::Departments : Clinical : Obstetrics & Gynaecology
 
DEPARTMENT OF OBSTETRICS & GYNAECOLOGY

 
                     Govt Theni Medical College and Hospital was established in 2004 as a multispeciality institution.The depatment of Obstetrics and Gynecology started functioning from 2004 to cater to the needs of the population of Theni and nearby districts.The population served by the institution gradually increased and at present ,the department of obstetrics serves about a population of 13 lakhs.Being a tertiary care centre,GTMCH serves as a referral centre for about 20 PHCs and 7 GH in and around Theni district. with a bed strength of 80 ( 40 beds for antenatal care & 40 beds for gynec patients) and a bed occupancy rate of  120%.Approximatly 6000deliveries are conducted here every year.

.                       There are facilities including High end colposcopy for screening cervical cancer and cancer cervix is detected at an early stage and treated.Universal screening  for HIV is a success story here.HIV screening is done daily for all antenatal cases for PPTCT  and Anti Retroviral therapy is given to the infected women and their family members.
 
TEACHING FACULTIES:
Professors - 1
Associate Professor - 2
Assistant Professor - 5
Senior resident-3

NONTEACHING STAFFS
Stenographer-1
Social  worker-2
Technical Assistant-2
Lab Technician-2
 
ACADEMIC ACTIVITIES:

  Courses handled
PG Courses
M.S (Obstetrics & Gynaecology) 
Para Medical Courses
Diploma in Nursing 
Intake
M.S (Obstetrics & Gynaecology) -4students per year
 Eligibility
Should have acquired MBBS Degree from a recognised University.
Course Duration
M.S (Obstetrics & Gynaecology) - 3 years
Selection Procedure
Through NEET
 Affiliated University
The Tamil Nadu Dr. MGR Medical University, Chennai.
 
  Academic Curriculum
M.D (Obstetrics & Gynaecology)
First Year
Labour ward 3 months
Antenatal ward/OPD 3 months
Postnatal ward 2months
Postoperative ward 2 months
General medicine 1 month
General surgery 1 month
Second Year
Labour ward 3 months
Antenatal ward/OPD 2 months
Gynaecologgy ward/OPD 2 months
Post natal ward 2 months
Neonatology 1 months
Family welfare 1 month
Community obstetrics 1 month
Third Year
Labour ward 3 months
Antenatal ward/OPD 2 months
Gynaecology ward/OPD 3 months
Postoperative ward 2 months
Anaesthesia department 1 month
Community obstetrics 1 month
 
 University Examination details
The examination for the postgraduates are conducted during the month of  March and September every year.theory and clinical examination are taken by them at the completion of their course.
 
M.D (Obstetrics & Gynaecology)
Theory Examination
Paper I    -   basic sciences
Paper II   -  obstetrics including neonatology
Paper III  -  gynecology including family welfare
Paper IV- recent advances with social obstetrics
Clinical Examination
Obstetrics
     Long Case & Short Case
Gynaecology
     Long Case &  Short Case
OSCE
VIVA
Thesis submission
Every postgraduate should submit a thesis done over a period of 18 months to be eligible for appearing in university examinations.
Every postgraduate should publish a case report /study in the journal of DR.MGR medical university for eligibilty.
 
  •    Periodic academic activities
  • Periantal mortality meeting on first Friday of every month
  • Clinical society meeting -first Tuesday of every month
  • Interesting case presentations -second ,third and fourth Friday
  • Group discussion-second Tuesday and Wednesday of every month
  • Journal club -third Tuesday of every month
  • Seminars-twice a month
  • Departmental death audit meeting -last Friday
UG classes-
          Clinicals everyday

           Tutorials-daily 9-10 during clinical posting
            Theory classes thrice in a week
          Demonstrations -everyday during clinical postings
          Symposiums-once/twice a month
   
 Guest lectures:
Once in everymonth by faculties from other allied departments
   Continuing medical education programmes
1. CME on colposcopy and live workshop on VIA VILI screening and colposcopy directed biopsy on july 11 2015. by DR.Ramani rajendran,retired assistant professor of OG,KGH triplicane.
2. CME on mullerian anomalies and vaginoplasty live workshop-DR.ARAM MS MCH(plstic surgery) head of the dept.Dept of plastic surgery,GRH Madurai.
3.CME on gynec oncology
Workshops
1. PPH drill 2014
2. Eclampsia drill 2014
3. HMS workshop 2014
 
Awards:
1. Best performer in providing family planning services 2015-Dr.A.Mahalakshmi associate professor
 
Journal publications:
  1. Awareness of anemia among pregnant women and impact of demographic factors on their Hb status Balasubramanian et al internation joiurnal of scientific study march 2016 vol 3 issue 12  
                                 
  1. Acute neurological complications in peripartum period-A retrospective study shanthirani et al international journal of scientific study july 2016 vol 4 issue 4
  2. A giant pendunculated leiomyoma with cystic denegeration mimicking an ovarian malignancy-sambath et al international journal of reproduction,contrraception and obstetrics and gynecology jan 2016 vol 5 issue 1
  3. Role of ultrasonogram in detection of fetal congenital anomalies in antenatal mothers and prevalence of anomalies in high risk pregnancies aravazhi et al internation of scientific study,march 2016 vol 3 issue 12

