General Info

Background information

The Neonatology division had been an important segment of the Department of Pediatrics since inception providing robust clinical care and training in Neonatology. To provide an impetus to neonatal services in JIPMER, the Neonatology division was upgraded to a separate department from 1st December, 2014. Ours is a level III busy NICU providing quality clinical services free of cost including CPAP, mechanical ventilation and surfactant therapy in addition to 24X7 neonatal resuscitation and emergency care for all neonates. DM Neonatology course was commenced in August 2009 with an aim to nurture competent super-specialists who would be capable enough to provide clinical care of the highest order to the newborn infants, and serve as future teachers, trainers, researchers and leaders in the field of Neonatology. With the initiation of PhD course in Neonatology from September 2010, research activities bringing science from bench to bedside and taking evidence to practice have been given a new thrust in the department. Our department was involved in National neonatal-perinatal data collection project and is known for the extensive research in neonatal sepsis and perinatal asphyxia including therapeutic hypothermia. The neonatology services have been brought under one roof in the newly commissioned JIPMER Women and Children hospital (JWCH)

Neonatology1
Neonatology1
Neonatology2
Neonatology2

Average daily deliveries:

  • Total:   50
  • Instrumental: 15
  • Caesarian Sections: 10
  • Daily admissions to NICU: 10
  • Daily bed occupancy rate: 125%

Infrastructure:

  • Total beds= 73
  • Warmers- 55
  • Incubators- 5
  • Ventilators – 10
  • Bubble CPAP – 8
  • KMC ward -13 beds
  • Average attendance -Well baby clinic (Wednesday) -150
Professor & Head Dr. B. Vishnu Bhat Neonatology3
Associate Professor Dr. B. Adhisivam Neonatology4
Assistant Professor Dr. Nivedita Mondal Neonatology6
Assistant Professor Dr. Nishad Plakkal Neonatology5
DM Neonatology fellows(Senior Residents)
  1. Dr. Shruthi K Bharadwaj
  2. Dr. Bharathi Balachander
  3. Dr. Febi Francis
  4. Dr. Rakesh Kotha
  5. Dr. Dheeraj Vaishnav
 
Senior resident (non-DM)
  1. Dr. Suresh Mekala
 
PhD Scholars
  1. Benet Bosco Dhas D – ICMR SRF
  2. Banupriya N – ICMR SRF
  3. Kingsley Manoj Kumar – DBT SRF
 
Other Research fellows Ms. Christina Catherine– DBT SRF  
Sisters in charge (NICU)
  1. Mrs. Vijaya
  2. Mrs. Thilagarani
  3. Mrs. K.Radha
 

DM Neonatology Fellows (Alumni)

  1. Dr. Femitha (2012)Dr. Rojo Joy (2013)
  2. Dr. Rojo Joy (2013)
  3. Dr. Prasad Kumar (2014)

Educational courses

  1. Undergraduate Course – MBBS
  2. Postgraduate Courses – M.D. (Paediatrics) 18 students per year (posted in rotation to Neonatology)
  3. Research Courses i.) D.M. (Neonatology) – 2 students per academic year from 2013, ii.) Ph.D. in Neonatology – currently 3 Ph.D. scholars are enrolled in Neonatology
  4. Collaborating with the Department of Anatomy, Biochemistry and Microbiology for Ph.D. and M.D. courses and training of undergraduate and postgraduate nursing students.

RESEARCH IN NEONATOLOGY DEPARTMENT

Research Areas:

  • Therapeutic hypothermia in perinatal asphyxia
  • DNA damage in perinatal asphyxia
  • Zinc supplementation in Neonatal Sepsis
  • Molecular diagnostics in neonatal sepsis
  • Genomics of neonatal sepsis
  • Epigenetics in neonatal sepsis

Completed

  1. Early neonatal outcome in caesarean section
  2. Outcome of  late preterm   babies
  3. DNA damage in perinatal asphyxia
  4. Chromosome breakage in Down syndrome
  5. Therapeutic hypothermia in perinatal asphyxia.
  6. Therapeutic hypothermia on oxidative stress among term neonates with Hypoxic Ischemic Encephalopathy.
  7. Fungal septicemia among newborn babies
  8. Oxidative stress and antioxidant status in neonates born to pre eclamptic mothers and their effect on early neonatal outcome.
  9. Inflammatory mediators as markers of infection and predictors of Outcome in Perinatal Asphyxia
  10. Probiotics therapy for prevention of Necrotising  Enterocolitis (NEC) in preterm infants – a randomized controlled trial

Collaborative Research Projects with the Department of Anatomy / Biochemistry.

