OBSTETRICS GYNAECOLOGY


             Chengalpattu Medical College has been an insignia of pride and hope since it’s inception in 1965. What started as a district head quarters hospital saw nothing but progressive growth by being upgraded to a teaching institution with 250 beds for clinical training in the same year. Affiliated to Tamil Nadu Dr. MGR medical university and recognised by the Medical Council of India, Chengalpattu Medical College started admitting 50 student to MBBS which was increased to 100 student in 2012 acknowledging the capability, competence, and capacity of the institute.

 

            Chengalpattu Medical College prides itself in not just being a massive institute sprawling 240 acres at high grounds of Chengalpattu, but also in being The Tertiary Care center and Referral center for multiple PHCs, District hospitals and GH in Chengalpattu and Kancheepuram district. At present the department provides comprehensive antenatal and gynaecological services catering to the population in and around Chengalpattu and Kancheepuram. We provide tertiary care services to all the Taluk hospitals extending from St. Thomas Mount in North to Kelambakkam in East to Acharapakkam in South and Kancheepuram in West.

         The hospital since it’s dawn has been housing all basic medical and surgical fraternities like Internal Medicine, General Surgery, Obstetrics And Gynaecology, Paediatrics, Orthopaedics, Ophthalmology, Otolaryngology, Psychiatry And Chest Clinic. Recognising the populous OPDs with an influx of 3000-3500/ day and a constant bed occupancy rate of 90-110% per month, Super Specialty Departments like Neurology, Cardiology, Urology, Nephrology, Pediatric Surgery, Plastic Surgery And Neurosurgery found it’s way into the hospital. Keeping up with the needs Post graduate courses for specialty courses were started and Chengalpattu medical college produces about 29 Post graduates of various specialties per year.

 

 

 

 

Department of Obstetrics & Gynaecology

             The department of obstetrics and gynaecology is no less than the crowning jewel of Chengalpattu Medical College for it provides round the clock excellent and comprehensive services to care for women at all walks for life. Starting from adolescent clinic, infertility services, antenatal care, delivery, high risk pregnancy care, family welfare services, gynaecological services including minimal access procedures, cancer screening, gynae ontological services and post menopausal clinic are being provided with maximum efficacy.

The new Cemonc building inaugurated in 2015 stands as a new beacon of promise for more efficient care. The department obtained its LaQshya accreditation on may 2023

ensuring the care provided is in par with national standards and requirements. A daily walk in count of 150-200 to OBGYN OPD, daily deliveries amounting to 30-40, and the startling achievement of near zero maternal mortality stands testament to the efficacy of the department. Academic activities do not get the shorter end of the stick despite the overwhelming work load, with regular symposiums, journal clubs and ongoing research activities.

Our department provides excellent treatment and care for patients with normal and high-risk pregnancies, and we expertly address a wide range of gynecologic and women-s health concerns, including: Breast Care, Endometriosis, Family Planning, Fertility Reproductive Health, Malignancies, Hysterectomy Alternatives, Minimally Invasive Gynecologic Surgery, Pediatric Adolescent Gynecology, Pelvic Floor Disorders, Pregnancy Childbirth, Routine Gynecologic Care and Vulvar Diseases.


FACULTY DETAILS


S.No. Name of the faculty Designation
1DR. VENGADESWARI Professor of OBG
2 DR.G.THENMOZHI Asso. Prof.
3 DR.S.SHRUTHI
Asso. Prof.
4 DR. S.V.HEMALATHA Asso. Prof.
5 DR.M.ILANJSELVI
Asst.Prof.
6 DR.R.SRIPREETHIKA Asst.Prof.
7 DR. P. ANBARASI Asst.Prof.
8 DR.K.SHOBANA PRIYA Asst.Prof.
9 DR. VINITHA Asst.Prof.
10DR. V. G. POORANIAsst.Prof.
11DR.P. ANJANI DEVI
Asst.Prof.
12DR. MAHALAKSHMI
Asst.Prof.
13 DR. SHANTHINI ANMO/Asst.Prof.
14 DR. VALARSELVI
MCWO/Asst.Prof.
15 DR.M.MALINI Senior Resident
16 DR.JANARTHANAN Senior Resident
17
DR. DHARANI
Senior Resident
18 DR. SOWMYA Senior Resident
19DR. B. PRIYANKASenior Resident
20DR. SWETHASenior Resident

