Download MGR MBBS Final Year Obstetrics and gynaecology Syllabus

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OBSTETRICS AND GYNAECOLOGY UG CURRICULUM
GOAL
SPECIFIC LEARNING OBJECTIVE
KNOWLEDGE
SKILLS

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INTEGRATION
TEACHING HOURS
TEACHING METHODOLOGY
THEORY SYLLABUS
PRACTICAL SYLLABUS

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REFERENCE LEARNING (BOOKS)
THEORY EXAMINATION
PRACTICAL EXAMINATION
VIVA & OSCE EXAMINATION
FORMATIVE ASSESSMENT - WHEN TO SUBMIT

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INTERNAL ASSESSMENT TEST ? UNIT WISE
MEDICAL ETHICS
INTEGRATED TEACHING
RECORD
GOAL

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The broad goal of the teaching of undergraduate students in
obstetrics and gynaecology is that he/she should acquire understanding of anatomy,
physiology and pathophysiology of the reproductive system and gain the ability to
optimally manage common conditions affecting it.
Specific learning objectives

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KNOWLEDGE
At the end of course, the student should be able to;
Appreciate the socio cultural, economic and demographic factors that influence
the practice of obstetrics and gynaecology.
Outline the anatomy, physiology and pathophysiology of the reproductive

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system and the common conditions affecting it.
Know the normal menstrual cycle, etiopathology and management of menstrual
abnormalities.
Recognise the changes and adaptation that occur in the mother during normal
pregnancy, labour and puerperium and manage the problems he/she is likely to

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encounter therein.
List the leading causes of maternal and perinatal morbidity and mortality.
Understand the principles of contraception and various techniques employed,
methods of medical termination of pregnancy, sterilization and their
complications.

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Identify the use, abuse and side effects of drugs in pregnancy, adolescence,
premenopausal and post-menopausal periods.
Describe the national programme of maternal and child health and family
welfare and their implementation at various level.
Recognise the importance of infections and other diseases of genital tract.

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10. Identify common gynaecological diseases and describe principles of their
management.
11.State the indication, techniques and complications of
surgeries like caesarean section, laparotomy, abdominal and vaginal hysterectomy,
Fothergill's operation and vacuum aspiration for MTP.

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12.Describe the indications, procedures and complications of operative
vaginal delivery like forceps and vacuum extraction.
13.Know about the displacements of the genital tract and injuries.
14.Understand the implications of medico legal and ethical issues
concerning the specialty.

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B.SKILLS
At the end of training in obstetrics and gynaecology, the
student will be able to;
Acquire communication, decision making and managerial skills.
. Examine a pregnant woman, recognise high risk pregnancies and make

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appropriate referrals
Conduct normal labour, recognise complications and provide postnatal care.
Institute primary treatment in obstetrics and gynaecological emergencies.
Resuscitation of newborn and its management and recognise congenital
anomalies.

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Evaluate couples with infertility.
Advice couples regarding the use of different methods of contraception and
assist in insertion and removal of intra uterine contraceptive devices.
Acquire skills to perform obstetrical and gynaecological examinations and
certain minor investigations and diagnostic operative procedures like taking

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cervical cytological smear, wet vaginal smear for trichomonas vaginalis,
moniliasis and gram stain for gonorrhoea.
Interpretation of data of investigations like biochemical, histopathological,
imaging etc.
C.INTEGRATION

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The student should be able to integrate clinical skills with other disciplines and gain
knowledge about obstetrics and gynaecology.
Examples:
Anatomy of female pelvis and female reproductive system(lectures will be handled by
the department of anatomy and obstetrics and gynaecology)

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Physiology of menstruation and ovulation(lectures will be handled by the department
of physiology and obstetrics and gynecology)
Physiological changes in pregnancy( lectures will be handled by the department of
physiology and obstetrics and gynecology)

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Pelvic inflammatory disease (lectures will be handled by the department of

