Download VNSGU MBBS Final Year Obstetrics and Gynaecology Syllabus

VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT.
T.Y. M.B.B.S.
OBSTETRICS & GYNAECOLOGY
These guidelines are based on MCI recommendations Teaching has to be done keeping in
mind the goals and objectives to be achieved by medical student

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(i)
GOAL
The broad goal of the teaching of undergraduate students in Obstetrics and
Gynaecology is that he/she shall acquire understanding of anatomy, physiology and
pathophysiology of the reproductive system & gain the ability to optimally manage

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common conditions affecting it.
(ii) OBJECTIVES;
(A)
KNOWLEDGE:
At the end of the course, the student shall be able to:

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Outline the anatomy, physiology and pathophysiology of the reproductive system and
the common conditions affecting it.
Detect normal pregnancy, labour puerperium and manage the problems he/she is
likely to encounter therein,
List the leading causes of maternal perinatal morbidity and mortality.

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Understand the principles of contraception and various techniques employed, methods
of medical termination of pregnancy, sterilization and their complications.
Identify the use, abuse and side effects of drugs in pregnancy, pre-menopausal and
post-menopausal periods;
Describe the national programme of maternal and child health and family welfare and

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their implementation at various levels.
Identify common gynaecological diseases and describe principles of their
management.
State the indications, techniques and complications of surgeries like Caesarian
Section, laparotomy, abdominal and vaginal hysterectomy, Fathergill's operation and

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vacuum aspiration for Medical Termination of Pregnancy (MTP)
(B)
SKILLS
At the end of the course, the student shall be able to :
1.Examine a pregnant woman; recognize high-risk pregnancies AND make appropriate

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referrals
2.conduct a normal delivery, recognize complications and provide postnatal care;
3. Resuscitate the newborn and recognize the congenital anomalies

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4.advise a couple on the use of various available contraceptive devices and assist in
insertion and removal of intra-uterine contraceptive devices.

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5. Perform pelvic examination, diagnose and manage common gynaecological problems
including early detection of genital malignancies;
6. Make a vaginal cytological smear, perform a post coital test and wet vaginal smear
examination for Trichomonas vaginalis, Moniliasis and gram stain for gonorrhoea;
7.interpretation of data of investigations like biochemical, histopathological,

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radiological ultrasound etc.
(C) INTEGRATION
The student shall be able to integrate clinical skills with other disciplines and bring
about coordination of family welfare programme for the national goal of population
control.

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(D) GENERAL GUIDELINES FOR TRAINING:
1.
attendance of a maternity hospital or the maternity wards of a general hospital
including
(i) antenatal care the management of the puerperium and a minimum period of

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5 months in-patient and out-patient training including family welfare planning
2.
of this period of clinical instruction, not less than one month shall be spent as a
resident pupil in a maternity ward of a general hospital.
3.

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during this period, the student shall conduct at least 10 cases of labour under
adequate supervision and assist 10 other cases.
4.
a certificate showing the number of cases of labour attended by the student in
the maternity hospital and/or patient homes respectively, shall be signed by a

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responsible medical officer on the staff of the hospital and shall state:
(a) that the student has been present during the course of labour and
personally conducted each case, making the necessary abdominal and
other examinations under the supervision of the certifying officer who
shall describe his official position.

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(b) That satisfactory written histories of the cases conducted including
wherever possible antenatal and postnatal observations, were presented by
the student and initialed by the supervising officer

LEARNING METHODS

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Lectures, Tutorials bedside clinics and lecture cum demonstrations
Distribution of Teaching hours -
Lectures - 130 hours
Tutorials and revision - 170 hours
Bedside clinics - 468 hours

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VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT.
T.Y. M.B.B.S.
DIDACTIC LECTURES
SEMESTER

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HOURS/WEEK



TOTAL__

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4 1
/
WEEK
17
6 3

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/
WEEK
48
7 3
/

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WEEK
48
8 1
/
WEEK

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17
TOTAL 130
B)
CLINICAL DEMONSTRATIONS, PRACTICAL DEMONSTRATIONS, SEMINARS
ETC.

