Pediatrics & Neonatology - Vasundhara Hospital & Fertility Research CenterVasundhara Hospital & Fertility Research Center

Pediatric and Neonatal Intensive Care Unit (PICU/NICU)

A neonatal intensive-care unit (NICU) is an intensive-care unit specializing in the care of ill or premature newborn infants with complex medical problems. Our NICU is equipped with availability of 3 phototherapy machines (conventional as well as LED).

Vasundhara Hospital have two distinct units: the Neonatal Intensive Care Unit (NICU) and the Pediatric Intensive Care Unit (PICU) that works closely together.

The units together have 12 cots. Our PICU has state-of-the-art equipment and facilities to allow development of new treatments and management strategies for critically ill children. We have 2 ventilators to allow different ventilatory techniques appropriate to take care of the child.

Vaccination is the administration of antigenic material (a vaccine) to stimulate an individual’s immune system to develop adaptive immunity against a pathogen. Vaccination is the most effective method of preventing infectious diseases.

Vaccines help protect against many diseases that include tetanus, diphtheria, mumps, measles, pertussis (whooping cough), and polio. Many of these infections can cause serious or life-threatening illnesses and may lead to lifelong health problems.

Vaccination Schedule

S.No	Age (Completed Week/Month/Year)	Vaccines	Comments
1.	Birth	BCG PPV 0 Hep-B 1	Administrator these Vaccines to all new born hospital discharge
2	6 Weeks	DTw P 1	DTP : DTaP vaccine combination should preferably be avoided for the primary series DTaP vaccine/combinations should be performed in certain specific circumstances/conditions only No need of repeating/giving additional doses of whole-cell pertussis (wP) vaccines to a child who has earlier completed their primary schedule with a cellular per tissue(aP) vaccine containing products. POLIO: All doses of IPV may be replaced with OPV and administration of the former is not feasible. Additional doses of OPV on all supplementary immunization activity.(SIAs) Two doses of IPV instead of 3 for primary series if started at 8wks, and 8wks interval between the doses. No child should leave the facility without polio immunization(IPV or OPV), if indicated by the schedule. ROTAVIRUS: 2 doses of RV1 and 3 doses of RV5. RV1 should not be employed in 10 and 14 week schedule, instead of 6 and 10 week. 10 and 14 wk schedule of RV1 is found to be far more immunogenic than existing 6 and 10 week schedule
3.	10 weeks	DTwP 2 IPV 2 Hib 2 Rotavirus 2 PCV 2	ROTAVIRUS: If RV1 is chosen, the first dose should be given at 10 weeks.
4.	14 weeks	DTwP 3 IPV 3 Hib 3 Rotavirus 3 PCV 3	ROTAVIRUS: Only 2 doses of RV1 are recommended at present If RV1 is chosen, the 2nd dose should be given at 14 weeks.
5.	6 months	OPV 1 Hep-B 3	Hepatitis-B: The final(third or fourth) dose in the HepB vaccine series should be administered no earlier than age 24 wks and at least 16 wks after the first dose.
6.	9 months	OPV 2 MMR-1	MMR: Measles-containing vaccine ideally should not be administered before completing 270 days or 9 months of life. The 2nd dose must follow in 2nd year of life. No need to give stand-alone measles vaccine
7.	9-12 months	Typhoid Conjugate Vaccine	Currently, two typhoid conjugate vaccines, Typbar-TCV and PedaTyph available in Indian market. PedaTyph is not yet approved; recommendation is applicable to Typbar-TCV only An interval of at least 4wks the MMR vaccine should be maintained while administering this vaccine Should follow a booster at 2 years of age.
8.	12 months	Hep-A 1	Hepatitis A: Single dose for live attenuated H2-strain Hep-A vaccine Two doses for all killed Hep-A vaccines are recommended now
9.	15 months	MMR 2 Varicella 1 PCV booster	MMR: The 2nd dose must follow in 2nd year of life. However, it can be given at anytime 4-8 weeks after the 1st dose during 2nd year.
10.	16 to 18 months	DTwPB1/DTaP B1 IPV B1 Hib B1	Varicella: The risk of breakthrough varicella is lower if given 15 months onwards The first booster(4th dose) may be administered as early as age 12 months, provided at least 6 months have elapsed since the third dose.
11.	18 months 2 years	Hep-A 2 Typhoid booster	DTP: First and second boosters should preferably be of DTwP Considering a higher reactogenicity of DTwP,DTaP can be considered for the boosters 2nd dose for killed vaccine ;only single dose for live attenuated H2 –strain vaccine. Either Typbar –TCV® or Vi- polysaccharide (Vi-PS) can be employed as booster; Typhoid revaccination every 3 years ,if Vi- Polysaccharide vaccine is used. Need of revaccination following a booster of Typbar-TCV not yet determined.
12.	4 to 6 years	DTwPB2/DTaP B2 OPV 3 Varicella 2 Typhoid booster	Varicella: 2nd dose can be given at anytime 3 months after the 1st dose.
13.	10 to 12 years	Tdap/TD HPV	Tdap: Tdap is preferred to Td followed by Td every 10 years. HPV: Only 2 doses of either of the two HPV vaccines for adolescent/pre-adolescent girls aged 9-14 years. For girls 15 years and older, and immunocompromised individuals 3 doses are recommended. For two-dose schedule, the minimum interval between doses should be 6 months. For 3 dose schedule, the doses can be administered at 0, 1-2(depending on brands) and 6 months.

Pediatric Surgery

New Born Surgery
Pediatric Oncosurgery
Pediatric Urology
General Pediatric Surgery
Pediatric Thorarcic Surgery
Pediatric Minimal Access Surgery

Asthma Clinic

The Asthma Clinic provides comprehensive, highly specialized care for patients with moderate to severe asthma. Our services include:

Diagnostic testing
Physiologic and allergic evaluation
Optimization of medical management
Education in asthma – self-management

Exchange Transfusion

Exchange transfusion is a potentially life-saving procedure that is done to counteract the effects of severe jaundice or changes in the blood due to diseases such as sickle cell anemia.

The procedure involves slowly removing the patient’s blood and replacing it with fresh donor blood or plasma.

Total Parenteral Nutrition

Total parenteral nutrition (TPN) is providing nutrition through parenteral route i.e. intravenous, to a patient.

TPN is used for patients who cannot or should not get their nutrition through eating & includes a combination of sugar and carbohydrates (for energy), proteins (for muscle strength), lipids (fat), electrolytes, and trace elements.

Peritoneal Dialysis

Peritoneal dialysis is a way to remove waste products from your blood when your kidneys can no longer do the job adequately.

Phototherapy

Phototherapy (light treatment) is the process of using light to eliminate bilirubin in the blood. These light waves are absorbed by baby’s skin and blood and changes bilirubin into products, which can pass through their system.

Some “normal” jaundice will disappear within a week or two without treatment. Other babies will require treatment because of the severity of the jaundice, the cause of the jaundice, or how old the baby is when jaundice appears.