The neonatal unit of LTMG Hospital, Mumbai is tertiary referral center catering to about 10,000 -12,000 deliveries occurring in this hospital per year.  The unit has 40 special care beds with approx. 3000 - 3500 admissions per year. Being an apex institution, a large number of high-risk mothers are referred here and 40-50% of the babies delivered here are low birth weight. 

The unit has 40 special care neonatal beds spaced in 3 areas:

Neonatal Intensive Care Unit  ( High dependency Unit) : This area has 10 high dependency beds which offer state of art care with facilities for ventilating 10 babies on conventional  ventilator & one high frequency oscillatory ventilator.

Transitional Care Unit: This 16 bedded area looks after babies who are moderately sick babies  stable babies requiring monitoring. 6 Bubble CPAP units for respiratory support.

Well Premature Baby Care  & Kangaroo Mother Care Unit: This 14 bedded unit looks after well and growing premature babies till they are fit for discharge

Post Natal Care Wards :- 750- 800 deliveries per month.  100-150 babies to be seen on any given day in addition to babies admitted to the neonatal unit.

Inpatient  Services

NICU LTMG hospital, Mumbai is a major referral center for public as well as private institutes in Mumbai, Maharashtra & neighboring states providing:.

Neonatal Intensive Care for preterm, low birth weight & sick term inborn neonates.

Respiratory Support by:

a)Neonatal Continuous Positive Airway Pressure: This form of non invasive ventilation for  babies with respiratory distress.  There are 6 dedicated bubble CPAP units.

b)Non Invasive Intermittent Positive Pressure Ventilation: This form of non invasive ventilation is also increasingly used in the unit. 

c)Conventional ventilation: Adequate facilities for mechanical ventilation & monitoring of neonates  are available for babies with severe respirating distress. Surfactant administration is done for babies ventilated for respiratory distress syndrome.11 ventilators available.

d)Neonatal High Frequency Ventilation: is practiced whenever indicated. 1HFOV available.

Total / Partial Parenteral Nutrition: Sick neonates unable to take feeding orally are given Total / Partial Parenteral Nutrition in the unit. Laminar flow facility is available in the unit  for preparing the fluids for parenteral nutrition.

Bood component therapy: Packed red cells, Platelets, Fresh Frozen Plasma & cryoprecipitate are all the time available for patient care and administered when indicated.

Phototherapy: Babies with neonatal jaundice are given phototherapy treatment using single unit or double unit LED phototherapy as per serum bilirubin level using standard protocol guidelines.

Double volume exchange transfusion: Babies with neonatal jaundice are subjected to exchange transfusion when serum bilirubin levels exceed than that controllable by phototherapy. 

Partial exchange transfusion: It is needed for babies with polycythemia (high RBC mass) and adequate facilities are available.

Ophthalmologic check up for ROP screening: Babies less than 34 wks of gestation are screened for Retinopathy of Prematurity in the unit.

Ultrasonography: In house facility for bedside sonography and echocardiography is available.

Early Intervention Therapy (including occupational & physical therapy): Babies found to have neuromotor or neurodevelopmental problems are provided Early Intervention Therapy in form of occupational & physical therapy in the unit and on follow up. 

Kangaroo Mother Care for Low Birth Weight Babies: Low birth weight babies (Birth weight < 2000gms) are given Kangaroo Mother Care at our institution. It is a low cost method of providing comprehensive new born care to stable low birth weight and preterm babies. KMC provides direct skin to skin contact between the mother and the baby, exclusive breastfeeding and multimodal stimulation.

Human Milk Bank: The department has established Human Milk Bank, th of its kind in Asia, in November 1989  with aim to provide constant and adequate supply of pasteurized donor  human milk to preterm and low birth weight babies.

Specialty clinics and services being provided by the department.

Specialty Clinics

1.Daily well baby clinic from 10.30 -12 noon in OPD 7. Babies are followed up in this   

OPD for growth, nutritional status, feeding problems, neuro-motor assessment, minor complaints.

Lactation Support Clinic: Mothers with lactation problems are counselled. Mothers are also motivated to donate to the human milk bank.

3. Comprehensive care & Neuro developmental Follow Up Clinic For High Risk Newborns: Once a week on Wednesday Afternoon form 1.30 – 4.pm.

NICU graduates are followed up in this OPD for growth, nutritional status, feeding problems, neuro-motor , neuro sensory assessment, minor complaints.

Early intervention therapy in form of occupational & physical therapy is instituted here when required.