Newborn mortality rate (per 1000 live births) – 25
Annual reduction in newborn mortality rate 3.6% (2000-2016)
Preterm birthrate (per 100 live births) – 13
Maternal mortality ratio (per 100,000 live births ) 174
Source Healthy Newborn Network ; 2015 statistics

All about your Baby’s first cradle – The incubators

A neonatal incubator is a closed medical equipment with regulated temperatures and infant friendly environment. The temperatures are regulated usually between 35.5 o c and 36.6 o c. It helps a newborn to adjust to the normal parameters of the environment such as air, temperature, humidity, etc. The main purpose of it is to take care of those premature babies or other ill affected or disabled ones. It is usually made available in the pediatric hospitals and neonatal intensive care units.

Where It All Began…

The story of Babies’ first medical cradle began in 1903; when Dr. Martin A. Couney, a physician and pioneer in Neonatology worked hard to save his premature daughter by inventing incubator for helping her survive. He wanted to save many more lives who were suffering just like her daughter. Unfortunately, his first attempt was not financed by any banks. But that didn’t discourage him. He took his plan forward by exhibiting his invention before public and made them aware about the importance and functions of incubators. He made sure that the treatment for his pediatric patients was free of cost and none of them died. The exhibition was a massive hit in his career with a daily walk in about 3600 visitors and this lead to the acceptance of the concept “incubators”  and hospitals were in great demand for the same.

What Does It Do?

Favourable conditions for living-

The most conspicuous property of an incubator is to provide favourable conditions of living for the infants during the first few days after their birth. As it is noise proof, it allows the infants to get plenty amount of rest and relaxation. The design of incubators is such a way that it protects the infants from the common flu and related symptoms. The enclosure makes sure that the infants are kept out of all pollutants and allergens etc.

Facilitates oxygenation

Incubators facilitate Oxygenations which facilitate breathing. It is beneficial for treatment for infant respiratory distress syndrome, which is identified as the major cause of death in infants. Following are the oxygenation techniques:

  1. Using nasal cannula- A tube placed right in front of the nostrils that aids in supplying oxygen directly into the nostrils.
  2. Using a plastic hood – it’s placed over the infant’s head, which creates an oxygen supplying environment.
  3. Using continuous positive airway pressure, or CPAP- Its a type of respiratory device (a small mask or nasal prong) that fits in the infant’s nose. It is mainly for the treatment of premature infants

Monitors Health condition-

The health condition of the infant is monitored using the following instruments inbuilt in the incubator such as:

  1. Cardiac monitors
  2. Brain-scan equipment
  3. Blood-monitoring equipment
  4. Thermometers and other instruments

(For observing vital signs)

Body temperature and heart rates of the infants can be accurately measured inside the incubators as it has a closed and a sound proof environment.

Things to Make Sure…

  1. The incubator should be sterile, protecting infants from germs and minimizing the risk of infection.
  2. The monitoring instruments inside the incubator should be thoroughly checked for its proper functioning before the baby is placed in it.
  3. The oxygenation devices should be sterile and should perform the exact function in order to prevent infections and lack of oxygen supply.
  4. Humidity is maintained at 50 to 60 percent. It could be raised high as 85 to 100 percent, depending upon the medical conditions of the newborn.

The yellow killer

 A newborn looks gorgeous and a little yellow!?  Why yellow?

Yellowing of eyes and skin are common symptoms of jaundice. Jaundice is a condition in which there is an excess of a pigment called bilirubin in the blood. Bilirubin is a natural by-product of red blood cells breaking down. It is processed by the liver and discarded through the stools. A mild level of jaundice is normal in a newborn and usually passes when there is a well-functioning liver. But the liver of a premature baby is not sufficiently developed. So bilirubin starts building up in the blood stream of the premature infant. If left untreated, the jaundice can cause brain death, also called kernicterus, or interfere with the development of the brain, leading to cerebral palsy.

The treatment for jaundice was discovered in 1956. Sister Jean Ward, from the Premature Unit of Rochford General Hospital, in England, believed sunshine and fresh air had restorative properties for babies. She would wheel the babies in her care out on warm summer days. Once Dr. R.H. Dobbs noticed that the uncovered area of a baby was less yellow than the covered area. He questioned Sister Ward about this, and she reluctantly admitted to taking the baby out in the sun. She suggested that the exposure to the sun was the reason for the baby’s colour. Around the same time, the biochemist of the hospital had left a few samples of blood on the windowsill and measured the bilirubin level in them a little later. The level had dropped.

