature and vital signs monitoring and counselling.
Neonatal intensive care unit:
We have 40 NICU beds with separate units for inborn and out born newborns. The facilities offered here are:
• Invasive and non-invasive ventilation
• Oxygen support
• Care of surgical babies
• Phototherapy and exchange transfusion
• Parenteral nutrition
• Point of care ultrasound
• Surfactant therapy
• Treatment of all critical neonatal conditions like preterm care, RDS, MAS, PPHN, Septicaemia and others
Every month, we have around 250-300 newborns being treated at our NICU.
Our obstetric unit has around 7000 deliveries a year. All newborns delivered here as well as referred from nearby peripheral centres are managed at our postnatal and newborn care units.

HUMAN MILK BANK
We have the second largest human milk bank in the state of Gujarat which caters to the need of thousands of preterm neonates. One amongst the 22 milk banks in India and the largest in Gujarat government sector MOM (Mothers Own Milk) started on 8 November 2019, is a boon to sick newborn babies. The milk bank is equipped with ultra- modern technology to collect and store the healthy donors milk after pasteurisation.
 

● One of the best teaching Departments at Undergraduate and Postgraduate level of Central and South Gujarat.

● State of Art DEIC (District Early Intervention Centre) in Gujarat.

● Department is successfully running State of Art 25 bedded Em-NICU (Level 3) with facility of conventional mode Ventilation, High frequency Ventilation, Exchange Transfusion, Therapeutic Hypothermia for Newborn, Laminar flow, ROP Screening and treatment, Neonatal Surgeries, and 20 bedded Kangaroo Mother Care Ward catering patients from central Gujarat, Maharashtra, Rajasthan and MP.

● Department is successfully running 20 bedded Intramural NICU(Level 3) with facility of conventional mode Ventilation, HFOV, Exchange Transfusion, Therapeutic Hypothermia for Newborn, Laminar flow, ROP Screening and treatment, Neonatal Surgeries, and 20 bedded Kangaroo Mother Care Ward.

● State of art point of care Hemo-dialysis in PICU (Pioneer in public and private sector of Gujarat)

● One of the best & State of Art MOM (Mother’s Own Milk) Human milk bank.

● Point of care USG and 2D Echo facility in NICU & PICU.

● One of the best NRC and also oldest in Gujarat and one of the 2 earliest NRCs established by CARE in 1980.

● Our department is accredited for Observer ship in FBNC

● State of Art Hemophilia work including Factors and Inhibiters catering to around 100 Hemophilia patients per year.

● Our department has been accredited for IAP fellowship in Neonatology (2 Seats per year) and it is one of its kind in the state of Gujarat.

● Many Research works in form of Vaccine Trials are being done in the department regularly.

● Around 100 Research papers in International and National Journals by all staffs

● Our faculties are National level trainers of NSSK, Advanced NRP, FBNC, SAM, RBSK, IMNCI, F-IMNCI, CVI, KMC, Quality Care for Preterm, SCNU Accreditation, Health Care Communication, SBA ( Skilled Birth Attendant)

● Our faculties have been Zonal/ Divisional level Coordinators and Quiz Masters for IAP Postgraduate , IAP Undergraduate Quiz

● And also Zonal/ Divisional level Coordinators and Quiz Masters for NNF Postgraduate Quiz.

● Our postgraduates have won/ been runner's up at NNF PG Quiz National round and also reached many times zonal level at IAP and NNF PG Quiz

● Our Undergraduates have been Runner's up at IAP Undergraduate Quiz at National level

● Our PG students have won best prize/ awards in scientific paper presentation and Poster Papers many times in IAP Gujarat level conferences.

● Our staffs have been Gold Medalist in their Undergraduate and Postgraduate courses.

● Our faculties were trainers for first NSSK program in the State of Gujarat.

● Our faculties were trainers for first FBNC training in the State of Gujarat.

● Our faculties were pioneers in writing and editing a book on Neonatology for Medical Officers and Nurses for State of Gujarat.

● Our faculties were pioneers in starting first ever Emergency Newborn Care
( EmNC) Comprehensive training for Medical Officers and Nurses in the year 2008 and then it was launched all over Gujarat.

● Our faculties are Examiners for NBE, AIIMS and various renowned Institutes across India.

● Our faculties have imparted National level TOT and training of NSSK, FBNC, advanced NRP in Gujarat, Maharashtra, MP, UP, Rajasthan, Haryana, Delhi, Punjab, Chhattisgarh etc.

● Our faculties have been Editors in various National level scientific journals.

● Our faculties have authored chapters/ topics in IAP Textbook of Pediatrics and have also authored few other books in Pediatrics.

● Our faculties have presented papers in International and National Conferences and also chaired the sessions and delivered talks/ lectures at various National /International/ State/Local conferences of IAP/ NNF/ other organizations

● Our faculties have held various positions in NNF Gujarat like President, Secretary, Treasurer etc

● Also Executive members in AOP Gujarat

● Executive members in AOP Vadodara branch

● Celebrated IAP/ NNF Breastfeeding week, Newborn week, ORS week including Quiz.

● We have conducted IAP Practitioners Quiz at Gujarat and Vadodara level

● Adopted 3-4 districts of Gujarat for newborn health and training and hand holding.

● Won NNF best prize for Best NNF state branch and also best in Newborn week celebration at National NNF Hyderabad Conference in the year 2019

● Our department is actively involved and is part of much training conducted at State Institute of Health and family welfare.

● Our Nurses have won twice at the National level of NNF Nursing Quiz.

• Our Faculty member has won National Award from INDIAN MEDICAL ASSOCIATION AS Presidents Appreciation Award from IMA Headquarter Delhi.

Scientific presentation by students

ORAL PAPER
1. Kiran Goplani
a) Annual mid-term scientific meet of AOP, Gujarat
Topic: CPAP by mask v/s nasal prongs
b) 17th Annual State Conference of National Neonatology Forum
Topic: KMC- A quality improvement initiative

2. Khushboo Taneja
a) 44th Annual Conference of AOP, Gujarat (1st prize)
b) 17th Annual State Conference of National Neonatology Forum (3rd prize)
Topic: Association between occurrence of NEC and packed RBC transfusion in preterm neonates
c) PEDICON 2020 57th Annual Conference of IAP

POSTER PRESENTATION
1. Drashty Gandhi
44th Annual Conference of AOP, Gujarat
2. Khushboo Taneja
Annual midterm scientific meet of AOP, Gujarat
3. Mayur Kacha
17th Annual State Conference of National Neonatology Forum
4. Jaykishan Gohil
17th Annual State Conference of National Neonatology Forum
Topic: Pulmonary agenesis in newborn