WELCOME TO THE VIRTUAL WALK TO OUR DEPARTMENT!

RECEPTION AREA

Our reception where the admissions are issued and we ensure to help the patients with utmost respect.

We provide waiting area for the attenders who are anxiously with expectation outside the labour room.

CLEAN LABOUR ROOM

Our labour rooms are equipped with focussing lamps for episiotomy suturing present for every labour board.

MATERNITY INTENSIVE CARE UNIT

Our intensive care unit with 8 beds for high risk antenatal mothers offering highly specialised intensive services thereby in effective prevention of morbidity and maternal mortality.

MATERNITY OT COMPLEX

ELECTIVE SURGICAL COMPLEX

EMERGENCY SURGICAL COMPLEX (24*7)

OUR OUT PATIENT SERVICES:

• Antenatal Case registration and follow up
• High Risk Antenatal Screening
• Obstetric and Gynaec Ultrasound
• Gynaec case management
• NCD screening – Clinical Breast examination VIA / VILI
• PAP SMEAR screening
• Colposcopy and Biopsy

Our outpatient services are been carried out regularly for all days of the year and we see nearly 125 - 150 cases per day. Our CEmONC functions throughout the day and all cases requiring admissions are attended immediately by Duty Obstetricians. Per month on an average we see 2,500 Outpatient antenatal mothers and nearly 26,739 outpatients were benefited with our services last year. High risk pregnancy screening program is also been conducted every month on a regular basis.

SPEACILIZED ICU AND HDU SET UP:

Ours is a tertiary care center, well equipped for handling all types of high risk pregnancies and emergencies related to pregnancy and labor. We have a well equipped 8-bedded Obstetric ICU with 6 ventilators, 20-bedded High Dependency Unit and other high end equipments for monitoring critically ill antenatal and postnatal cases. Besides the routine obstetric care for uncomplicated pregnancies, specialized care is provided in high risk cases with our advanced ICU and HDU set up.

We effectively manage high risk obstetrics cases like Anemia complicating pregnancies, Gestational & Chronic hypertension complicating pregnancies, Gestational & Overt Diabetes complicating pregnancies,Pre-Eclampsia, Antepartum & Postpartum Eclampsia, Abruptio placenta, Placenta Previa, Placenta accreta, Post partumhemorrhage, Ectopic pregnancy, HELLP syndrome, Acute and Chronic kidney disease complicating pregnancies, Heart disease complicating pregnancies. We also pioneered in treating Cerebral venous thrombosis patients and also thrombo embolic disorders which causes dreaded complication in postpartum.

All specialists like Anesthetist, Physician, Surgeon, Neurologist, Nephrologist, Cardiologist, Surgical and Medical Gastro enterologist are available for managing emergency cases in our obstetric ICU. Approximately 45-50 units of blood and blood products are being transfused daily and 16,000 units of blood and blood products were transfused successfully last year saving hundreds of antenatal and postnatal mothers.

GYNAEC SURGERIES:

• Abdominal Hysterectomy
• Vaginal Hysterectomy
• Laparoscopy assisted vaginal hysterectomy (LAVH)
• Ovarian cystectomy
• Pelvic floor repair
• Abdominal sling surgeries
• Fothergill’s repair
• Staging Laparotomy
• Werthiem’s Hysterectomy
• Operative LaporoscopyHysterectomy
• Ovarian Cystectomy, Cryotherapy

Our speciality clinic include Adolescent clinic, Infertility clinic, Menopausal clinic, Cancer clinic, Gynaec endocrine clinic. PAP smear screening technique and colposcopy are been done for nearly 500 patients per month. Cervical biopsy and endometrial sampling are routinely done as outpatient procedures.

We have been successfully picking up cancer patients at an earlier microinvasive stage through our screening methods and lots of cervical cancer patients were identified as such who were benefited with surgical measures and a complete cure was sorted.

Postpartum psychosis councelling clinic has been successfully functioning as a part of our speciality clinics along with trained psychiatrist to psychologically support the mothers in the immediate post partunl period and in effectively manage the identified mothers.

