OBSTETRICS AND GYNAECOLOGY
- OBSTETRICS :
The student should be competent to prevent, recognize, diagnose and manage normal and abnormal pregnancy, labour and puerperium.
- Normal Pregnancy: anatomy & physiology of the female reproductive system, anatomical & physiological changes in normal pregnancy, fetal physiology, pre-pregnancy counselling, diagnosis & duration of the normal pregnancy, placenta & fetus (development & functions), prenatal care, course & mechanism of normal labour & delivery, puerperium, nutrition in pregnancy.
- Pregnancy complicated by:- abnormalities of the pelvic organs such as congenital deformities of the uterus and the vagina, uterine fibroids, ovarian tumours, miscarriage, gestational trophoblastic disease, ectopic pregnancy, antepartum haemorrhage (placenta praevia, abruptio placentae, vasa praevia ), polyhydramnios and oligohydramnios, multiple pregnancy , breech presentation, malpresentations, malpositions, prematurity and post maturity , pre-labour rupture of membranes, intrauterine growth restriction, intrauterine death, fetal anomalies.
- Labour complicated by: prolonged labour, obstructed labour, breech presentation, face and brow presentation, shoulder presentation, transverse lie, oblique lie, occipito-posterior position, pelvic abnormalities and cephalopelvic disproportion, fetal distress, cord prolapse, postpartum haemorrhage, retained placenta.
- Puerperium complicated by: obstetric shock, infections, thrombophlebitis, lactational problems and breast abnormalities (engorgement, cracked nipples, acute puerperal mastitis, breast abscess, suppression of lactation, galactocoele), mood disorders (puerperal blues and depression).
- Medical disorders: pregnancy induced hypertension, gestational diabetes mellitus, anaemia and nutritional deficiencies, Rhesus isoimmunization, coagulation disorders, thromboembolic disease, heart diseases, hepatitis, respiratory diseases, renal diseases, epilepsy, thyroid dysfunction, urinary tract infection, upper respiratory tract infections, gastro enteritis, reflux oesophagitis.
- Traumatic lesions, operative and diagnostic procedures: rupture of the uterus, acute inversion of the uterus, perineal lacerations, fistulae, haematoma of broad ligament and vulva, maternal nerve injuries, caesarean section, forceps delivery, vacuum delivery, breech delivery, twin delivery, manual removal of placenta, repair of perineal tears, induction of labour by artificial rupture of membranes and oxytocin, ultrasonography, monitoring of fetal wellbeing, cardiotocography, prenatal diagnosis
- GYNAECOLOGY :
The candidate should be competent to prevent, recognize, diagnose and manage common gynaecological problems and diseases.
- normal development of the female genital tract, abnormalities in the genital tract, disorders of sexual development.
- Genital tract Infections:- bartholinitis, vulvitis, vaginal discharge, nonspecific vaginitis, acute and chronic cervicitis, endometritis, pelvic inflammatory disease, TB of the genital tract, chlamydia, gonorrhoea, syphilis, herpes genitalis, papilloma virus infection.
- Benign tumours in female genital tract:- cysts of the vulva and vagina, fibromyoma, cervical and endometrial polyps, benign tumours of the ovary, endometriosis, adenomyosis.
- Premalignant and malignant tumours:- cervical intraepithelial neoplasia, endometrial hyperplasia, gestational trophoblastic tumours, vulval carcinoma, vaginal carcinoma, cervical carcinoma, endometrial carcinoma, uterine sarcoma, ovarian malignancies, carcinoma of the fallopian tubes.
- Menstrual disorders:- primary and secondary amenorrhoea, oligomenorrhoea, menorrhagia, dysfunctional uterine bleeding, postmenopausal bleeding and intermenstrual bleeding, premenstrual tension, dysmenorrhoea.
- Infertility and contraception:- primary and secondary infertility, treatment methods available, hormonal contraception, intrauterine contraceptive device, tubal sterilization.
- Urogynaecology disorders:- genuine stress incontinence, detrusor instability, mixed incontinence, genital tract injuries and fistulae, genital prolapse, retroversion of the uterus.
- Endocrine disorders:- precocious puberty, normal and delayed puberty, intersex, hyperprolactinaemia, polycystic ovarian disease, hirsutism, climacteric symptoms and menopause.
- Operative and diagnostic procedures:- dilatation and curettage, evacuation of uterus, biopsy, cauterization, abdominal and vaginal hysterectomy, tubal surgery, cystectomy, stress repair, myomectomy, laparoscopic surgery, hysterosalpingography, ultrasonography, cervical smear.
- Recommended Reading for Obstetrics and Gynaecology :
- Philip N Baker (editor). Obstetrics by Ten Teachers (18th ed). London, Hodder Arnold, 2006
- Ash Monga (editor). Gynaecology by Ten Teachers (18th ed). London, Hodder Arnold, 2006
- Hiralal Konar (editor). Textbook of Obstetrics by DC Dutta (6th ed). Calcutta, New Central Book Agency, 2004
- Hiralal Konar (editor). Textbook of Gynaecology by DC Dutta (4th ed). Calcutta, New Central Book Agency, 2003
- J Oats, S Abraham (editors). Llewelyn Jones’ Fundamentals of Obstetrics & Gynaecology (8th ed). Edinburgh, Elsevier-Mosby, 2005
- Michael Swash (editor). Hutchison’s Clinical Methods (22nd ed). Edinburgh, Elsevier Science 2007.
- S Arulkumaran, I Symands, A Fowlie (editors). Oxford Handbook of Obstetrics & Gynaecology (1st ed) Oxford, Oxford University Press, 2004
- DK Edmonds (editor). Dewhurst’s Textbook of Obstetrics & Gynaecology (7th ed). Oxford, Blackwell Publishing, 2007
- CN Piercy. Handbook of Obstetric Medicine. (3rd ed). Andover, Hampshire, Taylor & Francis, 2006.