Department of Pediatrics

Facilities

The Paediatric care facility is spread over an area of 22,000 square feet that includes the Paediatric OPD, Paediatric ward, Intensive Care Units, and an office complex. Under this umbrella we offer a large range of facilities from neonatal intensive care to an array of subspecialty clinics:

High-Risk New born Clinic
Child Development and Guidance Clinic
Paediatric Genetic Clinic
Paediatric Endocrinology Clinic
Paediatric Epilepsy and Neurophysiology Clinic
Paediatric Haematology-Oncology Clinic
Paediatric HIV Clinic
Paediatric Nephrology-Urology Clinic

Through our outreach programme and retrieval facility, we extend our services beyond the four walls of Bharati Hospital.

High-Risk New Born Clinic

The clinic enrols all babies discharged from a Neonatal Intensive Care Unit. It plays an important role in:

Monitoring of growth and development.
Early detection of abnormal neurodevelopment and initiation of appropriate interventional therapies.
Physical rehabilitation.
Screening and management of prematurity.
Assessment of hearing.

Team: Dr. Nandini Malshe and Dr. Rema Nagpal

Child Development and Guidance Clinic

With an aim to improve the care of children with scholastic backwardness as well as rehabilitation of those with physical handicaps, the Child Development and Guidance Clinic was started in 2009. This clinic provides highly specialized child and adolescent emotional and behavioural support care.

It takes referrals from consultants and schools from all parts of the city for children with disorders like cerebral palsy, mental retardation, attention deficit hyperactivity disorder, learning disorders, autistic spectrum disorders, eating disorders, somatising disorders, and other emotional and behavioural disorders.
Includes a neurodevelopmental service for detailed assessment of IQ/DQ by a psychologist and educational assessment and remediation advice by a special educator.
Expertise is available for physical assessment and rehabilitation by a team of well-trained physiotherapists.
The clinic is further supported by easy access to the school of Audiology and Speech-language Pathology where OAE, BERA, cochlear implantation, and speech therapy are offered.
As a part of our social commitment, the clinic team undertakes teacher awareness and training programmes on a regular basis.

Team:

Pediatrician and Clinic Co-ordinator - Dr. Leena Pandit
Medical Social Worker

Consultant Psychiatrists - Dr. Jyoti Shetty and Dr. Arvind Panchnandikar
Child Psychologists - Dr. Analpa Paranjape and Ms. Kalyani Karmarkar

Contact no. – 9657751244

Genetic Clinic

It provides links with services for genetic tests when required, including testing for carrier detection or prenatal diagnosis. Parents of children with multiple malformations and dysmorphic syndromes are given guidance for investigation and management.

Endocrinology Clinic

Established in 2002, the endocrinology clinic:

Offers diagnostic and therapeutic services for patients with growth, calcium and bone, and intersex disorders.
Cares for children with obesity, diabetes mellitus, thyroid, and other endocrine disorders.
Receives referrals of approximately 25-30 new patients per month.
Provides links with the local Diabetic Society.
Post-doctoral Fellowship in Pediatric Endocrinology in 2010.

Team: Dr. Vaman Khadilkar and Dr. Rahul Jahagirdar

Epilepsy and Neurophysiology Clinic

This clinic is responsible for the diagnosis and treatment of a wide range of complex epileptic disorders with expertise in neonatal seizures and epileptic encephalopathy.
2 EEG machines and a video EEG facility.
80 EEGs per month, including bedside EEGs in the critically ill children the NICU and PICU
Facilities for EMG, NCV, VEP are available for patients with neurological disorders like myopathies, neuropathies, GBS, etc.
Evaluation and management of epilepsy as per ILAE protocol.
Management of intractable epilepsy with the ketogenic diet in consultation with a dietician with experience in the field.
Epilepsy Support Group: a forum of parents and caretakers of children with epilepsy meets once a month to discuss the problems they face and their coping strategies.
Fellowship Programme in Pediatric Epilepsy initiated in 2009.

Team:Dr. Surekha Rajadhyaksha, Dr. Kavita Srivastava, and Dr. Shalini Garg

Contact no. – 020-24375182

Ext - 159

Mobile number - 9604714231

Haematology - Oncology Clinic

This Clinic provides a comprehensive service for the diagnosis and management of childhood hematological disorders and malignancies including leukemias and solid tumors.
Expertise exists in the management of histiocytic disorders and myelodysplasias, disorders of hemoglobin synthesis, red cell disorders like thalassemia which includes a transfusion program and chelation.
Provides links with the city Thalassemia and Cancer Support Groups.