SERVICES PROVIDED UNDER FAMILY PLANNING:

• Minilap
• Postpartum Tubectomy
• MTP with TAT
• Laparoscopic Sterilisation
• No Scalpel Vasectomy (NSV)
• Tubal recanalization

Family planning services was functioning continuously with the total of about 1976 mothers being benefited last year from permanent method of sterilization. Temporary methods like PPIUCD insertion has been efficiently carried out with around 9025 beneficiaries. Laparoscopic sterilization is also being done and around 77 mothers underwent the procedure. There is also a focus in par to male sterilization, where No Scalpel Vasectomy (NSV) was done for about 15 patients the last year.

SURGERIES COVERED UNDER CM HEALTH INSURANCE SCHEME:

• Caesarean Hysterectomy With Bladder Repair
• Rupture Uterus With Tubectomy
• Eclampsia Wth Complications Requiring Ventilatory Support
• Abruptio Placenta WithDic
• 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

FINANCIAL SCHEMES RUN UNDER THE DEPARTMENT:

• CMCHIS – Purchase of Advanced Equipments, Consumables is being done under the scheme
• 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
• JSSK – Vehicle services are being provided for postnatal patients under the scheme
• JSY – Consolidated amount of Rs.600 / 700 for delivered patients is being distributed under the scheme

MILESTONE ACHIEVEMENTS AND AWARDS

PLATINUM CERTIFICATION OF LAQSHYA IN NATIONAL ASSESSMENT

JIPMER TEAM VISITED OG DEPARTMENT- LABOUR WARD AND MATERNITY OT COMPLEX ON 09.09.2022 TO OBSERVE AND STUDY THE RMC PROTOCOL

MRS. DHARMALASHREE., I.A.S.,
DELIVERED AT OUR HOSPITAL

TAMIL NADU HEALTH SECRETARY DR. J. RADHAKRISHNAN’S VISIT ON IMPLEMENTATION OF POSTPARTUM PSYCHOSIS COUNCELLING CLINIC

DR. JUSTIN PAUL’s APPRECIATION VISIT ON OUR TREMENDOUS CONTRIBUTION TOWARDS TNPHDR
(Tamil Nadu Pregnancy and Heart Disease Registry)

NATIONAL HEALTH MISSION AWARD –

APPRECIATING THE EFFORTS TO SAVE LIFE OF A DYING MOTHER

We serve as a model unit for recovering near miss cases with high morbidity and mortality risk and effectively reducing maternal mortality rate. One such remarkable near miss case was a 19 year old mother with multiple complications of HELLP syndrome, Multiorgan dysfucntion, Postpartum eeclampsia, Acute kidney injury, Disseminated Intravascular Coagulopathy, Sepsis who succumbed to a massive Upper Gastro intestinal bleed and we saved the life of this mother by transporting her to OmandhurarMultispeciality hospital Chennai in a timely manner, wherein a life saving critical procedure of Coiling of the feeder vessel was done. This type of remarkable maternal near miss have been successfully handled by our team of Obstetricians well appreciated by the National Health Mission, Tamil Nadu.

EXCLUSIVE COVID – 19 BLOCK

SERVICES DURING COVID-19 PANDEMIC:

Our department has been tirelessly functioning through out especially during during the COVID 19 pandemic. We have admitted 1755 Covid positive mothers and have discharged 1748 Covid positive mothers successfully. From April 2021 to March 2022 we have conducted 570 deliveries for Covid infected mothers, among which 421 were delivered by LSCS and 148 by labour natural. All high risk COVID positive mothers with covid pneumonia and respiratory distress were managed with High flow nasal oxygen (HFNO) and we managed them effectivelyand discharged.Our special block for COVID 19. during the pandemic of COVID 19 in the year 2020 and 2021 we have offered the best care and services for the pregnant mothers conducting in total of 487 deliveries for COVID POSITIVE mothers and treating about 1409 covid positive mothers. Proper social distancing placed beds with adequate facilities for hand washing and ensured no attender system with adequate protection for health care workers.

