::Departments : Clinical : Department of Obs. & Gyn.


We are a 300 beded department with 3 Units headed by 1 Chief (Associate Professor) for each Unit with 16 Assistant Professors. We have a 24 hours Labour Ward run by 1 Labour Ward Assistant and 1 CEmONC Assistant.
Services provided for 24 hours in the department. Assisted Deliveries
1.   Caesarean Sections   
2.   Emergency Laparotomy for Obstetrics and Gynaec Cases
3.   Abortions
 
We have a 7 beded OG ICU with the following facilities
·         Ventilators
·         Multipara Monitors
·         Portable X-Ray
·         Portable Ultra Sound machine
·         Portable ECG Machine
Our Out patients services are as follows
·         Antenatal Case registration and followup
·         High Risk Antenatal Screening
·         Obstetric and Gynaec Ultrasound
·         Gynaec case management
·         NCD screening – Clinical Breast examination VIA / VILI
 ·         PAP SMEAR screening
·         Colposcopy and Biopsy
 
 
ü  Family Planning Services
 
Services provided under Gynaec Surgeries
Ø  Abdominal / Vaginal Hysterectomy
Ø  Surgeries for Cancer -    Staging Laporotomy
Werthiem’s Hysterectomy
 
Ø  Operative Laporoscopy
Hysterectomy
Ovarian Cystectomy
Ø  Cryotherapy
 
Services Provided under Family Planning
 
ü  Minilap
ü  Postpartum Tubectomy
ü  MTP with TAT
ü  Laporoscopic Sterilisation
 
Financial Schemes run under the department
ü  CMCHIS – Purchase of Advanced Equipments, Consumables is being done under the scheme
ü  NRHM – Emergency purchase of Drugs and Clinical accessories, Equipments repairs, expenditure for CT/MRI for unaffordable patients, Lab services for investigations which are not available in our hospital is being done under the scheme
ü  JSSK – Vehicle services are being provided for postnatal patients under the scheme
ü  JSY – Consolidated amount of Rs.600 / 700 for delivered patients is being distributed under the scheme
 

ACADEMIC ACTIVITIES

 
  1. Theory classes
  2. Clinical classes
  3. Symposium by final year students-monthly once on third saturday  10AM-12 PM
  4. CME by assistant professors-monthly once on second friday  12PM -1 PM
  5. Journal club meetings by assistant professors- monthly once on second thursday  12PM -1 PM
 
 
THEORY CLASSES

 
YEAR
 
 DAY &TIME TOTAL HOURS
First clinical year
 
Friday – 1-2 pm 72 hours
Prefinal year
 
Wednesday – 4-5 pm 48 hours
Final year
 
Monday – 4-5 pm
Wednesday – 1-2 pm
Thursday      – 4-5 pm
Friday           – 3-4 pm

 
192 hours
 
 
CLINICAL POSTING DURATION FOR MBBS STUDENTS  IN OG DEPARTMENT

 
SEMESTER DURATION NO.OF BATCHES
III
 
2WEEKS   3
IV
 
4 WEEKS 2
V
 
4 WEEKS 4
VII
 
4WEEKS 5
VIII 4WEEKS
 
5
 
IX 5WEEKS
 
3
 
 
 
CLINICAL CLASSES FOR  FIRST CLINICAL YEAR
TOTALLY 10 WEEKS  (2 WKS + 4 WKS + 4 WKS )
2 WEEKS –INTRODUCTORY CLASSES
4 WEEKS –2 WKS – Labour ward posting
                – 4 WKS – OP classes
4 WEEKS –CASE PRESENTATIONS
FIRST  SESSION – 2 WEEKS - INTRODUCTORY CLASSES

