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Home > Specialities > Paediatrics
Department of Paediatrics
Babies
The Department of Pediatrics has been functional in the Pondicherry Institute of Medical Sciences since the inception of this institution in 2002. It is recognized for training MBBS students and MD (Pediatrics) postgraduates. The pediatric team is headed by DrLalitha Krishnan, ably supported by Professor Dr. Vishnu Bhat and Dr Peter Prasanth. The rest of the team consists of a set of bright, enthusiastic and competent Associate and Assistant Professors who cover the Department in-house round the clock on all days of the year.

The Department commenced under the expert guidance of Professor V Nalini and was subsequently headed by Dr Philomena D’Souza and Dr MNG Nair. Each of them brought their experience from JIPMER, Goa and AFMC colleges, respectively to this department.DrLalitha Krishnan and Dr Peter Prasanth both are from the Christian Medical College, Vellore and Dr. Vishnu Bhat from JIPMER.

Pediatrics department out-patient services and administrative offices are located in the main OPD block in the ground floor. A child friendly attractive Thomas, the tank engine will greet the children at the entrance(Photo of engine here)

The mission of the department covers patient care, teaching, research and social responsibility for all children.
Faculty
Dr. Lalitha Krishnan

Professor &   HOD

Dr. Vishnu Bhat B Professor
Dr. Peter Prasanth
Kumar  Kommu
Professor
Dr. Soma Venkatesh Chakraborty Assoc. Professor
Dr. Poornima Assoc. Professor
Dr. Manasi Garg Asst. Professor
Dr.Rashmi Kullu Asst. Professor
Dr.Nishanth R Asst. Professor
Dr.Priya Jose Asst. Professor
Dr.Satheesh P Asst. Professor
Dr.Shravana Kumar P Balagavi Asst. Professor
Dr. Ananthanarayanan K Asst. Professor
Contact
pediatric@pimsmmm.net
 Patient care services

Out-patients : There are three units in the department details of which are given below

Unit Head OP & admission
Unit I Dr. Lalitha Krishnan Monday
 Thursday
Unit II Dr. Vishnu Bhat Tuesday
Friday
Unit III Dr. Peter Prasanth Wednesday
Saturday

Timings : All working days from 8am to 4pm
Age seen : Birth to 18 years
Types of cases: All problems pertaining to newborns, children and adolescents

Cross consultation, when required, is given to various departments like dental, ENT, ophthalmology, dermatology, cardiology, neurology under one roof.

Immunization : This is given on all working days between 9am to 12 noon. Government of Puducherry vaccines and special vaccines are all available. The immunization card has all details of the current schedule.(picture of immunization card)

Specialty clinics: The Department runs the following speciality clinics where children with special problems are seen

  1. Asthmaclinic: All types of asthma, All wheeze, Cystic fibrosis, Bronchopulmonary dysplasia
  2. Cardiology clinic: Acyanotic heart disease, Cyanotic heart disease, Rheumatic fever followup, Infective endocarditis, Valvular heart disease, Kawasaki disease, Cardiomyopathies, Myocarditis, Pericardial effusion, Arrhythmias
  3. Child guidance and rehabilitation: This is a multi-disciplinary clinic with paediatrician, child psychologist, speech therapist, physiotherapist, occupational therapist and sees children with the following problems : Attention deficit Hyperactivity Disorder (ADHD), Autism spectrum disorders, Adolescent issues,, Cerebral palsy, Developmental delays(Global/Specific), Diseases with prominent psychosomatic difficulties, Emotional and Behavioral disorders., Handicaps or Behavioral disorders, Intellectual Disability (Mental Retardation), Learning disabilities/ Difficulties, Speech and Language disorders (Delays/ Stammering etc), post-operative cleft lip and palate
  4. Endocrinology clinic: Short stature, Growth hormone deficiency and MPHD, Puberty disorders including precocious puberty, delayed puberty, Thyroid disorders like hypothyroidism, hyperthyroidism and goiters., Type I diabetes – insulin therapy, Sugar monitoring and compliance, Atypical genitalia, Bone disorders
  5. Gastroenterology clinic:Persistent diarrhea, Acute hepatitis, Chronic hepatitis, Direct jaundice , Ascites, Hemetemesis
  6. Hematology clinic: Thalassemia, Sickle cell anemia, Other chronic anemias, Bleeding disorders like hemophilia, von Willebrand, Primary immune deficiency diseases, Hematological malignancies, Acute Leukemias, Lymphomas
  7. Nephrology clinic: Bed-wetting , Renal stones , Nephritis , Nephrotic syndrome, Urinary tract infections, Nephrocalcinosis, Renal tubular acidosis , Urinary tract anomalies
  8. Neurology clinic: All cases of seizures, CNS infections, persistent headaches, tumours etc seen.

