Department of Obstetrics and Gynaecology

a) History & Overview

b) Location & Infrastructure

The department is a 4 storey RCH building. The ground floor consists of the Labour Room, CEmONC Casualty, AN OP, Gynaec OP, FP OP, ICU, HDU and Annex. The first floor consists of the Emergency OT, Elective OT, immediate post-op ward and post-op wards. The second floor consists of the AN wards, the third floor consists of the PN wards, and the fourth floor consists of the Gynaec wards, FP wards and library. The building also has a NICU with a breast milk bank. We are a 360-bedded department with 3 Units headed by HOD (Professor), 2 Professors, 1 Associate Professor and 8 Assistant Professors.

a) Staff & Unit Distribution

No. of Units: 3  |  Professors: 3  |  Associate Professor: 1  |  Assistant Professors: 8  |  Senior Residents: 8  |  Junior Residents: 30

b) OP, Admission & Theatre Days

OP timings: Daily from 7.30 AM to 12.00 PM

c) Bed Strength — 360 Beds

A virtual walk through the department — from reception to the operating theatres.

a) Reception Area

Our reception where admissions are issued and we ensure to help patients with utmost respect. We provide a waiting area for attenders who wait anxiously with expectation outside the labour room.

b) Clean Labour Room

Our labour rooms are equipped with focussing lamps for episiotomy suturing, present at every labour board.

c) Maternity Intensive Care Unit

Our intensive care unit, with 8 beds for high-risk antenatal mothers, offers highly specialised intensive services, thereby effectively preventing morbidity and maternal mortality.

d) Maternity OT Complex

e) Elective Surgical Complex

f) Emergency Surgical Complex (24×7)

Round-the-clock emergency surgical cover is maintained by the department, seven days a week.

a) Out-Patient Services

• Antenatal case registration and follow-up
• High risk antenatal screening
• Obstetric and Gynaec ultrasound
• Gynaec case management
• NCD screening — clinical breast examination, VIA / VILI
• PAP smear screening
• Colposcopy and biopsy

Our outpatient services run every day of the year and we see nearly 125–150 cases per day. Our CEmONC functions throughout the day and all cases requiring admission are attended to immediately by Duty Obstetricians. On average, we see 2,500 outpatient antenatal mothers per month, and nearly 26,739 outpatients were benefited by our services last year. A high-risk pregnancy screening programme is also conducted every month on a regular basis.

b) Specialised ICU & HDU Set-up

Ours is a tertiary care centre, well equipped for handling all types of high-risk pregnancies and emergencies related to pregnancy and labour. We have a well-equipped 8-bedded Obstetric ICU with 6 ventilators, a 20-bedded High Dependency Unit, and other high-end equipment for monitoring critically ill antenatal and postnatal cases. Besides routine obstetric care for uncomplicated pregnancies, specialised care is provided in high-risk cases through our advanced ICU and HDU set-up.

We effectively manage high-risk obstetric cases such as anaemia complicating pregnancy, gestational & chronic hypertension, gestational & overt diabetes, pre-eclampsia, antepartum & postpartum eclampsia, abruptio placenta, placenta previa, placenta accreta, postpartum haemorrhage, ectopic pregnancy, HELLP syndrome, acute and chronic kidney disease complicating pregnancy, and heart disease complicating pregnancy. We have also pioneered treating cerebral venous thrombosis and other thrombo-embolic disorders that cause dreaded postpartum complications.

All specialists — Anaesthetist, Physician, Surgeon, Neurologist, Nephrologist, Cardiologist, Surgical and Medical Gastroenterologist — are available for managing emergency cases in our obstetric ICU. Approximately 45–50 units of blood and blood products are transfused daily, and 16,000 units of blood and blood products were transfused successfully last year, saving hundreds of antenatal and postnatal mothers.

c) Gynaec Surgeries

• Abdominal hysterectomy
• Vaginal hysterectomy
• Laparoscopy assisted vaginal hysterectomy (LAVH)
• Ovarian cystectomy
• Pelvic floor repair
• Abdominal sling surgeries
• Fothergill’s repair
• Staging laparotomy
• Werthiem’s hysterectomy
• Operative laparoscopy hysterectomy
• Ovarian cystectomy, cryotherapy

Our speciality clinics include the Adolescent Clinic, Infertility Clinic, Menopausal Clinic, Cancer Clinic and Gynaec Endocrine Clinic. PAP smear screening and colposcopy are done for nearly 500 patients per month, and cervical biopsy and endometrial sampling are routinely done as outpatient procedures.

