OBSTETRICS-AND-GYNAECOLOGY

• Govt Medical College Hospital, Thiruvallur situated along the Chennai – Tirupati National Highway and close to Chennai – Bangalore National Highway with surrounding SIPCOT Industrial Estate in Sriperumbudur, is the only tertiary care center with NABH Accreditation and LAQSHAYA certified, catering to the population of about 37 lakhs. As the only tertiary care hospital in the region, the Department of Obstetrics and Gynecology at Government Medical College Hospital Thiruvallur plays a crucial role in providing specialized care to high-risk obstetric and gynecological cases. These cases are often referred from nearby government hospitals, where resources or expertise might be limited for complex or critical situations. The hospital is a dedicated CEMONC centre, and offers ZERO DELAY services to ensure quicker services to the incoming patients. On a monthly basis, the department handles more than 700 deliveries, which includes normal deliveries, instrument-assisted deliveries, and caesarean sections.
• Additionally, the department conducts over 500 surgeries per month, covering both emergency and elective cases, which demonstrates its capacity to manage a high volume of patients requiring surgical intervention. The department also runs exclusive cancer screening, menopause, Gynaec endocrine, adolescent health and infertility clinics. The department is well-equipped with the latest medical technology, ensuring that it can provide the best care possible. It performs both emergency and elective surgeries, including the minimally invasive laparoscopic surgeries, which offer quicker recovery times for patients. This adds a level of sophistication and precision to the hospital’s offerings, making it an important center for advanced care in obstetrics and gynecology. At present only a few District Residency Programme MS Obstetrics & Gynecology Post Graduates from nearby Institutions are posted to the Department of Obstetrics & Gynecology, which is not in a regular basis.

• The Department of Obstetrics and Gynecology at Thiruvallur Medical College is a well-established, state of-the-art facility dedicated to providing comprehensive maternal and gynecological care. The department is organized across multiple floors within the building, ensuring efficient service delivery for a wide range of health needs, from antenatal care to specialized gynecological treatments. It features two exclusive blocks: one for Maternal and Child Health and another for Gynecology services, ensuring a clear focus and streamlined care.


• The ground floor of the department hosts a variety of essential services to support both routine and emergency care. These include a reception area, a waiting area, and a one-stop room. Additionally, the ground floor houses critical areas like the Zero Delay Casualty for emergency care. The department also has a well-equipped laboratory for necessary medical tests, and an Outpatient Department (OPD) dedicated to antenatal care, family welfare, and gynecology consultations. For prenatal monitoring, the ground floor also includes an ANC USG room and an immunization room.


• The first floor is dedicated to the care of newborns and mothers. It features a Neonatal Intensive Care Unit (NICU) for critically ill or premature newborns, a PREM unit for premature and low-birth-weight infants, and a Human Milk Bank to provide essential breastfeeding support. The second floor houses important facilities for labor and delivery, including a waiting area, a USG room, a well-equipped labor ward, and a High Dependency Unit (HDU) for mothers who require intensive monitoring during and after delivery. The third floor focuses on post operative care. It contains a maternity operation theater (OT) for elective and emergency purposes.


• The fourth floor is dedicated to antenatal care, with another OT for gynecological surgeries and family planning surgeries. The fifth floor features a blood bank to support the department’s extensive surgical and emergency care needs, as well as a postnatal ward. The department provides round-the-clock maternity care with well-equipped labor wards, emergency OTs, and zero-delay services to ensure swift and comprehensive care for patients.


• The OPD at the Department of Obstetrics and Gynecology is organized to provide specialized care on dedicated days. These include clinics for high-risk pregnancies, menopause, gynecological endocrine disorders, adolescent health, and infertility. In addition to regular antenatal follow-ups and gynecology consultations, a cancer screening clinic operates six days a week to facilitate early detection and timely intervention for gynecological cancers. Each specialized clinic is closely monitored by the Head of the Department and an Assistant Professor, ensuring consistent and high-quality care. The department has a bed strength of 180, with an occupancy rate consistently above 95%. This high occupancy rate demonstrates the department's capacity to handle a large number of patients while maintaining high standards of care.