                                 

 

JUNIOR RESIDENTS 18( 6 Per Year)

Non Teaching Staff

Record Clerk – Ms.Tamilarasi

Stenographer – Mr.Janakiraman

Store Keeper – Mr. Natarajan

Social Worker – Mrs. Jayalakshmi                                              

Technician -Miss Raji

Lab Attendant –Mrs.Darathy

The patient care services provided by the department includes

• No of units in the department-3

• O.P days & Timings- Daily - 7.30am~12.30pm

• I.P Unit & Admission Day (Unit Wise)

• Bed Strength of Department-100

 

• Bed occupancy rate – 90% -110%

• Average O.P-150-200/day

• Average I.P-30-40/day

 

 

OPD SERVICES

Antenatal Clinic: Regular

 Antenatal Clinic - Daily

High Risk Clinic - Daily

 

Gynecological Clinics

Infertility Clinic – daily

Cancer Screening Clinic – Daily

 Via/ Vili Screening

Video Colposcopy

Gynaec Endocrine Clinic - Wednesday

Adolescent Gynaecology - Friday

Postmenopausal Clinic - Saturday

Family welfare clinic-Daily

 

EMERGENCY OBSTETRICS SERVICES:

·         A fully equipped round the clock casualty for triage and initiation of zero delay treatment.

 

·        A clean labour room with competency to provide delivery services including instrumental deliveries like vacuum assisted and forceps assisted deliveries, ability to manage immediate post partum complications like PPH, manual removal of placenta. Abortion care with MVA and dilatation and curettage facilities are also provided.

 

·        Theatre complexes for Emergency and Elective LSCS, cervical encerclage procedures, surgical management of PPH, MTP procedures, Ectopic pregnancy management

 

·        This is backed up by a highly equipped and competent ICU and HDU facility to cater the emergent needs of high risk pregnancies enabling multidisciplinary care without delay.

 

·        A 24/7 blood bank to support the emergency needs is also available.

 

GYNECOLOGICAL SERVICES

·         A well equipped ward for patients with gynaecological complaints with insurance coverage.

·         A fully furnished well equipped OT for planned gynaecology procedures like hysterectomy, myomectomy and ovarian cystectomies with all updated techniques like hysteroscopy, laproscopy etc.

 

·         Laparoscopic approach to gynaec and infertility procedures are the vogue in Chengalpattu Medical college nowadays.

 

·         Availability of hysteroscopy and availability of hysteroscopic guided procedures have enabled better management of polyp, submucosal myoma, sub fertility and early identification of gynaecological malignancies.

 

·        Gyneac oncological surgeries are also a available addition to the repoitre of services provided. We have coordinated with Karapettai surgical oncology team and do provide onco services here at CMCH itself.

 

FAMILY WELFARE SERVICES runs postnatal clinic,contraception clinic,sterilization services

All contraceptives are available at the OPD desk

CONTRACEPTION CLINIC:

Daily clinic to offer the needful couple contraception including emergency contraception by cafeteria method is available. There are Separate counsellor for motivating patient on both temporary and permanent methods.

A separate OT complex is dedicated to family welfare services to provide services as following Puerperal Sterlisation ,LaproscopicSterlisation,Interval Sterlisation,MTP WITH TAT/ LS,CuT insertion and removal

 

TRAINING SERVICES

OG department of Chengalpattu Medical college serves as training centre for Cemonc and Emonc services, family welfare services to PHC medical officers, District head quarters hospital medical officers, staff nurses and physician assistants. We also provide training for physician assistant, paraclinical services .We provide laparoscopic training for Medical Officers and other skill training for PHC officers, VIA training for Medical Officers, colposcopy training for gynecologists, LS training for gynecologists

 

Neonatology services

The Institute is well equipped with neonatology unit with ventilators, exchange Transfusions done, 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.