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microbiology,pathology and obstetrics and gynecology)
Maternal and Perinatal mortality (lectures will be handled by the department of
community medicine and obstetrics and gynecology)
Hypertensive disorders in pregnancy (lectures will be handled by the department of
general medicine,cardiology, obstetrics and gynecology)

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Anemia complicating pregnancy(lectures will be handled by the department of general
medicine, obstetrics and gynecology)
Heart diseases complicating pregnancy(lectures will be handled by the department of
general medicine, cardiology, obstetrics and gynecology)
Bad obstetric history(lectures will be handled by the department of rheumatology ,

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diabetology , obstetrics and gynecology)
Diabetes complicating pregnancy(lectures will be handled by the department of
general medicine,diabetology,nephrology, obstetrics and gynecology)
Gestational trophoblastic diseases(lectures will be handled by the department of
pathology, medical oncology, obstetrics and gynecology)

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Management of gynaecological malignancies(lectures will be handled by the
department of medical oncology,surgical oncology,radiation oncology, obstetrics and
gynecology)
TEACHING HOURS
300 hours for obstetrics and gynaecology. This includes theory lectures,

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demonstrations, seminars, drills.
Time Table for clinical postings:
Semester
Weeks
3rd

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2(3h*6d*2w=36 h)
4th
4(3h*6d*4w=72h)
5th
4(3h*6d*4w=72h)

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6th
-
7th
4(3h*6d*4w=72h)
8th

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4(3h*6d*4w=72h)
9th
6(3h*6d*6w=108h)
Total 24 weeks

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Note:

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This period of training is minimum suggested. Adjustments can be made
depending on the availability of time. This period of training does not include
university examination period. During clinical posting for each student, a
minimum of 3 hrs duration per day is suggested.
TEACHING METHODOLOGY

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Interactive and didactic lectures(1/3 of the
100 hrs
schedule as per MCI)
Case presentations,General clinics,Clinical 100 hrs
demonstrations,Drills and

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manoeuvres,Observation of obstetric and
gynaecological procedures
Seminars/Symposium with pre and post
50 hrs
test questionnaires

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Group discussions, Bedside teaching,ward 15 hrs
rounds,Observation of management of
critically ill patients in maternity intensive
care unit and assisting vaginal deliveries in
labour ward

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Role play,Communication skills,OSCE,Viva 15 hrs
Integrated teaching classes
20 hrs
Total
300 hrs

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THEORY SYLLABUS
OBSTETRICS:
1. PELVIS
Must know
Anatomy of pelvic bones, planes and diameters

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Desirable to know
Classification of pelvic shapes & its clinical significance
Nice to know
Applied anatomy as related to Obstetrics and Gynaecology.

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2. ANATOMY OF FEMALE REPRODUCTIVE TRACT

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Must know
Anatomy of internal and external reproductive organs, pelvic floor muscles and fascia
including their relationship to other pelvic organs
Desirable to know
Pelvic musculature, vascularity, lymphatics and innervation

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Nice to know
-Applied anatomy as related to Obstetrics and Gynaecology
-anomalies of reproductive tract
-embryological development of female genital tract.
3. PHYSIOLOGY OF CONCEPTION:

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Must know
Gametogenesis, ovulation, menstruation, fertilisation and implantation,
spermatogenesis
Desirable to know
-role of pregnancy hormones

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-normal semen parameters
Nice to know
Immunomodulators of pregnancy and immunological basis of recurrent pregnancy loss
4. DEVELOPMENT OF FETUS and PLACENT
Must know

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Basic embroyology, development and structure and the various functions of placenta,
foetal membranes and umbilical cord
Fetal development and growth at various gestational ages, foetal circulation

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Desirable to know
Abnormality of the placenta, cord and membrane

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Nice to know
Teratogenic agents and drugs contraindicated in early pregnancy
5. DIAGNOSIS OF PREGNANCY
Must know
Clinical symptoms and signs of all trimesters of pregnancy

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Desirable to know
Dating in early pregnancy including USG DATING
Various tests to diagnose pregnancy
Calculation of EDD
Desirable to know