 
S.NO 8.30 – 10 AM 10.30 – 12 PM
1 Physiology of menstruation, ovulation Applied anatomy of uterus, supports of uterus, pelvis, pelvic floor muscles
2 Physiology of conception, fertilization, implantation,
Development of placenta
Terminologies and definitions
3 AN care, booking, AN visits Signs and symptoms in each trimesters
4 Detailed history to be taken in an antenatal patients
5 General examination and demonstration of grips Terminologies – lie, attitude, presentation, presenting part, position
6 Diagnosis of pregnancy Routine investigations to be done in each trimesters
7 Stages of labor
8 High risk pregnancy
9 Abnormal menstruation - terminologies Demonstration of P/S and P/V examination
10 History taking – DUB/fibroid History taking - leucorrhoea
11 History taking – mass abdomen History taking – mass descending per vaginum
12 History taking – ca cervix History taking – post menopausal bleeding
 
SECOND SESSION  : FIRST 2 WEEKS – Labor ward posting

 
S.N TOPIC
1 Terminologies – gravida, para, abortion, obstetric score, normal labor, preterm, term, post term etc
2 Diameters of fetal skull and maternal pelvis
3 Mechanism of normal labor in LOA /LOT position
4 First stage of labor – changes in cervix and monitoring during first stage
5 Management during first stage of labor – induction of labor, ARM,  augmentation of labor
6 II, III & IV stage of labor – monitoring and management, active management of III stage of labor
7 Types of episiotomy and demonstration of episiotomy repair
8 Management of PPH
9 Puerperium – changes and its management
10 Cesarean section – indications & steps
11 Differential diagnosis of pain abdomen in each trimesters
12 Role of USG in obstetrics
 
 
 
SECOND SESSION  - NEXT 2 WEEKS – op classes
 

 
S.N CASE PRESENTAION - TOPIC
1 Normal antenatal patient
2 Anemia complicating pregnancy
3 PIH complicating pregnancy
4 Prev LSCS complicating pregnancy
5 Heart disease complicating pregnancy
6 Multiple pregnancy
7 Breech presentation
8 Fibroid uterus/DUB
9 prolapse
10 Mass abdomen
11 Ca cervix
12 Postmenopausal bleeding
 
 
 
 
 
 
 
 
 
 
 
             
 
 












THIRD SESSION – 4 WEEKS – clinical classes

 
S.N TOPIC
1 Normal pregnancy and terminologies
2 Demonstration of grips
3 Anemia complicating pregnancy
4 PIH, Pre eclampsia
5 Eclampsia
6 Previous LSCS
7 Breech presentation
8 Heart disease complicating pregnancy
9 Preterm labor pains
10 Postdated, IUGR
11 Short primi, CPD
12 twins
13 Diabetes complicating pregnancy
14 Menstrual irregularities - terminologies
15 Fibroid uterus
16 Prolapse uterus
17 DUB
18 Ca cervix
19 Mass abdomen, ovarian tumor
20 Infertility
21 Postmenopausal bleeding
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 




















CLINICAL  CLASSES FOR   PREFINAL YEAR STUDENTS
TOTALLY   4 WEEKS
FIRST 10 DAYS – FAMILY PLANNING POSTING
S.N 8.30 AM – 10 AM 10.30AM – 12 PM
1 Barrier methods, natural methods of contraception  
 
 
 
 
OT OBSERVATION
2 Oral contraceptive pills
3 Intra uterine contraceptive device
4 Injectable contraception, emergency contraception
5 Female and male sterilization
6 Laparoscopic sterilization
7 First trimester abortion
8 Second trimester abortion
NEXT 20 DAYS – LABOR WARD POSTING
S.N TOPIC
1 BISHOP’S SCORING
2 Induction of labor
3 Mechanism of labor
4 Stages and conduct of labor
5 Episiotomy and repair
6 partogram
7 Active management of III stage of labor
8 Management of PPH
9 Drugs commonly used in labor ward
10 Cesarean section – indications and steps
11 Complications during cesarean section
12 Management of PIH patient in labour
13 Management of anemia pt in labor
14 Management of heart disease pt in labor
15 Resuscitation of a patient in shock
16 Forceps delivery and vaccum delivery