  1. DNA Damage in Phototherapy.
  2. DNA Damage in neural tube defects
  3. Immunoglobulin level in Down syndrome
  4. Oxidative stress in Down syndrome
  5. Chromosomal breakdown in Down syndrome
  6. Oxidative stress in perinatal  asphyxia
  7. Early outcome of congenital diaphragmatic hernia

Funded projects:

ICMR:

  1. Postnatal counseling on exclusive breast feeding using video
  2. Effects of zinc supplementation on serum calprotectin level and acute inflammatory response in neonatal sepsis
  3. Epigenetic variations in relation with disease susceptibility and outcome in neonatal sepsis

CSIR:

  1. Evaluation of efficacy of new molecular based diagnostic system (SES) in comparison to routine blood culture in neonatal sepsis

DBT:

  1. Effects of Narciclasine on induced inflammatory response in neonatal sepsis rat models
  2. Therapeutic hypothermia and neuronal biomarkers in term neonates with Hypoxic Ischemic Encephalopathy – a randomized controlled trial

Intramural:

  1. Effect of therapeutic hypothermia on DNA damage in perinatal asphyxia
  2. Polymorphism in S100A9 gene in relation with disease susceptibility and outcomes in neonatal sepsis
  3. Risk factors and outcome in neonates with septic shock