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Screening tests available in various trimesters to rule out congenital anomalies
Nice to know
Preimplantation genetic disease
6. MATERNAL CHANGES DURING PREGNANCY
Must know

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Anatomical and physiological alterations in blood, endocrine system, reproductive
tract, cardiovascular, respiratory, urinary tract, gastrointestinal tract and other systems.
Desirable to know
Clinical implications of the physiology and metabolic adaptation that take place during
pregnancy

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7. ANTENATAL CARE
Must know
Objectives of antenatal care, clinical diagnosis of pregnancy and registration,
antenatal history taking and examination, monitoring of foetal growth, various

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screening procedures available for identification of high risk cases and early referral

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Advice during the antenatal period with regard to nutritional requirements,
immunisation and treatment of common illness
Desirable to know
Preconceptional Counselling
Antepartum foetal surveillance tests

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Monitoring of patient with bad obstetric history / high risk pregnancies
Nice to know
PCPNDT act
8. COMPLICATIONS OF EARLY PREGNANCY
Must know

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Causes of haemorrhage in early pregnancy
Various types of miscarriages, their definitions, causes, investigations and
management
Diagnosis of ectopic pregnancy and its management
GTN and its management

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Desirable to know
Medical management of ectopic pregnancy
Nice to know
Management of recurrent pregnancy loss
9. HYPEREMESIS GRAVIDARUM

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Must know
Aetiopathogenesis, investigations and management
Desirable to know
Unusual complications of hyperemesis and management

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Nice to know

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Differential diagnosis of hyperemesis gravidarum and its management
10. ANTEPARTUM HAEMORRHAGE
Must know
Classification, causes of antepartum haemorrhage and discussion of the two most
common causes of APH including its complication

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Investigations including various imaging modalities that aid in the diagnosis and
management
Desirable to know
Management of complications like intrauterine fetal death and morbidly adherent
placenta

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Nice to know
Hepatorenal syndrome, MODS, DIVC, massive blood transfusion protocols
11. MALPRESENTATION AND MALPOSITIONS AND CPD
Must know
Causes, clinical findings, diagnosis of malpresentations and malpositions and

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mechanism of labour in such cases
Partogram and its uses
Causes of contracted pelvis and diagnosis and management
Diagnosis of CPD and trial of labour
Definition of obstructed labour and rupture uterus, causes, clinical features and

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management
Prevention of rupture uterus
Desirable to know
Assisted breech delivery

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Nice to know

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Antepartum and intrapartum management of various malpresentations and
malpositions
12. MULTIPLE PREGNANCIES
Must know
Causes, diagnosis, differential diagnosis, complications in pregnancy and labour and

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management
Determination of chorionicity, role of USG and Doppler in multiple pregnancies
Desirable to know
Mechanism of twin to twin transfusion and management of stuck twin and single foetal
demise

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Nice to know
Conjoint twins, management of interlocked twins and selective fetal reduction
13. POLYHYDRAMNIOS AND OLIGOHYDRAMNIOS
Must know
Causes, diagnosis, investigations and management of its complications

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Desirable to know
Complications and outcome
Nice to know
Recent trends in management
14. HYPERTENSIVE DISORDERS OF PREGNANCY

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Must know
Aetiopathogenesis, classification, diagnosis, investigations and management of
gestational hypertension, preeclampsia and its complications
Predictive tests and prevention of preeclampsia and eclampsia
Management of imminent eclampsia and eclampsia

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Desirable to know
Critical care management of complications of hypertensive disorders of pregnancy like
HELLP, pulmonary edema, CCF, CVA
Nice to know
Differential diagnosis of convulsions in a pregnant woman and its management

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15. ANEMIA DURING PREGNANCY
Must know
Causes, complication of various types of anaemia and their diagnosis
Nutritional anaemia and their management
Prevention of anaemia

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Foetomaternal complications of anaemia during pregnancy and management during
labour
Desirable to know
Management of non-nutritional anaemia in pregnancy
Nice to know

