Obstetrics & Gynaecology Department

Our mission :to be the only place that women would want to come for obstetric and gynecologic health care.

Gynaecological Conditions :
The main conditions dealt with by a gynaeclogist are:Cancer and pre-cancerous diseases of the reproductive organs including ovaries, fallopian tubes, uterus, cervix, vagina, and vulvaIncontinence of urine, Amenorrhoea (absent menstrual periods). Dysmenorrhoea (painful menstrual periods). Infertility, Menorrhagia (heavy menstrual periods); a common indication for hysterectomy. Prolapse of pelvic organs. Infections of the vagina (vaginitis), cervix and uterus (including fungal, bacterial, viral, and protozoal). Many obstetricians are also gynecologists, meaning they perform in both specialties. In the United States, these physicians are commonly referred to as OB/GYNs.

Prenatal care is important in screening for various complications of pregnancy. This includes routine office visits with physical exams and routine lab tests.

Second trimester:
Four simultaneous blood tests.
Ultrasound either abdominal or transvaginal to assess cervix, placenta, fluid and baby,

Third trimester:
Hematocrit (if low, mother will receive iron supplementation)
Glucose loading test (GLT) – screens for gestational diabetes.

Antenatal record:
On the first visit to her obstetrician or midwife, the pregnant woman is asked to carry out the antenatal record, which constitutes a medical history and physical examination. On subsequent visits, the gestational age (GA) is rechecked with each visit.

Symphysis-fundal height (SFH; in cm)

Blood pressure should also be monitored, and may be up to 140/90 in normal pregnancies. High blood pressure indicates hypertension and possibly pre-eclampsia, if severe swelling (edema) and spilled protein in the urine are also present.

 Fetal assessments:
Obstetric ultrasonography is routinely used for dating the gestational age of a pregnancy from the size of the fetus, the most accurate dating being in first trimester before the growth of the fetus has been significantly influenced by other factors. Ultrasound is also used for detecting congenital anomalies (or other fetal anomalies)

Family Planning Services:
Methods: emergency contraception, birth control pills, injectable birth control, birth control implant, barrier methods, intrauterine devices (iud), sterilization,

Obstetrics
From the Latinobstare, “to stand by” is the medical specialty dealing with the care of all women’s reproductive tracts.
Childbirth
Induction
Induction is a method of artificially or prematurely stimulating labour in a woman. Labor

During labor itself, the obstetrician may be called on to do a number of tasks. These tasks can include:

  • Monitor the progress of labor Accelerate the progress of labor, Provide pain relief, Surgically assisting labor, Caesarean section

Postnatal care
Postnatal care is care provided to the mother following parturition.
A woman who is delivering in a hospital may leave the hospital as soon as she is medically stable and chooses to leave, which can be as early as a few hours after delivery, though the average for spontaneous vaginal delivery (SVD) is 1–2 days, and the average caesarean section postnatal stay is 3–4 days.
During this time the mother is monitored for bleeding, bowel and bladder function, and baby care. The infant‘s health is also monitored.
Ectopic pregnancy is when an embryo implants in the Fallopian tube or (rarely) on the ovary or inside the peritoneal cavity. This may cause massive internal bleeding.
Pre-eclampsia is a disease which is defined by a combination of signs and symptoms that are related to maternal hypertensionIf severe, it progresses to eclampsia, where convulsions occur, which can be fatal.
Shoulder dystocia where one of the fetus’ shoulders becomes stuck during vaginal birth, especially in macrosomic babies of diabetic mothers.
Uterine rupture can occur during obstructed labor and endangered fetal and maternal life.
Prolapsed cord refers to the prolapse of the fetal cord during labor with the risk of fetal suffocation.
Obstetrical hemorrhage may be due to a number of factors such as placenta previa, uterine rupture or tears, uterine atony, retained placenta or placental fragments, or bleeding disorders.Puerperal sepsis is a progressed infection of the uterus during or after labor.

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