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SEMESTER
HOURS/WEEK
TOTAL
__________________________________________________________________________

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8 4
/
WEEK
68
9 6

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/
WEEK
102
TOTAL 170
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TOTAL
TEACHING
HOURS
300

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Suggested lecture program
Distribution of syllabus in respective semesters

This is suggested programme and can vary at institute
Total 300 hours of teaching has to be done in OB GY including Tutorials

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Details of syllabus is given separately below after distribution as per semester

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VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT.
T.Y. M.B.B.S.
4th Semester : OBSTETRICS

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1. Applied anatomy of female genital tract.
2. Development of genital tract
3. Physiology of menstruation
4. Puberty and menopause
5. Physiology of ovulation / conception / implantation.

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6. Early development of human embryo.
7. Structure, function and anomalies of placenta.
8. Physiological changes during pregnancy / diagnosis of pregnancy.
9. Antenatal care, nutrition in pregnancy, detection of high-risk pregnancy.
10. Normal labour - Physiology, mechanism, clinical course and management, pain

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relief in labour.
11. Normal puerperium and breast-feeding.
12. Examination and care of newborn.
13. Contraception - Introduction and basic principles
14. Maternal mortality and morbidity, perinatal mortality and morbidity. National health

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programme - safe-motherhood, reproductive and child health, social obstetrics.

6TH Semester: GYNAECOLOGY & FAMILY PLANNING

GYNAECOLOGY

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1.
Development of genital tract, congenital anomalies and clinical significance,
Chromosomal abnormalities and intersex.
2.
Physiology of Menstruation, Menstrual abnormalities -

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Amenorrhoea,Dysmenorrhea, Abnormal Uterine Bleeding, DUB.
3.
Puberty and its disorders, Adolescent Gynaecological problems.
4.
Menopause & H R T.

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5.
Infections of genital tract, Leucorrhoea, Pruritus vulvae, Vaginitis, Cervicitis, PID,
Genital TB, Sexually transmitted infections including HIV infection.
6.
Benign & Malignant tumours of the genital tract.

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Leiomyoma, carcinoma cervix, carcinoma endometrium,chorio carcinoma, ovarian
tumors. Benign & Malignant Lesions of Vulva
7.
Radiotherapy & Chemotherapy in Gynaecology.
8.

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Other gynaecological disorders -
Adenomyosis, Endometriosis
9.
Genital Prolapse, Genital Tract displacement,
10.

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Urinary disorders in Gynaecology, Perineal tears, Genital Fistulae, RVF & VVF.

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FAMILY PLANNING :
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1. Demography and population Dynamics.
2. Contraception - Temporary methods.

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Permanent methods.
1.
MTP Act and procedures of MTP in first & second trimester.
2.
Emergency contraception. :

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7TH Semester : OBSTETRICS & NEWBORN
1.
Complications in early pregnancy. Hyperemesis gravidarum / abortion / ectopic
pregnancy / gestational trophoblastic disease.
2.

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Obstetrical complications during pregnancy. APH - Accidental hemorrhage. Placenta
praevia.
3.
Poly hydramnios / oligohydramnios, multifetal pregnancy.
4.

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Medical disorders in pregnancy. Anemia, Heart disease. Hypertensive disorder,
PIH and Eclampsia, Diabetes, jaundice, pulmonary disease in pregnancy.
5.
Infections in pregnancy Urinary tract diseases, sexually transmitted infections
including HIV, malaria, TORCH etc.

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6.
Gynaecological and surgical conditions in pregnancy. Fibroid with pregnancy,
ovarian tumours, acute abdomen, genital prolapse.
7.
High risk pregnancy, pre-term labour, post term pregnancy, IUGR, IUFD,

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pregnancy wastages, Rh incompatibility, post caesarean pregnancy.
8.
Induction of labour.
9.
Abnormal position & presentation : Occipito posterior, Breech, Transverse, Face &

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Brow, Compound, Cord Presentation and prolapse.
10.
Abnormal labour - abnormal uterine action, CPD. Obstructed labour, uterine rupture.
11.
Third stage complications - Retained placenta, PPH, Shock, Uterine inversion,

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Fluid Embolism.
12.
Puerperial Sepsis and Other Complications in puerperium.
13.
Evaluation of Foetal Health during pregnancy and labour.

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14.
Drugs used in obstetric practice.
15.
Operative procedures in Obstetrics : Caesarean Section, Instrumental Vaginal
Delivery. Forceps, Vacuum,

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16.
Maternal Mortality and morbidity, Perinatal mortality and morbidity. National
program - safe motherhood, reproductive and child health , Social Obstetrics.