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Iron metabolism, heme synthesis
16. DIABETES MELLITUS AND PREGNANCY
Must know
Definitions, classification, screening tests for GDM, diagnosis
Routine antenatal care of patients with GDM/overt DM and management during labour

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Management of neonate of diabetic mother
Desirable to know
Preconceptional counselling
Nice to know
Glucose homeostasis in pregnancy

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Management of DKA

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17. HEART DISEASE AND PREGNANCY
Must know
Cardiovascular physiology during pregnancy, labour, delivery and postpartum period
History taking and examination of heart disease during pregnancy and labour

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Contraception
Desirable to know
WHO risk stratification of heart diseases in pregnancy
Peripartum cardiomyopathy
Nice to know

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Indications for cardiac surgeries during pregnancy
Role of anticoagulants
18. INTRAUTERINE-GROWTH RESTRICTION AND INTRAUTERINE DEATH
Must know
Causes, types of IUGR , diagnosis, surveillance and management

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Desirable to know
Recent advances in diagnosis and management
Nice to know
Sequelae of IUGR and its medico legal implications
19. INFECTIONS DURING PREGNANCY

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Must know
UTI, Malaria, syphilis, Tuberculosis, hepatitis, HIV and viral infections during
pregnancy and their management
Desirable to know
Clinical significance of various infections during pregnancy.

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20. PRETERM LABOUR, PPROM AND PROLONGED PREGNANCY
Must know
Causes, aetiopathogenesis, diagnosis, principles of management of preterm labour
and delivery.
Role of steroid prophylaxis

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Care of the preterm newborn
Definition of prolonged pregnancy, postdated pregnancy, post term pregnancy, its
complications, antepartum and intrapartum foetal surveillance, induction of labour and
management of the above.
Desirable to know

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Prediction and Prevention of Preterm labour and role of various tocolytics
Nice to know
Neonatal problems of preterm and post term babies
21. Rh NEGATIVE PREGNANCY
Must know

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Aetiopathogenesis and pathology of Rh isoimmunisation.
Diagnosis, Antenatal evaluation protocols and scheme of management
Prevention of Rh isoimmunisation
Desirable to know
Management of haemolytic disease in new born

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Nice to know
In-utero management of isoimmunised foetus and foetal therapy

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22. NORMAL LABOUR
Must know
Physiology, mechanism and conduct of normal labour

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Partogram and monitoring various stages
Abnormal labour
Active management of third stage of labour and complications of third stage of labour
Management of fourth stage
Desirable to know

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Antepartum and intrapartum foetal surveillance, diagnosis and management of fetal
distress and cord prolapse
Nice to know
Pain relief during labour
23. POSTPARTUM HAEMORRHAGE

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Must know
Definition , types , prevention , diagnosis and management of PPH
Retained placenta
Manual removal of placenta
Medical and surgical Management of Atonic PPH

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Inversion of uterus and colporrhexis
Desirable to know
Transport of a patient in shock from the periphery to a higher centre
Morbidly adherent placenta
Nice to know

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Postpartum collapse
Secondary PPH

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24. INDUCTION /AUGMENTATION OF LABOUR
Must know
Modified Bishop's score

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Pre-requisites for induction of labour
Various methods of cervical ripening
Successful induction and failed induction
Complications and contraindications for induction of labour
Various methods /drugs for augmentation of labour

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Partogram
Desirable to know
Complications of labour induction
Nice to know
Arrest disorders in partogram

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25. OPERATIVE OBSTETRICS
Must know
Indications, techniques and complications of episiotomy
Indications, technique and complications of caesarean section.
Forceps and vacuum deliveries

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Assisted breech delivery
Methods of tubectomy complications and failure rates
Manual vacuum aspiration
Cervical cerclage
Desirable to know

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Management of shoulder dystocia

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Nice to know
Breech extraction and destructive obstetric procedures like cleidotomy, decapitation,
craniotomy, evisceration.
POST-CAESAREAN PREGNANCY

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Must know
Evaluation of a case of post caesarean pregnancy and plan of management
Conduct of VBAC in a case of post caesarean pregnancy.
Recognition of impending scar rupture.
Desirable to know