Thus it was found that light affected bilirubin. After intense research, the paediatricians of Rochford General Hospital published their findings in the Lancet in 1958. And the treatment for jaundice, ‘phototherapy’, was discovered. Light became an effective agent in the treatment, reducing the number of exchange transfusions drastically. Eventually, with the growth of technology, light bulbs and fluorescent tubes were used. Today LEDs producing light in the blue spectrum have been found to be the most effective treatment for jaundice.

D-rev has partnered with Phoenix Medical Systems to eliminate the effects of jaundice worldwide by 2022. D-rev is a non-profit organisation whose mission is to design and deliver quality medical equipment at an affordable cost. D-Rev identified Phoenix to be on the same page with them in terms of their mission. D-Rev partnered with Phoenix to manufacture and market the Brilliance Pro phototherapy unit globally. At the time this is being written, 415,900 babies have been treated using Brilliance Pro.

To understand how Phoenix and D-Rev are working on achieving their goal, visit

http://d-rev.org/projects/newborn-health/

Infant resuscitation -Providing support for life at a fast pace

The minute after the birth of a newborn is a period of anxiety for parents and health providers, as the newborn undergoes rapid and significant physiological changes to adjust to the environment outside the mother’s womb.

It is a fact that every year around 38% of all the babies born are asphyxiated at birth. How does this happen?

Until an infant starts breathing air, he or she depends on the placenta and umbilical cord for oxygen. At birth, the baby’s lungs are filled with fluids. And they are not inflated. After delivery, the baby takes the first breath. In practice this sounds like a gasp. Normal breathing is usually established right away. Once the baby starts breathing, the fluid drains away from the respiratory system.

Unfortunately, not all infants can start breathing air on their own. The normal transition from placenta and cord to lungs can be interrupted, and often it is. If this happens for 50–70 seconds, a hypoxic stage (no-breathing condition) is reached. Considering this, it may be argued that the most stressful period for the infant.

Fortunately, infants can be revived through resuscitation, a process in which the baby’s normal lung functioning is established thorough artificial breaths. Effective performance of resuscitation has reduced the infant mortality rate the world over. Resuscitation, a basic procedure, has saved millions of babies.

Life-saving resuscitation

A baby may get asphyxiated due to reasons such as clogging of the lungs with amniotic fluid, which blocks the passage of air in the lungs. A standard resuscitation protocol is in place for clinicians to ensure the safety of infants. The life of the newborn is supported by a few simple resuscitation steps. The entire sequence of steps is carried out very quickly.

Apart from being small, a newborn baby, particularly a prematurely born baby (a ‘preemie’) is wet. The first step according to the resuscitation protocol is to provide warmth to baby. Wipe the baby dry and wrap him in a dry cloth. Then the fluid in the lungs is removed by suction. Once the airway is cleared of fluid, resuscitation is carried out. The lungs are mechanically aerated in a process known as breaths. A blend of oxygen and air is supplied to the baby through a bag-and-mask unit in this process. This opens up the tiny air sacs of the lungs, known as alveoli, which are essential for gas exchange. The whole process occurs in few minutes from the birth.

Low cost – Innovation in India

India is an ideal place for innovation, with 70% of the population being rural and 30% urban, with many strata of society. Any innovation needs to provide a solution for the majority. Developing country faces a number of issues such as a lack of skilled trainers and the facilities being minimal. While designing products, its important medical equipment provides solutions that address these issues.

Simple, easy to use, low cost and effective equipment addresses for affordable care with minimal training.

Explore the Phoenix website to learn about a range of resuscitation products, including Neobreathe, the world’s first foot-operated resuscitation system and the infant resuscitator, and other neonatal and maternal products.

https://www.phoenixmedicalsystems.com/infant-care/respiratory/

We make a life by what we give

Life is uncertain. Like a wave in the ocean what goes up goes down and the pattern continues. So what defines our way of life? Most of us would have experienced few life changing experiences which defines our principals in life. Selvaraj Bovas and Edgar Paul Jones who were childhood friends once saw an old man on the streets, a very common sight in India. Instead of only sympathising like most of us they chose to act. They took him home, cleaned and provided him with food but could not save him. They later realised he had dementia and had lost his way. His family had been looking out for him only to find out he is no more. Several incidents of old and ailing people dumped and abused by their own children shook them and led to the start of ‘Little drops – An old age home for the destitute’. Our team had the opportunity to visit this home.

Old people and children are alike.  It’s very rightly said that the most terrible poverty is loneliness. They just wanted company, love and affection. They got attached to us in a very short span of time. Some had gruesome stories to share with tears in their eyes while some remained calm with a smile.

