Umamaheswari Balakrishnan

ORCID: 0000-0002-8132-9574
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Research Areas
  • Neonatal Respiratory Health Research
  • Infant Development and Preterm Care
  • Infant Nutrition and Health
  • Neonatal and fetal brain pathology
  • Neonatal Health and Biochemistry
  • Metabolism and Genetic Disorders
  • Breastfeeding Practices and Influences
  • Neonatal and Maternal Infections
  • Mitochondrial Function and Pathology
  • Cardiac Arrest and Resuscitation
  • Clinical Nutrition and Gastroenterology
  • Pediatric Hepatobiliary Diseases and Treatments
  • Congenital Anomalies and Fetal Surgery
  • Congenital Diaphragmatic Hernia Studies
  • Streptococcal Infections and Treatments
  • Genomics and Rare Diseases
  • Family and Patient Care in Intensive Care Units
  • Sepsis Diagnosis and Treatment
  • Urological Disorders and Treatments
  • Vascular Malformations and Hemangiomas
  • Infant Health and Development
  • Myeloproliferative Neoplasms: Diagnosis and Treatment
  • Genetic and Kidney Cyst Diseases
  • Intestinal Malrotation and Obstruction Disorders
  • Genetics and Neurodevelopmental Disorders

Sri Ramachandra Institute of Higher Education and Research
2016-2025

Bharath University
2024

Institute of Medical Sciences
2019

McMaster University
2014

Creative Commons
2014

Background Human milk, especially the mother’s own milk (MOM), is highly recommended for preterm babies considering its numerous benefits. Prioritising use of exclusive MOM in enteral feeding plans essential maximising health and development babies. This study evaluated effect early establishment full feed (FEF) with on rate neonatal nutritional outcomes at discharge among Methods A retrospective cohort was conducted using medical records single born between 27 33 +6 weeks gestational age...

10.1136/bmjpo-2024-002931 article EN cc-by-nc-nd BMJ Paediatrics Open 2025-01-01

Clinical profile of extreme preterm neonates and more so, microprimies with birth weight < 800 g is not studied till now. Our article elaborates the 5 C.auris sepsis review literature. The mean gestational age were 26 weeks ± days 709 64 respectively. Mortality was 80%. organism susceptible to micafungin, voriconazole but resistant fluconazole amphotericin. Among babies, one had organ involvement in form cardiac vegetation. Early identification optimal choice drug are crucial for better...

10.1016/j.ijmmb.2021.03.025 article EN Indian Journal of Medical Microbiology 2021-04-01

BACKGROUND AND OBJECTIVES Hypoglycemia occurs in 5% to 15% of neonates the first few days. A significant proportion requires admission for intravenous fluids. Dextrose gel may reduce admissions and mother-infant separation. We aimed study utility dextrose reducing need METHODS This stratified randomized control trial included at-risk infants with asymptomatic hypoglycemia. Study populations were into 3 categories: small gestational age (SGA) intrauterine growth-restriction (IUGR), diabetic...

10.1542/peds.2021-050733 article EN PEDIATRICS 2022-05-18

To reduce the incidence of metabolic bone disease (MBD) among very low birthweight (VLBW) infants admitted to neonatal intensive care unit from baseline 35% by 50% over 2 years implementing a quality improvement (QI) initiative.A multidisciplinary QI team used evidence-based interventions and healthcare model MBD rate in VLBW infants. The specific included routine enteral supplementation calcium phosphorus using Human Milk Fortifier (HMF) expressed breast milk day 14 life (Plan/Do/Study/Act...

10.1136/bmjoq-2022-001841 article EN cc-by-nc BMJ Open Quality 2022-08-01

Abstract Transient myeloproliferative disorder (TMD) is a self-limiting characteristically seen in neonates with Down syndrome or without somatic mosaicism. Trisomy-21 limited to the hematopoietic lineage alone has been described; awareness of which very important for appropriate evaluation and counseling phenotypically normal children. We report newborn TMD who presented at birth intracranial bleed secondary thrombocytopenia. Peripheral smear showed 10% blasts flow cytometry further...

10.1055/s-0044-1779677 article EN cc-by Indian Journal of Medical and Paediatric Oncology 2024-05-22

Purpose: Preterm infants are at increased risk of adverse neurodevelopmental outcome (NDO). Cranial ultrasound has limited predictability. The purpose the study is to evaluate whether magnetic resonance imaging (MRI) done term equivalent age (TEA) predicts NDO 18-22 months corrected gestational (CGA).Materials and methods: This cohort preterm born ≤32 weeks gestation and/or birth weight <1500 grams between April 2011 August 2012 was conducted in a tertiary care institute India. MRI TEA...