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Management of Intra operative and post operative complications of repeat Caesarean
section.
Nice to know
Internal iliac artery ligation and management of rupture uterus
PUERPERIUM

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Must know
Course of normal puerperium and complications of puerperium like puerperal sepsis
and its diagnosis, management and prevention
Breastfeeding and common problems like lactational failure, cracked nipple and breast
abscess

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Care of neonate and infant and immunisation schedule
Desirable to know
Thrombo-embolic disorders and puerperal emergencies like Postpartum eclampsia
Nice to know
Puerperal psychosis

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Postpartum collapse
Secondary PPH

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CONTRACEPTION
Must know
Cafetaria approach of various methods of contraception, advantages and side effects

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and failure rates, selection of patients and counselling
IUCD insertion and removal.
Emergency contraception
Nice to know
Implants and vaginal rings

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MEDICAL TERMINATION OF PREGNANCY
Must know
MTP act, indications, contraindications, various methods of first trimester and second
trimester termination and their complications
Concurrent contraception

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Desirable to know
Management of complications of various methods of MTP
PERINATAL AND MATERNAL MORTALITY IN INDIA
Must know
Definition of PNMR, MMR, causes and prevention of perinatal and maternal mortality

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Desirable to know
PNMR, MMR in our state and country
Nice to know
Maternal and neonatal audit
GYNAECOLOGY

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VAGINAL DISCHARGE
Must know
Physiological and pathological causes of vaginal discharge

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Clinical characteristics, diagnosis, predisposing conditions and management
2. AMENORRHOEA

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Must know
Definition
Turner's syndrome
Desirable to know
Classification of primary and secondary amenorrhoea, history taking and physical

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examination, investigations and principles of management
Nice to know
Details of management of various causative factors
3. ABNORMAL UTERINE BLEEDING
Must know

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Normal menstrual pattern and physiology of menstrual cycle
AUB- Palmcoein classification, causes and various terminologies
Role of tissue sampling in diagnosis and management of various gynaecological
disorders
Definition, etiology and classification of DUB and its management

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Desirable to know
Minimally invasive surgical techniques for diagnosis and management of AUB
4. INFERTILITY
Must know
Definition of infertility, history taking and physical examination

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Causes, investigations of a couple with infertility and semen analysis
Causes of anovulation and induction of ovulation, tests of ovulation and tubal patency
Male infetility

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Desirable to know
Management of tubal and pelvic factors of infertility

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Ovarian reserve and tests for ovarian reserve
Nice to know
Recanulation,counselling for ART
5. PELVIC ORGAN PROLAPSE
Must know

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Pathophysiology and levels of defect of the supports of uterus
History taking and physical examination in a case of pelvic organ prolapse
Classification, causes, diagnosis, investigation and management in relation to age and
parity
Various surgical opinions for correction of pelvic organ prolapsed

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Pessary treatment
Desirable to know
Nulliparous prolapse and Sling surgeries
Nice to know
POPQ grading

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Vault prolapse and its treatment
6. URINARY INCONTINENCE
Must know
Definition,classification
Desirable to know

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pathophysiology , history taking, physical examination and differential diagnosis
Investigations and management of stress urinary incontinence

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Surgical therapy of stress urinary incontinence
7. BENIGN TUMORS OF INTERNAL REPRODUCTIVE ORGANS LIKE FIBROID
UTERUS, SIMPLE OVARIAN CYST

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Must know
Causes, clinical diagnosis by history & physical examination, investigations, various
imaging techniques for diagnosis of fibroid uterus and ovarian cyst
Various therapeutic approaches for management of fibroid uterus ovarian cyst,
endometriosis (like medical and surgical)

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Desirable to know
Recent advances in the management of the above and their management during
pregnancy
Nice to know
Minimally invasive surgeries for fibroid uterus

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8. UTERINE ANOMALIES
Must know
Normal development of the female urogenital system
Classification and diagnosis of various anomalies of urogenital system
Desirable to know

