Pediatrics

Department Information

Location

                Department of Paediatrics is located in C.P.R. Hospital campus near central library. On 2^nd floor of HER  building Dept. of Paediatrics occupies half of the floor.  It is approx.  180 Sq. meter.  There are separate rooms for Professor & Head, Associate Professor, Assistant Professors & tutors and office staff.  There is a seminar room where 25 students can sit and participate in clinical activities.

Out patient Department  (O.P.D.)

Paediatrics OPD is situated on Ground Floor of Koyna building .  It is distributed over 5 rooms.

1. Professor/Head of unit
2. Associate Professor / Assistant Professor Room

3)   Resident & Interns

4)  Clinic Room with 25 Student Sitting Capacity.

5)  Immunization Room 

                In addition to routine and emergency pediatric care and health education, following special activities are conducted.

I) Early Intervention Clinic (E.I.C)

                This activity is carried out thrice weekly on Tuesday, Thursday & Saturday. The concept of EIC and working pattern is as follows.

                High risk neonates are prone to develop various kinds of physical and neurological deficit later on. If this handicap is detected early and timely interventions are done, then the final deficit can be limited. Approx. 8000 deliveries are conducted every year in this institute, out of which around 25% babies are high risk babies. Under this clinical activity, babies with extreme prematurity, birth asphyxia, meningitis, septicemia, kernicterus and who were on prolonged ventilator care are called for follow up. These babies are examined in detail for physical & mental handicap. If required, these babies are investigated, inter department specialist consultation are taken. Timely interventions, whenever required, are done.

II) Immunization and Well Baby Clinic

                This activity is carried on every Monday, Wednesday & Friday. All babies are examined by a pediatrician before immunization. All babies receive UIP immunization free of cost. On Monday & Friday BCG, OPV, DPT & Hepatitis B vaccines are given and on Wednesday, Measles vaccine is given along with Vit. A dose. Immunization cards are distributed to beneficiaries. This activity is carried by Pediatrics  department. In CWC growth monitoring of children is done. Defaulters are picked up early. Nutritional advice and if required, necessary investigations and  medication are prescribed to them.

 

III) ORT Corner                     

Oral Rehydration Therapy corner is located in the corridors of pediatric OPD complex. One nursing staff specially oriented to conduct this activity, is in charge of ORT corner. ORT is core of management of diarrhea. Most of the acute watery diarrhea cases can be management by ORT. All such babies are referred to this center. If baby has dehydration it is corrected by ORS. Parents are given health education regarding home available fluids, personal hygiene, and safe drinking water methods. This activity is carried out on all OPD days.

IV) Child Guidance Clinic

                This is carried out twice  weekly on Wednesday & Saturday .  The concept of CGC and working pattern is as follows.  

                Child Guidance clinic is the concept that has originated in the first decade of 20^th century in USA.  Originally it was concerned with care of delinquent children who can’t adjust or who have behavior problems. Child Guidance Clinics deal with all children or adolescents who for one reason or other, are not fully adjusted to their environment.  The object of child guidance is to prevent children from the possibility of becoming neurotics & psychotics in later life.

                Child Guidance Clinic is a team comprising of Psychiatrist, Clinical Psychologist, Educational Psychologist, Psychiatric Social Worker, Public Health Nurse, Pediatrician, Speech Therapist, Occupational Therapist & a Neurologist.

                Methods used include parent counseling, play therapy; the psychiatrist is the central figure & is helped by others in arising at a correct diagnosis & formulating the line of treatment.  The core therapy is psychotherapy in order to restore positive feelings of security in the child.  The pediatrician takes care of physical health of child. Child Guidance Clinic operates on the presumption that if sound foundations of mental health are laid in childhood & adolescence, the same will continue into adulthood.

D) General Pediatrics Wards

Total 90 beds are allotted for pediatric patients. These beds are located on 2^nd & 3^rd floor of Koyna  building. It makes easy for infected cases to be separated from non-infected ones. Acute cases needing intensive nursing care & monitoring are kept in the cubicle adjacent to nursing station.

