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Evidence Based Clinical Practice Guidelines National Neonatology Forum India Evidence Based Clinical Practice Guidelines October 2010 Editorial Board Advisor : ON Bhakoo Chairperson: Praveen Kumar Members: Naveen jain Rhishikesh Thakre Srinivas Murki S Venkataseshan Online version www.nnfpublication.org © Copyright 2010 by National Neonatology Forum ,India Central Office 803, 8th Floor,GD-ITL Northex Tower, A-9 Netaji Subhash Place Ring Road, Pitampura Delhi-110034 All rights reserved. This book is protected by copyright under the Copyright Act of India, 1957. No part of this book may be reproduced in any form by any means, including photocopying, or utilized by any information storage and retrieval system without written permission from the copyright holders. Printed at Chandika Press Pvt. Ltd., 240, HSIIDC Ind. Estate, Barwala (Hry.) India National Neonatology Forum Governing Body 2009-10 President : Neelam Kler Secretary: Sushma Nangia Jt Secretary cum Teasurer : Mamta Sharma Past President: Arvind Saili President Elect: MKC Nair Executive Members : Arun K Singh Githa Karthikeyan Shashi N Vani Vinod K Paul VSV Prasad NNF Publication Committee Advisor : ON Bhakoo Chairperson: Praveen Kumar Members: Naveen jain Rhishikesh Thakre Srinivas Murki S Venkataseshan List of Authors ( alphabetical) Amit Tagare ,Senior Resident ( DNB Neonatology),KEM Hospital, Pune Amit Upadhyay, Head, Department of Pediatrics ,LLRM Medical College, Meerut Anand Pandit,Head and Director,Department of Pediatrics, KEM Hospital, Pune Anand Vinekar ,Head, Departments of Pediatric Retina & Pediatric Visual Rehabilitation Narayana Nethralaya Postgraduate Institute of Ophthalmology, Bangalore Anita Gupta, CMO, Department of Community Medicine University College of Medical Sciences & GTB Hospital, Delhi Archana P Bilagi, Chief, Division of Neonatalogy,St. Philomena's hospital,Bangalore Arti Maria, Senior Pediatrician, RML Hospital, New Delhi Arvind Saili, Director Professor, Department of Pediatrics Kalawati Saran Children's Hospital & Lady Hardinge Medical College,New Delhi Arvind Shenoi ,Consultant Neonatologist and Head, Department. of Pediatrics, Manipal Hospital, Bangalore Ashish Jain,Neonatologist,Hindu Rao Hospital, Delhi Ashok K Deorari, Professor, Department of Pediatrics, AIIMS, New Delhi Ashwani Kumar, Medical Officer, CHC Machhiwara, Distt. Ludhiana Daljit Singh, Grp Captain and Senior Advisor (Pediatrics & Neonatology) Professor of Pediatrics, MUHS, Command Hospital , Pune Deepa Hariharan ,Neonatologist,Surya Hospital,Chennai Deepak Chawla, Assistant Professor, Department of Pediatrics Government Medical College and Hospital,Sector 32, Chandigarh Dinesh Chirla, Neonatologist & Intensivist,Director, Rainbow Hospital, Hyderabad G.Guruprasad, Prof. of Pediatrics & Consultant Neonatologist, Bapuji Child Health Institute & Research Centre, Davengere Girish Gupta, Surg Cdr and Commanding Officer Consultant Neonatologist, INHS Sanjivani ,Kochi Girish Gururaj,Consultant Neonatologist, Apollo Hospital, Madurai Jaikrishan Mittal,Consultant Neonatology,Fortis Escorts Hospital, Jaipur Jayashree Mondkar , Professor & Head, Department of Neonatology LTM Medical College & LTMG Hospital, Mumbai Jeesy Saji Paul, Staff Nurse grade 1, NICU, AIIMS, New Delhi Jeeva M. Sankar, Senior Research Associate, Department of Pediatrics,AIIMS, New Delhi JP Dadhich ,National Coordinator, Breastfeeding Promotion Network of India, Delhi K K Diwakar,Professor & Head, Department of Neonatology M.O.S.C. Medical College,Kochi K Ravishankar,Consultant Neonatologist,Sowmya Children Hospital,Hyderabad Kanya Mukhopadhyay,Associate Professor,Department of Pediatrics,PGIMER,Chandigarh Manoj Malviya,Senior Consultant Neonatologist ,Lotus Children Hospital, Hyderabad MMA Faridi ,Professor and Head, Department of Pediatrics In-charge Division of Neonatology University College of Medical Sciences & GTB Hospital, Delhi Mohit Singhal ,Senior Resident ( DNB Neonatology),Manipal Hospital,Bangalore N.Karthik Nagesh , HOD of Neonatology and Consultant Neonatologist, Manipal Hospital Professor of Pediatrics( Adjunct), KMC, Manipal University, Bangalore Nandkishor Kabra , Associate Professor, Department of Neonatology Seth GS Medical College & KEM Hospital, Mumbai Naveen Jain,Consultant neonatologist ,Kerala Institute of Medical Sciences, Thiruvanananthapuram Pankaj Garg, Consultant Neonatologist,Department of Neonatology Sir Ganga Ram Hospital, New Delhi Pradeep GCM, Consultant Neonatologist ,M.S.Ramaiah Medical College ,Bangalore Pradeep Suryawanshi ,Associate Professor,Division of Neonatology Department of Pediatrics,BVU Medical College, Pune Praveen Kumar,Additional Professor,Department of Pediatrics,PGIMER,Chandigarh R G Holla, Neonatologist,Fortis Hospital, Shalimar Bagh, Delhi Rajesh Kumar, Chief