ACADEMIC EXCELLENCE:

Dr.Divya MS OG., crowned excellence for her research on CVT in Pregnancy at Madurai Obstetrics and Gynaecology Society’s Silver Jubilee conference

Dr.S. Mathura Vardhini MS OG., Postgraduate, secured First place for her State level Poster presentation conducted at KAARIGAI conference, IOG, Chennai.

Dr. K. Roopini our proud awardee of the prestigious Gangadara Lakshmi Narayanama Prize and the Balfour Memorial prize for securing the highest score in Obstetrics and Gynaecology in the Undergraduate University examination

Dr.S. Mathura Vardhini MS OG., Postgraduate, secured Second place for her Paper on Amniotic fluid culture and sensitivity and glucose concentration as effective indicators of infection at COGSICON conference,Coimbatore.

UNDERGRADUATES GOLD MEDAL WINNERS:

1. Dr.Naurin for the year 2020
2. Dr Soorya for the year 2021
3. Dr Mruthulagi for the year 2022

POSTGRADUATES GOLD MEDAL WINNERS:

1. Dr.Praveena
2. Dr.DivyaSharona
3. Dr Karthiga Priya
4. Dr Viruthika

CONTINUING MEDICAL EDUCATION (CME) Programmes

CMEs and Conferences conducted in the Department of O&G :

1. High risk obstetrics – 20th July 2017.
2. Revision course in O& G for final year undergraduates – 15 to 18th March 2018
3. Recent trends in gynecology – 21st July 2018
4. Screening and management of Carcinoma Cervix and Colposcopy workshop – July 2019.
5. CME on fetal growth restriction – 22nd August 2019
6. CME on Heart disease complicating pregnancy and its management – 18th September 2019.
7. CME on Hypertensive disorders of pregnancy – 23rd March 2019
8. Workshop on Conjoint twins on 4thdecember 2021
9. Clinicopathological conference on Granulosa Cell Tumor on 10thdecember 2021
10. CME on National Gestational Diabetes Mellitus day on 11th March 2022
11. CME on “Enriching your Handling skills in High Risk Obstetrics” – 29th august 2022.

CEMONC CO-ORDINATION MEETING Conducted regularly to enable the Medical Officers in periphery (DMS and DPH) to be updated about the recent trends.

MATERNAL DEATH AUDIT Meetings conducted every month.

Maternal death Audited at four Levels:

1. Internal Death audit – Dept
2. College Medical Audit
3. NHM Audit
4. Collector Audit

FIRE SAFETY MOCK DRILL CONDUCTED BY FIRE SERVICE DEPARTMENT AT RCH BLOCK

TRAINING ACTIVITIES IN DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

1. BEmONC training
2. CEmONC training
3. SBA training
4. PPIUCD training
5. Labour Skill training
6. Laproscopic sterilisation training
7. VIA & Colposcopy training

GOVERNMENT MOHAN KUMARAMANGALAM MEDICAL COLLEGE, SALEM
DEPARTMENT OF OBSTETRICS & GYNAECOLOGY WEEKLY POST GRADUATE ACADEMIC TIME TABLE

GOVERNMENT MOHAN KUMARAMANGALAM MEDICAL COLLEGE, SALEM
DEPARTMENT OF OBSTETRICS & GYNAECOLOGY TEACHING PROGRAMME FOR UNDERGRADUATES

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

CLINICAL POSTING DURATION FOR MBBS STUDENTS IN OG DEPARTMENT

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

SECOND SESSION : FIRST 2 WEEKS – Labor ward posting

SECOND SESSION - NEXT 2 WEEKS – op classes

THIRD SESSION – 4 WEEKS – clinical classes

TOTALLY 4 WEEKS
FIRST 10 DAYS – FAMILY PLANNING POSTING

NEXT 20 DAYS – LABOR WARD POSTING

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 , forthergillssurgery,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

BED STRENGTH:

DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY PERFORMANCE REPORT

LIST OF ONGOING RESEARCH WORKS