In-patients: There are 90 beds in the general category under the pediatric department. The children admitted are looked after round the clock by pediatric consultant and residents. Expert nursing care is provided by trained pediatric nurses, supported by MSc and PhD pediatric nursing faculty from College of Nursing.

The pediatric ward is large child-friendly and well ventilated. Food is supplied by qualified dieticians in a clean and hygienic manner. Only one female attendant per child is allowed, except during visiting hours (12-1pm, 5-7pm)

Pediatric intensive care unit: This is a well equipped 7 bedded unit with facilities to manage all types of pediatric emergencies. The unit has state of the art ventilators, monitors and syringe pumps. It is headed by a full-time Pediatric intensivist (DM Pediatric Critical Care). It is covered by a pediatricians and trained intensive care nurses round the clock.

Special services for children

The following special services are offered by various specialities in the Pondicherry Institute of Medical sciences for pediatric age group (0-18 years)
Children requiring any of the above services will be first screened and evaluated in pediatrics department and referred accordingly

   
Cardiology DASD , PDA, VSD device closure, balloon pulmonary/aortic valvuloplasty, coarctation of aorta balloon dilatation and stenting, balloon atrial septostomy, PDA stenting, diagnostic cardiac catheterization
Cardiothoracic surgery Closure of PDA , ASD, VSD. All types of heart valve replacements. Lung surgery.
Dental Restoration of deciduous and permanent carries teeth , fluoride treatment , pulpotomy, pulpectomy , space maintainers, habit breaking appliances , extractions, composite filling for discoloured teeth , crowns for root canal treated teeth , pit and fissure sealants for initial carries
Dermatology  Acne, eczema, allergic and other skin rashes, dandruff, ringworm, fungal infections
ENT Adenoidectomy, tonsillectomy, ear piercing, diagnostic nasal endoscopy, fibre-optic bronchoscopy, ear syringing, ear lobe repair, foreign body removal, hearing, speech and language assessment. Hearing screen using OAE for newborns. BERA test.
Endocrinology  Type 1 diabetes mellitus, thyroid problems, metabolic bone disease.
Gastroenterology Endoscopy , foreign body removal, evaluation of abdominal pain, chronic diarrhea
Neonatal and Pediatrics Intensive care for all children and newborns, Newborn screening, Tandem mass spectroscopy, specialty clinics
Nephrology Nephrotic syndrome, high blood pressure, chronic kidney disease, antenatal hydronephrosis, peritoneal and hemodialysis
Obstetrics & Gynecology Evaluation for delayed puberty, menorrhagia and anemia, vaginal injuries. Vaccines to prevent cervical cancer.
Ophthalmology Screening for retinopathy of prematurity, vision, minor surgeries, foreign body removal
Orthopedics Club foot, joint infections, injuries, deformity corrections, painful hip, scoliosis
Pediatric surgery Liver, kidney, testes, penis, hernia, hydrocele, stomach, intestines, anus surgeries.
Plastic surgery All congenital malformations of hand and face, leg, facial injuries both bony and soft tissue, cleft-lip and cleft palate repair

Outreach camps

The Department conducts over 25 camps every month. 5 camps are in the evening in nearby areas to help working parents bring their children for medical care. The remaining are held on need basis

For any enquiries, clarifications please call the numbers below

Phone

 Routine enquiries: 0413-2651260 / 124 / 251 (All working days 8am to 4pm)
 Developmental clinic : 04132651252, 9500198895

For pediatric emergencies (24 x 7): 9994790065

Neonatal services

The Department of Pediatrics provides high quality care to all neonates, both in the postnatal ward and the neonatal intensive care unit. There is a full time trained neonatologist assisted by associate and assistant professors and postgraduate students who man the neonatal intensive care unit round the clock. The neonatology unit is headed by Dr Lalitha Krishnan, who has over 30 years experience in this field.

Perinatology services

Pondicherry Institute of Medical Sciences is a high risk perinatal centre in this region. Along with the Department of Obstetrics, high risk deliveries are undertaken. Antenatal counselling for fetal anomalies is given by a multi-disciplinary team of experts that include fetal-medicine specialist, obstetrician, neonatologist, pediatric surgeon, geneticist, cardiac surgeon, neurosurgeon and orthopedic surgeon. Pregnancy is carefully followed up so that safe confinement and intact survival of the newborn is possible.

Delivery

Decision on type and timing of delivery is made after careful consideration of all obstetric and neonatal factors. Every delivery is attended by pediatricians trained in neonatal resuscitation.