Recent Publications

  1. Gane B, Bhat BV, Adhisivam B, Joy R, Prasadkumar P, Femitha P, Shruti B. Risk Factors and Outcome in Neonatal Necrotising Enterocolitis. Indian J Pediatr. 2014 Jan 4. [Epub ahead of print] PubMed PMID: 24385263.
  2. Gane BD, Bhat V, Rao R, Nandhakumar S, Harichandrakumar KT, Adhisivam B. Effect of Therapeutic Hypothermia on DNA Damage and Neurodevelopmental Outcome Among Term Neonates with Perinatal Asphyxia: A Randomized Controlled Trial. J Trop Pediatr. 2013 Dec 16. [Epub ahead of print] PubMed PMID: 24343823.
  3. Joy R, Krishnamurthy S, Bethou A, Rajappa M, Ananthanarayanan PH, Bhat BV. Early versus late enteral prophylactic iron supplementation in preterm very low birth weight infants: a randomised controlled trial. Arch Dis Child Fetal Neonatal Ed. 2014 Mar;99(2):F105-9.
  4. Namdev S, Bhat V, Adhisivam B, Zachariah B. Oxidative stress and antioxidant status among neonates born to mothers with pre-eclampsia and their early outcome. J Matern Fetal Neonatal Med. 2013 Dec 2. [Epub ahead of print] PubMed PMID: 24188179.
  5. Ramasamy S, Biswal N, Bethou A, Mathai B. Comparison of two empiric antibiotic regimen in late onset neonatal sepsis–a randomized controlled trial. J Trop Pediatr. 2014 Feb;60(1):83-6.
  6. Chidambaram AG, Manjula S, Adhisivam B, Vishnu Bhat B. Effect of Kangaroo mother care in reducing pain due to heel prick among preterm neonates: a crossover trial. J Matern Fetal Neonatal Med. 2014 Mar;27(5):488-90.
  7. Karlo J, Bhat BV, Koner BC, Adhisivam B. Evaluation of Renal Function in Term Babies with Perinatal Asphyxia. Indian J Pediatr. 2013 Jun 8. [Epub ahead of print] PubMed PMID: 23749415.
  8. Dhua AK, Joshi M, Plakkal N, Krishnan L. Bilateral torsion of testes with purpura fulminans. Indian Pediatr. 2014;51:743-4.
  9. Plakkal N, Soraisham AS, Trevenen C, Freiheit EA, Sauve R. Histological chorioamnionitis and bronchopulmonary dysplasia: a retrospective cohort study. J Perinatol. 2013 Jun;33(6):441-5.
  10. Plakkal N, Soraisham AS, Amin H. Citrobacter freundii brain abscess in a preterm infant: a case report and literature review. Pediatr Neonatol. 2013 Apr;54(2):137-40.
  11. Adhisivam B, Harikrishnan KN, Femitha P, Joy R, Prasadkumar P, Bharadwaj SK, Bahubali GD, Halnaik D, Bhat BV. Silencing a noisy goitre sans scalpel. Arch Dis Child Fetal Neonatal Ed. 2013 Jul;98(4):F361.
  12. Bhat BV, Adhisivam B. Trends and outcome of low birth weight (LBW) infants in India. Indian J Pediatr. 2013 Jan;80(1):60-2.
  13. Chourasia N, Surianarayanan P, Adhisivam B, Vishnu Bhat B. NICU admissions and maternal stress levels. Indian J Pediatr. 2013 May;80(5):380-4.
  14. Chourasia N, Surianarayanan P, Bethou A, Bhat V. Stressors of NICU mothers and the effect of counseling-experience from a tertiary care teaching hospital, India. J Matern Fetal Neonatal Med. 2013 Apr;26(6):616-8.
  15. Chidambaram AG, Manjula S, Adhisivam B, Vishnu Bhat B. Effect of Kangaroo mother care in reducing pain due to heel prick among preterm neonates: a crossover trial. J Matern Fetal Neonatal Med. 2013 Jul 18.
  16. Karlo J, Bhat BV, Koner BC, Adhisivam B. Evaluation of Renal Function in Term Babies with Perinatal Asphyxia. Indian J Pediatr. 2013 Jun 8. [Epub ahead of print] PubMed PMID: 23749415.
  17. Deepa C, Chand P, Vishnu Bhat B, Negi VS, Ramachandra Rao K. Immunoglobulin levels and nutritional status of children with Down Syndrome. Curr Pediatr Res 2012; 16 (1) 73 -75.
  18. Bhat BV, Adhisivam B. Neurosensory stimulation among preterm infants. Indian J Pediatr. 2013 Jun;80(6):444-5.
  19. Adhisivam B, Harikrishnan KN, Femitha P, Joy R, Prasadkumar P, Bharadwaj SK, Bahubali GD, Halnaik D, Bhat BV. Silencing a noisy goitre sans scalpel. Arch Dis
