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Obstetrics & Gynaecology

Department of Obstetrics & Gynecology is functioning as 2 units. The main aim of the department is to give holistic care both the antenatal and Gynec patients. It is committed to provide the best available care for all antenatal women attending the hospital, till delivery and the postnatal period. The gynecology department caters to all the women presenting with gynecologic problems and their treatment. All latest technologies are being utilized both for evaluation as well as for the management.

Clinical Activities

The department provides emergency services 24 hours of the day. A separate Gynec casualty is functioning, in the department under the supervision & presence of the duty consultant, PG student, house surgeon & staff nurse.

OPD

Regular out patient clinics are conducted on all week days, except Sunday. All antenatal mothers both high risk & low risk, are provided antenatal care. They are admitted in the hospital, for careful monitoring and management, when indicated.

Family planning and postnatal clinics are conducted along with the regular OPD patients. All facilities like copper T insertion, distribution of barrier contraceptives, OCPs, Depot injections are available.

Labour Room:Almost all antenatal women booked in this hospital are admitted and cared for in labour at any time of the day. Even unbooked cases are admitted in labour, when referred from other hospitals. Emergency Operation Theater is located, close to the labour room, so that the patient can be shifted to the theatre without any delay.

Wards:The antenatal, post natal and gynaecology ward are located on the same floor as the labour room. The antenatal fetal monitoring by Non stress test is done in the labour room for out patients as well as the in patients.

Oncology Clinic: Screening tests like Pap smear test, Colposcopy and directed biopsy, LEEP are done on a regular basis in the Gynec OPD.

Infertility Clinic: Counseling, screening, investigations for male & female factor, ovulation induction, follicular monitoring, intrauterine insemination etc are being done in the OPD. Menopause patients, PCOD patients are also taken care of in the Gynec OPD.

Community outreach programmes:

Cancer screening camps, gynecological disease detection camps in collaboration with community medicine department are conducted on regular basis. The department contributed to the conduct of peripheral and base hospital camps conducted all round the year.

Surgeries done:
  • Minor procedures like office endometrial biopsies, IUI, CuT insertion, I&D are done in the minor OT in the OPD.
  • Other minor surgeries like fractional curettage, MC Donald’s stitch; Marsupialisation, cervical polypectomy etc are being performed regularly in the main OT.
  • Major surgeries like abdominal & vaginal hysterectomies, staging laparotomy are routinely done and emergency surgeries
  • Laparoscopic surgeries: Surgeries for ectopic pregnancy, sterilization surgeries, laparoscopic cystectomy, LAVH are being done.
Teaching and Academic activities

Regular theory classes and clinics are conducted for the MBBS students and their performance is evaluated on regular basis by periodic short test and Sessional examinations.


Post graduate course for MS in Obstetrics & Gynecology commenced in 2013. The two candidates admitted in the first year have completed the course successfully and passed. Regular academic activities in the form of Journal clubs, seminars and clinical discussions are conducted regularly for the PGs. They have teaching programmes in the form of ward rounds, case discussions and topic presentations regularly. Their performance is evaluated periodically by short tests.


Clinical Pathology Conference and radiologic conferences are being conducted once a month or once in 2 months, in the Pathology department and the Radiology department.

CME Programme

To achieve clinical excellence so as to offer the best treatment to our patients, all our faculty regularly attend various CME programmes and training sessions conducted in the state and other states and also the national and state level conferences. The PG students are also encouraged to attend the conferences, CMEs , PG training programme conducted in the state. Two PG students were awarded gold medal for the best poster presentation in 2015 and 2016;

  • Advances 2015’ XVIth Annual International Congress of Trivandrum OBGYN Club on Obstetrics Gynecology and Reproductive Medicine - August 14th, 15th & 16th 2015.Poster Presentation by Dr. Anupama S.-“An unusual case of congenital malrotation of gut causing recurrent second trimester pregnancy loss”
  • Advances 2016 XVIIth Annual International Congress of Trivandrum OBGYN Club on Obstetrics Gynecology and Reproductive Medicine - August 12th, 13th & 14th 2016.Poster Presentation by Dr. Surumi Mammu.
Features

DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY
(i) General
Speculums and Retractors 50
EA + ECC sets 20
PCT forceps 10
Ayers spatula 30
Cytology bottle 30
Microscope 2
MR Syringes 10
Coloposcope 1
Cryo/ electro cautery apparatus 2
Simple fetal doppler 2
NST machine 3
Stitch removal sets 10
Dressing sets 10
Ultrasound machine 2
Proctoscope 6
Weighing machine 2
Height scale 2
View box (Blood pressure apparatus, measuring tapes, gloves, syringes, needles, torch) 2
Resuscitation tray (Laryngoscope, ET tube, ambu bag, suction catheter, essential drugs) 2
Suction machine 2
Hysterosalphigogram canula 8
MAIN OPERATION THEATRE
Abdominal Hysterectomy set(arteries, scissors, scalpel, Allis’s kelly’s clamp, babcock forceps, thumb forceps, Haringtom & Richardson retractors.) 6
Vaginal Hysterectomy set (Scalpel, scissors, metal catheter, sim’s, speculum, volsellum, kelly’s clamps, right angle reteactor, arteries allis, uterine sound, bladder sound) 6
Tuboplasty set 1
Myomectomy instruments (myoma screw, boney’s clamp) 2
Diagnostic laparoscopy set 1
Hystroscopy set 1
Electronic Carbondioxide Insufflator/ Insufflator basic unit 2
Electrocautery 3
Hysteromat 2
Operating Microscope/ Loupe Electrocautery 2
SPECIAL EQUIPMENT
Contact microhystroscope Nil
Co2 & Nd Yag laser Nil
LABOUR ROOM
Delivery sets 20
B.P Apparatus 6
Weighing machine 2
Fetal Doppler 2
Cardiotocogram machine 5
Portable ultrasound 1
High suction machine 2
Resuscitation tray 2
SPECIAL EQUIPMENT
Oxytocin infusion pumps 2
Multichannel monitors 3
Intrauterine Pressure
TEACHING SET
Doll and Dummy 2
Female Pelvis 2
Gross specimens
X-ray/ US films 2
View box
VCR
Overhead Projector 2
Slide Projector Nil
Set of instruments/ forceps etc. 2
MISCELLANEOUS
Camera with 200m lens
Endocamera/ Television
TTL flash light available
Carbondioxide Monitor
Caculter channelizer
*Disposables, to be issued on monthly basis
MINOR OPERATION THEATRE
Cervical biopsy set 8
MTP set 10
D&C set 10
Hydroubation set 4
IUCD insertion/ removal set 15
High suction machine 3
Resuscitation Tray 1
E.B Set (OT lights, OT tables)Central Oxygen Suction Unit 10available
MATERNITY O.T
Set for LSCS 10
D&C set 10
MTP set 10
High suction machine 4
Cervical exploration set 4
Uterine packing forceps 4
Abdominal Hysterectomy set 2
Diagnostic laparoscopy set 4
Laprocator for tubal ligation 4
Post prtum ligation set 4
Outlet forceps 6
Low mid cavity forceps/ kjielland forceps 0
Vacuum Extractor and suction machine 4
Resuscitation tray 2
Decapitation hook 0
Cranioclast with cephalotribe 0
OldhamPerforator 1
Infusion Pump 2
EB set 6
Operation Theatre Table, Operation Theatre lights, Central Oxygen and suction available
SPECIAL EQUIPMENT
Multichannel monitor with ECG, BP, HR, Pulse Oxymetry for high risk pregnant patients (eclampsia, heart diseases etc.) 2
WARDS
Blood Pressure Apparatus 6
Weighing machine 1
Height scale 1
Speculums and Retractors 60
Glucometer 2
Microscope 2
Sucture removal sets 10
Dressing sets 25
Ultrasound 2
Cutdown sets 2
Blood gas analyser 1
CTG machine 2
Suction machine 3
Resuscitation tray 3
View box 2
Central O2and suction
SPECIAL EQUIPMENT
Ultrasound machine with Doppler/ vaginal probe/ facilities for interventional procedure 1
Multichannel Monitor 1
Fetal Monitor for Antepartum Surveillance 3
Computer for data entry 1
(Gloves, Syringes, needles, torch, measuring tape etc.)
LABORATORY EQUIPMENT FOR FOLLOWING INVESTIGATIONS:
H.gram Done in central lab
Urine examination Done in central lab
Semen analyses Done in central lab
Renal function test (RFT), Liver Function Test (LFT), Done in central lab
Including Serum Blutamase Test(SBT), Done in central lab
electrolytes Blood sugar Done in central lab
Cullture facilities Done in central lab
24 hr urine alb. Creatinine Done in central lab
VDRL, TORCH Done in central lab
HIV Done in central lab
Serum, BHCG, estriol, MSAFP Done in central lab
Semen wash Done in central lab
FSH, LH Prolactin, T3, T4 Done in central lab
TSH, Testosterone, DHEAS Done in central lab
Chlamydial and other Done in central lab
reproductive tract infection testing Done in central lab
GENETIC LAB. – Cytology, Chromosome study, PCR for various abnormalities Nil
Facilities for biochemical tests Done in central Lab
and enzyme studies for prenatal diagnosis Done in central Lab
Blood gas analyser Done in central Lab
Thalassemia study Done in blood bank which is very close to labour room
ABO and Rh typing
PCR for tuberculosis Nil
Viral markers for Hepatitic studies
Coagulation profile, fibrinogen degradation products
Blood bank facilities
Cryopreservation
Assisted reproductive techniques. Available

Paper Presentation

PAPER PRESENTATIONS
Sl. No Topic Author Remarks
1 Biomarkers in Ovarian Carcinoma Dr.Usha Christopher ICCCON 2014 – National Conference on Gynaeo Paediatric Malignancies – 18th & 19th October 2014