 In the ward following rooms are available.

1. Side laboratory adjacent to wards where microscope and staining material is available for emergency investigations that are done by residents.

2. Clinic room near the ward where undergraduate and postgraduate academic activities are conducted. 25 students can be accommodated at a time for teaching activities.

3. Doctor’s room where on call resident doctors are available round the clock.

4. Procedure cum treatment room where all ward procedure like intracath fixation, lumber puncture, plural, peritonea tapping etc. are carried out.

5. Along with nursing station, pantry, store room, play area facilities are also available.

E) Paediatric Intensive Care Unit (PICU)

  Paediatric Intensive Care Unit is available for 10 sick children. It is located adjacent to general pediatric ward. Critically sick children requiring intensive monitoring are admitted  to PICU. Round the clock residents and nursing staff is available.

PICU is provided with equipments like

 

1)  Paediatric ventilators,

2)  Infusion pumps, & syringe pumps

3) Multiparamoniters,

4) Pulse Oximeter,

5) Suction machines.

6) ABG facility is shared with CVTC at present.

7) Central Oxygen and Suction facility will be made available soon.

8) Emergency Drugs kits and resuscitation kits are always available  in adequate no. in PICU.

 – Paediatrics Peritoneal dialysis for acute Renal failure is being routinely practiced in our PICU. Haernodialysis for chronic renal failure is also carried out at Haemodialysis unit in the department of Medicine.   

Critically sick children like various poisoning cases, acute renal failure, GB Syndrome, Snake bite, status epilepticus, status asthmatics, Septic shock, acute respiratory failure are common cases treated here with reasonably good success.

Since separate pediatric surgical unit is not functioning at present, post- operative pediatric surgical cases are jointly managed in PICU by pediatricians & pediatric surgeons.

F) Neonatal Intensive Care Unit (NICU )

                20 bedded Neonatal Intensive Care Unit is available on 2^nd floor of Gyn-Ob complex building. Considering larger number of deliveries occurring in this institute, significant number is usually occupied. Resident doctors and trained Nursing staff is available round the clock. NICU is provided with equipments like radiant warmers, phototherapy units, room heaters, infusion pumps and dedicated neonatal ventilators, pulse oxmeters. Procedures like exchange transfusion, acute peritoneal dialysis are carried out in nearby operation theatre.

                There is one separate breast feeding room where mothers are called to breastfeed their babies which are in NICU. Regular health education activities are carried out in this room where apart from problems in breastfeeding, importance of prevention of hypothermia and infections and care of low birth weight babies are discussed with mothers. Doctors and nursing staff actively participate in these activities. Mothers are encouraged to participate in nursing care so that health education of mothers and early discharge from hospital becomes possible. High risk babies from NICU are followed up in Early Intervention Clinic.

                KMC – Kangaroo Mother Care Method is also practiced in NICU. This makes mothers more aware about care of newborn. Early discharge from NICU is possible. Rate of readmission also minimizes.

                Due to availability of in house digital x-ray machine in NICU is highly useful for early diagnosis and intervention in cases of acute cardio respiratory distress. 

                Availability of three C-PAP Machine makes convenient the management of premature babies with respiratory distress syndrome surfactant therapy is being routinely practiced in our unit with reasonably good success rate. 

G) Library

                There is one departmental Library. 125 pediatric books and few journals are available. This departmental library is situated in the pediatric department. Residents and PG students have easy access to these books. These books are useful for reference during clinical meetings and research work. List of books in departmental library is attached in Annexure No. 1 attached.