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Problems due to uterine anomalies
Nice to know
Surgical procedures for specific anomalies
9. PELVIC INFLAMMATORY DISEASE
Must know

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Definition, causes, diagnostic criterion, sequelae and management of PID, sexually
transmitted infections and their prevention. Genital tuberculosis diagnosis and
management.
Prevention of PID

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Desirable to know

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SYNDROMIC APPROACH AND MANAGEMENT ACCORDING TO CDC Guidelines
10. GENITAL TRACT INJURIES AND GENITAL FISTULA
Must know
Postcoital injuries and operative injuries to urinary tract.
Causes, clinical features and diagnosis of genital fistulae and their management

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Nice to know
Operative techniques and complications
11. PREMALIGNANT LESIONS AND MALIGNANCY OF GENITAL TRACT
Must know
Etiology and pathology, classification, diagnosis of premalignant and malignant lesions

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of vulva , vagina, cervix, uterus and ovary.
Screening for carcinoma cervix, carcinoma endometrium, tumour markers and
advanced imaging techniques, staging and management of cervical, endometrial
cancer and ovarian cancer
Prognosis

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Desirable to know
Screening for breast cancer.
Chemotherapy and radiotherapy of carcinoma cervix, carcinoma endometrium,
carcinoma ovary
Nice to know

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Recurrence of the disease
Role of palliative care
Management during pregnancy

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12. PROBLEMS OF ADOLECENCE AND MENOPAUSE
Must know

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Definition
Desirable to know
Evaluation of post-menopausal bleeding and management
Causes, investigations and management of precocious puberty
Nice to know

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Menopausal symptoms and management of menopause including hormonal therapy
13. OPERATIVE GYNAECOLOGY
Must know
Indications, technique and complications of dilation and curettage and fractional
curettage, Liquid based cytology, Pipelle endometrial sampling, Vaginal

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hysterectomy, Ward Mayo's operation, Manchester repair, Abdominal Hysterectomy,
Ovariotomy. Diagnostic laparoscopy, staging laparotomy for endometrial and ovarian
malignancies
Desirable to know
Indications and techniques of colposcopy, Hysteroscopy and operative laparoscopy.

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Diagnosis and management of post operative complications
4.PRACTICAL SYLLABUS
1. COMMUNICATION SKILLS
Must acquire
History taking skills-present and past history

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History of Medical and surgical disorders if any
Family history and treatment history
Counselling for contraception, breast feeding

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Desirable to acquire
A. General physical examination and systemic examination

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B. Obstetric examination
speculum and vaginal examination
diagnosis of early pregnancy
measurement of symphysio fundal height
plotting gravidogram to monitor foetal growth

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obstetric palpation to know the lie, presentation and position of foetus
pelvic assessment to know grossly contracted pelvis
Diagnosis and monitoring of labour
appreciate normal uterine contraction by palpation
foetal heart normality

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cervical dilatation
identification of presenting part, plotting a partogram and recognition of
deviations from normal
Catheterisation of bladder during labour
Technique of Artificial rupture of membranes

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Conduct of normal labour including active management of III stage
Technique of episiotomy and its suturing
Recognition of perineal tears and suturing
Exploration of genital tract for injuries after delivery
Care of normal new-born

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Desirable to acquire
Techniques of assisted breech delivery

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Nice to know
Vacuum application and extraction
Outlet forceps application

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Repair of cervical tear
Vaginal packing
Nice to know
Breech extraction
D. Gynaecology examination

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Must acquire
Inspection and recognition of various parts of external genitalia
Per speculum examination and recognition of unhealthy cervix and growth on cervix ,
technique of pap smear, bimanual pelvic examination to know the size and position of
uterus and presence of adnexal mass

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Identification of cystocele, rectocele and enterocele and descent of cervix
Desirable to acquire
Technique of cervix biopsy
Technique of Schiller's test and acetic acid test
Technique of IUCD insertion and removal

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Nice to acquire
Blood transfusion
MANAGERIAL SKILLS
Must know
Transport of patient with convulsions and shock

