Pediatrics and Newborn

The Pediatrics Department delivers care for healthy and sick children from early infancy through puberty whereby services include history taking, general examination, local examination, investigations, assessment of growth and development, nutritional assessment, vaccination, accident prevention and referral to other specialties.  In-patient care includes the admission of children to the Pediatric Ward.

Monitoring and management of sick neonates occurs through the special care baby unit or the neonatal intensive care unit.  Newborns should be seen weekly until 1 month of age. Subsequent follow ups should be at 2 months, 4 months, 6 months, 12 months, 15 months and 18 months. Children between 3 to 6 years old should visit the pediatrician periodically and whenever indicated.

The Department of Pediatrics is staffed by male and female Consultants trained in major pediatric hospitals in the UK. Clinics are conducted 24 hours, with a consultant always on call for pediatric emergencies as well as for complicated and Caesarean Section deliveries. The Department is also responsible for the Special Care Baby Unit in the maternity ward where premature babies and other neonates requiring special attention are looked after.

Like all patients, the children receive the very best in care and attention - in a homely atmosphere. The consultants offer treatment advice, development assessment, and an active immunization program. Parents can consult with the pediatricians on any individual child-care problems for children up to the age of sixteen years. Alia International Hospital is one of the few hospitals in the Kuwait that allows mothers to stay overnight in the hospital with their children.
 
The Special Baby Care Unit/Neonatal Intensive Care Unit (SCBU/NICU) delivers quality care for premature babies and term neonates from Labour and Delivery. Neonates are admitted to the SCBU/NICU with varying conditions and gestational ages starting at 35 weeks.
Some babies need special care in hospital, sometimes on the ordinary postnatal ward and sometimes in a SCBU or NICU. The difference between NICU and SCBU lies in the level of care needed by each baby. Care given in SCBU is less intensive than that given in a NICU. Sometimes babies who are very ill or small start in NICU and progress to SCBU as their condition improves.
 
Babies who may need special care include
 

  •  Babies born earlier than 34 weeks may need extra help for breathing, feeding and keeping warm; the earlier they are born the more help they are likely to need.
  • Babies who are very small or who have life-threatening conditions, usually affecting their breathing, heart and circulation.
  • Babies born to diabetic mothers.
  • Babies where the delivery has been very difficult may need to be kept under close observation for a time.
  • Babies with very marked jaundice.
  • Babies awaiting or recovering from surgery.

Information about Newborns

  • Newborns need to be loved, kept clean, warmed and fed.
  • Babies eat frequently- some as often as every one to two hours- until their stomach grow large enough to handle more food at one time.
  • Breastfeeding is highly recommended for the newborns
  • Be sure to burp the baby during and after each feeding
  •  A baby is totally dependent on parents to provide for every need
  •   Babies cry, this is how they tell you if they want attention, feeding, changing, etc
  •  Sleep is an essential routine for a newborn baby
  • Trim nails frequently with blunt edged small scissors or file with an emery board to prevent scratching
  •  Bathing your baby is a great opportunity for "fun time" with your baby
  •  A baby's diaper should be changed when the baby is wet or soiled
  •  Always put your baby in an infant car seat each and every time you travel, even if you are just driving around the corner.

 
Health Tips for Newborns

  • Regular check-up with the attending physician is recommended.
  •  Vitamins for the newborns are recommended
  •  Monitoring body reflexes is necessary
  •  Proper immunization for newborns must be observed leniently

  Food and Nutrition of Newborns

Breastfeeding
 
Breast milk is the ideal food for newborns. Besides providing the necessary nutrients in the most easily digestible and absorbable form, breast milk contains antibodies and white blood cells that protect the baby against infection. However, in the presence of some illnesses, the mother must consult a physician before administering breastfeeding.
 
Bottle Feeding
 
Bottle Feeding is the best substitute for breastfeeding for the newborns. Commercial baby formulas containing a proper balance of nutrients, calories, and vitamins are available in ready-to-feed, sterile bottles, cans of concentrated formula that must be diluted with water, and powder. During the first week after birth, babies take 1 or 2 ounces at a time, gradually increasing to 3 or 4 ounces about 6 to 8 times a day by the second week. Parents should not urge newborns to finish every bottle but, rather, allow them to take as much as they want whenever they are hungry.
 

Dr. Malikarjuna Swamy
MBBS, DNB (Ped), Clinical Fellow (Neo) Specialist - Neonatology & Pediatrics
Dr. Khaled Achry
Pediatric & Neonatal I.C.U Consultant