Courses Offer

Sr. No.	Course	Intake
1	MBBS	150
2	DNB  Pediatric	Post Diploma 6 per year Post MBBS 6 per year

Department Photo

Facilities

		No. of  beds	Equipmentns	Available
a	Pediatric Intensive care	08	Nebuliser	4
			Oxygen Hoods	8
			Resuscitation bags	4
			Pediatric Ventilator	2
			Multipara Moniter	1
			Pulse Oxymeter	1
			Syringe Pump	1
b	Neonatal Intensive Care	20	Oxyhood	10
			Resuscitation Bags	5
			Neonatal Ventilator	2
			Syringe Pump	4
			Pulse Oxymeter	5
			Radiant warmers	16
			Phototherapy	10
			Suction Machine	2
			ECG Machine	1
			Portable X Ray Machine	1
			Cardiac Monitor	2

 

Sr.No.	Clinic	Frequency per Week	Day of week
1	Well Baby Clinic	Twice  a week	Monday & Friday
2	Immunization Clinic	Thrice a week	Mon. Wed. Fri.
3	Child Guidance Clinic	Twice  a week	Wed. sat
4	Early Intervention Clinic	Managed along with ENT, Orthopedic, Opthamalogy & Physiotheropy	Tuesday

 

HOD Information

Name	Designation	Experience	Photo
Dr.Sudhir Sarawade	Professor &Head	27 Year

Staff Information

Name	Qualification	Department	Designation	Experience	Photo
Dr.Sudhir Sarawade	MD (Paed)	Pediatrics	Professor &Head	27 Year
Dr. Mrs Deepa Phirke	MD(Pead)	Pediatrics	Associate Professor	17 yr
Dr.Mrs. Sangita Kumbhojkar	MD(Pead)	Pediatrics	Associate Professor	18 Years 5 Months
Dr. Amar Naik	MD(Pead)	Pediatrics	Assistant Professor	4 yr
Dr. Bhushan Miraje	DNB (Paed)	Pediatrics	Assistant Professor	5 year 1months
DR.Shraddha Khalate	DNB (Pead)	Pediatrics	Assistant Professor	10 Months
Dr.Neelam Khot	MD(Pead)	Pediatrics	Senior Resident	2 yr
Dr.Hemant Patil	DNB (Paed)	Pediatrics	Senior Resident	2 yr
Dr.Sancheti Suryawanshi	DNB (Paed)	Pediatrics	Senior Resident	1 yr

Research

Sr. No.	Research Title	Research By	Guide	Year
1	Study of Thrombocytopenia among cases of neonatal sepsis	Dr.Vinay	Dr.S.S. Sarawade
2	‘Correlation of glacemic control in newborn at birth in relation to maternal glycemic control in diabetic mothors’	Dr.Sathvan Singh	Dr.Shishir Mirgunde
3	Study of blood component therapy in PICU in tertiary care centre	Dr.Ravi Mamidala	Dr.Sudhir Sarawade
4	Study of incidence and Risk factors Associated with retinopathy of prematurity in preterm in tertiary care hospital	Dr.Basana Siva Sai Takur	Dr.Sangita Kumbhojkar
5	Study of Clinical Profile of Anemia in children Between 6 months to 12 years of age	Dr.Prasad Yadav	Dr.Sangiata Kumbhojkar
6	Clinico-Epidemiological study of acute encephalitis Syndrome in children	Dr.Narendra B.R.	Dr.Deepa Phirke
7	Prevalence of autism	Dr. Danish Samani	Dr.Sudhir Sarawade
8	A study of Ventilator associated pneumonia in neonates in tertiary care centre	Dr.Minu K.	Dr.Sangita Kumbhojkar