Thanks to our company as a part of our CSR we had donated beds to them. Our employees who were involved in the manufacturing of these beds were moved seeing the result of the time they had taken to make these beds especially for them.

When we stepped out of the home we only had one question, our parents shaped us to what we are today and we in turn can’t do our part in their final stage of life? Has inhumaneness creeped into us shutting our conscious and feelings?

If any of you out there would like to help these bunch of lovely people in the home, do visit their website.

“Not all of us can do great things. But we can do small things with great love” – MotherTeresa

Customer service at your fingertips – Phoenix Mobile App

Timely customer service is the essence of customer satisfaction. Happy customers continue to be vital in the growth of Phoenix. We decided to enhance our customer experience with a Mobile App dedicated to simplifying the process of a service call.Once after installing the Phoenix App you can get started with a simple registration process of basic details. To speak to one of our customer service executives you can simply click on the ‘Free Call Back’. You will receive a call back from one of our executives instantly to help serve your query. Alternatively click on ‘Log service complaint’ and follow a twostep process to register your issue. An engineer will be assigned to resolve your issue as soon as possible. You can check the status of your complaint through the app. For any other product related enquiries you can click on ‘Request enquiry’ and submit your query. Your query will be attended to in 24 hours. The shop online feature will enable you to shop anywhere, anytime for your NICU.

Our App is available for Android users on Google Play Store.  

Watch a video on how to use our app

All about Phoenix’s Ob-Gyn Squat Table….

Giving birth is an important event in every mother’s life. It is important that she experience the greatest comfort during this event. The position she adopts during labour plays a significant role here. You will probably be surprised at the amount of evidence that is out there for the benefits of making changes in the position of a mother during labour and birthing.

A medical expert has pointed out that for centuries, women have given birth in various positions that reduce pain. One of the most effective of these positions is the squatting position. In this position the birth canal becomes flexible and relaxes during the birthing experience. Cuts and tears are reduced in this position.

An age-old technique for the modern labour room

Researchers have found that squatting helps during labour in different ways. Here is a quick list: (1) According to a study conducted by Gardosi and colleagues, squatting shortens the second stage of labour by 11 minutes. (2) The squatting position is assisted by gravity. In this position, the dimensions of the bony pelvis, in both the transverse and anterior/posterior directions, are increased by as much as 28%. (3) The squatting position may result in fewer instrumental deliveries and episiotomies.

The age-old technique of squatting is, therefore, very relevant today. The typical Ob/Gym delivery table in the modern labour room, however, is not very suitable for the squatting position.

The Squat Table

The Squat Table from Phoenix has been specifically designed for comfortable birthing positions. The table supports squatting, lithotomy and the supine position.

The Phoenix Squat Table has been designed for the convenience of those assisting with a delivery as well. The physician can control the orientation of this with an electronic foot-operated remote. At the press of a button, the angle of the table can be adjusted up to 180° according to the requirement of the delivery. Its height can be adjusted to as low as 16 inches so that the mother can comfortably place herself on it during labour. Subsequently the height of the bed can be raised to up to 6 feet so that doctors and nurses have easy access.

The table readily converts to the squatting position with a pair of leg supports. With a simple change of these supports to calf supports, the table supports lithotomy.

The Squat Table comes in different soothing colours to match any labour room.

Related sources:

NCBI published :

https://www.ncbi.nlm.nih.gov/pubmed/17319414

Our Pledge for Preemies

All lives have equal value. A life lost would have grown to become the next Abdul Kalam or Indira Gandhi.  The world prematurity awareness month might have ended but for us Phoenix’ians everyday is a constant reminder of prematurity.

At Phoenix , we understand we have the responsibility of giving them a tomorrow.  We gathered together and took up a pledge for preemies to do our good work even better.

Our Pledge

‘Phoenix has given me an opportunity to serve the newborns.

I pledge I will give the best of my ability in saving every preemie on our equipment by doing my work with dedication , honest and care. My sincerity at work will reflect in happiness of families and help contribute to the society.’

It was overwhelming to listen to employees share their personal stories on surviving prematurity and express their joy on working for Phoenix in various creative art forms.

‘The rays of the sun rising in the east sheds life into the world every day similarly only if a preemie is placed in our incubator will it’s life shine ! I’m happy to work for a technologically sound company like Phoenix’ said Daniel , a employee from the initial days the company .

We have a beautiful responsibility of showing a mother’s love through our equipment when these tiny fighters need it the most. We are proud of the work we do at Phoenix!

 

World Prematurity Day

They say the sound of music can bring back life. We agree!

On World Prematurity Day, Phoenix sponsored a musical fund-raiser event organized by Dr. Mehta Hospital to raise awareness about prematurity.