 

Infrastructure

Antenatal ward -60 beds

Gynaecology ward -40 beds

Postnatal and postoperative wards well equipped

LABOUR WARD -7+2(CLEAN+SEPTIC)BEDS

ICU (airconditioned well equipped )6 beds(100% bed occupancy)

HDU -4 BEDS

ELECTIVE and EMERGENCY OT –WELL EQUIPPED AIRCONDITIONED

 

 

                                                                                                                                                    

 

  

 

 

 

Equipments available

Multipara monitors, Pulse oximeters, Syringe Infusion pump, CTG machines, USG- portable/ non-portable, Colposcope, Laparoscope, Hysteroscope, Cryo/ LEEP cautery,thermocoagulator,defibrillator

 

 

       

 

YEARLY STATISTICS

 

Average daily workload

Year 1

2019

Year 2

2020

Year 3

2021

Year 4

2022

1.     Number of patients in OPD

(Till Nov’22)

42254

34498

34168

39256

2.     Number of patients admitted (IPD) (Till Nov’22)

15818

15185

14529

14519

3.     Number of Major operations

(Till Nov’22)

6424

5898

5300

5208

4.     Number of Minor operations

 (Till Nov’22)

397

124

224

237

5.     Number of Day care operations (Till Nov’22)

1686

582

545

590

6.     Number of Normal deliveries

(Till Nov’22)

5869

5372

5111

4785

7.     Number of operative deliveries

(Till Nov’22)  

176

386

436

334

8.     Number of Caesarian sections

(Till Nov’22)

4860

5788

5038

4772

 

Academic activities:

Courses handled:

PG Courses

M.S (Obstetrics Gynecology)

Para Medical Courses

. Diploma in Nursing

.BSc nursing

Allied health sciences- Physician Assistant,Ot Technician,Anesthesia Technician

 

No Of Seats

M.S (Obstetrics Gynecology) -6 students per year

UG STUDENTS -100 per year

Eligibility

Should have acquired MBBS Degree from a recognized University in INDIA

 

Course Duration

M.S(Obstetrics Gynecology) – 3 years

 

Selection Procedure

Through NEET PG Entrance Exams

 

Affiliated University

The Tamil Nadu Dr. MGR Medical University, Chennai.

 

Academic Curriculum

M.S (Obstetrics & Gynecology)

Rotations:

• Details of 3 years posting in the PG programme (6 terms of 6 months each)

a. Allied posts should be done during the course – for 8 weeks

i. Neonatology - 2 weeks

ii. Anaesthesia - 2 weeks

iii. Radiology/Radiotherapy - 2 weeks

iv. Surgery - 2 weeks

v. Oncology - 2 weeks

b .Details of training in the subject during resident posting

The student should attend to the duties (Routine and emergency): Out patient Department and special clinics

Inpatients Operation Theater Labor Room

Writing clinical notes regularly and maintains records.

1st term - working under supervision of senior residents and teaching faculty.

2nd & 3rd term - Besides patient care in O.P.D., wards, Casualty

and labor room, carrying out minor operations under supervision and assisting in major operation.

4th 5th & 6th term - independent duties in management of patient including

major operations under supervision of teaching faculty

c.Surgeries to be done during PG training. (Details in the Syllabus)

1.Thesis

Every post graduate student shall carry out work on an assigned research project under the guidance of a recognised Post Graduate Teacher, the result of which shall be written up and submitted in the form of a Thesis. Work for writing the Thesis is aimed at contributing to the development of a spirit of enquiry, besides exposing the post graduate student to the techniques of research, critical analysis, acquaintance with the latest advances in medical science and the manner of identifying and consulting available literature.

Thesis shall be submitted at least six months before the Theory and Clinical / Practical examination. The thesis shall be examined by a minimum of three examiners; one internal and two external examiners, who shall not be the examiners for Theory and Clinical examination. A post graduate student shall be allowed to appear for the Theory and Practical/Clinical examination only after the acceptance of the Thesis by the examiners.

2.Theory Examination:

The examinations shall be organised on the basis of ‘Grading’or ‘Marking system’ to evaluate and to certify post graduate student-s level of knowledge, skill and competence at the end of the training. Obtaining a minimum of 50% marks in ‘Theory’ as well as ‘Practical’ separately shall be mandatory for passing examination as a whole. The examination for M.D./ MS shall be held at the end of 3rd academic year. An academic term shall mean six month-s training period.

There should be four theory papers, as given below:

Paper I: Applied Basic sciences.

