AIIMS Obstetrics and Gyneacology Syllabus

AIIMS Obstetrics and Gyneacology Syllabus

The main goal of curriculum is to enable the undergraduate students to acquire the knowledge, skills and attitudes in the discipline of Obstetrics & Gynaecology as essential for a general practitioner.

OBJECTIVES

The student should be able to:

  • Make Diagnosis and organize management of antenatal, intranatal and postnatal period of normal and abnormal pregnancy;
  • Provide adequate care of common gynae problems and emergencies
  • Manage common gynae problems and emergencies
  • Provide Counseling and delivery of fertility regulation methods.
  • Acquire knowledge of methods of termination of pregnancy.
  • Apply knowledge of vital statistics in obstetrics and RCH programme
  • Develop communication skills.

Practical & clinical training

–          Students should be trained about proper history taking, clinical examination.

–          Advicing relevant necessary investigations and their interpretation and management.

–          Posting in OPD, wards, operation theaters, labor room and family planning clinics.

–          Students should observe common OPD procedures like, E.A., D & C, MTP, Pap Smear, CuT insertion. Observe normal deliveries, forceps and ventouse assisted deliveries, cesrean section.

–          Ligations, minilap procedures like abdominal, vaginal hysterectomy, foltergill repair. COURSE CONTENT

I       Basic Sciences

  1. Normal & abnormal development, structure and function of female & male urogenital systems and the female breast.
  2. Applied anatomy of the genito-urinary system, abdomen, pelvis, pelvic floor, anterior abdominal wall, upper thigh (inguinal ligament, inguinal canal, vulva, rectum and anal canal).
  3. Physiology of permatogenesis.
  4. Endocrinology related to male and female reproduction.
  5. Anatomy & Physiology of urinary & lower GI (Rectum / anal canal), tract.
  6. Development, structure & function of placenta, umbilical cord & amniotic fluid.
  7. Anatomical & physiological changes in female genital tract during pregnancy fistulae.
  8. Anatomy of fetus, fetal growth & development, fetal physiology & fetal circulation.
  9. Physiological & neuro-endocrinal changes during puberty disorders, adolescence, menstruation, ovulation, fertilization, climacteric & menopause.
  10. Gametogenesis, fertilization, implantation & early development of embryo.
  11. Normal pregnancy, physiological changes during pregnancy, labour & puerperium.
  12. Immunology of pregnancy
  13. Lactation
  14. Biochemical and endocrine changes during pregnancy, including systemic changes in cardiovascular, hematological, renal, hepatic and other systems. (Anaemia)
  15. Biophysical and biochemical changes in uterus and cervix during pregnancy & labour.
  16. Pharmacology of identified drugs used during pregnancy, labour, post partum period with reference to their mechanism of action, absorption, distribution, excretion, metabolism, transfer of the drugs across the placenta, effect of the drugs on the fetus, their excretion through breast milk.
  17. Mechanism of action, excretion, metabolism of identified drugs used in Gynaecology, including chemotherapeutic drugs.
  18. Role of hormones in Obstetrics & Gynaecology.
  19. Markers in Obstetric & Gynaecology – Non neoplastic and Neoplastic Diseases.
  20. Pathophysiology of ovaries, fallopian tubes, uterus, cervix, vagina and external genitalia in healthy and diseased conditions.
  21. Normal and abnormal pathology of placenta, umbilical cord, amniotic fluid and fetus.
  22. Normal and abnormal microbiology of the genital tract – bacterial, viral & parasitic infections responsible for maternal, fetal and gynaecological disorders.
  23. Humoral and cellular immunology in Obstetrics & Gynaecology.

II      Obstetrics

  1. Physiology of normal pregnancy, diagnosis of pregnancy, routine antenatal care, management of common symptoms in pregnancy, investigations to be carried out in pregnancy;
  2. Drugs prescription during pregnancy and lactation
  3. Hypertensive disorders in pregnancy
  4. Anaemia in Pregnancy : Heart disease in pregnancy
  5. Antepartum haemorrhage
  6. Intrauterine Growth Restriction (IUGR)
  7. Antenatal Fetal Surveillance
  8. Rhesus Negative Pregnancy
  9. Disorders of liver, kidneys in pregnancy
  10. Multiple pregnancy
  11. Puerperium, and its complications
  12. Perinatal and maternal mortality in India

III    Gynaecology

  1. Anatomy of fetal genital tract, and its variations, supports of uterus, developmental anomalies of uterus.
  2. Ectopic pregnancy; epidemiology, early diagnosis and management.
  3. Physiology of menstruation, common menstrual problem.
  4. Disorders of growth, amenorrhoeas
  5. Fibroid uterus
  6. Prolapse uterus
  7. Vaginal discharge, sexually transmitted diseases
  8. Precancerous lesions of female genital tract (cervix, vagina, vulva)
  9. Carcinoma Cervix, epidemiology, staging diagnostic procedure, treatment.
  10. Carcinoma Endometrium
  11. Carcinoma ovary
  12. Carcinoma vulva
  13. Gestational Trophoblastic disease
  14. Temporary and permanent methods of contraception
  15. Menopause and related problems
  16. Endometriosis
  17. Genital Tract Fistulae
  18. Adolescence, Pubertal changes, disorders of puberty

IV    Contraception, Neonatology and Recent Advances

(a)     Contraception (Male & Female)

(b)     Medical terminal of pregnancy – safe abortion – selection of cases, technique & management of complication of medical and surgical procedures, MTP law Medical abortion & Emergency Contraception.

(c)     National health programmes.

(d)     Social obstetrics and vital statistics

(e)     Care of new born, neonatal resuscitation, detection of neonatal malformation.

(f)     Neonatal sepsis – prevention, detection & management.

(g)     Neonatal hyper-bilirubinemia – investigation & management including NICU care.

(h)     Managemenr of common neonatal problems

(i)       Ethics and medical jurisprudence

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