General PhysicianDr. Imtiaz Manzoor, MBBS, FCPSDr. Salma Khan, MBBS, MDDr. Hari Lal, MBBS, FCPSDr. Fahad Saeed, MBBS, FCPSChest SpecialistDr. Salimuddin Aziz, MBBS DTCD, FCPSGynaecologistDr. Rafia Saleem Ansari, MBBS, MCPS, FCPSDr. Bilquees Mustafa, MBBS, FCPSDr. Sareeka Rathore, MBBS, MCPS, FCPSDr. Shazia Mughal, MBBS, FCPSPaediatricsDr. Farrukh Naseem Vohra, MBBS, DCHDr. Usha Khatri, MBBS, DCHDr. Muhammad Saleem Rao, MBBS, DCHUrologistDr. Iqbal Shahzad, MBBS, FCPSPlastic SurgeonDr. Nasir Uddin Khan, MBBS, FCPS

ST-1/3, Sector 41-B, Korangi Township. Tel: 35063443 Fax: 35067673E-mail: cgh@cgh-k.com Website: http://www.cgh-k.com

Emergency Tel: 35063443 (Ext. 399)Emergency Room (ER) 24 Hours Services

Pharmacy - 24 Hours Services

FACILITIES AVAILABLE ATCHINIOT GENERAL HOSPITAL

DIAGNOSTICSBlood Bank 24 Hours Service

X-Ray 24 Hours Service, CT ScanUltrasound, ETT, Echo, Colour Doppler, Endoscopy

SERVICESGynaecology, Paediatric, Surgery,

Urology, Pulmonology, Cardiology,Psychiatry, Physiotherapy, Radiology,

Obstetrics, Neonatology, Orthopedics, ENT,Medicine, Dermatology, Gastroenterology

and NeurologySPECIALIZED UNITS

ICU, ICU Neonatal (NICU),PICU, Labour Room

(Separate for Hepatitis C Patients),Operation Theaters (03 well equipped)

24 Hours Service, Isolation RoomWARDS

General, Semi Private,Airconditioned Special,Deluxe and VIP Wards

OTHER FACILITIESDigital Library/

Learning Center, Ambulance, Elevators, EmergencyGenerators, Canteen, Mosque, Mother Feeding RoomProper Waste Disposal and Infection Control System

CONSULTANTS

1

Issue: July to December 2016

Staff Training Programmes:Chiniot General Hospital provides

updated refresher courses andtraining programmes to Doctors,

Administration, Nursing Staff and Para Medical Staff.The Hospital also

offers Nurse Aid Diploma.

Morning, Evening & Night OPD:Chiniot General Hospital is

conducting Morning OPD (9am-2pm),Evening OPD (3-6 pm)

and Night OPD (6-9 pm)on daily basis through experienced

Consultants with post graduate qualifications.

Pharmacy(Within Hospital Premises):

Well stocked Pharmacy remains open 24 hours and providesservices to all inpatient, outpatient and emergency casesunder the supervision of well qualified staff and pharmacists.To ensure the quality of medicines these are directly purchasedfrom the manufacturers or their sole distributors and are keptat appropriate temperature for their efficacy.

https://www.facebook.com/ChiniotHospitalKarachi

Regularly Publishing Newsletter of Chiniot General Hospital (A Project of Chiniot Anjuman Islamia) Karachi, Pakistan

GastroenterologistDr. Waqaruddin, MBBS, MDDr. Asad Sadick, MBBS, MDDr. Manzoor Hussain, MBBS, FCPSENT SpecialistDr. Imtiaz Ather Siddiqui, MBBS, DLODr. Nand Lal, MBBS, DLODr. Tahir Hussain Khan, MBBS, DLOCardiologistDr. Imran Hameed, MBBS, D-CardDr. Muhammad Ahmed, MBBS, D-Card,DermatologistDr. Ambreen Shakeel, MBBS, D-DERMDr. Shahla Aziz, MBBS D-DERMSonologistDr. Shagufta Jabeen, MBBS, MAIUMDr. Farzana Yousuf, MBBS, Diploma inUltrasonologyDr. Neelofar Awan, MBBS, Diploma inUltrasonology

Neuro SurgeonDr. Ashfaq Abdul Razzak, MBBS, FRCS,

FCPS (Neurosurgery)