The music programme was held in Chennai, at Sir Mutha Venkatasubba Rao Concert Hall, on 18 November 2017. The hall buzzed with children and their parents, who smiled broad for photographs in our photo booth. It was overwhelming to see preemies who recovered in Phoenix equipment all grown up now and full of life, with sky-high dreams to achieve. Doctors and Nurses who’ve dedicated their lives to saving these tiny fighters graced the event and generously bought tickets for the noble cause

The Dr. Shanmuga Sundaram Newborn Fund for the Newborn—By the Newborn is named after a doctor dear to Phoenix. Children graduating from the NICU of Mehta will donate money every year on their birthday to the fund. The fund will help preemies and parents who face financial difficulty for treatment. The fund was released on stage during the event by Dr.Shanmuga Sundaram , Mr.Sashi Kumar ,Managing Director of Phoenix and Dr. Dilip Mehta

All lives have equal value. A life lost would have grown to become the next Abdul Kalam or Indira Gandhi. Phoenix is happy to have donated to this fund which will be useful in saving the next gem of our nation.

All lives have value

Mrs.Keyle Kneeland is a teacher in Seattle shaping the future of several students and a perfect role model to look up to and grow.  Recently she flew down to India and gave us a memorable and touching customer experience.

The experience in Keyle’s words :

 “Our trip to India was incredible in every way. The most meaningful part of coming to India was getting to visit Phoenix medical systems and having the chance to purchase two Embrace Nest baby warmers. It was fascinating to tour the facility where the baby warmers are made and to meet the people who are responsible for all the many phases of its production. It was wonderful to learn about the different kinds of work that go in to creating the product, and to see it all first hand was a dream after first reading about this life saving device from ten thousand miles away in my home in Seattle.

Towards the end of our visit, I cried when I told the staff about my purpose for purchasing the baby warmers. Two summers earlier, I worked for three weeks in a Chinese orphanage caring for babies. I met my daughter 13 years earlier in the same orphanage when I adopted her as a one year old. She and I worked together in 2015 at the orphanage, and it was hot, and emotionally exhausting work. Many of the children had physical and cognitive delays and disabilities but we did our best, as did the staff to care for them with the hope that they would someday be adopted and join their forever families around the world.

One evening a small baby was abandoned at the gate. He had been found by the police in a trash can and he was covered in rat bites. He was blue with hypothermia and was struggling to stay alive. His umbilical cord was still attached. He had clearly just been born a few hours earlier.

We had no way to warm this poor little baby other than in our arms and by using warm water and rags.

We were only able to keep him alive for a couple of hours before he died. I was horrified and would never have brought my daughter to China had  I realized she would witness such a horrifying event.

We held this babies small lifeless body and cried at the senseless loss of his life and our inability to save him.

Sandra, (the director of the orphanage) said that there is always a reason things happen. This little babies life would have meaning, we just didn’t know what that would be. It might take some time to figure it out, but it would have meaning.

When I returned to the United States, I began searching for some kind of a low-cost incubator that would allow the orphanage to care for premature babies and save the lives of tiny babies who needed extra care and warmth.

I read about the Embrace Nest product made by Phoenix medical systems, and was sure that this product could make a difference in saving lives at the orphanage in the future.

Because it did not have FDA approval, I knew I would need to travel to India to purchase the product. This excited me because I had never been to India, had taught many elementary school students for several years from India and was eager to learn more about Indian culture.

A friend of mine had moved to Chennai to teach so I knew I would be able to stay with her while coming to Southern India where the product was made.

Fast forward two years and there I was, standing with my son and daughter in the office and sharing my story with the staff at Phoenix as I cried remembering the helpless feeling of trying to save that small little baby on the other side of the world two years earlier.

It was all so incredible. I was so thankful to be able to show my children the impact we could make in future lives in China by finding the Embrace Nest and getting it back to the orphanage where she began her life 14 years earlier. All lives have value no matter how poor, how humble, or how much early struggle they may face.  Thanks to Phoenix Medical Systems and this product, the Embrace Nest, more babies will live. These babies will grow to impact other lives for the positive.

Thank you Phoenix for helping to give meaning to that little babies life by inspiring me to come to India to purchase the embrace nest. The next time a small baby comes to the orphanage, it will have a better chance of survival. Perhaps it will live. Perhaps that same life will grow in to the young person who grows up to cure cancer or impact world peace. We never know. Yet we can have hope rather than despair at losing yet another young life. That hope will make all the difference in the world. Thank you Phoenix!”

 

People like Keyle make the world a better place, give more meaning and light in our mission to save the tiny warriors.