Community Academic Profiles - Faculty & Researchers

Bio

Clinical Focus

Pediatrics, General
Neonatal quality improvement work
Neonatal resuscitation
Neonatal-Perinatal Medicine

Academic Appointments

Clinical Associate Professor, Pediatrics - Neonatal and Developmental Medicine

Boards, Advisory Committees, Professional Organizations

Coordinator, Transport Follow Up, El Camino Hospital NICU (2016 - Present)
Leader, Family Centered Care Committee, El Camino Hospital (2016 - Present)
Member, PQIP Panel CPQCC (2016 - Present)
Member, NICU Partnership, El Camino Hospital (2016 - Present)
NICU Liasion, Department of Pediatrics, El Camino Hospital (2016 - Present)
Member, American Academy of Pediatrics (2004 - 2015)

Professional Education

Board Certification: American Board of Pediatrics, Neonatal-Perinatal Medicine (2016)
Board Certification, Neonatal-Perinatal Medicine, American Board of Pediatrics (2016)
Fellowship: University of California San Diego (2015) CA
Board Certification: American Board of Pediatrics, Pediatrics (2007)
Residency: St Joseph's Regional Medical Center (2007) NJ
Medical Education: Government Chengalpattu College (2002) India

Contact

Academic malathib@stanford.edu
Clinical Neonatal Intensive Care Unit 725 Welch Rd Palo Alto, CA 94304
- Tel: (650) 497-8800
Fax: (650) 725-8351
Clinical El Camino Hospital 2500 Grant Rd Neonatology Mountain View, CA 94040
- Tel: (650) 940-7163
Fax: (650) 988-8771

Publications

All Publications

Increasing Parent Satisfaction With Discharge Planning: An Improvement Project Using Technology in a Level 3 NICU. Advances in neonatal care : official journal of the National Association of Neonatal Nurses Balasundaram, M., Porter, M., Miller, S., Sivakumar, D., Fleming, A., McCallie, K. 2021
Abstract

Neonatal intensive care unit (NICU) families are often overwhelmed by the discharge process. Their anxiety can inhibit learning and contribute to poor infant outcomes and increased healthcare utilization after discharge. Quality of the discharge teaching is the strongest predictor of discharge readiness, so NICUs must develop excellent discharge preparation programs.This improvement project enhances NICU discharge preparedness by providing consistent, early discharge teaching using technology as a supplemental resource and raises parental satisfaction with the process.Neonatal intensive care unit staff and former NICU parents developed a task force to create technology-based discharge education content. The content was originally uploaded to an e-book and later transferred to the electronic health record inpatient portal. Families were able to view discharge teaching content at their own convenience and pace and review topics as needed with the NICU staff. Postdischarge follow-up phone calls provided insight into parental reaction to the new education format.Parent satisfaction top-box scores, reflecting the highest rating in the "Prepared for Discharge" category of the patient satisfaction survey, improved from a baseline of 47% in 2017 to 70% in 2019. Overwhelmingly, 92% of families highly rated the tablet-based discharge teaching during postdischarge phone calls.A comprehensive, consistent, and early discharge program using technology can lead to more effective and efficient NICU discharge education and improved parent satisfaction.Further studies are needed to generalize hospital-based inpatient portal teaching as an additional resource for parental education in the NICU.

View details for DOI 10.1097/ANC.0000000000000841

View details for PubMedID 33534225
Predictors of poor neonatal outcomes in prenatally diagnosed multicystic dysplastic kidney disease. Journal of perinatology : official journal of the California Perinatal Association Balasundaram, M., Chock, V. Y., Wu, H. Y., Blumenfeld, Y. J., Hintz, S. R. 2018
Abstract

OBJECTIVE: Multicystic dysplastic kidney (MCDK) is one of the most common anomalies detected by prenatal ultrasound. Our objective was to identify factors associated with severe adverse neonatal outcomes of prenatally diagnosed MCDK STUDY DESIGN: A retrospective review of prenatally diagnosed MCDK (1 January 2009 to 30 December 2014) from a single academic center was conducted. The primary outcome was death or need for dialysis among live-born infants. Associations between prenatal characteristics and outcome were analyzed by Fisher's exact test and Mann-Whitney test.RESULTS: A total of 53 cases of prenatally suspected MCDK were included, of which 46 cases were live-born and confirmed postnatally (38 survivors, 8 non-survivors). Prenatally diagnosed extrarenal anomalies, bilateral MCDK, contralateral renal anomalies, and anhydramnios were significantly associated with death or need for dialysis (all p<0.0001).CONCLUSIONS: Prenatally identified findings are associated with adverse neonatal outcome, and can guide counseling and management planning. In the absence of significant associated findings, prenatally diagnosed unilateral MCDK has a benign neonatal course.

View details for PubMedID 29572458

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Malathi Balasundaram

Clinical Associate Professor, Pediatrics - Neonatal and Developmental Medicine

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Malathi Balasundaram

Clinical Associate Professor, Pediatrics - Neonatal and Developmental Medicine

Bio

Clinical Focus

Academic Appointments

Boards, Advisory Committees, Professional Organizations

Professional Education

Contact

Publications

All Publications

Abstract

Abstract

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