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|Department of Paediatrics|
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.
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
The mission of the department
covers patient care, teaching, research and social
responsibility for all children.
Dr. Vishnu Bhat B
Dr. Peter Prasanth
Dr. Soma Venkatesh Chakraborty
Dr. Manasi Garg
Dr.Shravana Kumar P Balagavi
Dr. Ananthanarayanan K
Out-patients : There are three units
in the department details of which are given below
||OP & admission
||Dr. Lalitha Krishnan
||Dr. Vishnu Bhat
||Dr. Peter Prasanth
Timings : All
working days from 8am to 4pm
: Birth to 18 years
Types of cases: All
problems pertaining to newborns, children and
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)
The Department runs the following speciality clinics
where children with special problems are seen
- Asthmaclinic: All
types of asthma, All wheeze, Cystic fibrosis,
- Cardiology clinic:
Acyanotic heart disease, Cyanotic heart disease,
Rheumatic fever followup, Infective
endocarditis, Valvular heart disease, Kawasaki
disease, Cardiomyopathies, Myocarditis,
Pericardial effusion, Arrhythmias
- 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
- 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,
- Gastroenterology clinic:Persistent
diarrhea, Acute hepatitis, Chronic hepatitis,
Direct jaundice , Ascites, Hemetemesis
- Hematology clinic:
Thalassemia, Sickle cell anemia, Other chronic
anemias, Bleeding disorders like hemophilia, von
Willebrand, Primary immune deficiency diseases,
Hematological malignancies, Acute Leukemias,
- Nephrology clinic:
Bed-wetting , Renal stones , Nephritis ,
Nephrotic syndrome, Urinary tract infections,
Nephrocalcinosis, Renal tubular acidosis ,
Urinary tract anomalies
- 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
Children requiring any of the above
services will be first screened and evaluated in
pediatrics department and referred accordingly
||DASD , PDA, VSD
device closure, balloon pulmonary/aortic
valvuloplasty, coarctation of aorta balloon
dilatation and stenting, balloon atrial
septostomy, PDA stenting, diagnostic cardiac
||Closure of PDA ,
ASD, VSD. All types of heart valve
replacements. Lung surgery.
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
allergic and other skin rashes, dandruff,
ringworm, fungal infections
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.
||Type 1 diabetes
mellitus, thyroid problems, metabolic bone
||Endoscopy , foreign
body removal, evaluation of abdominal pain,
||Intensive care for
all children and newborns, Newborn
screening, Tandem mass spectroscopy,
high blood pressure, chronic kidney disease,
antenatal hydronephrosis, peritoneal and
delayed puberty, menorrhagia and anemia,
vaginal injuries. Vaccines to prevent
retinopathy of prematurity, vision, minor
surgeries, foreign body removal
||Club foot, joint
infections, injuries, deformity corrections,
painful hip, scoliosis
testes, penis, hernia, hydrocele, stomach,
intestines, anus surgeries.
malformations of hand and face, leg, facial
injuries both bony and soft tissue,
cleft-lip and cleft palate repair
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
0413-2651260 / 124 / 251
(All working days 8am to 4pm)
clinic : 04132651252, 9500198895
For pediatric emergencies
(24 x 7): 9994790065Neonatal
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
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
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.
Well babies above 35
weeks gestation are transferred to mother’s side and
great emphasis is laid on breastfeeding.
discharge babies go through an extensive examination
- Complete thorough physical examination
- Checking red reflex in both eyes
- Universal newborn hearing screen
- Cord blood TSH to rule out congenital
- Newborn screening on filter paper for 62
diseases which includes metabolic diseases and
- Complete blood count to rule out lymphopenia
- Screening for severe neonatal jaundice
- 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
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
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.
0413-2651260 / 124 /
251 (All working days 8am to 3pm)
For emergencies only
(24 x 7):
The Department of Pediatrics prides itself on the
excellent complement of teaching faculty available for
undergraduate and postgraduates.
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
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
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.
- ORS week
- Breast feeding week
- IAP postgraduate quiz
- IAP undergraduate quiz
- Intra and Intercollegiate quiz competitions
- Poster and oral presentations in conferences
- Undergraduate teaching by the postgraduates
- 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
- Immediate outcome of Very Low Birth Weight
infants in a tertiary care NICU.
Process. Dr Poornima
- Study on Clinical Outcome of Scrub
Typhus in children. In process.
- To study the Clinical profile of
children presenting with Dengue fever in a tertiary
care center, Puducherry.
In process. Dr.NishanthRajan, Dr. Priya Jose
- Is Head to Chest circumference ratio a
better detector of macrosomia in Infant of Diabetic
Mother?Completed. Dr Priya Jose.