CLINICAL  CLASSES FOR   FINAL YEAR STUDENTS

TOTALLY 10 WEEKS (2 WKS + 4 WKS + 5WKS)
                                    1ST  WEEK – DAY LABOUR WARD
                                    2ND WEEK – NIGHT LABOUR WARD
                                    3RD WEEK – FAMILY PLANNING – REVISION  
                                      4TH ,5TH ,6TH   WEEKS – CASE PRESENTATION
                                         NEXT 5 WEEKS    -CASE PRESENTATION
                                                                        -PRACTICAL VIVA TOPICS (Maternal pelvis and fetal skull,Mechanism of                                                                           labor,Specimen, x rays,Instruments, drugsOSCE)


LABOUR WARD CLASSES
1.Mechanism of labour
2.Mechanism of labour in ROP
3.Conduct of assisted breech delivery
4.Complications of third stage of labour and PPH management
5.Conduct of VBAC
6.Abruptio placenta- diagnosis, management and mode of delivery
7.Placenta previa- diagnosis ,management and mode of delivery
8.Rh negative mother
9.CPD- Trial of labour
10.Rupture uterus and inversion of uterus- causes and management
11.Neonatal resuscitation
12.Induction of labour,13.obstetrical emergencies- DIC, cord prolapsed
 
TESTS:  OBSTETRICS-2
               GYNAECOLOGY-2
               COMMON THEORY -1
                PRACTICALS -1

GENERAL CLINICS -4

SYMPOSIUM -29 ( THIRD SATURDAYS )

CLINICAL CLASSES - (20 DAYS)-CASE PRESENTATION
1.Anemia complicating pregnancy and fibroid
2.Normal pregnancy- AN case palpation and male infertility
3.Elderly primi ,teen age primi and grand multi & female infertility
4.Pre eclampsia and prolapse
5.post  datism and DUB- Puberty and reproductive
6.post cesarean pregnancy and peri menopausal DUB
7.Multiple pregnancy and post menopausal bleeding
8.Breech presentation and Ca cervix
9.Heart disease and Ca endometrium
10.Rh negative mother and leucorrhoea
11.Recurrent pregnancy loss and MTP
12.Diabetes complicating pregnancy and mass abdomen-case discussion
13.CPD  and  Ovarian tumour
14.Permanent and temporary methods of family planning
15.Specimen
16.Instruments
17.Surgical steps for vaginal hysterectomy, abdominal hysterectomy , forthergills surgery,myomectomy, sling  surgery
18.Steps of fractional curettage, D&C, Suction evacuation


SERVICES OFFERED
 
NO. OF UNITS :       3
ADMISSION DAYS :      OP TIMINGS:   DAILY   FROM 7.30 AM TO 12.00 PM

 
 
UNIT
 
OP & ADMISSION DAYS
 
THEATRE DAYS
 
1
 
MON &THURS
 
WED & SAT
 
2
 
TUES &FRI
 
MON &THURS
 
3
 
WED & SAT
 
TUES &FRI

Academic Schedule 

Academic Activities of PG’s
Department of OG
Interesting Case Presentation
 
 
 
 Mortality case presentation
 
 
Department of OG
Symposium Presentation
 
 
 
Journal Club Presentation
 

BED STRENGTH :
 
S.NO
 
NAME OF THE WARD
 
NO. OF BEDS
 
1
 
ANTENATAL
30
 
2
 
GYNAECOLOGY
30
 
3
 
POST OPERATIVE
72
 
4
 
POST NATAL
29
 
5
 
FAMILY WELFARE
14
 
6
 
LABOUR WARD - CLEAN
6
 
7
 
LABOUR WARD - SEPTIC 
3
 
8
 
LABOUR WARD -PRELABOUR
12
 
9
 
LABOUR WAR -ECCLAMPSIA
3
 
10
 
LABOUR WARD - MATERNAL
INTENSIVE CARE UNIT

 
6
 
11
 
GYN.POST OP WARD
 
10
                                                              
                                  TOTAL
 
215
               
 