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How to co-ordinate with a team member
Desirable to know

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Organisation of antenatal clinics and arrangement for cervical cancer screening camps
5.RECOMMENDED BOOKS
OBSTETRICS:

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1. Mudaliar and Menon's clinical obstetrics 12th edition
2. Text book of obstetrics D.C.Dutta 8th edition
GYNAECOLOGY:
Shaw's text book of gynaecology 16 th edition
Textbook of gynaecology D.C.Dutta- 7th edition

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6.THEORY EXAMINATION
Theory 2 papers of 40 marks each ? 80 marks
Paper 1 ? Obstetrics including social obstetrics
Paper 2 ? Gynaecology, family welfare and demography
Shall contain one question in basic science and allied subjects.

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1. Essay
=
1 x10 marks
=
10 marks

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2. Brief Answers
=
5 x 4 marks
=
20 marks

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3. Short Answers
=
5 x 2 marks
=
10 marks

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Total
40 marks
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7. PRACTICAL EXAMINATION

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Obstetrics and Gynecology :
PRACTICAL EXAMINATION
Clinical Examination (Case Presentation
50 Marks
&OSCE)

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Case Presentation
Obstetrics Long Case (30 min)
15 Marks
Gynaecology Short case
20 Marks

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(2 x 15 min)
(2 x 10Marks)
SPOTTERS (5 X 1Min) (5 x 1 marks)
5 Marks
OSCE (5 x 3 min ? 15 min)

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10 Marks
5 x 2 marks
a) Partography / CTG
b) FW counseling
c) Obstetics Skills

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d) Cancer screening
e) Recent advance
Total
50 Marks
OSCE

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a) Partograph/ CTG : 2 marks
Partogram:
-Normal labour
-Obstructed labour
-fetal distress

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-Secondary arrest of descent
-Secondary arrest of dilatation

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CTG:
-Normal CTG
-Late deceleration

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-Early deceleration
-Variable deceleration
-Saltatory pattern
b) Family welfare counselling : 2 marks
-IUCD

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-OCP
-Condom
-DMPA Injection
-Cafetaria approach
c) Obstetric skills : 2 marks

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-Abdominal and obstetric examination
-Conduct of labour
-Episiotomy and suturing
-Conduct of breech delivery
-Medical Management of PPH

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-Bimanual compression of uterus
-Condom tamponade
-Management of cord prolapse,shoulder dystocia
-Eclampsia management

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d) Cancer screening : 2 marks

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-Pap smear,pipelle
-Tumour markers
-USG findings
-VIA VILI
-Colposcopy

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-Diagnosis of carcinoma cervix,vulva and vagina
e) Recent advances : 2 marks
-Newer parenteral iron preparations
-Oral hypoglycemics in pregnancy
-Infertility(surrogacy, oocyte preservation)

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-Family welfare- Newer contraceptive methods
-Liquid based cytology
-New drugs in management of fibroid,AUB and endometriosis
-Uterine artery embolisation
8.VIVA : 30 marks

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Pelvis :
5 marks
Specimen :
5 marks
Imaging :

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5 marks
Instruments :
5 marks
Family welfare :
5 marks

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Drugs :
5 marks

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9.FORMATIVE ASSESSMENT :
It is an ongoing assessment wherein students in groups are allotted to a specific tutor

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or consultant in the hospital during opds,theatre,everyday for about an hour
At the end of each posting, the tutor or consultant does a formative assessment of the
student who are posted with him/her and attendance is submitted to the university
Theory tests should be conducted periodically at the end of four chapters
SEMESTER

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TESTS
OBSTETRICS
GYNAECOLOGY
3RD
2 weeks(2

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The pelvis,genital
Anatomy, normal
theory
organs,physiology of
histology,

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tests)
ovulation and
physiology,
menstruation,fertilisation of
puberty, pediatric

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ovum and the development
and adolescent
of embryo
gynaecology,
perimenopause,

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menopause,
postmenopausal
bleeding
4TH
4 weeks(4

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Diagnosis of pregnancy,
Gynaec diagnosis,
theory
prenatal care, fetus in
endoscopy in

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tests,1
normal pregnancy, maternal gynaecology,
practical
changes during pregnancy,
imaging

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test)
drugs in pregnancy
modalities,
malformations of
female genital

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organs, sexual
development and
disorders ,sexually
transmitted
diseases, cervix

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and uterine
inflammation,
pelvic
inflammatory
disease, TB of the

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genital tract.