Postnatal care

Well babies above 35 weeks gestation are transferred to mother’s side and great emphasis is laid on breastfeeding.

Before discharge babies go through an extensive examination which includes
  1. Complete thorough physical examination
  2. Checking red reflex in both eyes
  3. Universal newborn hearing screen
  4. Cord blood TSH to rule out congenital hypothyroidism
  5. Newborn screening on filter paper for 62 diseases which includes metabolic diseases and hemoglobinopathies
  6. Complete blood count to rule out lymphopenia
  7. Screening for severe neonatal jaundice
  8. Cardiac examination including pulse oximetry to rule out congenital heart disease

The above screening and examination is also available for babies born in hospitals other than Pondicherry Institute of Medical Sciences. (Please contact 0413-2651260,124,151 on all working days 8am-3pm)

Neonatal intensive care

The NICU is a 12 bedded level III facility with round the clock coverage by neonatologist supported by on-call duty faculty and residents. The unit admits all types of sick newborns, premature babies and those requiring pediatric surgery.

Facilities include ventilators with high frequency, CPAP machines, High flow nasal cannula, LED phototherapy, in addition to monitors, syringe pumps

Procedures that are done are ventilation, arterial lines, peripherally inserted central catheters, umbilical venous and arterial catheters, chest tube insertion, cooling for neuroprotection, exchange transfusion, total parenteral nutrition.

Treatment is provided for babies with extreme prematurity, PPHN, multiorgan failure, inborn errors of metabolism, those requiring all kinds of pediatric surgery.

Note: It is always advisable for the referring doctor to confirm whether a bed is available in our facility before shifting a sick newborn baby.

Phone

 Routine enquiries: 0413-2651260 / 124 / 251 (All working days 8am to 3pm)
For emergencies only (24 x 7): 9994790065

The Department of Pediatrics prides itself on the excellent complement of teaching faculty available for undergraduate and postgraduates.

MBBS course:

MBBS students are trained through theory, clinical and e-learning methods spread over 3 years during their course. They have formative assessments by means of OSCE, clinical and theory examinations. Log books are compulsory and corrected by concerned faculty all through the posting. Regular counselling and feedback sessions are carried out to maximize the learning process. Faculty at all levels are readily available for clarifications and re-inforcement of knowledge. At least 8 topics are covered by having integrated lectures with inputs from other departments.

Early clinical exposure: This is given for 2 weeks during the VI semester of the MBBS course. Students spend time in the department learning emergency management, skills required in making a clinical diagnosis, how to take a detailed history and communication with patients.

MD (Pediatrics) course

This is a rigorous three year course where the resident is given graded responsibility from the first to the third year in managing children in out-patient and in-patient wards. They are supervised at all times by faculty and knowledge is imparted by a continuous hands on process.

Presentations: The resident is expected to make oral and power point presentations in the various topics assigned. These will be evaluated instantly and feedback given.

Audit : The duty postgraduates are expected to present the cases admitted and discuss emergency and evidence based management protocols. Care plans are discussed. Emphasis is always on quality of patient care, academic approach to the problem, ethical considerations and establishment of communication skills.

Interdepartmental meetings: These are held regularly with Obstetrics, Radiology, Pediatric surgery. And others as and when the need arises. The concerned postgraduate is expected to present the problem, draw up a plan and be up to date with recent advances.

Case presentations, seminars, journal clubs, weekly theory assessment, yearly progress are all done regularly throughout the course

Others: The Department actively participated in all State and National programmes, especially those conducted by the Indian Academy of Pediatrics.

  1. ORS week
  2. Breast feeding week
  3. IAP postgraduate quiz
  4. IAP undergraduate quiz
  5. Intra and Intercollegiate quiz competitions
  6. Poster and oral presentations in conferences
  7. Undergraduate teaching by the postgraduates under supervision
  8. NRP & PALS Workshop

PANDA : This is the Annual CME of the Department of Pediatrics which was commenced in the Year 2012. This is planned around the Children’s day and National Newborn week, usually the second week of November. This is conducted as a panel discussion, didactic lectures or workshops. Topics are of current interest to all faculty, postgraduates and undergraduates, including extramural ones.