Statistics

 
OP Census FP Census IP censes
Month Unit-I Unit-II Total   Unit-I Unit-II Total
Jan-2016 1500 1508 3008 258 525 501 1026
Feb 1544 1484 3028 266 512 526 1038
Mar 1643 1517 3160 262 572 648 1220
Apr 1642 1546 3188 275 560 542 1102
May 1712 1580 3292 278 621 636 1257
Jun 1612 1556 3168 246 596 586 1182
Jul 1638 1586 3224 262 648 558 1206
               
 
 

Major and Minor 2016
 
Month Major Minor
  Unit –I Unit-II Unit-I Unit-II
Jan 28 30 18 19
Feb 25 30 16 19
Mar 29 28 16 16
Apr 29 30 20 22
May 30 28 24 26
Jun 28 29 20 23
Jul 28 30 24 26
Aug 38 35 57 53
Sep 40 36 62 58
Oct 42 39 65 61
Nov 41 40 67 62
Dec 40 42 66 60
 
 



  
 
 
OG – IP particulars – 2014

 
MONTH 2013 2014 2015
UNIT I UNIT II TOTAL UNIT I UNIT II TOTAL UNIT I UNIT II TOTAL
JANUARY 602 588 1190 395 394 789 524 499 1023
FEBRUARY 396 386 782 483 470 953 529 487 1016
MARCH 424 399 823 512 511 1023 559 502 1061
APRIL 545 466 1011 443 475 918 559 546 1105
MAY 572 548 1120 496 512 1008 554 493 1047
JUNE 432 375 807 462 525 987 531 558 1089
JULY 439 438 877 609 580 1189 526 496 1022
AUGUST 451 436 887 602 540 1142 536 506 1042
SEPTEMBER 469 459 928 532 504 1036 495 521 1016
OCTOBER 427 424 851 536 527 1063 562 512 1074
NOVEMBER 438 509 947 541 562 1103 558 510 1068
DECEMBER 382 411 793 539 586 1125 519 483 1002
TOTAL 5577 5439 11016 6150 6186 12336 6452 6113 12565
 

 
 
 
 
Delivery particulars

 
YEAR TOTAL
DELIVERIES
LABOUR
NATURAL
FORCEPS
DELIVERY
ASSISTED
DELIVERY
ELECTIVE LSCS EMERGENCY LSCS ABORTIONS MTP
DAY
 LSCS
NIGHT
 LSCS
 
2013 6646 3475 68 57 246 1621 1179 246 145
2014 6976 3041 55 60 184 1874 1767 216 181
2015 6944 3261 79 57 145 1790 1584 367 119


Major and Minor -OT
 
YEAR UNIT-1 UNIT -2
MAJOR MINOR MAJOR MINOR
2013 330 474 135 226
2014 302 334 191 183
2015 321 342 200 215
 

 
 
 


 
 
 PPIUCD – 2014 - 2015
 


 SPECIAL CLINICS CONDUCTED

 
NAME        TIME
Infertility clinic Every Monday 11AM to 12PM
Cancer screening Every day 7.30AM to 12PM
Adolescent clinic Every Saturday 11to 12PM
Colposcopy  clinic Wednesday 11to 12 PM
Family welfare clinic Every day 8 AM to 10.30 AM
Postnatal clinic Every Day8 AM to 10.30 AM
High risk pregnancy clinic Every day 7.30AM to 12PM
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
TYPES  OF  MAJOR GYNAEC SURGERIES PERFORMED 
  • ABDOMINAL HYSTERECTOMY
  • VAGINAL HYSTERECTOMY
  • OVARIAN CYSTECTOMY
  • STAGING LAPAROTOMY
  • PELVIC FLOOR REPAIR
  • MYOMECTOMY
  • SLING SURGERIES
  • FOTHERGILLS REPAIR
  • LAP STERILISATION
 