Publications

Sr. No.	Title	By	Published In	Year
1	Study of Profile and Outcome of the Newborns Admitted in Neonatal Intensive Care Unit (NICU) at Tertiary Care Hospital in a City of Maharashtra	Dr. Dawal Salve, Dr. I.F. Inamdar , Dr. Sudhir Sarawade , Dr. Mohan Doibale , Dr.Saleem Tambe , Dr.Priyanka Sahu	International Journal of Health Sciences & Research Vol.5; Issue: l0;	October 2015
2	Mantoux test Reaction in protein energy malnutrition	Dr.Sangeeta Kumbhojkar , Dr.Sudhir Sarawade , Dr.Shraddha Khalate	IJHSR ISSN;2249-9571 Vol.6 Issue;2	February 2016
3	Evaluation of C – Reactive protein in Diagnosis of Neonatal Sepsis and its Prognostic Value : A Prospective Study	Dr.Manisha Patil , Dr.Sudhir Sarawade , Dr. Sangiat Kumbhojkar , Dr.Vishwajit Patil	IJHSR ISSN;2249-9571	April 2016 Vol.6 Issue;4
4	“Kangaroo Mother care (KMC); An Alternative to conventional Method of care for low Birth Weight Babies	Dr.Sangita Kumbhojkar Dr.Yogesh Mokase, Dr.Sudhir Sarawade.	IJHSR ISSN;2249-9571	March 2016 Vol.6 Issue;3
5	Effect of Oral Chelation Therapy on Physical Growth and Serum Ferritin Levels in Children with Thalassemia Major in Tertiary Care Hospital in Western Maharashtra	Dr.Sangita Kumbhojkar , Dr. Rahul Murugkar , Dr.Sudhir Sarawade ,	IJHSR ISSN: 2249-9571	Vol.7; Issue: 1; January 2017
6	Peak Expiratory Flow Rates in Children of Western Maharashtra Years Age	Dr.Sudhir Sarawade, Dr. Sangeeta Kumbhojkar Dr.Shriganesh Patil	IJHSR ISSN : 2249-9571	Vol. 7 ISUE: 10 October 2017
7	Assessment of Intraventricular Haemorrhage in preterm Neonates Using Neurogsonography through Anterior Fontanelle	Dr.Vishwajit Patil, Dr.Manisha Patil , Dr.Sudhir Sarawade , Dr.Sangita Kumbhojkar ,Dr.Suresh K,	IJHSR ISSN 2249-9571	March 2017
8	A prospective study of babies born with meconium staines liquor delivered by caesarian and per vaginal delivery,	Dr.Vishwajeet Patil, Dr.Vaibhav Songwane, Dr.Sangita Kumbhojkar, Dr.Sudhir Sarawade	IJHSR ISSN 2249-9571	August 2017 Vol 7 issue 8
9	An etiological evaluation of short stature	Dr.Deepa Phirke	International Journal of Research in Medical Sciences	2017;Sept5;(9)5:01
10	A Study OF Respiratory Distress Syndrome(RDS) in preterm babies	Dr.Deepa Phirke	International Journal of recent trends in science and technology	Nov 2016;21(1):34-7
11	A study of probable risk factors for Meconium Aspiration Syndrome	Dr.Deepa Phirke	Medpulse-International Journal of Pediatrics	July 2017;3(1):12-15
12	Different treatment strategies and outcomes of babies with Meconium stained fluid	Dr.Deepa Phirke	International Journal of Pediatrics	July2017;3(1);28-31
13	Evaluation of Kangaroo Mother care in Low Birth Weight babies	Dr.Deepa Phirke	Journal of Medical science and Clinical Research	Sept2017;5(9);27365-70
14	Study of different Treatment modalities and outcome in preterm babies with Respiratory Distress Syndrome	Dr.Deepa Phirke	Journal of Evolution of Medical and Dental sciences	2017;6(72);5113-16
15	Clinical profile of babies with Meconium stained amniotic fluid	Dr.Deepa Phirke	International Journal of Research in Medical Sciences	Oct2017;5(10):1-5
16	A comparative study of clinic-pathological profile in dengue shock syndrome versus other types childrens at Tertiary care centre	Dr.Deepa Phirke	International Journal of Research in Medical Sciences	Oct 2017;5(10):1-6
