Services Provided-Overview

1. Patient Care Services: Diagnostic, therapeutic and curative antenatal, intranatal, postnatal, family planning and gynecological services.
2. Teaching and Research

A.) PATIENT CARE SERVICES

Care of Pregnant women:

• Antepartum, intrapartum and postpartum care for normal pregnancy
• Comprehensive Emergency Obstetric services
• Emergency management of ectopic pregnancy and all critically ill pregnant women
• Optimum care for high risk pregnant women with medical and Surgical disorders
• Screening for Diabetes mellitus and hypothyroidism which is common in this region
• Fetal prenatal diagnosis by USG, Doppler and MRI
• New born care services
• Care of women with abortion and intrauterine fetal demise

Gynaecological services:

• Detection and treatment of Reproductive tract infections
• Screening for genital tract malignancies especially cancer cervix
• Management of pelvic organ dysfunction
• Multidisciplinary management of Gynaecological malignancies
• Management of all benign diseases like fibroid uterus adnexal mass etc.
• Management of Gyanecological emergencies
• Infertility management services, Level 1,2,3
• Open and laparoscopic operative services

Family Planning Services:

• OC Pills; Condom; CU-T; Tubectomy

Preventive services:

1. Prevention of unwanted Pregnancies.
2. Prevention of congenital malformations
3. Prevention of anemia
4. Prevention of hypertension during pregnancy
5. Prevention of Eclampsia
6. Prevention of preterm labour
7. Prevention of HIV transmission especially Mother to child
8. Prevention of Obesity
9. Prevention of carcinoma cervix
10. Prevention of Endometrial cancer
11. Prevention of Ovarian cancer
12. Prevention of Secondary Infertility
13. Prevention of Maternal deaths & Fetal deaths

ALL THE ABOVE CONDITIONS ARE PREVENTABLE TO SOME EXTENT-NOT 100%

These are achieved by integrated delivery of care through Out-Patient and In-Patient services

B.)  Teaching, Training and Research:

• Theoretical, Clinical and Practical aspects of Obstetrics and Gynecology to MBBS graduates, BSc Nursing students, BSc Emergency Technician, OT technicians, Medical Records Officers, Postgraduates(MS)

• Training and skill acquisition of

 diagnostic and therapeutic Procedures

• Normal labour and delivery & Operative delivery
• Family Planning Techniques
• Gynecologic Operations
• Research facilitation for UGs, PGs and PhD students

Antenatal care services

OUT-PATIENT SERVICES-Everyday 8AM to 2PM

• Registration of pregnancy-old and new cases
• Clinical examination
• Lab services for blood and urine examination
• PPTCT services—PPTCT Counsellor & Lab technician
• Nutritional counselling--Dietician
• Ultrasonography services including Doppler & 3D USG
• Prenatal diagnostic techniques as per PNDT Act
• Intrauterine transfusions for Rh isoimmunisation
• Antenatal amnioinfusions for severe oligohydramnios in late second trimester and early third trimester
• Fetal Cardiotocographic services
• Genetic Counselling
• MTP services as per MTP Act India

Gynaecological Services

• Registration of old and new cases
• Clinical examination
• Cervical cancer screening by Pap test on all days
• Lab investigations routine & for tumour markers
• Screening and treatment for RTI
• Ultrasonography diagnostic---Room 180
• USG guided cyst aspiration---- “

Out patient- Day Care Minor Surgeries

Contraceptive Services

• Counselling for contraception –Social worker
• Hormonal - OC Pills/ Injectables
• Centchroman
• IUCD
• Laparoscopic sterilisation on IPD basis

Special Clinical Services

Out - Patient LAB –SERVICES

Specimen collection: 169 -B

Blood -- Investigations

Biochemical---- Blood Sugar Profile, Renal profile, Hepatobiliary profile & Lipid Profile                                           

 Hematological--- Blood group Rh Typing, Hb, Complete haemogram,

 Hormonal –FSH, LH, Testosterone, Estradiol, Progesterone, Prolactin

 Immunological- B-HCG, APLA, AMH

Microbiological- HIV, HBsAg, VDRL,

Vaginal & cervical- Swab culture

Urine: Microscopy, Culture

Stool: Microscopy, Culture

Special: Ascitic fluid, Pus & Tumour markers –CA-125,CEA

Senior resident/Consultant ---opines and manages all referral from other departments

Imaging Services for Out-Patients

• X-Rays including HSG----------------------------No. 62, Old hospital block
• USG–--------------------------------------------------180, WCH & Radiology NO-62 old block
• Obstetric Ultrasound as per PNDT ACT done after consent

• First trimester USG including NT scan & and screen for Aneuploidies and preeclampsia

• Second Trimester USG- Anomaly screen and screen for Aneuploidies
• Growth - scan----------------------------------32-34 weeks
• Doppler Evaluation
• Evaluation at term and post term
  • CT & MRI------------------------------------------------SSB, -101
• Interventional Radiological Procedures like uterine artery embolism and guided biopsies,      
• FNACs-----------------------------------------SSB
  • PET Scan
  • Emergency Obstetric Care Services (EmOC): 24 hours

Basic EmOC & Comprehensive EmOC services as per Govt. of India ,WHO etc.,

1. Administration of Parenteral antibiotics
2. Administration of Uterotonic drugs
3. Administration of parenteral anticonvulsants for pre-eclampsia and Eclampsia: Magnesium sulphate
4. Performing manual removal of Placenta. Surgeries for morbidly adherent placenta
5. Performing Instrumental evacuation for retained products
6. Performing Instrumental deliveries. Forceps & vacuum delivery
7. Performing Neonatal Resuscitation
8. Administering Blood transfusion
9. Performing Caesarean section /laparotomy

Statistics -last 6 years