Current research work

Faculty Projects

  1. Immediate outcome of Very Low Birth Weight infants in a tertiary care NICU.
    In Process. Dr Poornima
  2. Study on Clinical Outcome of Scrub Typhus in children. In process. Dr.RashmiKullu
  3. To study the Clinical profile of children presenting with Dengue fever in a tertiary care center, Puducherry. In process. Dr.NishanthRajan, Dr. Priya Jose
  4. Is Head to Chest circumference ratio a better detector of macrosomia in Infant of Diabetic Mother?Completed. Dr Priya Jose.
  5. Efficacy of blood pressure/height ratio in screening for hypertension in children aged 10-16 years. Completed. Dr Jomol Sarah John
  6. A study of late preterm morbidities. Completed. Dr Poornima Kumar.
  7. Perinatal factors affecting cord TSH. Completed. Dr Manasi Garg
  8. Different Race- Different Normogram!! It’s time for change. Completed. Dr.NishanthRajan.

Postgraduate Thesis

  1. Efficacy of transcutaneous bilirubinometry in predicting serum bilirubin levels in neonates. Completed. Pearl Mary Varughese, Dr Peter Prasanth Kumar, Dr Lalitha Krishnan.
  2. Association of mesenteric adenitis and abdominal pain in children from 5-14 years-a case control study. Completed. Dr Binchu Kurian, Dr Peter Prasanth
  3. To study the association between maternal breast milk sodium & early neonatal morbidity. Completed. Dr Mary Veena, Dr Lalitha Krishnan.
  4. Feeding Practises and Nutritional status of 1-2 year olds presenting to outpatient Department of a Tertiary Care Hospital. Completed. Dr Shakti Abhirami, Dr Lalitha Krishnan, Dr Majeti Srinivasa Rao
  5. Influence of Maternal Factors on cord blood lipid profile, a birth cohort study from a tertiary care hospital. Completed. Dr Nita Mariam Abraham, Dr Lalitha Krishnan.
  6. Serum zinc levels in children presenting with febrile seizures: a prospective case control study. Completed.Dr Janani Arul, Dr Peter Prasanth
  7. Cord blood and maternal serum anti-A and anti-B IgG antibody levels as a predictor of significant hyperbilirubinemia in newborn. Completed. Dr. Pramod,Dr Lalitha Krishnan
  8. Factors affecting exclusive breast feeding among working and non-working mothers. Completed. Dr. Kalaivani, Dr. M Srinivasa Rao.
  9. Aerobic fitness in Indian children aged 10 to15 yrs and its determinants. Completed. Dr.S.Balaji, Dr. Peter Prasanth.
  10. Cord blood albumin as a predictor for significant neonatal jaundice. In process. Dr Jaya Madhav Reddy, Dr Lalitha Krishnan
  11. Clinico-demographic profile of febrile seizures. In Process. Dr Jamuna, Dr Majeti Srinivasa Rao
  12. Association of anthropometric indicators and blood pressure between 8-12 years. In process. Dr Manimegalai, Dr Peter Prasanth

Undergraduate students Research
ICMR STS PROJECTS

2010

  1. Relation between infant feeding and infections during first 6 months of ages. S. Balaji, S. Pushparani.
  2. Girl- In a child’s perspective, Priya Ann Varghese, Peter Prasanth Kumar
  3. Prescription audit in the management of diarrhea. Andrew, Shujaath Asif
  4. Knowledge, Attitude, practise study on childhood vaccination. Nilesh Rao
  5. Correlation of maternal BMI with baby’s birth weight. Pratap, ChaayaCalton

2011

  1. The impact of sleep and eating habits on the anthropometry of the child. Vijaya Varman, Peter Prasanth Kumar
  2. Missed opportunities for immunization in a tertiary care hospital. Govardhanan, Shujaath Asif

2012

  1. Do fast paced cartoons have an impact on young child’s immediate motor executive function. VijayaVinodhini, Dr. Peter Prasanth, Dr. MC Mathew
  2. Real and perceived problems in early initiation of breastfeeding in a baby friendly hospital- Shalini, Dr.Lalitha Krishnan

2014

Can a questionnaire- based developmental screening tool predict school readiness in kindergarten children? MinitaRegy, Guide name: Dr. Peter Prasanth Kumar. K

2016

I wish I were a smart phone in the world of physically “Hyper-Present” but psychologically absent parents- Celestia Mathew, Dr. Peter Prasanth Kumar. K

2017

A study on prevalence of depression among adolescents in Pondicherry. Srinidhi, Dr Peter Prasanth Kumar

Publications (last 3 years)

2015

Original articles

Krishnan L, Kommu PP, Thomas BJ, Akila B, Daniel M. Should delayed cord clamping be the standard of care in term low risk deliveries? A randomized controlled trial from a medical college hospital in South India. J Clin Neonatol2015;4:183-7

Case report

  1. Kumar P, Sanketh R, Krishnan L. Organophosporus compound poisoning in newborn. Indian J Child Health. 2015; 2(2):91-93..
  2. Peter R, Krishnan L, Anandraj V, Kuruvila S. Chikungunya in a newborn. J Clin Neonatol2015;4:145-6

Letter to the editor

1.Anjaly Koshy, Lalitha Krishnan. Cholera in a neonate: the curse continues. Indian J Child Health. 2015;2:147.