Paper II: Obstetrics including social obstetrics and Diseases of New Born

Paper III: Gynaecology including fertility regulation

Paper IV: Recent Advances in Obstetrics & Gynaecology

3. Clinical/Practical & oral/viva voce Examination: shall be as given below:

a) Obstetrics: Clinical

Long Case: 1 case

3. Clinical/Practical & oral/viva voce Examination: shall be as given below:

a) Obstetrics: Clinical

Long Case: 1 case

2 cases with different problems Short Case/ Spot Case: 1 case

Viva voce including:

Instruments ,pathology specimens,x rays,drugs,sonography and dummy pelvis

b) Gynaecology:

Clinical

Long Case: 1 case

2 cases with different problems Short Case/ Spot Case: 1 case

Viva including:

Instruments

Pathology specimens

Drugs and X-rays, Sonography etc.

Family planning

LONG CASE: OBSTETRICS 1 – 50 marks

GYNECOLOGY 1 – 50 marks

SHORT CASE: OBSTETRICS 1 – 25 marks

GYNECOLOGY – 25 marks

WARD ROUNDS- 3 cases each 10 marks – 30 marks

OSCE 4 STATIONS 5 marks each – 20 marks

TOTAL – 200

VIVA VOCE OBSTETRICS. 40 marks

GYNECOLOGY. 40 marks

LOG BOOK 20 marks

AGGREGATE ( CLINICAL + VIVA) 300 marks

PASSING MINIMUM (50%) 150 marks

           

Publications from the department during the past 3 years:

I.Maternal and Perinatal outcome in pregnant womenwith hypertensive disorders:a population -based study.2020Dr.Shru thi,Dr.Thenmozhi-Ind iaJournal ofReproduction.IntJReprodContraceptObstetGynecol2020;9:194-9

2.PrevalenceandriskofstillbirthinChengalpattu.2020-Dr.Thenmozhi-IndianJournalofAppliedResearch-volume-ll/Issue-03/March-202PRINTISSNNO.2249-555X/DOI:10.36106/ijar

3.A study of Ante-partumhemorrhage andits maternal andperinatal outcome in Chengalpattu Medical College and Hospital.2021-Dr.Thenmozhi-IOSRJournalofDental andMedicalSciences(IOSR-JDMS)e-ISSN:2279-0853,p-ISSN:2279-0861.Volume20,Issu,Ser.5(March2021),PP22-30

4.Maternalandperinataloutcomeinpregnantwomenwithhypertensivedisorders2020Dr.Shruthi,Dr.Thenmozhi-IndianJournalofReproduction.:apopulation-basedstudy.IntJReprodContraceptObstetGynecol2020;9:194-9

5.Etiologicalfactorsandmaternaloutcomeinpregnancieswithmalpresentation-IntJReprodOstetGynecol2020;9:xxx­xxDOI:http://dx.doi.org/l0.18203/2320-1770.ijrcogdx.doi.org/10.18203/2320-l770.ijrcog20200859

6.Astudyonfetomaternaloutcomesingestationaldiabetesmellituscomplicatingpregnancyinate1tiarycarecentre202I.IOSRJournalofDentalandMedical Sciences (IOSR-JDMS) e-lSSN:2279-0853,p-ISSN:2279-086 1. Volume20. Issue3 Ser.7 (March2021).PP04-07. DOI:I0.9 79 0/0853-2003070407 Dr.Sripreethika Dr.Shobanapriya

7.Prevalenceand risk factors for still birth in Chengalpattu 2021.Indian Journal of Applied Research-volume-11/Issue-03/March-2021/PRINTISSNNO.2249-555X/DOI:10.36106/ijar Dr.Thenmozhi,Dr.Shobanapriya

8..Astudy onFeto- maternalOutcomein GestationalDiabetesmellitus complicatingpregnancy in atertiary care center.2021.IOSR JournalofDentalandMedicalSciences(IOSR-JDMS)e-ISSN:2279-0853,p-lSSN:2279-0861.Volume20.Issue3Ser.7(March2021).PP04-07.DOI:I0.9790/0853-2003070407

9.Prospectivestudyonectopicpregnancyinatertiarycarehospital.2021.IntJReprodContraceptObstetGynecol202I;IO:xxx-x.x.

