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अखिल भारतीय आयुर्विज्ञान संस्थान, नई दिल्ली
All India Institute Of Medical Sciences, New Delhi

Neonatology

Division of Neonatology

 

Professor Ashok Deorari

Head of the Department of Pediatrics and Division of Neonatology

AIIMS, New Delhi

 

Professor Ramesh Agarwal

Division of Neonatology, Department of Pediatrics

AIIMS, New Delhi

 

Dr Jeeva Sankar

Assistant Professor

Division of Neonatology, Department of Pediatrics

AIIMS, New Delhi

 

Dr Anu Sachdeva

Assistant Professor

Division of Neonatology, Department of Pediatrics

AIIMS, New Delhi

 

About Division of Neonatology

 

The Department established a Neonatal unit way back in 1962. Over the years it has grown into a full-fledged clinical and academic division of national and regional reputation. The Division was designated as the WHO Collaborating Centre for Training and Research in 1997. During the sixteen years since its inception, the Centre has made significant contribution towards promotion of newborn care at the national and the international level.

 

We have worked closely with the Government of India, several state governments, Indian Council of Medical Research, National Neonatology Forum, Indian Academy of Pediatrics, Nursing and Medical Schools and NGO's. We are privileged to have been associated with a wide range of neonatal health initiatives of the World Health Organization through the India Country Office, the South East Asia Regional Office as well as the HQ's at Geneva. We have collaborated actively with UNICEF, UNOPS, Saving Newborn Lives/Save the Children, American Academy of Pediatrics, the Rotary International and several leading Universities in North America. It is an honor for us to be able to contribute to newborn health with partners in DPR Korea, Nepal, Bangladesh, Sri Lanka, East Timor, Maldives, Indonesia, Pakistan, Mauritius, Iran and Bhutan.

 

The spectrum of our work spans from training and education, tools development research, advocacy, policy and dissemination thereof. The areas of special focus include Integrated Management of Neonatal and Childhood Illness, Neonatal Resuscitation Program, Newborn Nursing, Kangaroo Mother Care, Neonatal–Perinatal Database and Networking, Essential Care for Every Newborn of Global Alliance, home and community-based newborn care, technologies for maternal newborn health and newborn health programming within the maternal, newborn and child health (MNCH) continuum.

 

Currently the WHO-CC is involved in providing regular in service fellowship for health professionals from India and SEARO countries. Training tool on Essential Newborn Nursing for resource restricted countries and Standard Treatment Protocols for management of sick neonates have been developed for dissemination in SEA region. The centre has coordinated Kangaroo Mother Care Initiative network with five institutions in the country, for spreading KMC practice among health care professionals. A website is launched for healthcare professionals and parents www.kmcindia.org

 

Regular training workshops on Neonatal Resuscitation, Kangaroo Mother Care, Neonatal Ventilation, CPAP and Continuing Medical Education for doctors and nurses are being conducted in Delhi and satellite cities by the WHO-CC Faculty. Our centre is the nodal centre for collection of neonatal perinatal database for the country and currently working very closely with ICMR for perusing multisite research on key Newborn Health issues through Centre of Advanced Research. At present, our Division is collaborating with WHO HQs and ICMR on multiple research projects and assisting WHO SEARO for setting up Neonatal Perinatal Database for SEARO region & assisting in developing educational tools for various levels of healthcare professionals.

 

For further details about the division, please visit www.newbornwhocc.org


 

Last 5 years Division of Neonatology Publications

 

