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Obstetrics-and-gynaecology

The Department offers 

• Outpatient consultation to all women presenting with gynaecology or obstetrics problems in OPD hours.
• registration and follow-up to all Antenatal care (ANC till delivery according to standard national guidelines with Antenatal Immunization and Deworming of ANC, done on OPD basis.
•  High-risk ANC (especially in e.g. Pre- eclampsia, GDM, Thyroid dysfunction, Anemia, medical disorders like thyroid abnormalities)
• Specialty Services like the Clinic for subfertility, which includes offering investigations and treatment for diagnosis of male and female subfertility. Services offered are ovulation monitoring, ovulation induction, and baseline blood investigations on an OPD basis.
•  diagnosis of Oncology cases for detecting Cancer like  Endometrial cancer, Cervical cancer through USG,  and ovarian cancer by investigating a Pap smear screening, and further referral to the dedicated cancer centre.
• HPV vaccination is offered as per new national guidelines.Prenatal counselling to newlywed couples and high-risk women.
• Diagnosis and treatment of Early pregnancy complications like hyperemesis gravidarum, ectopic pregnancy and molar pregnancies.
• Post delivery services like breastfeeding counseling, contraception counseling to mothers, newborn care and nutritional counseling done in OPD and support for issues related to postpartum especially mental health care provided by the department.
• Diagnosis & Treatment of Sexually Transmitted Infection.
• Minor OPD Procedures like Non-stress test (NST) in ANC patients, PAP’s smear, IUD insertion, High vaginal swab collection, suture removal of post LSCS or other procedures are done on OPD basis.
• Adolescence clinic services are offered to young patient with various adolescence problems like menstrual irregularities services and other adolescence problems like PCOS, Obesity, and hirsutism.
• Menopausal clinic: treat menopausal symptoms in menopausal women.
• Sexual Disorders are identified and treated in sexually active women.
• Treatment of basic Urogynecology symptoms is offered to women suffering from urinary tract symptoms.
• Family Planning services like contraceptive counselling and guidance is being offered by Department of OBGY.
• Lifestyle modalities are offered to all patients attending Obstetrics & Gynecology Dept by referring to allied health services like Dietician opinion, Yoga by experts, and physiotherapy whenever needed.

Inpatient Services for Obstetrics and Labour Ward patients:
Timings of Services: 24 x 7. 

Labour and related services like 

• offering vaginal birth, instrumental delivery, Lower segment cesarean section (LSCS).
•  High risk labour services offered in relation to obstetric high-risk pregnancies like Pre-eclampsia, GDM, anemia, Thyroid dysfunction and other medical disorders in pregnancy, Diagnosis, and management of surgical disorders in pregnancy,
• Preterm labour management including antenatal steroid coverage and Magnesium sulfate neuro prophylaxis and tocolysis,
• RH Negative pregnancy management,
• Treatment of High-risk pregnancies like preeclampsia, anaemia, and medical disorders in pregnancies are being offered to ANC patients.
• Triage of high-risk ANC patients and requirement of specialized care like HDU (High Dependency Unit or ICU care transfer)
• Involvement of Multidisciplinary approach while treating medical high-risk patients which involves involvement of different specialties.
• Nutritional counseling, prenatal and antenatal Yoga services while being admitted in the hospital.
• Minor Obstetric surgeries like cervical cerclage, management of missed miscarriage, molar pregnancy, ectopic pregnancies and other procedures are being done while inpatient.
• Emergency surgeries:  like Lower Segment Cesarean Section, Exploration for ruptured ectopic are performed whenever needed. Emergency obstetric care: in cases of Previous LSCS in Labour, Abruptio placenta, Placenta previa, Malpresentations and malposition breech and transverse lie in labour, foetal distress, offered.
• All emergency antenatal patients presented to Casualty are attended by Senior Resident of Obstetrics & Gynecology (24 x 7)
• Inpatient Services for Gynecology patients:
• Timing of services 24 x 7. 

The department offers services in the following areas: 

• All Gynecology patients requiring admission are diagnosed with appropriate modalities which are available in houses like Ultrasonography Pelvis & Abdomen, X-ray and laboratory services like Pathology, Biochemistry, and microbiology for blood investigations.
• After diagnosing the gynecology condition, the patients are offered management according to the guideline.
• Patients who require conservative management like Inj Iron supplements for anemia, administration of Inj Antibiotics for infections, Inj Antifibrinolytics for menorrhagia are offered either on a Daycare basis or IPD basis. 
• Minor gynecology surgeries like Dilatation & Curettage, Cone biopsy, Polypectomy, Mirena Insertion, are performed as Day care surgeries.
• Major operative surgeries:  like total abdominal hysterectomy ,laparoscopic hysterectomy with or without salpingo-oophorectomy, exploratory laparotomy for ovarian or tubal pathology, Open surgeries: Total abdominal  hysterectomies with salpingo-oophorectomy, Myomectomies including broad ligament and cervical fibroids, Ovarian cystectomies, hydrosalpinges excision, Tubal recanalization, Sling surgeries like Purandare cervicopexy and Shirodkar sling surgeries  being offered in the patient where indicated.
• Vaginal surgeries: Vaginal hysterectomy for prolapse uterus, Non descent vaginal hysterectomy for benign uterine pathology, Cystocele repair, Rectocele repair, Enterocele repair, Colpo-perineorhhaphy, Vault prolapse repair, Fothergill repair done in all indicated patients.
• Other surgical procedures: Diagnostic Laparoscopy for tubal patency test, Diagnosing chronic pelvic pain, Operative Laparoscopy:  for tubal ligation, ovarian cystectomy with endobag specimen retrieval, para-ovarian cystectomy, hydrosalpinges excision, adhesiolysis, myomectomies.
• Emergency surgeries are offered in cases of Torsion ovarian cyst or Rupture Ovarian Cyst, ruptured ectopic pregnancies.
• Senior Resident of Obstetrics & Gynecology available 24 x 7 for emergency management of gynecology patients.

Services of Family Planning:
           

Timing of services 24 x 7 for Inpatients and as OPD Services. 

• Termination of pregnancies according to gestational age including first and second trimester MTP are done by medical or surgical modalities within the purview of guidelines.
• Family planning operations: tubal Ligation either with LSCS, Laparoscopic sterilization, open minilap Tubal ligation or Postpartum tubal ligation services are offered to patients.
• Insertion of Copper coil, Inj. DMPA are done as a contraceptive measure on OPD basis.
• We follow all National Programmes of contraception and family planning. 

Last updated / Reviewed : 2024-11-22