Neonatologist and Director,Rani Children Hospital, Ranchi Rajiv Aggarwal,Chief Pediatric Intensivist & Neonatologist,Head, Dept.of Pediatrics, Narayana Hrudayalaya Womens & Childrens Institute, Bangalore Ramesh Agarwal,Assistant Professor,Department of Pediatrics,AIIMS, New Delhi Ranjan Kumar Pejaver,Hon Professor of Neonatology,KIMS Senior Consultant Neonatologist, K R Hospital,Bangalore Rhishikesh Thakre, Associate Professor, Dept of Pediatrics, MGM Medical College & Hospital, Aurangabad Ruchi Nanawati,Professor and Head,Department of Neonatology, Seth GS Medical College & KEM Hospital, Mumbai S Indu Nair, Specialist in Neonatology, Manipal Hospital, Bangalore S M Dhaded, Professor,Department of Pediatrics,Belgaum S Suresh Kumar,Neonatologist and Director ,Pragna Hospital,Hyderabad S Venkataseshan, Assistant Professor,Department of Pediatrics,PGIMER,Chandigarh Sadhana Mehta,Senior CMO,Kasturba Hospital, Delhi Sai Sunil Kishore,Neonatologist, Sunrise & Shalini Hospitals, Hyderabad Sandeep Kadam, Neonatologist, Department of Pediatrics,KEM Hospital, Pune Sanjay Wazir,Consultant Neonatologist,The Cradle and Medanta Medicity,Gurgaon Satish Mishra,Consultant Neonatologist ,Narayan BabyCare Clinic,Bhopal Satish Saluja,Senior Consultant,Department of Neonatology Sir Ganga Ram Hospital, New Delhi Shamsher S Dalal,Wg Cdr & Classified Specialist (Paed) & Neonatologist Command Hospital, Bangalore Shankar Narayan,Senior Advisor (Pediatrics & Neonatology) INHS Kalyani, Visakhapatnam Shashi N. Vani,Emeritus Professor of Paediatrics Pramukhswami Medical College, Karamsad Shiv Sajan Saini,Senior Research Associate,Department of Pediatrics,PGIMER,Chandigarh Somashekhar Nimbalkar, Professor of Pediatrics,Pramukshwami Medical College, Karamsad Sourabh Dutta,Additional Professor,Department of Pediatrics,PGIMER,Chandigarh Srinivas Murki, Consultant Neonatologist, Fernandez Hospital, Hyderabad Sunil Aggrawal,Consultant Neonatologist,Fortis Hospital,Mohali( Panjab) Sushma Nangia, Professor of Pediatrics Kalawati Saran Children's Hospital & Lady Hardinge Medical College,New Delhi Umesh Vaidya, Chief Neonatologist,KEM Hospital, Pune VSVPrasad, Chief Consultant Neonatologist & Pediatric Intensivist Chief Executive Officer,Lotus Children's Hospital, Hyderabad Vishal Sondhi, Graded Specialist, Military Hospital, Ambala List of Reviewers ( alphabetical) AK Dutta, Director Professor & Head, Department of Pediatrics Kalawati Saran Children's Hospital & Lady Hardinge Medical College,New Delhi Anil Kuruvilla, Professor, Department of Pediatrics, CMC, Vellore Anil Narang, Head of Neonatology, Chaitanya Hospital, Chandigarh ex-Head, Department of Pediatrics, PGIMER, Chandigarh Armida Fernandez, Founder Trustee,SNEHA,Mumbai Arun Gupta, Central Coordinator, Breastfeeding Promotion Network of India, Delhi Arun Gupta, Professor, department of Radiodiagnosis, AIIMS, New Delhi Arvind Saili, Director Professor, Department of Pediatrics Kalawati Saran Children's Hospital & Lady Hardinge Medical College,New Delhi Arvind Shenoi ,Consultant Neonatologist and Head, Department. of Pediatrics, Manipal Hospital, Bangalore Ashok K Deorari, Professor, Department of Pediatrics, AIIMS, New Delhi Ashutosh Nath Aggarwal, Associate Professor Department of Pulmonary Medicine, PGIMER, Chandigarh Deepak Chawla, Assistant Professor, Department of Pediatrics Government Medical College and Hospital,Sector 32, Chandigarh Dipak K Guha,Chairman,Dept. of Pediatrics & Perinatal-Neonatal Medicine Sri Balaji Action Medical Institute, Delhi Girish Gupta, Surg Cdr and Commanding Officer Consultant Neonatologist, INHS Sanjivani ,Kochi IC Verma, Chairperson, Department of Medical Genetics, Sir Ganga Ram Hospital, New Delhi Jagdish Chandra, Director Professor, Department of Pediatrics Kalawati Saran Children's Hospital & Lady Hardinge Medical College,New Delhi Jayashree Mondkar , Professor & Head, Department of Neonatology LTM Medical College & LTMG Hospital, Mumbai JP Dadhich ,National Coordinator, Breastfeeding Promotion Network of India, New Delhi Lokesh Lingappa, Consultant Pediatric Neurologist, Rainbow Hospital,Hyderabad Madhulika Kabra, Professor, Genetics Unit, Department of Pediatrics , AIIMS, New Delhi Mahesh Kamate, Consultant Pediatric Neurologist, Belgaum Meharban Singh, ex-Professor and Head, Department of Pediatrics, AIIMS, New Delhi MKC Nair, Director, Child Development Center, Thiruvanananthapuram N B Mathur, Director and Professor, Department of Pediatrics Maulana Azad Medical College, Delhi N.Karthik Nagesh , HOD of Neonatology and Consultant Neonatologist, Manipal Hospital Professor of Pediatrics(Adjunct), KMC, Manipal University, Bangalore Naresh Panda, Head, Department of Otorhinolaryngology, PGIMER, Chandigarh Naveen Jain, Consultant neonatologist,Kerala Institute of Medical Sciences,
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