We have been successful in picking up cancer patients at an earlier micro-invasive stage through our screening methods, with many cervical cancer patients identified and benefited from surgical measures leading to a complete cure.

A postpartum psychosis counselling clinic functions successfully as part of our speciality clinics, along with a trained psychiatrist, to psychologically support mothers in the immediate postpartum period and manage identified cases.

d) Services Provided Under Family Planning

• Minilap
• Postpartum tubectomy
• MTP with TAT
• Laparoscopic sterilisation
• No Scalpel Vasectomy (NSV)
• Tubal recanalization

Family planning services functioned continuously, with a total of about 1,976 mothers benefited last year from permanent methods of sterilisation. Temporary methods like PPIUCD insertion were carried out efficiently, with around 9,025 beneficiaries. Laparoscopic sterilisation was also done for around 77 mothers. Focus was also given to male sterilisation, with No Scalpel Vasectomy (NSV) done for about 15 patients last year.

e) Surgeries Covered Under CM Health Insurance Scheme

• Caesarean hysterectomy with bladder repair
• Rupture uterus with tubectomy
• Eclampsia with complications requiring ventilatory support
• Abruptio placenta with DIC
• Laparoscopy assisted vaginal hysterectomy (LAVH)
• Vaginal hysterectomy with pelvic floor repair
• Vaginal hysterectomy with mesh repair
• Cystocele, rectocele, perineorrhaphy
• Pelvic floor reconstruction with mesh
• McIndoe repair for vaginal atresia
• Sling with mesh repair for prolapse
• Abdominal repair for vault prolapse
• Abdominal repair with mesh for vault prolapse
• Laparoscopic cystectomy
• Laparoscopic ectopic resection
• Laparoscopic recanalisation
• Laparoscopic sling operations
• Laparoscopic adhesiolysis
• Vaginal hysterectomy for benign conditions
• Abdominal hysterectomy for benign conditions
• Staging laparotomy for ovarian and uterine Ca
• Wertheim’s hysterectomy for cancer cervix

f) Financial Schemes Run Under the Department

• CMCHIS — purchase of advanced equipment and consumables
• NRHM — emergency purchase of drugs and clinical accessories, equipment repairs, CT/MRI expenditure for unaffordable patients, and lab investigations not available in-house
• JSSK — vehicle services for postnatal patients
• JSY — consolidated amount of Rs. 600 / 700 distributed to delivered patients

Platinum Certification of LaQshya in National Assessment

JIPMER Team Visit — 09.09.2022

The JIPMER team visited the O&G Department — Labour Ward and Maternity OT Complex — to observe and study the RMC protocol.

Mrs. Dharmalashree, I.A.S., Delivered at Our Hospital

Tamil Nadu Health Secretary Dr. J. Radhakrishnan’s Visit

Visit made on the implementation of the Postpartum Psychosis Counselling Clinic.

Dr. Justin Paul’s Appreciation Visit

Appreciation visit recognising the department’s tremendous contribution towards TNPHDR (Tamil Nadu Pregnancy and Heart Disease Registry).

National Health Mission Award — Appreciating the Efforts to Save the Life of a Dying Mother

We serve as a model unit for recovering near-miss cases with high morbidity and mortality risk, effectively reducing maternal mortality. One remarkable near-miss case was a 19-year-old mother with multiple complications — HELLP syndrome, multiorgan dysfunction, postpartum eclampsia, acute kidney injury, disseminated intravascular coagulopathy and sepsis — who developed a massive upper gastrointestinal bleed. Her life was saved by timely transport to Omandurar Multi-speciality Hospital, Chennai, where a life-saving critical procedure — coiling of the feeder vessel — was performed. This remarkable maternal near-miss save was well appreciated by the National Health Mission, Tamil Nadu.