17	Study of treatment strategies and outcome of snake bite in children at tertiary care centre	Dr.Deepa Phirke	World Journal of Pharmaceutical and Medical Research	2017
18	Cranial ultrasound in critically ill neonates	Dr.Deepa Phirke	The Journal of Medical Research (ISSN:2395-7565	Jan 2018
19	Monteux test Reaction in protein energy malnutrition	Dr.Sangita Kumbhojkar	IJHSR ISSN;2249-9571	February 2016 Vol.6 Issue;2
20	“Kangaroo Mother care (KMC); An Alternative to conventional Method of care for low Birth Weight Babies	Dr.Sangita Kumbhojkar	IJHSR ISSN;2249-9571	March 2016 Vol.6 Issue;3
21	Evaluation of C – Reactive protein in Diagnosis of Neonatal Sepsis and its Prognostic Value : A Prospective Study	Dr.Sangita Kumbhojkar	IJHSR ISSN;2249-9571	April 2016 Vol.6 Issue;4
22	Effect of Oral Chelation Therapy on Physical Growth and Serum Ferritin Levels in Children with Thalassemia Major in Tertiary Care Hospital in Western Maharashtra	Dr.Sangita Kumbhojkar	IJHSR ISSN: 2249-9571	Vol.7; Issue: 1; January 2017
23	Universal Screening in Newborn	Dr.Sangita Kumbhojkar	JMSCR ISSN :(P)2455--0450	Vol-5 Issue-8 August 2017
24	Peak Expiratory Flow Rates in Children of Western Maharashtra Years Age	Dr.Sangita Kumbhojkar	IJHSR ISSN : 2249-9571	Vol. 7 ISUE: 10 October 2017
25	Assessment of Intraventricular Haemorrhage in preterm Neonates Using Neurogsonography through Anterior Fontanelle	Dr.Sangita Kumbhojkar	IJHSR ISSN 2249-9571	March 2017
26	A prospective study of babies born with meconium staines liquor delivered by caesarian and per vaginal delivery,	Dr.Sangita Kumbhojkar	IJHSR ISSN 2249-9571	August 2017 Vol 7 issue 8
27	Protein Energy Malnutrition & Outcome of Pediatric DOTS Treatment	Dr.Amar Naik	IJHSR ISSN ;2249-9571	December -2015 Vol.05 Issue -12
28	Study of congrenital malformation and related maternal and foetal factors: hospital based study	Dr.Amar Naik	Medpulse international journal of pediatrics, ISSN- 2579-0897	October 2017 Vol.4 Issue;1
29	Study of congrenital malformation and related maternal and foetal factors: hospital based study	Dr.Bhushan Miraje	Medpulse international journal of pediatrics, ISSN- 2579-0897	October 2017 Vol.4 Issue;1
30	Incidence and distribution of congenital malformation in newborn at a tertiary teaching hospital in Kolhapur Maharashtara.	Dr.Bhushan Miraje	Medpulse international journal of pediatrics, ISSN- 2579-0897	October 2017 Vol.4 Issue;1
31	Mantoux test Reaction in protein energy malnutrition	Dr.Shraddha Khalate	IJHSR ISSN;2249-9571	February 2016 Vol.6 Issue;2

Awards & Achivements

Sr. No.	Achievement / Award	Achiever	Year
1	paper presentation in IAP Maharashtra state annual conference 2010.- “Study of acute peritoneal dialysis in children”  2nd Prize	Dr.Shishir Mirgunde	2010
2	Role of C-Reactive Protein(CRP) in diagnosis Neonatal Sepsis and its clinical correlation. 1st Prize	Dr. Manisha Patil	2011
3	Paper presentation in IAP Maharashtra state annual conference 2016.-“Psuedo Torch Syndrome – Recessive mutation in occluding gene” 3rd Prize	Dr.Reema Authored by Dr.Sangita Kumbhojkar & Dr.Vilas Jadhav	2016

Conferences & Other Activities

Contact Information

Address: Department of PEDIATRICS R.C.S.M..Govt. Medical College Kolhapur  

Email: rcsmlib@yahoo.in

Contact Numbers:

Office  : 0231-2641583                

Fax: 0231-2645279