Year 2017

  1. Gupta S, Agarwal R, Aggarwal KC, Chellani H, Duggal A, Arya S, Bhatia S, Sankar MJ, Sreenivas V, Jain V, Gupta AK, Deorari AK, Paul VK, and Investigators of the CF trial. Complementary feeding at 4 versus 6 months of age for preterm infants born at less than 34 weeks of gestation: a randomised, open-label, multicenter trial. Lancet Glob Health. 2017 May;5(5):e501-e511. doi: 10.1016/S2214-109X(17)30074-8.
  2. India State-level Disease Burden Initiative Collaborators. Nations within a nation: variations in epidemiological transition across the states of India, 1990-2016 in the Global Burden of Disease Study. Lancet. 2017 Nov 13. PII: S0140-6736(17)32804-0. doi: 10.1016/S0140-6736(17)32804-0. PubMed PMID: 29150201.
  3. Mehndiratta A, Sharma S, Gupta NP, Sankar MJ, Cluzeau F. Adapting clinical guidelines in India-a pragmatic approach. BMJ. 2017 Nov 17;359:j5147. doi: 10.1136/bmj.j5147. PubMed PMID: 29150419; PubMed Central PMCID: PMC5691554.
  4. Nanda D, Thukral A, Nangia S. Intramuscular hematoma in a neonate in the nursery. Neo Reviews Mar 2017, 18 (4) e240-e242
  5. Vogel JP, Oladapo OT, Pileggi-Castro C, Adejuyigbe EA, Althabe F, Ariff S, Ayede AI, Baqui AH, Costello A, Chikamata DM, Crowther C, Fawole B, Gibbons L, Jobe AH, Kapasa ML, Kinuthia J, Kriplani A, Kuti O, Neilson J, Patterson J, Piaggio G, Qureshi R, Qureshi Z, Sankar MJ, Stringer JSA, et al. Antenatal corticosteroids for women at risk of imminent preterm birth in low-resource countries: the case for equipoise and the need for efficacy trials. BMJ Glob Health. 2017 Aug 30;2(3):e000398. doi: 10.1136/bmjgh-2017-000398. eCollection 2017. Review. PubMed PMID: 29082019.
  6. Sinha B, Chowdhury R, Upadhyay RP, Taneja S, Martines J, Bahl R, Sankar MJ. Integrated Interventions Delivered in Health Systems, Home, and Community Have the Highest Impact on Breastfeeding Outcomes in Low- and Middle-Income Countries. J Nutr. 2017 Nov;147(11):2179S-2187S. doi: 10.3945/jn.116.242321. Epub 2017 Sep 13. Review. PubMed PMID: 28904116.
  7. Sankar J, Ismail J, Sankar MJ, C P S, Meena RS. Fluid Bolus Over 15-20 Versus 5-10 Minutes Each in the First Hour of Resuscitation in Children With Septic Shock: A Randomized Controlled Trial. Pediatr Crit Care Med. 2017 Oct;18(10):e435-e445. doi: 10.1097/PCC.0000000000001269. PubMed PMID: 28777139.
  8. Sankar J, Das RR, Mahapatro S, Sankar MJ. Effect of a Training Strategy in Improving Medication Fallacies During Pediatric Cardiopulmonary Resuscitation: A Before-and-After Study From a Developing Country. Pediatr Emerg Care. 2017 Jul 11. doi: 10.1097/PEC.0000000000001208. PubMed PMID: 28697155
  9. Sivanandan S, Sankar MJ. Does single mega-dose vitamin A in early neonatal period reduce mortality during infancy in low- and middle-income countries? Acta Paediatr 2017 Apr 17. doi: 10.1111/apa.13800
  10. Thukral A, Sankar MJ. Probiotics for prevention of suspected sepsis in low birthweight infants. Acta Paediatr 2017;106:681
  11. Sankar J, Ismail J, Das R, Dev N, Chitkara A, Sankar MJ. Effect of Severe Vitamin D Deficiency at Admission on Shock Reversal in Children With Septic Shock. J Intensive Care Med 2017 Jan 1:885066617699802
  12. Chandrasekaran A, Thukral A, Jeeva Sankar M, Agarwal R, Paul VK, Deorari AK.

Nasal masks or binasal prongs for delivering continuous positive airway pressure in preterm neonates-a randomised trial. Eur J Pediatr. 2017 Jan 13. doi: 10.1007/s00431-017-2851-x.

  1. Thukral A, Deorari AK. Correspondence to Mobile-based Applications for Newborn Care. Indian Pediatr 2017; 54, 63
  2. Sethi A, Joshi M, Thukral A, Singh Dalal J, Kumar Deorari A. A Quality Improvement Initiative: Improving Exclusive Breastfeeding Rates of Preterm Neonates. Indian J Pediatr. 2017 Feb 24. doi: 10.1007/s12098-017-2306-4.