  20. Child Fetal Neonatal Ed. 2013 Jul;98(4):F361. Bhat BV, Adhisivam B. Trends and outcome of low birth weight (LBW) infants in India. Indian J Pediatr. 2013 ; 80:60-2. [ IF 0.521]
  21. Manoj A, Ramachandra Rao K, Vishnu Bhat B, Venkatesh C, Bobby Z. Chromosomal aberrations in Perinatal Asphyxia. Curr Pediatr Res 2012; 16: 65-68.
  22. Chourasia N, Surianarayanan P, Adhisivam B, Vishnu Bhat B. NICU admissions and maternal stress levels. Indian J Pediatr. 2013 May;80(5):380-4.
  23. Sulthana SM, Kumar SN, Sridhar MG, Bhat BV, Rao KR. Levels of non enzymatic antioxidants in Down syndrome. Indian J Pediatr. 2012; 79:1473-6. [ IF 0.521]
  24. Anitha Nancy T, Chand P, Vishnu Bhat B, Sridhar MG, Ramachandra Rao K. Assessment of DNA damage in babies treated with phototherapy for neonatal jaundice. Curr Pediatr Res 2013; 17 : 17-19.
  25. Adhisivam B, Femitha P, Joy R, Prasadkumar P, Shruthi BK, Gane BD, Bhat V. Air trail of a transilluminant scrotum. J Pediatr. 2013;162:645. [IF 4.115 ]
  26. Deepa C, Chand P, Vishnu Bhat B , Negi VS, Ramachandra Rao K. Serum immunoglobulin levels and lower respiratory tract infections in children with Down syndrome. Curr Pediatr Res 2012; 16 : 53-56.
  27. Howlett A, Ohlsson A, Plakkal N. Inositol for respiratory distress syndrome in preterm infants. Cochrane Database Syst Rev. 2012 Mar 14;3:CD000366.
  28. Adhisivam B. Is gripe water baby-friendly? J Pharmacol Pharmacother. 2012;3:207-8.  [IF not available]
  29. Kumar D, Mahto D, Bethou A. Height velocity in children with nephrotic syndrome. Natl Med J India. 2012;25:188. [IF 0.595]
  30. Mehar Sulthana S, Nandha Kumar S, Sridhar MG, Vishnu Bhat B, Ramachandra Rao K. Antioxidant enzyme activity in children with Down syndrome. Curr Pediatr Res 2012; 16 (1): 43-47.
  31. Femitha P, Joy R, Prasad K, Gane BD, Adhisivam B, Bhat BV. Skin discoloration:a new sign of systemic candidiasis in neonates? Indian J Dermatol Venereol Leprol. 2012;78:408. [IF 0.979]
  32. Joy R, Femitha P, Harikrishnan KN, Gane BD, Adhisivam B, Vishnu Bhat B. Cantu syndrome – A case report. Curr Pediatr Res 2012; 16: 1-4.
  33. Adhisivam B, Femitha P, Joy R, Ananthakrishnan R, Prasadkumar P, Gane BD, Bhat BV. Born with a balloon. J Pediatr. 2012; 161:366 [IF 4.115 ]
  34. Bharadwaj SK, Bhat BV. Therapeutic hypothermia using gel packs for term neonates with hypoxic ischaemic encephalopathy in resource-limited settings: a randomized controlled trial. J Trop Pediatr. 2012 ; 58:382-8. [IF 1.388 ].
  35. Joy R, Femitha P, Bahuballi, Adhisivam B, Vishnu Bhat  B. Case Report: Beals syndrome (Congenital contractural arachnodactly) with choroid plexus cyst. Curr Pediatr Res 2012 ; 16: 7-9.
  36. Anantharaj A, Bhat BV. Outcome of neonates requiring assisted ventilation.Turk J Pediatr. 2011 ;53:547-53.  [IF 0.441 ]
  37.  Femitha P, Bhat BV. Early neonatal outcome in late preterms. Indian J Pediatr.2012; 79:1019-24. [IF 0.521]
  38.  Femitha P, Joy R, Gane BD, Adhisivam B, Bhat BV. Frank-Ter Haar syndrome in a newborn. Indian J Pediatr. 2012; 79:1091-3.  [ IF 0.521]
  39. Gane BD, Femitha P, Joy R, Prasad V, , Adhisivam B , Bhat V. Poland syndrome with dextrocardia and congenital heart disease: A case report. Curr Pediatr Res 2013; 17: 7-9.
  40.  Joy R, Pournami F, Bethou A, Bhat VB, Bobby Z. Effect of therapeutic hypothermia on oxidative stress and outcome in term neonates with perinatal asphyxia: a randomized controlled trial. J Trop Pediatr. 2013; 59:17-22. [IF 1.388 ]
  41. Femitha P, Joy R, Adhisivam B, Vishnu Bhat B, Prasad K, Gane BD, Singh R. Candidemia in neonatal ICU- experience from a tertiary care hospital. Curr Pediatr Res 2013; 17: 44-48.

