Child Development Centre (TDH)

The TDH Rehabilitation and Morris Child Development Centre at KEM Hospital, Pune is devoted to providing diagnostic and therapeutic services for all kinds of developmental and behavioural needs under one roof, with an interdisciplinary team approach.

The Paediatric Department inaugurated this path-breaking centre with the aid of a German social service organisation – the Terre Des Hommes, in 1979. We were the first such centre in India for the comprehensive diagnosis and therapy of children with all manner of physical and mental challenges.

Various facilities at the centre include: IQ and behavioural testing, hearing assessment, speech therapy, occupational therapy, sensory integration and physiotherapy. The focus of all work done at the centre is enabling each child to achieve his/her potential. Early detection and intervention are important steps in this direction.

A child’s first contact at the Centre is with the developmental and behavioural paediatrician,
whose role is:

  • Medical and developmental assessments with investigations and diagnosis
  • Referrals for testing and therapy
  • Counselling and motivation for parents and children
  • Regular reassessment of the child’s progress

Assessment

  • Intelligence Quotient (IQ) testing
  • Development Quotient (DQ) testing
  • Behavioural assessment
  • Personality evaluation
  • Aptitude testing and career counselling
  • Attention Deficit Hyperactivity Disorders (ADHD) testing

Counselling

  • Management of autistic spectrum disorders
  • Attention Deficit Hyperactivity Disorder (ADHD)
  • Down’s Syndrome
  • Cerebral Palsy
  • Behavioural issues: temper tantrums, anti-social behaviour, bed-wetting, etc.
  • Learning disabilities and scholastic backwardness
  • Parent training and support groups

Therapy

  • Play therapy
  • Stimulation program for development delays
  • Behavioural modification

Occupational Therapy is provided to facilitate and stimulate normal motor, mental and social
development in order to improve the quality of life. Our services include:

  • Improving neuro-motor coordination and perceptual skills
  • Training in basic tasks such as feeding, bathing and dressing of children with special
    needs
  • Development of hand functions in children with writing problems
  • Exercise and hand activities for upper extremity disorders
  • Muscle testing and charting
  • Exercises to improve power and coordination of muscles
  • Exercise to prevent contractures and deformities in cerebral palsy, tonal
    abnormalities
  • Electric stimulation and diathermy
  • Gait training
  • Prescription of appliances if necessary

The special ‘BIG EARS’ project is the first of its kind in India with a focus on early detection,
diagnosis and therapy of hearing loss.

Learn more about Big Ears Project (TDH)

  • Liaison between doctors, therapists, parents and families of children with special
    needs
  • Provide emotional support and in-depth counselling to enable parents and other
    family members understand and accept the child’s limitation and ‘different abilities’
  • Motivate the parents/family to continue the necessary long-term therapies
  • Help with socio-economic problems
  • Conduct home and school visits
  • Provide referrals to integrated schools, special schools and institutions
  • Parent counselling
  • Support groups
  • Skill workshops for teachers, parents, medical and paramedical professionals
  • Awareness building in the community

Hearing & Communication (Big Ears)

The special ‘BIG EARS’ project was added in 2006 and is housed in the TDH
Rehabilitation Centre. It is the first of its kind in India with a focus on early detection,
diagnosis and therapy of hearing loss. Another area of focus, results from the premise
that people with impaired hearing loss can learn to listen and talk. BIG EARS is the only
centre in Maharashtra which offers all the services needed for the hearing impaired;
from a variety of tests that detect hearing loss to hearing aids, speech therapy,
counselling and cochlear implants for the totally deaf.

KEM Hospital, Pune has established a neonatal hearing screening program, the only
one in Maharashtra, whereby every baby born at KEM is assessed for hearing loss
before discharge. Special attention is paid to children in the Neonatal Intensive Care
Unit (NICU) as these premature, low birth weight babies are at a high risk to develop
deafness.

Early Detection and Intervention

2 in every 1000 children are born deaf in India. Our infant screening programme
ensures that every baby born at KEM Hospital undergoes hearing evaluation before
leaving the hospital. We offer early fitting of hearing aids and training of speech and
language development as early as 3 months of age.

  • Optoacoustic emissions
  • Pure tone audiometry
  • Impedance audiometry
  • Free field audiometry
  • Tone decay
  • Short Increment Sensitivity Index (SISI)
  • Central auditory test
  • Brain Evoked Response Auditory (BERA)
  • Pre-cochlear implant evaluation

We offer services for dealing with speech disorders such as stammering, misarticulating, voice disorders and aphasia.

The centre has a trained Clinical Geneticist to assist in determining the cause of the deafness and also counsel the families. Genetic studies are the only way to prenatally diagnose hearing loss.

Cochlear implants are a proven medical option for those with bilateral severe to profound sensorineural hearing loss.

Who Can Benefit from a Cochlear Implant?

  • Over 12 months of age
  • Receive little or inadequate benefit from hearing aids
  • No medical contraindications
  • High motivation and appropriate expectations
  • Desire to be a part of the hearing world

Neonatal Intensive Care Unit (NICU)

This caters to the treatment of the critically sick infants, who require ventilation (life support) and intravenous feeding. Our Level 3 Neonatal Care is equipped with 9 beds with multi-channel monitors, infusion pumps and ventilation facilities. We have facilities for high frequency ventilation, a highly sophisticated form of artificial respiration in which very sick babies are ventilated at breathing rates of up to 600 breaths per minute, which helps in managing complicated cases needing advanced care.

For infants who require close monitoring and care such as supplemental oxygen for respiratory distress or phototherapy for jaundice. This level of care includes tube feeding and also includes the care of babies recovering from illnesses or post-operative procedures.

2 isolation rooms cater for babies needing strict infection control measures, such as those suffering from severe sepsis.

When a sick child is referred for emergency management, the baby is seen and stabilized in the ER before being shifted into the unit.

Infants and their mothers are given a chance to bond together prior to discharge. We also provide mothers with guidance and help in managing their babies confidently before discharge and provide them coaching in attending to the special needs of their newborn.

All high risk babies undergo developmental follow-up for early identification of developmental problems. The infants are assessed for growth, development, vision and hearing, and fine and gross motor skills to determine if the child is developing normally. These early intervention programs for high-risk infants are backed by excellent rehabilitation support.

Neonatology

Paediatric Dentistry

Paediatric Emergency Medicine

Paediatric Endocrinology