2016

Original articles

1. Priya Jose, Peter Prasanth Kumar Kommu, Lalitha Krishnan, Nair MNG. Nebulized hypertonic saline for wheeze in children-randomized double blind control trial. Indian J Chest Dis Allied Sci 2016;58:237-240

Case report

1.Karthiga V, Kommu PP, Krishnan L. Perinatal chikungunya in twins. J PediatrNeurosci 2016; 11:223-4

Letter to editor

Krishnan L. Author’s reply. J Clin Neonatol2016;5:70

2017

Original articles

  1. Sunita Jeypal, Peter Prasanth Kumar Kommu, Manikandan, M. Krishnan L. Performance of two different pulse oximeters in neonatal transition. Indian J Pediatr 2017;84(1):7-12
  2. Minita Maria Regy, Peter Prasanth Kumar, Alice Kisku, Lalitha Krishnan. Prediction of Kindergarten readiness Using a Questionnaire based Screening tool. International Journal of Indian Psychology 2017;5(1)49-55.
  3. Nishanth Rajan, Peter Prasanth Kumar Kommu, Lalitha Krishnan, Manikandan Mani. Significant Hyperbilirubinemia, in Near-term and TermNewborn: A case control study.J Clin Neonatol 2017;6:220-4
  4. Priya Jose, Jenifer Vani, Peter Prasanth KumarKommu, Satish KorahKuruvila, Lalitha Krishnan. Is head to chest circumference ratio a better detector of macrosomia in infants of diabetic mothers as compared to birth weight >4000g? Int J ContempPediatr2017;4:2120-2125.
  5. Sanketh, Peter Prasanth Kumar Kommu, Susan Solomon, Lalitha Krishnan, Saravanan S, Ravichandran K. The effect of cartoon on the immediate motor executive function of 4-6 year children. Int J ContempPediatr2017;4:1648-51
  6. Pearl Mary Varughese, Peter Prasanth Kumar Kommu, Ravichandran K, Lalitha Krishnan. Validity of transcutaneous bilirubin in the first few days of life. Indian J Child Health 2017;4:549-553.
  7. Daniel Jayaraj, Poornima Kumar, Peter Prasanth Kumar Kommu, Lalitha Krishnan. Significant weight loss and hypernatremia in exclusively breast-fed neonates. Int J Contemp Ped 2017;5:151-55
  8. Case series

  9. Pinapala A, Garg M, Kamath N, Iyengar A. Clinical and genetic profile of Indian children with primary hyperoxaluria. Indian J Nephrol2017;27:222-4
  10. Letter to editor

  11. Garg M, Rajan N, Dhua A, Krishnan L. Malpositioned central line in a neonate presenting as superficial abdominal abscess.JNeonat Surg. 2017;6:24

2018

Original articles

  1. Pearl Mary Varughese, Nishanth Rajan, Manikandan Mani, Lalitha Krishnan. Race Specific Nomograms: time for change? Int J ContempPediatr2018;5:420-426.
  2. Poornima Kumar, Peter Prasanth Kumar, Mary Daniel, Lalitha Krishnan. The Tiny Tricksters: Differences between Late Preterm and Term Neonates. Indian Journal of Maternal-Fetal and Neonatal Medicine 2018;5:43-50
  3. Peter Prasanth Kumar Kommu, Soumendra Sahoo, Anil Kapoor, Anu Sharma, Vimala Thomas. Impact of spaced learning initiative in an undergraduate student teaching program in paediatrics. J Curr Res Sci Med 2018 ;4:37-41
  4. Nita Mariam Abraham, Satish Korah Kuruvilla, S Manikandan, Lalitha Krishnan. Association of cord blood and maternal lipid profiles. Indian Journal of Child Health. 2018;5:465-468.
  5. Manasi D. Garg, Poornima Kumar, Sakthi Abirami, Manikandan M., Lalitha Krishnan. Perinatal variables influencing cord blood thyroid stimulating hormone Int J ContempPediatr2018;5:1537-1541
  6. AnithaAbimannane, Ramachandran Rameshkumar, Ponnarmeni Satheesh and Subramanian Mahadevan. Second Dose of Scorpion Antivenom in Children with Indian Red Scorpion (Mesobuthustamulus) Sting Envenomation Ind Pediatr2018;55:315-318