Book Chapters

  1. New Born care. In: Partha’s fundamentals of Paediatrics. Parthasarathy A (ed) , Jaypee Brothers Medical Publications, New Delhi 2013 p. 21 – 46.
  2. Bhat BV. Care of normal newborn. In:  IAP Textbook of Paediatrics. Parthasarathy A (ed). Jaypee Brothers Medical Publications, New Delhi. 2013 p. 30 – 32.
  3. Femitha P, Bhat BV. Pediatric HIV infection. In: Recent Advances in Pediatrics. Special volume 22.  Gupte S,  JP Publications, New Delhi. 2013, p.189-214.
  4. Adhisivam B, Bhat BV. Methicillin resistant Staphylococcus aureus.: A begging issue. In: Recent Advances in Pediatrics. Special volume 22.  Gupte S,  JP Publications, New Delhi. 2013, p.249-264.
  5. Adhisivam B, Bhat BV. Vector borne diseases. In: Recent Advances in Pediatrics. Special volume 22  Gupte S,  JP Publications, New Delhi. 2013, p.313-39.
  6. Bhat BV, Sukanya G. Adolescent vaccines. . In: Recent Advances in Pediatrics. Special volume 22  Gupte S,  JP Publications, New Delhi. 2013, p.454-63.

Continuing Medical Education programmes

  • Neonatal resuscitation workshops for postgraduate students and NursesEssential newborn Care workshops for Nurses
  • Essential newborn Care workshops for Nurses

Awards, honors and other achievements

Dr. B. Vishnu Bhat

  1. Editor Current Paediatric Research
  2. Section Editor – Indian Journal of Paediatrics
  3. Fellowship of National Neonatology Forum

Dr. B. Adhisivam

  1. District trainer for NRP- FGM (Neonatal resuscitation – first golden minute project)
  2. Dr. V. Balagopala Raju Award (2013)

Dr. Nishad Plakkal

  1. National Instructor (trainer of trainers): Neonatal Resuscitation India.
  2. National Instructor (trainer of trainers): Facility Based Newborn Care.

In the recent NEOCON 2014 at Patna,

  • The Department of Neonatology, JIPMER was awarded the second prize at the All India level for the best breast feeding week celebration.
  • Two nurses Ms. Bijimol Mathew and Ms. Ushadevi from NICU, JIPMER won the first prize at the National level quiz programme.
  • Two of our Pediatric postgraduates – Dr. Kanimozhi and Dr. Anand have won the third prize at the National level Neonatology quiz.

Papers presented by Faculty / Fellows / Junior Residents:

The following papers (oral) were presented in the 34th Annual Convention of the National Neonatology Forum – NEOCON 2014 at Patna from 4/12/14 to 7/12/14

  • Effect of Therapeutic hypothermia on renal function in term babies with perinatal asphyxia: a RCT. Authors: Vasanthan T, Vishnu Bhat B, Sridhar MG
  • Endotracheal suctioning in non-vigorous neonates born through meconium stained amniotic    fluid: RCT.Authors: Subhash Chettri, Adhisivam B, Vishnu Bhat B
  • Leviteracetam Vs Phenobarbitone for the control of neonatal seizures : A double blind RCT Authors: Shruti K Bharadwaj, Nivedita Mondal, Vishnu Bhat B
  • Dr. Bahubali Gane,  PhD scholar won the best oral presentation Award for the paper  entitled “Effect of therapeutic hypothermia on DNA damage and neurodevelopmental outcome among term neonates with perinatal asphyxia: a Randomised Controlled Trial” at the International Neonatology Association Conference -2014, Valencia, Spain (3rd  to 5th April 2014). The paper was co-authored by Vishnu Bhat, Nandakumar S, Ramachandra Rao, Adhisivam B and Harichandrakumar KT.
  • Dr. B. Vishu Bhat, Professor and HOD, delivered the prestigious Dr. Nagasamy memorial oration at MADURAI NEOCON 2013 – State conference of National Neonatology Forum, Tamilnadu chapter at Madurai held on 10th and 11th November 2013.

The following papers were presented:

  1. Oral presentation
    1. Does therapeutic hypothermia reduces oxidative stress in perinatal asphyxia? – Presented by – Dr. Bahubali. D. Gane Co authors – Dr. Vishnu Bhat, Dr. Ramachandra Rao, Nandhakumar, Dr. Adhisivam, Dr Prasadkumar P
    2. Safety and efficacy of Clofibrate in unconjugated hyperbilirubinemia in term babies Presented by – Dr Prasadkumar P Co authors – Dr. Vishnu Bhat, Dr. Adhisivam, Dr. Shruti, Dr. Bahubali.
  2. Poster presentations
    1. Outcome of Necrotising enterocolitis among preterm babies Presented by – Dr. Bahubali. D. Gane Co authors – Dr. Vishnu Bhat, Dr, Dr. Adhisivam, Dr. Rojo, Dr. Nivedita, Dr Prasad, Dr. Shruti
    2. Liposomal Amphtericin-B in neonatal fungal sepsis: Experience from tertiary care centre Presented by – Dr Prasadkumar P Co authors – Dr. Vishnu Bhat, Dr. Adhisivam, Dr. Femitha, Dr. Rojo, Dr. Bahubali

In the 38th Annual conference of Indian academy of Pediatrics (IAP)-Tamilnadu State Chapter held at Chennai August (August 22- 25, 2013) four oral papers were presented and the following awards were won.