SPECIAL  TESTS & TREATMENT AVAILABLE:
  •  COLPOSCOPY
  • CRYOTHERAPY  
SURGERIES COVERED UNDER CM HEALTH INSURANCE SCHEME
  • CAESAREAN HYSTERECTOMY WITH BLADDER REPAIR
  • RUPTURE UTERUS WITH TUBECTOMY
  • ECLAMPSIA WTH COMPLICATIONS REQUIRING VENTILATORY SUPPORT
  • ABRUPTIO PLACENTA WITH DIC
  • LAPAROSCOPY ASSISTED VAGINAL HYSTERECTOMY(LAVH)
  • VAGINAL HYSTERECTOMY WITH PELVIC FLOOR REPAIR
  •  VAGINAL HYSTERECTOMY WITH MESH REPAIR
  • CYSTOCELE,RECTOCELE,PERINEORRAPHY
  •  PELVIC FLOOR RECONSTRUCTION WITH MESH
  • MC INDO REPAIR FOR VAGINAL ATRESIA
  • SLING WITH MESH REPAIR FOR PROLAPSE
  •  ABDOMINAL REPAIR FOR VAULT  PROLAPSE
  •  ABDOMINAL REPAIR  WITH MESH  FOR VAULT  PROLAPSE
  •  LAPAROSCOPIC CYSTECTOMY
  •  LAPAROSCOPIC ECTOPIC RESECTION
  •  LAPAROSCOPICRECANALISATION
  •  LAPAROSCOPIC SLING OPERATIONS
  •  LAPAROSCOPIC ADHESIOLYSIS
  •  VAGINAL HYSTERECTOMY FOR BENIGN CONDITIONS
  •  ABDOMINAL HYSTERECTOMY FOR BENIGN CONDITIONS
  • STAGING LAPAROTOMY FOR OVARIAN AND UTRRINE CA
  • WERTHEIMS  HYSTERECTOMY FOR  CANCER CERVIX
    LIST OF SCIENTIFIC RESEARCHES DONE
 
S. No Title Author Progress of the Study
1. Comparitive Study of Epidural (Bupivacaine + Fentanyl) Versus Intramuscular Tramadol for Labour Analgesia in Primigravida Women Dr. P. Abirami, Junior Resident,
Guide: Dr. P. Amutha
Completed. Submitted to TN Dr. MGR Medical University
2. Prediction of Pregnancy induced Hypertension by maternal β HCG and lipid profile values in early second trimester Dr. L. Parimala devi,
Junior Resident
Guide: Dr. L. Shanmugavadivu
Completed.
Submitted to TN Dr. MGR Medical University
3. Comparitive Study between efficacy of oral misoprostol & vaginal misoprostol & foley bulb with oxytocin induction in prolonged pregnancy and study of maternal and fetal outcome Dr. S. Malini,
Junior Resident
Guide: Dr. P. Amutha
Completed.
Submitted to TN Dr. MGR Medical University
4. Comparitive study of AMSEL criteria vs nugent criteria – scoring system in vaginal discharge in GMKMCH Dr. M. Banupriya, Junior Resident
Guide: Dr. E. Sukanya
Completed.
Submitted to TN Dr. MGR Medical University
 
 
  