 

Year 2016

  1. Fitchett EJA, Seale AC, Vergnano S, Sharland M, Heath PT, Saha SK, Agarwal R, Ayede AI, Bhutta ZA, Black R, Bojang K, Campbell H, Cousens S, Darmstadt GL, Madhi SA, Meulen AS, Modi N, Patterson J, Qazi S, Schrag SJ, Stoll BJ, Wall SN, Wammanda RD, Lawn JE; SPRING (Strengthening Publications Reporting Infection in Newborns Globally) Group  Strengthening the Reporting of Observational Studies in Epidemiology for Newborn Infection (STROBE-NI): an extension of the STROBE statement for neonatal infection research. Lancet Infect Dis. 2016 Oct;16(10):e202-e213. doi: 10.1016/S1473-3099(16)30082-2. Epub 2016 Sep 12
  2. Sankar MJ, Neogi SB, Sharma J, Chauhan M, Srivastava R, Prabhakar PK, Khera A, Kumar R, Zodpey S, Paul VK. State of newborn health in India. J Perinatol 2016 Dec;36(s3):S3-S8.
  3. Sankar MJ, Natarajan CK, Das RR, Agarwal R, Chandrasekaran A, Paul VK. When do newborns die? A systematic review of timing of overall and cause-specific neonatal deaths in developing countries. J Perinatol 2016 May;36 Suppl 1:S1-S11
  4. Sankar MJ, Chandrasekaran A, Ravindranath A, Agarwal R, Paul VK. Umbilical cord cleansing with chlorhexidine in neonates: a systematic review. J Perinatol 2016 May;36 Suppl 1:S12-20
  5. Sankar MJ, Kumar P, Thukral A, Agarwal R, Paul VK. Vitamin K prophylaxis for prevention of vitamin K deficiency bleeding: a systematic review. J Perinatol 2016 May;36 Suppl 1:S29-35
  6. Sankar MJ, Gupta N, Jain K, Agarwal R, Paul VK. Efficacy and safety of surfactant replacement therapy for preterm neonates with respiratory distress syndrome in low- and middle-income countries: a systematic review. J Perinatol 2016 May;36 Suppl 1:S36-48
  7. Natarajan CK, Sankar MJ, Jain K, Agarwal R, Paul VK. Surfactant therapy and antibiotics in neonates with meconium aspiration syndrome: a systematic review and meta-analysis. J Perinatol 2016 May;36 Suppl 1:S49-54
  8. Thukral A, Sankar MJ, Agarwal R, Paul VK. Efficacy and safety of CPAP in low- and middle-income countries. J Perinatol 2016 May;36 Suppl 1:S21-8
  9. Murli L, Thukral A, Sankar MJ, Vishnubhatla S, Deorari AK, Paul VK, Sakariah A, Dolma, Agarwal R. Reliability of transcutaneous bilirubinometry from shielded skin in neonates receiving phototherapy: a prospective cohort study. J Perinatol 2016 Oct 20
  10. Sankar J, Lotha W, Ismail J, Anubhuti C, Meena RS, Sankar MJ. Vitamin D deficiency and length of pediatric intensive care unit stay: a prospective observational study. Ann Intensive Care 2016;6:3
  11. Investigators of WHO LBW Feeding Study Group, Delhi, India. World Health Organization Guidelines for Feeding Low Birth Weight Infants: Effects of Implementation in First Referral Level Health Facilities in India. Indian J Pediatr 2016; 83(6):522–528
  12. Sampath N, Singh A, Gopalakrishnan S, Thukral A, Sankar MJ, Agarwal R, Jaryal AK, Deorari AK and Paul VK. Description and Validation of a Novel Method of Measuring Pharyngeal Pressure in New-born. Indian J Physiol Pharmacol 2016; 60(2) 200-204
  13. Agarwal R, Aggarwal KC, Chellani H, Arya S, Sankar MJ, Sreenivas V, Suman S, Deorari AK, Paul VK, and Investigators of the Delhi Neonatal Infection Study (DeNIS) collaboration. Characterisation and antimicrobial resistance of sepsis pathogens in neonates born in tertiary care centres in Delhi, India: a cohort study. Lancet Glob Health. 2016 Oct;4(10):e752-60. doi: 10.1016/S2214-109X(16)30148-6
  14. Bandya P, Thukral A, Nangia S. Recurrent apnea in a preterm neonate. Neoreviews 2016; 17:e102-e104 
  15. Prakash V, Thukral A, Sankar MJ, Agarwal RK, Paul VK, Deorari AK.  Efficacy and acceptability of an "App on sick newborn care" in physicians from newborn units. BMC Med Educ. 2016 Mar 8;16(1):84
  16. Description and Validation of a Novel Method of Measuring Pharyngeal Pressure in New-born. Sampath N, Singh A, Gopalakrishnan S, Thukral A, Sankar MJ, Agarwal R, Jaryal AK, Deorari AK and Paul VK. Indian J Physiol Pharmacol 2016; 60(2) 200-204