I0 .Maternal and Fetal outcome in jaundicecomplicatingpregnancy;Aprospectivestudyattertiarycare hospital. 2021.DOI:https://doi.org/I0.33545/gynae.202l.v5.i3f.944

11.StudyonEpidemiologyandEtiologyofRecurrentPregnancyLossand fetaloutcome in a tertiary  care center. 2021.IOSRJournalof DentalandMedicalSciences(IOSR_JDMS)e-ISSN:2279-0853,p-ISSN:2279-0861.Volume20,Issue4Ser8(April,2021),PP21-26.DOI:I0.9790/0853-2004082126

12.Emergencyperipartumhysterectomyinmodemobstetrics:Aretrospectivestudyatatertiarycarehospital.2021.DOI:https://doi.org/10.33545/gynae.202I.v5.i3c.914

 

 

Our postgraduates have attended various state and national level conferences and presented papers and posters and won prizes.

 

AWARDS OF OUR DEPARTMENT

Dr. Muthu Mamatha Winner -  Cme on ca cervix - Breast feeding quiz

 

Breast feeding week poster Winner Dr. Soundarya

Runner Dr. Tamilarasi

Best doctor award

Doctor-s day-

Dr. Hemalatha

Dr. Shobana

Dr. Ilanjselvi

Dr. Shruthi

Dr. Soundarya

Dr. Kavitha

 

Independence day

Dr. Sripreethika

Dr. Hemalatha

Dr. Karkuzhali

Dr. Tamilarsai

 

Saveetha medical College

Paper- 3 Rd prize Dr. Hemamalini

Poster-1 St prize- Dr. Karkuzhali

 

DEPARTMENTAL ACTIVITIES

Performance meeting – 1st Monday

Maternal death audit – 2nd Monday

Perinatal death audit – 3rd Monday

Hospital infection committee meeting -monthly

ACADEMIC ACTIVITIES

GRAND ROUNDS and bedside clinics are conducted on routine basis with respective chiefs

Clinical society meeting every month

Interesting case discussion – 4th Monday

Panel discussion CME – 2nd Wednesday

Journal club and capsule presentation – 1st and 3rd Saturday

Dissertation discussion – 4th Saturday

PG SYMPOSIUM – 4th wednesday

Lecture class – every Thursday

Clinical discussion – every Tuesday

Group discussion –monthly once

Departmental Library

Library is equipped with latest books and journals, including BJOG , AJOG, FOGSI. There are number of reference books and articles are available for updating the knowledge of the staff and students.

 

 

  

 

DEPARTMENT OF FAMILY WELFARE

We welcome you to the Department of family welfare. The department of family welfare affiliated to Chengalpattu Medical College dates back to days before 1965, when it was started as a district head quarters hospital with 250beds. Very soon it bloomed out to be a teaching institution with 50 under graduate students.

FACULTIES

Family welfare project officer Dr.Thenmozhi

One Family Welfare Assistant one in turns

One Health Visitor One

Maternity Assistants : Two

Our average census are,

 Out patient – 400-500/ month

Inpatient -120-150/month

LSCS with Sterlisation -200-250/month

 Interval TAT – 40-50/month

Puerperal sterlisation – 70-100/month

Copper T insertion-500-600/month

MTP with TAT – 20-30/month

Mtp with copperT-10-15/MONTH

Interval lap sterilisation-20-30/month

 

The family welfare out-patient department is running as,

POST NATAL CLINIC

MTP CLINIC

CONTRACEPTION CLINIC

 

Post natal clinic

Post natal clinic is running daily for both the mother and baby, encouraging the mother for the exclusive breast feeding, breast care and encourage for pelvic floor exercises.

 

MTP CLINIC:

MTP clinic is undergoing daily and here MTP is undergoing by the act of MTP and the procedures undergoing are

MVA / MTP

MTP with TAT

MTP with IUCD insertion

These procedures training are given to the primary healthcare medical officers and the district head quarters medical officers and the post graduates in the part of their curriculum.

CONTRACEPTION CLINIC:

The couples are offering contraceptive methods under cafetaria method.The couples are counselled about the available method of temporary and permanent method of contraceptions and we will avail their needs.

Condom and oral contraceptive pills are regularly issued to the needful couples .We are availing Emergency contraception to the couples also providing E- pills,chayya antara injections and the permanent method of sterlisation such as,

puerperal sterilisation,laproscopic sterlisation interval sterilisation,mtp with tat.

All the above mentioned training also be given to the PHC and District Medical Officers and for the staff nurses.

We are adopting the JANANI SURAKSHA,JSSK and other government schemes as per the government norms.

We have managed several nearmiss cases and sent back home in good condition