When you know your baby may arrive early, preparation makes all the difference.​

If you've have:

• Risk of premature delivery (before 37 weeks)
• Twin or multiple pregnancy
• Pregnancy complications (preeclampsia, gestational diabetes, placental issues)
• Previous history of premature birth

Dr. Kiran Shrivastava provides:

• Detailed counseling about what to expect when your baby is born prematurely​
• Discussion of NICU care, potential complications, and realistic outcomes​
• Collaborative care planning with your obstetrician and maternal-fetal medicine specialist
• Emotional preparation and anxiety reduction for parents​
• Connection with parent support groups and resources specific to Mumbai

Why antenatal consultation matters: Studies show that parents who receive comprehensive antenatal counseling for premature birth experience less stress, make more informed decisions, and bond better with their babies in the NICU.

Premature babies face unique challenges. Dr. Kiran Shrivastava provides evidence-based, gentle intensive care.​

Respiratory Support

• High-frequency ventilation for the tiniest babies​
• CPAP (Continuous Positive Airway Pressure) for breathing support​
• Surfactant therapy for underdeveloped lungs​
• Oxygen management tailored to your baby's needs

Nutritional Management

• Specialized feeding protocols for premature infants​
• Support for establishing breast milk feeding from day one​
• Management of feeding tubes with transition planning to oral feeding​
• Growth monitoring and nutrition optimization​

Developmental Neuroprotection

• Minimal handling protocols to protect your baby's developing brain​
• Early neurological assessment and management
• Management of intraventricular hemorrhage and periventricular leukomalacia​
• Gentle, cue-based caregiving that respects your baby's unique developmental needs​

Temperature and Infection Control

• Evidence-based skin care protocols​
• Infection prevention strategies proven to reduce hospital-acquired infections​
• Kangaroo Mother Care (skin-to-skin) for optimal temperature regulation​

Family Integration in the NICU

• Unrestricted parent access - you belong with your baby​
• Kangaroo Care from the earliest safe moment​
• Parent education on recognizing your baby's cues and providing comfort​
• Sibling visits and family bonding support

Many premature babies cannot breastfeed directly at first, but every drop of your milk given by feeding tube provides immense benefits. Dr. Kiran Shrivastava ensures you receive the best possible support.

Why Breast Milk Matters for Preemies:

• Reduces risk of life-threatening intestinal infections (necrotizing enterocolitis)​
• Provides antibodies and immune protection your premature baby desperately needs​
• Optimizes brain development with essential fatty acids​
• Easier to digest than formula for immature digestive systems​
• Mothers of premature babies produce milk specially designed for their baby's needs - higher in protein and protective factors​

Comprehensive Lactation Services:

• Early Initiation: Guidance on pumping within the first hours after delivery to establish milk supply​
• Expert Techniques: Hand expression methods proven to increase milk production by up to 50% in mothers of preterm babies​
• NICU Lactation Support: Ongoing assistance with pumping, milk storage, and transitioning to breastfeeding​
• Skin-to-Skin Feeding: Supporting kangaroo care and early breastfeeding attempts​
• Transition Planning: Helping your baby learn to feed at the breast before discharge​
• Post-Discharge Support: Continued lactation consultation as you establish feeding at home​

NICU discharge is just the beginning. Comprehensive developmental follow-up ensures your premature baby reaches their full potential.​

Individualized Care Plans
Dr. Kiran Shrivastava takes time to understand your baby's unique medical history, your family's concerns, and cultural context to create personalized developmental support plans.

Why Follow-Up is Critical:
Premature babies, especially those born before 34 weeks or weighing less than 1800 grams, face higher risks of:​

• Developmental delays in motor, cognitive, or language skills
• Vision problems (retinopathy of prematurity)
• Hearing impairment
• Cerebral palsy
• Learning difficulties
• Growth concerns

Dr. Kiran Shrivastava's Comprehensive Follow-Up Program Includes:

Regular Developmental Assessments​

• Scheduled evaluations at corrected ages: 3 months, 6 months, 9 months, 12 months, 18 months, 24 months, and beyond
• Use of validated assessment tools
• Age-correction for prematurity to provide accurate milestone tracking​
• Growth monitoring with specialized premature baby growth charts​

Multidisciplinary Coordination​

• Referrals to developmental specialists when needed
• Early intervention services connection
• Educational support planning for school readiness

Parent Education and Guidance​

• Understanding your baby's corrected age vs. chronological age
• Recognizing developmental red flags
• Age-appropriate stimulation activities
• Feeding and nutrition guidance for optimal growth
• Immunization schedules tailored for premature infants​

Some premature babies go home with ongoing medical needs. You don't have to navigate this alone.​

Many premature babies are discharged from NICU with requirements such as:​

• Home oxygen therapy
• Apnea monitors
• Feeding tubes (NG tube or gastrostomy)
• Specialized medications
• Ongoing respiratory support

Dr. Kiran Shrivastava Provides:

• Pre-Discharge Training: Comprehensive parent education on operating medical equipment, recognizing warning signs, and emergency protocols​
• Home Care Coordination: Connecting you with home nursing services, medical equipment suppliers, and community resources in Mumbai​
• Ongoing Medical Management: Regular check-ins and adjustments to your baby's care plan as they grow​
• Sibling and Family Support: Helping your entire family adjust to caring for a medically complex baby​

Making Your Home Safe: Dr. Kiran Shrivastava provides guidance on home modifications, organizing medical supplies, creating care routines, and emergency preparedness.

Knowledge is empowerment. Dr. Kiran Shrivastava's individualised workshops help you become a confident, informed advocate for your baby.​

Workshop Topics Include:

Understanding Prematurity

• What happens when babies are born at 28, 32, 34, or 36 weeks
• Common complications and how they're treated
• Realistic expectations and outcomes​

NICU Navigation

• Understanding monitors, equipment, and medical terminology
• How to participate in rounds and ask questions
• Reading your baby's cues and providing comfort​

Kangaroo Care and Bonding

• Science-backed benefits of skin-to-skin contact​
• Safe techniques for kangaroo care
• Involving fathers and family in care​

Feeding Your Premature Baby

• Establishing and maintaining milk supply​
• Transitioning from tube to breast/bottle​
• Addressing feeding challenges
• Long-term nutritional needs​

Bringing Baby Home

• Preparing your home environment​
• Essential supplies and equipment
• Recognizing warning signs
• Creating routines​

Developmental Milestones

• What to expect in the first year
• Corrected age calculations​
• Supporting your baby's development
• When to seek early intervention​

Workshops are offered in English, Hindi, and Marathi to ensure accessibility for all members of the families.