RadiologistDr. Fahad Ali, MBBS, FCPS

General SurgeonProf. Dr. Muhammad Shamim, MBBS, FCPS, FRCS,

Dr. Mumtaz Manzoor, MBBS, FCPS

Dr. Usama Iqbal, MBBS, FCPS

Neuro PhysicianDr. Shakeel Ahmed, MBBS, DCN, MD Neurology

OrthopaedicsDr. Capt. Iqbal Alam, MBBS, MS

Dr. Iqbal Malik, MBBS, FRCS

Dr. Hafiz ur Rehman, MBBS, MS

Dr. Santosh Kumar, MBBS, FCPS

PathologistDr. Arif Jameel, MBBS, MCPS-PathologyDental SurgeonDr. Shaista Parveen, BDSDr. M. Sibghat Ullah Khan, BDS M. Sc (Oral)Dr. Saqib Zafar, BDSDr. Madiha Anum, BDS, M. ScAnaesthetistDr. Mateen Akhtar, MBBS, MCPSDr. Sajid Naseem, MBBS, MCPSDr. Mukesh Kumar, MBBS, MCPSPsychiatristDr. Saleem Ahmed, MBBS, Certificate (IMR)AudiologistMr. Shahid Akhtar, MA (Audiology & Speech Pathology)Ms. Nuzhat Sultana, MA (Audiology & Speech Pathology)DiebatologistDr. Jameel Ahmed, MBBS, MCPS, MRCG, DPA,

OTHER SERVICES

CHINIOT GENERAL HOSPITAL(A Project of Chiniot Anjuman Islamia)

Mother and ChildcareMother and Child Health Care (MCHC)is one of the topmost priority services inChiniot General Hospital (CGH). OurMCHC services encompass all thehealthcare dimensions of family planning,preconception, prenatal and postnatalcare in order to decrease maternalmortality and morbidity and get a healthyoutcome in the form of a healthy baby.CGH has state of the art labour roomwhere one to one care is provided to eachpatient on comfortable birth beds to maketheir birthing experience pleasant.

Gyne OPD During Rush Hours

Providing Care to New Born Baby

Mother with Child in PEADs Ward

Maternal DepressionMaternal depression is a risk factor forcognitive and socio development in children.Maternal depression mainly occurs after thebaby birth. It can be mainly due to theetiological factors such as Poverty, MaritalConflict, lack of natural resources. Theassociation of maternal behaviour,depression and child outcomes are complex.Research suggests that poor Maternal health may be a risk factor among theyoung children.

Transmission of Diseases from Mother to ChildMother to Child Transmission is called vertical transmission or perinataltransmission. It occurs when HIV is transmitted from mother to child duringpregnancy, labor and delivery. Many Infections can be transmitted from motherto child.

Physiological Changes during PregnancyPregnancy is associated with normal physiological changes. Some of thechanges are increased in maternal blood volume, Changes in Cardiovascularsystem, Changes in the respiratory system, Renal and Gastro Intestinal System.Some women experience the symptoms of Hypotension. Pregnancy isdiabetogenic. Insulin levels increases during pregnancy and the levels fall downafter pregnancy.

General Care Taken for Mother and ChildMother needs to take care of herself and the baby so as to rebuild the strength.Mother has to learn that the babies have different biological clocks. A mother'sbody has undergone many changes duringpregnancy, as well as with the birth of herbaby. She needs to heal and recover frompregnancy and childbirth. In addition torest, all mothers need to maintain a healthydiet to promote healing and recovery.Physical activity of mother duringpregnancy can improve the Child Health.Smoking and drinking must be avoidedduring pregnancy.

Care to be Taken for New BornsTaking care of a newborn is both the simplest and most difficult thing you haveprobably ever done in your life. Know that your baby will sleep much of the time.Newborns generally sleep up to 20 hours a day the first few weeks. The senseof responsibility, particularly after years of being responsible only for yourself,can be overwhelming. Before handling a new born baby, it should be noted thatthe person should wash the hands as they are more susceptible to infectionsbecause they have poor immune system. They should not be shaken vigorouslyfor making them sleep as it causes bleeding in the brain which can lead toseveral disorders.

Caesarean SectionA Cesarean section(C-section) is surgery to deliver a baby. The baby is takenout through the mother's abdomen. The surgery is relatively safe for motherand baby. Still, it is major surgery and carries risks. It also takes longer to recoverfrom a C-section than from vaginal birth. After healing, the incision may leavea weak spot in the wall of the uterus. This could cause problems with anattempted vaginal birth later. C- section is somewhat riskier than the vaginaldelivery.