 

Year 2015

  1. Gupta S, Chaurasia S, Sankar MJ, Deorari AK, Paul VK, Agarwal R. Neonatal Research in India: Current Status, Challenges, and the Way Forward. Indian J Pediatr. 2015 Apr;82(4):396. doi: 10.1007/s12098-015-1707-5. PMID: 2522863.
  2. Thukral A, Lockyer J, Bucher SL, Berkelhamer S, Bose C, Deorari A, Esamai F, Faremo S, Keenan WJ, McMillan D, Niermeyer S, Singhal N. Evaluation of an educational program for essential newborn care in resource-limited settings: Essential Care for Every Baby. BMC Pediatr. 2015 Jun 24;15:71. doi: 10.1186/s12887-015-0382-z.
  3. Tanushree Sahoo, Thukral A, Ramesh Agarwal, Mari Jeeva Sankar. Galactosaemia: an unusual cause of chronic bilirubin encephalopathy. BMJ Case Rep 2015. doi:10.1136/bcr-2014-206852
  4. Bhethanabhotla S, Thukral A, Sankar MJ, Agarwal R, Paul VK, Deorari AK. Effect of position of infant during phototherapy in management of hyperbilirubinemia in late preterm and term neonates: a randomized controlled trial. J Perinatol. 2013 Jun 6. doi: 10.1038/jp.2013.54.
  5. Tanushree Sahoo, Thukral A, M. Jeeva Sankar. Chest Wall Swelling in a Late Preterm, Immunocompetent Neonate. NeoReviews, Dec 2015, 16 (12) e714-e716
  6. Arora K, Thukral A, Das RR. Vitamin A Supplementation in Preterm Very Low Birth Weight Neonates. Indian Journal of Neonatal Medicine and Research. 2015 Jan, Vol-4(1): 10-16
  7. Tapas B, Thukral A, Nangia S. Strategies on Prevention of Morbidity of Preterm and Growth Retarded infants. Journal of Neonatology 2015; Jan- March

 

Year 2014

  1. Natarajan CK, Sankar MJ, Agarwal R, Pratap OT, Jain V, Gupta N, Gupta AK, Deorari AK, Paul VK, Sreenivas V. Trial of Daily Vitamin D Supplementation in Preterm Infants. Pediatrics. 2014 Feb 10. PubMed PMID:24515510.
  2. Thukral A, Joshi M, Joshi P, Prakash V, Adkoli BV, Deorari Ashok K. Apps for management of sick newborn: Evaluation of impact on health care professionals. J Trop Pediatr. 2014 Jun 12. pii: fmu032.
  3. Gopal Shridhar, Thukral A and Deorari AK Preterm Newborn With Abdominal Distention, Altered Nasogastric Aspirates, and Hematochezia. Neoreviews 2014;15;e463
  4. Chandrasekaran A, Thukral A, Deorari Ashok K. Indian J Pediatr. 2014 Mar 7. E-Learning in medical education.
  5. Sithara S, Sharma K.K., Saksena M, Thukral A, Agarwal R, Vatsa M. Predictors of Breastfeeding Problems in The First Postnatal Week and Its Effect on Exclusive Breastfeeding Rate at Six Months: Experience in A Tertiary Care Centre in Northern India. Indian J Public Health 2014; 58: 270-3

 