10.1080/14767058.2018.1532498 article EN The Journal of Maternal-Fetal & Neonatal Medicine 2018-10-04

Background: The emergence of carbapenem resistant organism (CRO) in the health care setting has been well-documented recently. CRO is an increasing cause neonatal infections all over world especially developing countries. Objective: aim was to study pattern, incidence, and antimicrobial sensitivity CROs Intensive Care Unit (NICU). Materials Methods: We conducted a retrospective observational between January 2011 June 2012. at tertiary level NICU. Blood cultures were done BACTEC 9120 or brain...

10.4103/2249-4847.144750 article EN Journal of Clinical Neonatology 2014-01-01

BackgroundIncubators and radiant warmers are essential equipment in neonatal care, but the typical 1,500 to 35,000 USD cost per device makes it unaffordable for many units low middle-income countries. We aimed determine whether stable preterm infants could maintain thermoregulation 48 h a low-cost incubator (LCI).MethodsThe LCI was constructed using servo-heater costing 200 cardboard infant-chamber. conducted this open-labeled non-inferiority randomized controlled trial tertiary level...

10.1016/j.eclinm.2020.100664 article EN cc-by-nc-nd EClinicalMedicine 2020-12-07

Purpose: Early initiation of breastfeeding (EIBF) significantly decreases neonatal mortality and improves exclusive breastfeeding. The objective the present study was to assess effect lactation support program (LSP) on early (BF) among term well infants. Methods: A "before-and-after" design used LSP EIBF at a tertiary care institute in India over period two half years. defined as BF initiated <1 hour vaginal delivery (VD) <2 hours cesarean section (CS). Impact assessed by comparing baseline...

10.31372/20190403.1059 article EN cc-by-nc-nd Asian/Pacific Island Nursing Journal 2019-09-16

Background: Congenital diaphragmatic hernia (CDH) has high morbidity and mortality. Many outcome predictors have been tried. Objective: To assess the short-term outcomes of neonates with isolated CDH find outcome. Methods: Neonates managed over 12-year period from June 2004 were analyzed. Antenatal counseling, delayed surgery after stabilization, primary conventional ventilation rescue frequency if needed is unit protocol. Details on baseline characteristics, delivery room management,...

10.32677/ijch.2016.v03.i04.014 article EN Indian Journal of Child Health 2016-12-25

Gastrointestinal (GI) malformations have varied short-term and long-term outcomes reported across various neonatal units in India.This descriptive study was done to the clinical profile, predictors of mortality neonates operated for congenital GI a tertiary care unit South India between years 2011 2020. Details were collected by retrospective review case sheets.Total 68 included with esophageal atresia (EA) 10, infantile hypertrophic pyloric stenosis (IHPS) 9, duodenal (DA) ileal 8, jejunal...

10.4103/jiaps.jiaps_10_21 article EN cc-by-nc-sa Journal of Indian Association of Pediatric Surgeons 2022-05-01

Background: Incidence of retinopathy prematurity (ROP) and screening criteria among the preterm infants varies widely. The incidence ROP severe in different Birth Weight (BW) Gestational Age (GA) groups were studied. aim study was to review existing for based on highest birth weight or gestational age who developed ROP.Methods: This is a retrospective descriptive neonates with GA ≤ 34 weeks and/or BW 1750 gm screened by experienced ophthalmologist from January, 2011 December, 2015. End point...

10.18203/2349-3291.ijcp20162263 article EN International Journal of Contemporary Pediatrics 2016-01-01

Introduction: Inborn errors of metabolism (IEM) can present as acute metabolic emergencies resulting in significant morbidity or death. Good intensive care supportive management and specific crisis treatment by tertiary pediatric unit (PICU) play a crucial role optimizing the outcomes. Objectives: We aimed to study clinical profile outcome children with IEM presenting an PICU. Methods: This retrospective descriptive was conducted center south India between June 2016 December 2018. included...

10.32677/ijch.2019.v06.i03.002 article EN Indian Journal of Child Health 2019-03-31

Meconium peritonitis as a cause of non-immune hydrops in neonates is rarely reported. Here we report such rare occurrence. In our case, routine antenatal scan at 25 weeks revealed isolated ascites. By 31 gestation, all features were observed scans. However, workup for immune and was negative. Subsequently, preterm hydropic female baby delivered 32 weeks. She required intubation ventilator support. An X-ray calcification the abdomen suggestive meconium peritonitis. Ultrasound showed gross...

10.5223/pghn.2019.22.6.576 article EN cc-by-nc Pediatric Gastroenterology Hepatology & Nutrition 2019-01-01
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