Poster Presentation

POSTER PRESENTATIONS
Sl. No Topic Author Remarks
1 Unusual Presentation of Fibromyoma Dr Surumi M Advances 2016 held on 12.13.14th August 2016 at Trivandrum
2 An unusual case of congenital malrotation of gut causing recurrent second trimester pregnancy loss Dr. Anupama Advances 2015’ XVIth Annual International Congress of Trivandrum OBGYN Club on Obstetrics Gynecology and Reproductive Medicine – August 14th , 15th & 16th 2015
3 Squamous Cell Carcinoma arising from Dermoid Cyst of Ovary with metastasis to the uterus Dr.Renjula GoldaLysander Advances 2014’ XVth Annual International Congress of Trivandrum OBGYN Club on Obstetrics Gynecology and Reproductive Medicine - August 15th , 16th & 17th 2014

Publications

PUBLICATIONS
Sl. No Topic Author Journal Remarks
1 Morphological and Histological Variations of Human Placenta in Hypertensive Disorders of Pregnancy Dr. MK Siva Sree Ranga, Dr.Adaline Thangam, Dr. M.V.Indira, Dr. MC Vasantha Mallika International Journal of Anatomy and Research 2017, Volume 5(1):3591-98. ISSN 2321-4287
2 Can perioperative haemodynamic s and opioid requirement in Abdominal Hysterectomy be influenced by a premedication drug? M Paul Wilson, Usha Christopher International Journal of Reproduction, Contraception, Obstetrics and Gynecology pISSN: 2320-1770, Volume 5 , Issue 12, December 2016
3 Maternal parameters in lower segment caesarean section: a comparative study of the effects of spinal anaesthetic agents M Paul Wilson, Usha Christopher International Journal of Reproduction, Contraception, Obstetrics and Gynecology pISSN: 2320-1770, Volume 5 , Issue 12, December 2016
4 Is there any association between maternal risk factors and early neonatal sepsis? Usha Christopher, C Adlin Rose International Journal of Biomedical Research ISSN:0976-9633; 2455-0566 IJBR (2016) 7 (08)
5 Maternal outcome inpregnancies withovert diabetes Reeti Rajan,Devi Gayathri International Journal of Biomedical Research 2016;7(7):524-528
6 Preterm Premature Rupture of membranes: Maternal and fetal outcome Reeti Rajan, Vrinda Menon International Journal of Research in Medical Sciences August 2016 Vol 4 Issue 8
7 Role of USG and D&C in evaluation of post menopausal women presenting with bleeding and with asymptomatic endometrial thickening Dr.Lakshmi Nair International Journal of Current Medical Research http://www.wrpjournals.com/IJMSC Vol. 4, No. 5, pp. 360-362, May 2015
8 A retrospective analysis of ectopic pregnancy in a tertiary care centre in South Kerala Lakshmi Nair, Nirmala Peter and Adlin Rose International Journal of Biomedical Research 2015; 6(05): 331-333. 331 IJBR (2015) 6 (05) www.ssjournals.com ISSN: 0976-9633 (Online)
9 A Retrospective analysis of causes, diagnosis and management of aub in perimenopausal woman Dr.Lakshmi Nair, Dr.Usha Christopher Indian Journal of Medical Research and Pharmaceutical Sciences July 2015; 2(7)
10 A Study on Obstetric profile of mothers undergoing primary caesarean section & their neonatal outcome in a teritiary care center South Kerala Dr.Monitta, Dr.Adaline Thangam, Dr.Subha Joice International Journal of biomedical & Advance Research Vol. 6 No.12, Page No.835- 838/ 2015

Teaching Staff of Department of Obstetrics & Gynaecology
SL NO: NAME OF FACULTY DESIGNATION
1 Dr. M. K. Kanakamma Professor
2 Dr. Reethu Raj Junior Resident
3 Dr. Manju .A Assistant Professor
4 Dr. Merin Sheena. J Senior Resident
5 Dr. Minnu. G. Dev Junior Resident
6 Dr. Noble Ann Abraham Junior Resident
7 Dr. Karthika Mohan Junior Resident
8 Dr. Mary Padmini Jasper Professor and HOD
9 Dr. G. Vijayakumari Professor
10 Dr. T. Jemela Bennet Professor
11 Dr. T. F. Adaline Thangam Professor
12 Dr. Usha Christopher Professor
13 Dr. Jayanthi. M Assistant Professor
14 Dr. Goldy S. J Assistant Professor
15 Dr Reethi Rajan Associate Professor
16 Dr Shraddha Dattatraya Pathak Assistant Professor
17 Dr Nancy S Pillai Assistant Professor
18 Dr. Adline Rose Senior Resident
19 Dr Revathi S Senior Resident
20 Dr. Anupama S Senior Resident
21 Dr. Ekta Sanjayrao Chaware Junior Resident
22 Dr. Surumi Mammu Junior Resident
23 Dr. Aleena Arun Kannattu Junior Resident
24 Dr. Shweta Miriam Oommen Junior Resident
25 Dr. Aruna S.U. Junior Resident

Dr. Mary Padmini Jasper

Professor and HOD

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