Team: Dr. Vibha Bafna and Dr. Shailesh Kanvinde

HIV Clinic

Established in 2001, the clinic deals with

Testing of babies and children for HIV including pre and post-test counseling.
Full investigations, monitoring, and treatment of children with HIV and AIDS.
Support, advice, and information to the child, family, and carers.
Training on paediatric HIV infection for doctors and paramedics.
Shared care with local district general hospitals and pediatricians.
Providing links with community health services and other support agencies

Team: Dr. Jitendra Oswa

Nephrology-Urology Clinic

Established in 2003, the unit provides a comprehensive inpatient and outpatient service for children with kidney diseases.
It has links with Children's Kidney Care Center, St. John's Medical College, Bangalore, for patient care and training.
The unit has the expertise for investigation and management of children with acute renal failure, nephrotic syndrome, hemolytic-uraemic syndrome, hypertension, vasculitis, tubular disorders, and infants, young children, and adolescents with chronic and end-stage renal failure.
Facilities exist for acute peritoneal dialysis, initiating continuous ambulatory peritoneal dialysis, automated dialysis, hemodialysis, plasmapheresis, and kidney biopsy with a minimally traumatic automated gun.
The clinic works closely with the urological service providing care and follow-up management of infants and children with complex nephro-urological disorders.
Patient (parent) information booklets in local vernacular for information about nephrotic syndrome and commonly performed procedures like MCU, USG, and kidney biopsy are available.

OPDs

The OPD is child-friendly with a busy aquarium and cartoon figures on the walls. Its location on the ground floor of the hospital ensures that patients have easy access to the laboratory, radiology department, and other OPDs like ENT, Ophthalmology, and Dermatology.

Waiting time has been reduced by exclusive registration counter and payment for vaccines within the Paediatric OPD.
Each child attending the OPD is issued a record book showing growth parameters, immunization, and illnesses, which remains with the parents.
A special cubicle gives the necessary privacy to breastfeeding mothers.
A television with a cable connection and VCD player in the waiting area is available for entertainment and parent education on health-related issues.
Social workers are there for counseling and welfare activities.

Team:

Dr. Ruma Deshpande, in charge of the OPD complex, is available on all days of the week from 9 am to 4 pm. The 3 unit heads along with unit members are available in the OPD 2 days a week.

Monday , Thursday: Dr. SK Lalwani
Tuesday , Friday: Dr. VR Kalrao
Wednesday, Saturday: Dr. Jyoti Sharma

Contact no. – 020 – 24375182. Ext: 128

The Paediatric Ward

Located on the 3rd floor of Bharati Hospital, the ward accommodates 120 beds, each with storage space and a bedside locker. Aesthetically designed in multiple colours to match the spirit of the little ones, it is illuminated with natural light and has a large aquarium, a play area, and a TV with a VCD player.

High Dependency Unit: 12 beds, each equipped with centrally supplied oxygen and suction.
9 special isolation rooms.
20 admissions per day.
Referrals from all over Maharashtra
Well-trained, dedicated nursing staff.
Team of social workers taking care of aspects of patient care and funding.
Printed discharge summary.
Special Proformas for specialty clinic records.
Pantry for preparation of feeds by the mothers.

Pediatric Intensive Care Unit

Pediatric Critical Care Chapter Accredited.
10-bedded PICU, located as an extension of the Pediatric Ward.
Central supply of oxygen, suction, and compressed air.
Well-equipped with 3 ventilators, multipara monitors, ECG monitors with oximetry, automated BP monitors with oximetry, infusion pumps, ECG machine, dedicated X-ray machine, a defibrillator, and an automated cycler for peritoneal dialysis.
PICU Admission 2004 – 2009

Team: Dr. Vijay Kalrao, Dr. Jitendra Oswal, Dr. Sachin Khambayate

Contact: 020-24375182 Ext.: 514

Paediatric Surgery

It offers neonatal and general paediatric surgery. It provides pre-and post-operative care for conditions of

Gastro-intestinal tract, including esophageal atresia, anorectal abnormalities, and diaphragmatic hernia.
Thoracic surgery including decortication.
Urology with the availability of a cystoscope and neonatal resectoscope.
Diagnostic and therapeutic bronchoscopy, including foreign body removal with a dedicated pediatric rigid bronchoscope.
Patent ductus arteriosus ligation in neonates and older children.
Surgical Oncology

Team: Dr. Shashank Shrotriya and Dr. Shreeprasad Patankar

Paediatric Orthopaedics

The paediatric orthopaedic clinic takes care of the orthopaedic problems in children from birth to 16 years & includes management of disorders like

Trauma.
Congenital malformations like CTEV.
Developmental disorders like CDH and Perth's disease.
Infections like neonatal septic arthritis and osteomyelitis.
Management of cerebral palsy like contracture release & Botox therapy.

Team: Dr. Sandeep Patwardhan (Paediatric Orthopaedic Surgeon)

Neonatal Intensive Care Unit

NICU has their class facilities for its patients which supportive team. Below is listed with few facts:

National Neonatology Forum
Accredited 60 bedded NICU spread over 10000 sq. feet.
Advanced ventilation- HFOV
Bubble CPAP
TPN
Neonatal surgery
In-house
- ABG & S Lactate estimation
- Neurosonography
- Echocardiography

Video EEG
ROP Screening & LASER therapy for ROP
Hearing screen
High-risk newborn follow up clinic

Neonatal retrieval services
Postdoctoral Fellowship programme in Neonatology
Electronic capture of patient details

Other Facilities

Seminar room equipped with audiovisual aids used for undergraduate and postgraduate teaching, as well as guest lectures.
Departmental library and 24-hour internet access.
A dedicated room for data operators for electronic capture of patient details.