C O R P O R A T E P A N E L

Issue: July to December 2016

2https://www.facebook.com/ChiniotHospitalKarachi

11. ENAR Petrotech12. Takaful Pak Ltd.13. Naveena Group14. NRL15. TPL Direct Insurance16. NJI Life Insurance17. I.B.A.18. YKK Pakistan (Pvt.) Ltd.19. International General Insurance Co.20. Premier Insurance

21. Askari Insurance22. Saudi Pak Insurance23. East & West Insurance24. PICIC Insurance Co.25. M. Mohammad Shafi & Co.26. Medisafe27. NICL (National Insurance Co. Ltd.,)28. LCDC29. KEPZ30. Pak-Arab Refinery Co.31. Pie in Sky

32. QICT33. PNRA (Pakistan Nuclear Regulatory Affairs)34. OGDCL35. Jang Group36. Royale Paints37. ASPIN Pharma38. IGI Life39. Abbot Laboratories40. Martin Dow Ltd.41. DESTO42. Life Lines Medical Services

1. Allianz (EFU) Insurance Co.2. Pak Qatar Family Takaful3. New Jubilee Insurance4. Adamjee Insurance5. Habib Insurance6. Al-Falah Insurance7. Suparco8. Civil Aviation Authority9. Pak Suzuki10.Health Econnex

CHINIOT GENERAL HOSPITAL(A Project of Chiniot Anjuman Islamia)

Asphyxia in NeonatesPerinatal asphyxia is the name for when your child doesn't breathenormally just before, during, or after birth. Asphyxia is a conditionthat describes a decreased or discontinued level of oxygen, andperinatal is the period that describes just before, during, and afterdelivery. Perinatal asphyxia, or neonatal asphyxia, is a birth injury itis an initial birth injury that-if gone untreated-could expose your childto a whole network of related birth injuries.

Maternal PsychologyMaternal psychology aims to study the transition to motherhood, or“matrescence,” as a unique developmental phase within the femalelifespan trajectory. Qualitative and quantitative research methods areused to examine aspects of adaptation to pregnancy and parenting. Individual differences in psychological strengths that increaseresilience are measured alongside clinical indicators of risk forpsychological distress.

Preterm BirthA preterm birth is a birth that takes place more than three weeksbefore the baby is due. Inother words, a premature birthis one that occurs before thestart of the 37th week ofpregnancy. Normally, apregnancy usually lasts about40 weeks. Premature birthgives the baby less time todevelop in the womb.Premature babies, especially those born earliest, often havecomplicated medical problems.

Late Pregnancy IssuesThere is a high risk of complications for both mother and infant duringpregnancy and delivery. Greater risk of general maternal healthproblems, such as high blood pressure, gestational diabetes whichcan contribute to complications such as higher risk of miscarriage,low birth weight baby or a premature baby

Newborn IllnessNewborns are at increased risk for infections, especially during thefirst 7 days of life. The most common causes of neonatal deaths arepreterm birth complications, newborn infections and birth asphyxia.Delay in identification of the problem or in providing the correctmanagement may be fatal. If your newborn's appearance or behaviorchanges and you think it is abnormal, don't hesitate to call your baby'sdoctor now for expert advice.

Prenatal CarePrenatal care is the health care you get while you are pregnant. Itincludes your checkups and prenatal testing. An accurate due dateallows your health care provider to monitor your baby's growth andthe progress of your pregnancy, as well as schedule certain tests orprocedures at the most appropriate time.

Hormonal Changes during PregnancyPregnant women experience sudden and dramatic increases inestrogen and progesterone, as well as changes in the amount andfunction of a number of other hormones. These changes can not onlyaffect mood, they can also create the “glow” of pregnancy, significantlyaid in the development of the fetus, and alter the physical impact ofexercise and physical activity on the body.

41-B3506344335067673 :

cgh@cgh-k.com :http://www.cgh-k.com :

https://www.facebook.com/ChiniotHospitalKarachiCHINIOT GENERAL HOSPITAL(A Project of Chiniot Anjuman Islamia)

(II)

:

https://www.facebook.com/ChiniotHospitalKarachiCHINIOT GENERAL HOSPITAL(A Project of Chiniot Anjuman Islamia)

Government VaccineBCGPANTAPCV (PNEUMOCOCCAL)OPV (POILIO)MEASLEST.T (TETANUS TOXOID)IPV (IMOVAX)

899145214523000

6301575

410

Private VaccineInternational LevelRota VirusChicken PoxHep-AMMRInfluenzaTyphiod

Vaccine Data Record April 2016 to September 2016

FGT

GTT

HbA1c

100mg/dL

140 mg/dL

5.7%

100-125 mg/dL

140-199 mg/dL

5.7%-6.4%

126 mg/dL

200 mg/dL

Adapted from the American Diabetes Association Standards of medical care indiabets–2011, Diabetes Care 2011:34(suppl 1) S11-S61.

6.5%

Dr. Santosh KumarFCPS, MBBShas recently joinedChiniot General Hospital asConsultant Orthopedic

Raheel Qamarhas recently joinedChiniot General Hospital asManager Finance & Accounts,having vast experience inpharmaceuticals

Irfan Rasheedhas recently joinedChiniot General Hospital asManager Internal Audithaving vast experience indifferent organizaitons

:

New Appointments