Exclusive COVID-19 Block

Our department functioned tirelessly throughout the COVID-19 pandemic. We admitted 1,755 COVID-positive mothers and discharged 1,748 of them successfully. From April 2021 to March 2022 we conducted 570 deliveries for COVID-infected mothers, of which 421 were by LSCS and 148 by natural labour. High-risk COVID-positive mothers with pneumonia and respiratory distress were managed with High Flow Nasal Oxygen (HFNO) and discharged successfully. In 2020 and 2021, our special COVID block conducted a total of 487 deliveries for COVID-positive mothers and treated about 1,409 COVID-positive mothers, maintaining proper social distancing, adequate hand-washing facilities, a no-attender system, and protective measures for health care workers.

COVID Vaccination to Antenatal Mothers

COVID Vaccination to Postnatal Mothers

Our COVID Pandemic-time Achievement

COVID Positive Deliveries in the Year 2020

Dr. Divya, MS OG., was awarded for her research on CVT in Pregnancy at the Madurai Obstetrics and Gynaecology Society’s Silver Jubilee Conference.

Dr. S. Mathura Vardhini, MS OG., Postgraduate, secured first place for her state-level poster presentation at the KAARIGAI conference, IOG, Chennai.

Dr. K. Roopini is the proud awardee of the prestigious Gangadara Lakshmi Narayanamma Prize and the Balfour Memorial Prize for securing the highest score in Obstetrics and Gynaecology in the undergraduate university examination.

Dr. S. Mathura Vardhini, MS OG., Postgraduate, secured second place for her paper on amniotic fluid culture and sensitivity, and glucose concentration as effective indicators of infection, at the COGSICON conference, Coimbatore.

Undergraduate Gold Medal Winners

Postgraduate Gold Medal Winners

a) Weekly Post-Graduate Academic Time Table

b) UG Teaching Programme — Theory Classes

c) Clinical Posting Duration for MBBS Students

Totally 10 weeks (2 wks + 4 wks + 4 wks): 2 weeks introductory classes; 4 weeks — 2 wks labour ward posting + 2 wks OP classes; 4 weeks case presentations.

d) First Session — 2 Weeks: Introductory Classes

e) Second Session — First 2 Weeks: Labour Ward Posting

f) Second Session — Next 2 Weeks: OP Classes (Case Presentation Topics)

g) Third Session — 4 Weeks: Clinical Classes

h) Family Planning Posting — First 10 Days

i) Labour Ward Posting — Next 20 Days

j) Clinical Classes for Final Year Students

Totally 10 weeks (2 wks + 4 wks + 5 wks). 1st week — day labour ward. 2nd week — night labour ward. 3rd week — family planning revision. 4th, 5th, 6th weeks — case presentation. Next 5 weeks — case presentation. Practical viva topics cover maternal pelvis and fetal skull, mechanism of labor, specimens, X-rays, instruments, drugs and OSCE.

“Enriching Your Handling Skills in High Risk Obstetrics” — 2022

Release of Souvenir on “Enriching Your Handling Skills in High Risk Obstetrics”

Clinicopathological Conference on Granulosa Cell Tumor — 10th December 2021

Infection Control Practice in Labour Ward, Maternity OT & CSSD in RCH

CME on National Gestational Diabetes Mellitus Day

CEmONC Co-ordination Meeting

Conducted regularly to keep Medical Officers in the periphery (DMS and DPH) updated on recent trends.

Maternal Death Audit

Meetings conducted every month. Maternal deaths are audited at four levels.

Fire Safety Mock Drill

Conducted by the Fire Service Department at the RCH block.

Training to Staff

Patient Safety Day Oath 2022

Breast Feeding Week Celebration 2022

Training Activities in the Department

Department of Obstetrics and Gynaecology — performance report.

Publications from the Department of Obstetrics & Gynaecology.