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5TH
4 weeks(4
Causation and stages of
Injuries of the

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theory
labour, intrapartum
female genital
tests, 1
surveillance, conduct of

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tract, diseases of
practical
normal labour and its
the urinary
test)

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mechanism, normal
system, genital
puerperium, abnormal labour fistulae, urinary
and complications
incontinence,

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infertility and
sterility, MTP and
birth control,
ectopic gestation,
trophoblastic

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diseases
7TH
4 weeks(4
Complications of pregnancy Disorders of
theory

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with neonatal problems
menstruation,
tests,1
genital prolapse,
practical

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displacements,
test)
diseases of vulva
and vagina,
benign diseases

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of the uterus,
endometriosis and
adenomyosis
8TH
4 weeks(4

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Obstetric surgeries and high Disorders of the
theory
risk pregnancies,
ovary, breast and
tests, 2

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antepartum fetal surveillance ovarian tumours,
practical
disorders of the
test)
broad ligament,

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tubes and
parametrium,
acute and chronic
pelvic pain, vulval
and vaginal

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cancer,
dysmenorrhea
and premenstrual
syndrome, CIN
and Carcinoma

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cervix

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9TH
6 weeks( 5 Diseases complicating
Cancers of
theory

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pregnancy(TB, liver disease, endometrium,
tests,5
infections during pregnancy, uterus, fallopian
practical
DM ,heart disease

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tube and ovarian
tests,1
complicating pregnancies,
cancer, radiation
model

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tumours and surgical
therapy and
theory
emergencies ,social
chemotherapy of

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exam,1
obstetrics, family welfare,
gynaec cancer,
clinical
imaging techniques)

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obesity, pelvic
exam)
adhesions and
their prevention,
hormonal therapy

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in gynaecology,
pre op and post
op care and
surgical
procedures

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10.INTERNAL ASSESSMENT TEST
Internal assessment tests will be conducted for 40 marks.
At the end of fifth semester ? average of four theory and two practical tests --
5 marks
At the end of seventh semester ? average of four theory and one practical test ?

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5 marks
At the end of ninth semester ? total ? 30 marks
.Average of 5 theory and final theory model ? 10 marks
Average of 3 practical tests and final clinical ? 15 marks
Log book ? 5 marks

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11.MEDICAL ETHICS
Basic medical ethics taught in the introductory class for all students.
Informed consent about high risk pregnancy, maternal/fetal outcome and
interventions, operative procedures/sterilisation/blood transfusion /intra uterine
contraceptive device insertion

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Privacy and confidentiality
Beginning of life issues
Human dignity and human rights
MTP consent
PCPNDT act

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Maternal death
Fetal death
Rape, medicolegal issues
Fetal anomalies
Assisted reproductive technologies

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12. INTEGRATED TEACHING
The student should be able to integrate clinical skills with other disciplines and to gain
a holistic approach in management of obstetric and gynaecological patients.
13. CRRI ORIENTATION:
GENERAL

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At the time of starting of CRRI postings one day orientation workshop to be arranged.
The co ordinating departments can be bio chemistry, pathology, microbiology and all
clinical departments where the CRRI are posted. It should focus on the indications for
various investigations, type of samples, quantity, method of collection and precautions
to be taken if any , mode of transport, how to handle needle stick injuries, biomedical

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waste management, importance of documentation. One day workshop on BLS can be
arranged with hands on session. Specific orientation on obstetrics and gynaecology in
the first day of their posting
One day of training in obstetric skills and emergencies

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