SYLLABUS FOR 5TH PROFESSIONAL OBSTETRICS AND GYANECOLOGY COURSE CONTENT SUGGESTED SYLLABUS IN OBSTETRICS: Introduction. Obstetric History Taking and examination. Conception, implantation and development of placenta, Fetal circulation, Abnormalities of placenta. Foetal skull and Bony pelvis. Diagnosis of pregnancy. Physiological changes associated with pregnancy. 90

Ante-natal care. Early pregnancy loss and its management (Abortions) Labour. Physiology of labour. Mechanism of labour. Management of labour. rd Complications of 3 stage of labour. Abnormal labour e.g. prolonged labour/obstructed labour. Pre-term labour. Induction of labour. Pre-maturity. Post-maturity. Conduction of normal delivery. Operation delivery. Forceps delivery. Vacuum delivery. Caesarean section. Ante-partum Haemorrhage. Hydramnios. Hyperemisis Gravidarum. Medical Disorder associated with pregnancy e.g. Pregnancy with anaemia Pregnancy with Heart Disease Pregnancy with diabetes Pregnancy with jaundice/Hepatitis Renal problems during pregnancy Pyrexia in pregnancy Hypertensive disorders of pregnancy e.g. PET Eclampsia Essential hypertension Obstetric shock. IUGR and its management. Fetal distress and its management. Fetal Monitoring. Fetal presentations. Breech presentation. Occipito posterior position. Brow presentation. Face presentation. Cord prolapse/compound presentation. Transvese lie/unstable lie. Multiple pregnancy. Puerperium (normal and abnormal). Examination of the new-born baby. Resuscitation of new-born. 91

Minor problems of the new-born. Breast feeding and its importance. Obstetric injuries/Ruptured Uterus. Haematological disorder of pregnancy e.g. Rh incompatibility Thalassemia major/minor Role of Ultrasound in Obstetric. Foetal congenital abnormalities. Vital statistics. Log Book of 20 assisted deliveries. SUGGESTED SYLLABUS IN GYNAECOLOGY: Introduction. Anatomy of female Genital organs Development of female genital organs Gynaecological History taking and examination. Minor gynaecological operative procedures. Puberty and adolescence. Ovulation and its clinical importance. Normal Menstruation. Menstrual abnormalities. Amenorrhoea. Infertility. Contraception. Ectopic pregnancy. Trophoblastic Tumours. Vulval lesions Tumours of vagina. Tumours of cervix. Tumours of uterus. Tumours of ovaries. Tumours of Fallopian Tubes. Menopause, HRT. Genital Prolapse. Pelvic Floor injuries. Urogynaecology. Problems of marriage and sex. Vaginal Discharges. Infections of female genital Tract Infections of upper genital Tract Infections of lower genital Tract Pre-Operative preparations. Post-Operative complications and its management. Role of USG in Gynaecology. 92

GENERAL OBJECTIVES To equip them with essential knowledge, skill and attitude in order to enable them: Identify Gynaecology/Obstetric diseases including emergencies, provide primary Reproductive Health Care, refer to appropriate centre and provide follow-up to the patients. Perform essential minor Gynaecology/Obstetric procedures. Communicate effectively with the patient, the family and the community regarding Gynaecology/Obstetric diseases and its related issues. Understand medical ethics and its application pertaining to Gynaecology/Obstetric and maintain the confidentiality of the patient. To understand the prevalence and prevention of the common Public Health Problem related to Gynaecology/Obstetric in the community. Understand the principles of medical research including fundamentals of Information Technology.