- Efficacy of blood pressure/height ratio
in screening for hypertension in children aged 10-16
years. Completed. Dr Jomol Sarah John
- A study of late preterm morbidities.
Completed. Dr Poornima Kumar.
- Perinatal factors affecting cord TSH.
Completed. Dr Manasi Garg
- Different Race- Different Normogram!!
It’s time for change. Completed.
- Efficacy of transcutaneous bilirubinometry in
predicting serum bilirubin levels in neonates.
Completed. Pearl Mary Varughese, Dr Peter Prasanth
Kumar, Dr Lalitha Krishnan.
- Association of mesenteric adenitis and abdominal
pain in children from 5-14 years-a case control
study. Completed. Dr Binchu Kurian, Dr Peter
- To study the association between maternal breast
milk sodium & early neonatal morbidity. Completed.
Dr Mary Veena, Dr Lalitha Krishnan.
- 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
- Influence of Maternal Factors on cord blood
lipid profile, a birth cohort study from a tertiary
care hospital. Completed. Dr Nita Mariam Abraham, Dr
- Serum zinc levels in children presenting with
febrile seizures: a prospective case control study.
Completed.Dr Janani Arul, Dr Peter Prasanth
- 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
- Factors affecting exclusive breast feeding among
working and non-working mothers. Completed. Dr.
Kalaivani, Dr. M Srinivasa Rao.
- Aerobic fitness in Indian children aged 10 to15
yrs and its determinants. Completed. Dr.S.Balaji,
Dr. Peter Prasanth.
- Cord blood albumin as a predictor for
significant neonatal jaundice. In process. Dr Jaya
Madhav Reddy, Dr Lalitha Krishnan
- Clinico-demographic profile of febrile seizures.
In Process. Dr Jamuna, Dr Majeti Srinivasa Rao
- Association of
anthropometric indicators and blood pressure between
8-12 years. In process. Dr Manimegalai, Dr Peter
ICMR STS PROJECTS
- Relation between infant feeding and
infections during first 6 months of ages. S.
Balaji, S. Pushparani.
- Girl- In a child’s perspective,
Priya Ann Varghese, Peter Prasanth Kumar
- Prescription audit in the management of
diarrhea. Andrew, Shujaath Asif
- Knowledge, Attitude, practise study on
childhood vaccination. Nilesh Rao
- Correlation of maternal BMI with baby’s
birth weight. Pratap, ChaayaCalton
- The impact of sleep and eating habits on
the anthropometry of the child. Vijaya
Varman, Peter Prasanth Kumar
- Missed opportunities for immunization in
a tertiary care hospital. Govardhanan,
- Do fast paced cartoons have an impact on
young child’s immediate motor executive function.
VijayaVinodhini, Dr. Peter Prasanth, Dr. MC Mathew
- Real and perceived problems in early
initiation of breastfeeding in a baby friendly
hospital- Shalini, Dr.Lalitha Krishnan
Can a questionnaire- based developmental
screening tool predict school readiness in kindergarten
children? MinitaRegy, Guide name: Dr.
Peter Prasanth Kumar. K
I wish I were a smart phone in the world of
physically “Hyper-Present” but psychologically absent
parents- Celestia Mathew, Dr. Peter Prasanth
A study on prevalence of depression among
adolescents in Pondicherry. Srinidhi, Dr Peter
Publications (last 3 years)
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
- Kumar P, Sanketh R, Krishnan L. Organophosporus
compound poisoning in newborn. Indian J Child Health.
- Peter R, Krishnan L, Anandraj V, Kuruvila S.
Chikungunya in a newborn. J Clin
Letter to the editor
1.Anjaly Koshy, Lalitha Krishnan. Cholera in a
neonate: the curse continues. Indian J Child Health.
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
1.Karthiga V, Kommu PP, Krishnan L.
Perinatal chikungunya in twins. J PediatrNeurosci 2016;
Letter to editor
Krishnan L. Author’s reply. J Clin Neonatol2016;5:70
- Sunita Jeypal, Peter Prasanth Kumar Kommu,
Manikandan, M. Krishnan L. Performance of two different
pulse oximeters in neonatal transition. Indian J Pediatr
- 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
- 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
- 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
- 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
- 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.
- 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
- Pinapala A, Garg M, Kamath N, Iyengar A.
Clinical and genetic profile of Indian children with
primary hyperoxaluria. Indian J Nephrol2017;27:222-4
Letter to editor
- Garg M, Rajan N, Dhua A, Krishnan L.
Malpositioned central line in a neonate presenting
as superficial abdominal abscess.JNeonat Surg.
- Pearl Mary Varughese, Nishanth Rajan, Manikandan
Mani, Lalitha Krishnan. Race Specific Nomograms: time
for change? Int J ContempPediatr2018;5:420-426.
- 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
- 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
- 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.
- 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
- 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