Year 2013

  1. Agarwal R, Virmani D, Jaipal M, Gupta S, Sankar MJ, Bhatia S, Agarwal A, Devgan V, Gupta N, Deorari AK, Paul VK; Investigators of LBW Micronutrient Study Group. Iron Stores in Low and Normal Birth Weight Infants at Birth and in Early Infancy. Indian J Pediatr. 2013 Aug 27.  PubMed PMID: 23979924.
  2. Chandrasekaran A, Sankar MJ, Agarwal R, Paul VK. Topical umbilical cord care. Pediatr Infect Dis J. 2013 Jul;32(7):801.
  3. Sasi A, Chandrakumar N, Deorari A, Paul VK, Shankar J, Sreenivas V, Agarwal R. Neonatal self-inflating bags: achieving titrated oxygen delivery using low flows: an experimental study. J Paediatr Child Health. 2013 Aug;49(8):671-7.
  4. Agarwal R, Virmani D, Jaipal M, Gupta S, Toteja GS; Investigators of LBW Micronutrient Study Group. Vitamin A status of low and normal birth weight infants at birth and in early infancy. Indian Pediatr. 2013 Oct;50(10):951-3.
  5. Venkatnarayan K, Sankar MJ, Agarwal R, Paul VK, Deorari AK. Phenobarbitone in Rh hemolytic disease of the newborn: a randomized double-blinded placebo-controlled trial. J Trop Pediatr. 2013 Oct;59(5):380-6.
  6. Arora K, Thukral A, Das RR, Gupta N, Kabra M, Agarwal R. Fryns Syndrome: A Lethal Birth Defect with Variable Phenotypic Expressions in Siblings. Indian J Pediatr. 2013 Apr 19. PubMed PMID: 23604607.
  7. Thukral A, Arora K, Das RR, Arora A, Gamanagatti S, Agarwal RK. Congenital Porto systemic venous shunt in a preterm Rh-isoimmunized infant. Indian J Pediatr. 2013 Dec;80(12):1053-5.
  8. Arora K, Das RR, Agarwal R. Green pigmented teeth. Indian Pediatr. 2012 Dec;49(12):1015.
  9. Dalal SS, Mishra S, Agarwal R, Deorari AK, Paul VK, Sankar MJ. Feeding behaviour and performance of preterm neonates on Paladai feeding. Acta Paediatr. 2013 Apr;102(4):e147-52.
  10. Agarwal R, Virmani D, Jaipal M, Gupta S, Sankar MJ, Bhatia S, Agarwal A, Devgan V, Deorari A, Paul VK, Toteja GS; Investigators of the LBW Micronutrient Study Group. Poor zinc status in early infancy among both low and normal birth weight infants and their mothers in Delhi. Neonatology. 2013;103(1):54-9.
  11. Jain A, Mathur N, Jeevashankar M, Mukhopadhyay A, Agarwal R, Deorari AK, Paul VK. Does mesenchymal stem cell population in umbilical cord blood vary at different gestational periods? Indian J Pediatr. 2013 May;80(5):375-9.

 

Year 2012

  1. Thukral A, Sankar MJ, Agarwal R, Gupta N, Deorari AK, Paul VK. Early skin-to-skin contact and breast-feeding behavior in term neonates: a randomized controlled trial. Neonatology. 2012;102(2):114-9.
  2. Agarwal R, Virmani D, Jaipal ML, Gupta S, Gupta N, Sankar MJ, Bhatia S, Agarwal A, Devgan V, Deorari A, Paul VK; Investigators of LBW Micronutrient Study Group, Departments of Pediatrics and Endocrinology. Vitamin D status of low birth weight infants in Delhi: a comparative study. J Trop Pediatr. 2012 Dec;58(6):446-50.
  3. Thukral A, Agarwal R. Correspondence in regard to necrotising enterocolitis in a term neonate following intravenous immunoglobulin therapy. Indian J Pediatr.2012 Dec;79(12):1676-7; author's reply p.1677.
  4. Gupta S, Som T, Iyer L, Agarwal R. Transfusion related acute lung injury in a neonate. Indian J Pediatr. 2012 Oct;79(10):1363-5.
  5. Yadav S, Thukral A, Sankar MJ, Sreenivas V, Deorari AK, Paul VK, Agarwal R. Bubble vs conventional continuous positive airway pressure for prevention of extubation failure in preterm very low birth weight infants: a pilot study. Indian J Pediatr. 2012 Sep;79(9):1163-8.
  6. Chawla D, Agarwal R, Deorari A, Paul VK, Chandra P, Azad RV. Retinopathy of prematurity. Indian J Pediatr. 2012 Apr;79(4):501-9.
  7. Thukral A, Sasi A, Chawla D, Datta P, Wahid S, Rao S, Kannan V, Veeragandam A, Murki S, Deorari AK. Online Neonatal Training and Orientation Programme in India (ONTOP-IN)--The Way Forward for Distance Education in Developing Countries. J Trop Pediatr. J Trop Pediatr. 2012 Dec;58(6):486-9
  8. Deorari A, Thukral A, Aruna V.  Online learning in newborn health: a distance learning model. Natl Med J India. 2012 Jan-Feb; 25(1):31-2
  9. Joshi P, Thukral A, Joshi M, Deorari AK, Vatsa M.Comparing the Effectiveness of Webinars and Participatory Learning on Essential Newborn Care (ENBC) in the Class Room in Terms of Acquisition of Knowledge and Skills of Student Nurses: A Randomized Controlled Trial. Indian J Pediatr. 2012 May 5

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