• Free Delivery Services
• Emergency Obstetrics Services
• High Dependency Unit
• Operation Theatre Facilities
• Management of all referral cases
• Management of High risk pregnancies
• Newborn resuscitation services
• NICU services
• Gynaecological Services
• Gynaecology Cancer Screening Services
• Family Planning Services
• Medical Termination of Pregnancy
• Basic Infertility Treatment
• Laboratory Services
• Imaging - USG,CT,MRI Scan
• Blood Bank
• Ambulance Services
• JSSK dropback services
• One stop center

Our Department of Obstetrics and Gynecology facilitates teaching of

- Undergraduate MBBS students

- C.R.M.I from Foreign Medical graduates

- District Residency Program Post graduates from various Government and Private medical colleges and Institutions

- Nursing students and Paramedicals.

Undergraduate MBBS teaching programs

• Our Department of Obstetrics and Gynecology conducts theory and practical demonstration classes for Second year , Pre final year and final year MBBS Students as per NMC Medical education unit guidelines. Our Government Thiruvallur Medical College, Thiruvallur has 100 Undergraduate seats each academic year starting from 2021. At present we are having First year, Second year, pre final year and final year students in our college. In the morning, In OPD, Wards and Operation theatre we are facilitating Early Clinical exposure as per NMC guidelines for Second year and prefinal year students


• As per COMPETENCY BASED UNDERGRADUATE CURRICULUM we provide education and clinical skill knowledge through various means from first year to final year Early Clinical Exposure (ECE) is a learning tool that provides medical students with practical experience in a healthcare setting early in their studies Competency-based curriculum: The curriculum is designed to help students develop competencies in working in a healthcare team, practicing medicine, and moreover 8weeks


• Clinical classes are held in second, 4weeks in prefinal year and 8weeks in final year where proper schedule is based on Curriculum including case discussion, self directed learning, DOAP sessions, seminars and small group teaching. A summative assessment is made at the end of session testing their competency skills which helps in strengthening their weak areas. Theory classes were held regularly every month for second year, prefinal year and final year based on Cbme curriculum that includes Obstetrics and Gynecology topics & procedural skills, AETCOM modules , Integration topics. Page 49 of 69

C.R.M.I. from Foreign Medical Graduates

In our Government Medical College and Hospital, CRMI from Foreign Medical Graduates are posted after completing their Foreign Medical Graduate Examination for past 2 years with each academic year approximately 100 CRMI graduates. We are teaching basic clinical exposure and hands on training to all the posted CRMIs to enable them to diagnose and treat common Obstetrics and Gynecology ailments. CRMIs are trained to have ability to conduct normal vaginal delivery, suture episiotomy, assist in obstetrics surgeries and various gynaecological surgeries and high-risk management in HDU.

All the posted CRMIs are allowed to assist in

- Normal vaginal delivery

- Assisted Vaginal Birth Perform

- Suture episiotomy

- Abdominal hysterectomy

- Vaginal Hysterectomy

- Laproscopic Assisted Vaginal Hysterectomy

- Total Laproscopic Hysterectomy

- Puerperal Sterilization

- Transabdominal Tubectomy

- Laproscopic Sterilization

- Manual Vacuum Aspiration

District Residency Program Post graduates

As per Post Graduate Medical Education Regulations 2000 (PGMER-2000) vide notification dated 16.09.2020, Post graduate students in various Government and Private Medical Colleges in their second year are posted in New Medical colleges, District Headquarters Government Hospitals and Taluk Hospitals. In our Government Medical College and Hospital, Thiruvallur, District Residency Program Post Graduates are regularly posted for the past two years from various Government and Private Medical Colleges. All the DRP Post graduates posted in our Department are trained under subject specific learning objectives. This will be dealt with under the following headings: • Theoretical knowledge (Cognitive domain) Page 50 of 69 • Practical and clinical skills (psychomotor domain) • Attitudes including communication skills (Affective domain) • Writing thesis / Reviewing Research activities (Scholarly activity) • Training in Research Methodology (Practice based learning, Evidence based practice) • Professionalism • Teaching skills All the DRP PGs are involved in the following academic activities • Case Presentation- Once a week in the ward and in Outpatient department • Seminars- Once a week on every Friday • Journal club- Once a week on every Saturday • Academic grand ward rounds- Twice a week presentation of cases by residents and clinically applicable discussions Quality of training are monitored by log books, supportive supervision and continuous assessment of performance.

A Fibroid weighing 4.5 kg was operated and successfully removed by Total Abdominal Hysterectomy