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NEW BORN :
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1. Examination and care of new born & low birth weight babies.
2. Asphyxia and neonatal resuscitation.
3. Diagnosis of early neonatal problems.
4. Birth injuries, jaundice, infection.
5. Anencephaly & Hydrocephalus and other Congenital Anomalies of fetus.

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8TH Semester : PREVENTIVE ONCOLOGY

1. Preventive Oncology
2. Principles of gynaecological surgical procedures

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3. Pre and post operative care in Gynaecology
4. Ultrasongraphy and Radiology, in Gynaecology
5. Endoscopy in in Gynaecology
6. Drugs and hormones in Gynaecology
7. Surgical procedures in obstetrics

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8. Maternal mortality
9. Perinatal mortality
10. Recurrent pregnancy wastages
11. High risk pregnancy
12. Rural obstetrics

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13. Drugs in Pregnancy
14. Drugs in obstetric practice
In addition, integrated teaching with other departments like anatomy, physiology,
biochemistry, pathology, microbiology, Forensic Medicine and Preventive and Social
medicine to be organized for selected topics.

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LIST OF TOPICS INTEGRATED TEACHING: 8TH TERM
1. Development of genital tract - any malformations
of genital tract and their clinical significance -
Anatomy
2. Fetal

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physiology
-
fetal
circulation
Physiology

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3. fetal
malformations
-
genesis-
Embryology

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4. CIN
Pathology
5. ARF
Physiology
Medicine

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6. Coagulation failure
Pathology
Medicine
7. Diabetes, heart disease
Medicine

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8. USG
Radiology
9. Infections in pregnancy
Microbiology
10. Medico-legal aspects

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Forensic
Medicine
11. Nutrition in pregnancy and lactation
PSM
12. Evidence based obstetrics

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PSM
13. Drugs in pregnancy
Pharmacology

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VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT.
T.Y. M.B.B.S.

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SCHEME FOR EXAMINTION FOR FINAL MBBS
EXAMINATION IN OBSTETRICS AND GYNAECOLOGY
Methods ? Internal assessment, Theory, Practical and Viva

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?
Internal assessment: 40 ( Theory 20 +Practical 20)
? Marks of Internal Assessment should be sent to University before the
commencement of Theory examination.
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Passing in internal assessment is essential for passing ,as Internal assessment
is separate head of passing. in examination.
?
It will also be considered for grace marks as per existing rules
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Combined theory and practical of internal assessment will be considered for
passing in internal assessment.
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Student will be allowed to appear for both theory and practical exam
independent of marks obtained in internal assessment but he if fails in that

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head even after including the grace marks he will be declared "Fail in that
Subject"

Internal assessment in Theory -
Examinations during semesters : This will be carried out by conducting two theory

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examinations during
6th and 8rth semesters ( 100 marks each). Total of 200 marks to be converted into 10
marks.( A/10)
Prelim examination : This shall be carried out during 9th semester. Two theory papers of 40
marks

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each as per university examination. Total of 80 marks to be converted into 10
marks. ( B/10)
Total marks of Internal assessment- Theory will be addition of A and B.

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VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT.
T.Y. M.B.B.S.

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Internal assessment in Practical
Examinations at end of Clinical postings:

There will be practical examination at the end of each clinical posting of OBGY. Each
examination will be of 50 marks. Total of all exams marks will be converted to 10 marks.

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( C/10)

Prelim examination:
This will be conducted for 60 marks as per university pattern and marks will be converted to
10 (D/10). Total marks of Internal assessment- Practical will be addition of C and D.

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Evaluation Methods - Theory, Practical and Viva
Pattern of theory examination including distribution of marks, questions and
time

Pattern of theory examination including distribution of marks

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1.
There shall be two theory papers - Paper I and II, carrying 40 marks each.
2.
Each paper will have three sections, A , B and C. Each paper will be of 2.5 hours

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duration.
3.
Section A will be MCQ in each paper. Section B will have SAQ and Section C LAQ
answer sheet.
4.

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MCQ section A will be given to candidates at the beginning of the examination.
After 30 minutes Section A will be collected. Section B & C of paper will then be
handed over to candidates

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