LIST OF ONGOING RESEARCH WORKS
 
S. No Title Author Progress of the study
1 A comparative study of ADA & WHO criteria for screening of gestational diabetes mellitus and follow up of GDM patients in Salem Author: Dr. Y.M. Madhumathi, Junior Resident
Guide: Dr. P. Amutha
Co-guide: Dr. G. Prakash
Study being conducted
2 Compatative study of maternal and fetal outcome in sever PIH – active Vs expectant management Dr. A.G. Subhathra,
Junior Resident
Guide: Dr. V. Rajalakshmi
Co-guide: Dr. L. Shanmugavadivu
Study being conducted
3 To compare the efficacy of transdermal nitroglycerine/ IV magnesium sulphate / oral nifedipine in the prevention of preterm labour Author: Dr. C. Vinodhini,
Junior Resident
Guide: Dr. P. Amutha
Co-guide: Dr. R. Manimegalai
Study being conducted
4 Comparative study on episiotomy suturing – chromic catgut vs vicryl and continous vs standard 3 layer Author: Dr. R. Aiswarya,
Junior Resident
Guide: Dr. B. Jeyamani
Co-guide: Dr. L. Shanmugavadivu
Study being conducted
5 Comparative study of oral mifepristone and vaginal misoprostol vs misoprostol alone in the preinduction cervical ripening and induction of postdated pregnancy Author: Dr. R.G. Yamuna,
Junior Resident
Guide: Dr. E. Sukanya
Co-guide: Dr. KP. Mohanasundari
Study being conducted
6 Maternal Mortality – Causes and its preventable factors – A retrospective study Author: Dr. KP. Mohanasundari
Co-author :  Dr. R. Padmapriya
Study being conducted
7 Caesarean Section – A retrospective analysis based on Robsons Criteria Author: Dr. E. Sukanya
Co-author: Dr. L. Shanmugavadivu
Study being conducted
8 Maternal and fetal outcome in HIV positive mothers Author: Dr. E. Sukanya
Co-author: Dr. L. Shanmugavadivu
Study being conducted
 
 
 
SCIENTIFIC PAPERS PUBLISHED IN TAMILNADU DR. MGR MEDICAL UNIVERSITY MED E-JOURNAL
 

 
S. No Title Author Remarks
1 Spontaneous hemoperitoneum and pelvic hematoma – warfarin induced – managed conservatively Dr. P. Abirami Accepted for Publication
2 High risk complete molar pregnancy managed by total hysterectomy with mole in situ and prophylactic chemotherapy Dr. L. Parimaldevi Accepted for publication
3 A very rare case of hyperreactioluteinalis associated with hypothyroidism in normal pregnancy – an often mistaken diagnosis Dr. S. Malini Accepted for publication
4 Traumatic PPH with pubic diastasis – a case presentation Dr. M. Banupriya Accepted for publication
 

  
 
 
 
 
On Going Research Activities
 
1.       Maternal Mortality – Causes and its preventable factors – A retrospective Study
-          Dr. KP. Mohanasundari., MD., OG.,
 
2.       Casearean Section – A retrospective analysis based on Robsons Criteria
-          Dr. E. Sukanya., MD., OG.,
 
3.       Analysis of the reasons of copper – T removal
-          Dr. E. Sukanya., MD., OG.,
 
4.       Family planning awareness among AN mothers attending AN OP
-          Dr. G. Sridevi., MD., DGO.,
 
5.       Maternal and fetal outcome in HIV positive mothers
-          Dr. L. Shanmugavadivu., MD., OG.,
 
6.       Peripartum hysterectomy
-          Dr. L. Shanmugavadivu., MD., OG.,



 PAPER PRESENTATION  FROM OG GMKMCH IN YUVA FOGSI MAY 2016
 
 1 . CASE REPORT OF PERIMORTEM CESAREAN SECTION
             DR.PADMAPRIYA, SENIOR ASSISTANT PROFESSOR O&G
 
2 . CASE REPORT OF VON HIPPEL  LINDAU SYNDROME WITH PREGNANCY
           DR.R.BHARATHI, ASSISTANT PROFESSOR O&G
 
3 . CASE REPORT OF OVARIAN PREGNANCY
          DR.L.SHANMUGAVADIVU, SENIOR ASSISTANT PROFESSOR O&G
 
4 .CASE REPORT OF HYPEREMESIS GRAVIDARUM WITH WERNICKS ENCEPHALOPATHY
       DR.K.P.MOHANA SUNDARI, SENIOR ASSISTANT PROFESSOR O&G
 
5 .CASE REPORT OF CU T IN BLADDER
      DR.MADHUMATHI ,  POST GRADUATE, II YEAR MDOG
 
6 . CASE REPORT OF VONWYK GRUMBACH SYNDROME   
      DR. SUBATHRA, POST GRADUATE, II YEAR MD O&G
     



 

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