Ongoing reasearch projects:
  1. ppuicd accepters and thier follow up -Dr.C.Shanthadevi ,Dr.subathra
  2. Role of iron sucrose in mild to moderate anemia-Dr.Thangamani Dr.vahitha begam
  3. Study comparing safety ,efficacy of foley miso vs mife miso in second trimester abortions-Dr.Mahalakshmi,Dr.sangeetha
  4. Study on sensitivity and efficacy of Ca 125 and ultrasound in detecting ovarian malignancies-Dr.Thangamani ,Dr.Sunny priya topno
 SERVICES OFFERED
                       The depatment of OG,GTMCH runs Antenatal OPD and screens all pregnant women and will pick up high risk cases. The institute is referrall centre for all obstetrics and gynaecology cases. Multidisciplinary team approach is used in management of high risk cases. Some high risk cases being managed are gestational hypertension and its complications like antepartum eclampsia, imminent eclampsia, post partum eclampsia, Epilepsy complicating pregnancy, BOH, Heart disease complicating like RHD, congenital hear block, DCM, severe anemia with CCF, APLA syndrome, Nephrotic syndrome, SLE, Jaundice complicating, puerperal psychosis, PPH both primary and secondary it includes referral cases also, GDM,DM, HIV, HBsAg+ antenatal mothers.there is ICU facilities to give special care for complicated cases.

 The Institute is a training centre for
  • CEmONC
  • BEmONC
  • USG training
  • ANM training
  • MRB nursing training
  • Ppiucd
  • Minilap
 
               Routine gynaecological cases like, prolapse, PID, Leucorrhea,DUB,Bartholin cyst, ovarian cyst, PCOD, Primary and secondary infertility, Primary amennorrhoea are treated, adolescent Gynaec OPD is also there and also septic abortion, ectopic pregnancy, twisted ovarian cyst are also treated efficiently. The Institute is well equipped with neonatology unit with  ventilators,  RDS are managed by surfactants USG facilities were available in OPD, Wards, labour wards and in the departments.
Universal screening for GDM is being done routinely, All cases are managed by protocols formed by evidence based medicine Pap smear, cervical biopsy, colposcopy done here as op basis itself .
 

Surgical procedures
Major
Caesarean section  (Both emergency and elective )
Laparotomy.
Hysterectomy – Vaginal, Abdominal
Tubal sterlisations-concurrent,puerperal, interval abdominal and laproscopic sterilisation.
Tubal recannalisation procedures.
Diagnostic & therapeutic laproscopic procedures.
Wertheims hysterectomy
Sling surgeries
Vaginoplasty
Fother gill’s procedure
 
Minor
Forceps delivery.
Repairs of perineal tears.
Vaccum deliveries.
Medical terminations of pregnancy.
Biopsies
Minor gynaec procedures like dilatation and curettage,fractional curettage,cyst excision and marsupilization,cryo surgery,hysteroscopic directed biopsy.
 
 
 
Laboratory services
Biochemistry, Microbiology and Pathology lab services available fom 8a.m.-5p.m.(mon.-sat.)Emergency biochemistry lab services available round the clock.
 
 
 
OP days and Timings
Department OP Days Timings
Antenatal OP All seven days  7 .30A.M to 12P.M
Gynecology OP All seven days 7 .30AM to 12PM
Cancer screening All seven days 7.30 AM -12 pm
Adoloscent clinic monday 7.30-12 pm
Infertility thursday  7 .30A.M to 12P.M
Menopause clinic friday  7 .30A.M to 12P.M
Family welfare All seven days 7 .30AM to 12PM
 
  
Statistics - 2016
Bed Strength
Departments No. of beds
Obstetrics 40
Family welfare 5
gynecology 35
Preterm care Attached to NICU
Intensive care unit 4  
Inpatient & Outpatient details
Outpatient treated 150-160per day 
Inpatient treated 80 beds with occupancy of 120% 
Diagnostic Statistics
Diagnostic Procedures No. of tests
Ultrasonograms taken 25 per day
Anomaly screeing by radiology department 
colposcopy 8-10 per day
X-rays Out patients 3-5 per day 
X-rays In patients 3-5 per day
Surgeries
Name of the Surgery No. of Surgeries
Caesarean  
Sterilisation  
MVA  
MVA with TAT  
MVA with Cu T  
Major surgeries  
Minor surgeries  
Laboratory
Name of the tests  No. of tests
Clinical Pathology  
Microbiology  
Biochemistry  
Biopsy  
Cytology PAP Smear  
Vaginal smear  
FNAC & Fluid Cytology  
 
 
 
 PRIZES & AWARDS INSTITUTED:
Gold medal exam conducted every year for final year O&G students.

 Admission Days
1st Unit — Monday, Wednesday, Friday
IInd Unit- Tuesday, Thursday, Saturday,
Sunday - Rotation.
Bed Strength - 120 Beds
 
Performance
No of deliveries — 4500 Year
No of LSCS -2600/ Year
No of sterilization proceeding -1000/ year
No of MTP -140 / Year
No of CUT insertion — 600/ Year
No of gynaec Surgeries -75-100 year



 

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