Maharashtra University of Health Sciences Courses

M.S. (Obstetrics & Gynaecology)

Course Syllabus

Obstetrics :

• Basic sciences
  • Applied Anatomy in females of genito urinary system, abdomen, pelvis, pelvic floor, anterior abdominal wall and breast.
  • Anatomy of fetus
  • Fundamentals of reproduction Gametogensis fertilization, implantation & early development of human embryo.
    • Placenta - development, structure, functions
    • Amniotic fluid - formation and function
    • Fetal growth & development, fetal physiology
    • Birth defects,Genetics & teratology & counselling.
    • Physiological changes during pregnancy, labour and puerperium
    • Endocrinology of pregnancy.
    • Lactation
    • Immunology of pregnancy
    • Molecular biology
• Normal pregnancy, labour & puerperium.
  • Breast feeding - baby friendly initiative
• Early recognition and prompt management of pregnancy
  • complications, - Hyperemesis gravidarum, abortions, ectopic pregnancy, hydatidiform mole, Pre-eclampsia, eclampsia, Pathophysiology of PIH, Antepartum hemorrhage, multiple pregnancy, polyhydramnios, Oligohydramnios &Prolonged pregnancy.
• Management of pregnancies complicated by medical,surgical or gynaecological diseases, in consultation with the concerned specialities by team approach.
  • * Anemia,Heart disease,diabetes mellitus, liver disorders,Respiratory diseases, Renal diseases, CNS disorder, Skin, Psychiatry Hypertensive disorders .
  • * Acute abdomen, Acute Appendicitis, Intestinal obstruction, perforations.
    • Fibroids, Ovarian tumors, Carcinoma cervix, genital prolapse.
    • Recent advances in medical and surgical management.
• Infections in pregnancy.
  • Malaria, Toxoplasmosis, viral infections ( Rubella, CMV, Hepatitis B, Herpes) syphilis and Other sexually transmitted infections including HIV, Leptospirosis.
  • Parents to child transmission of HIV infection. (PPTCT)
• Evaluation of the fetal and maternal health in complicated pregnancy by making use of available diagnostic modalities and plan for safe delivery of the fetus while safeguarding thematernal health. Identification of fetus at risk and management.
  • High risk pregnancy - Post caesarean pregnancy, prolonged gestation, preterm labour, fetal growth restriction, premature rupture of membranes, blood group incompatibility, recurrent pregnancy wastages. Imaging techniques, CTG
• Prenatal diagnosis of fetal abnormalities and appropriate care. Fetal therapy. PNDT Act and its implications.
• Partographic monitoring of labour progress, early recognition of dysfunctional labour and appropriate interventions during labour including active management of labour.
• Obstetrical analgesia and anesthesia.
• Induction and augmentation of labour.
• Management of abnormal labour : Abnormal pelvis, soft tissue abnormalities in birth passage, Malpresentation and malpositions of fetus, abnormal uterine action, obstructed labour and cervical dystocia. Third stage complications - PPH including surgical management, retained placenta, uterine inversion, post partum collapse, amniotic fluid embolism.
• Abnormal puerperium, Puerperal sepsis Thrombophlebitis, Mastitis, Puerperal venous sinus thrombosis,Psychosis.
• National Health Programmes to improve the maternal and child health, social obstetrics and vital statistics. (Maternal and Perinatal mortality)
• Drugs used in obstetric practice including prostaglandins.FDA Classification
• Coagulation disorders in obstetrics, Blood and component therapy.
• Operative obstetrics - decision making, technique, recognition and management of complications - C.S. instrumental delivery, obstetrics hysterectomy, role of destructive surgery.Manipulations-version,MRP etc. Forceps,Vaccum, Internal iliac artery ligation
• Intensive care in obstetrics for critically ill patient. Fluid and electrolyte balance, volume status maintenance, protecting vital organ function.
• Provision of safe abortion services - selection of case, techniques, and management of complications. Septic abortion, Criminal abortion, MTP Act Adoption laws.

New Born

• Care of newborn care of preterm, S.G.A.neonates, infants of diabetec mother.
• Asphyxia & Neonatal resuscitation (Respiratory distress syndrome and Meconium aspiration syndrome)
• Neonatal sepsis - prevention, Early detection & management.
• Neonatal hyperbilirubinemia, investigation and management.
• Birth trauma - prevention, early detection & management.
• Detection of congenital malformations in new born and make timely referrals for surgical corrections.
• Management of the common problems in neonatal period.

Gynaecology :

• Basic sciences
  • Development of genital tract and associated malformations. Basics of breast diseases related to ob/gy
  • Applied anatomy of female genital tract, abdominal wall and urinary tract.
• Physiology of menstruation and ovulation
  • Physiology of spermatogenesis
  • Endocrinology - hypothalamus pituitary, thyroid and adrenal glands Neurotransmitters
  • Common menstrual disorders and their management
• Diagnosis and surgical management of clinical conditions related to congenital malformations of genital tract. Reconstructive surgery in gynaecology
• Chromosomal abnormalities and intersex. Ambiguous sex at birth
• Reproductive Endocrinology : Evaluation of primary and secondary amenorrhoea, management of hyperprolactinemia, Hirsutism, chronic anovulation and PCOD,. Thyroid dysfunction.
• Endometriosis and adenomyosis - medical and surgical management.
• Infertility evaluation and management. Use of ovulation induction methods and Tubal microsurgery, Assisted reproduction techniques , management of immunological factors in infertility. Adoption law, medico-legal and ethical issues.
• Reproductive Tract Infections, Sexually Transmitted Infections, HIV/AIDS : Prevention, Diagnosis and management.Genital Tuberculosis.
• Screening for genital malignancies - cytology, colposcopy and biochemistry. Management of premalignant lesions
• Benign and malignant tumors of genital tract – Early diagnosis and management.
• Principles and practice of oncology in gynaecology - chemotherapy, radiotherapy, palliative treatment.
• Supports of pelvic organs , genital prolapse,surgical management of genital prolapse.
• Common urological problems in gynaecology - SUI, voiding difficulties, VVF, urodynamics, surgical repair of genital fistulae, ureteric and bladder injuries.
• Management of menopouse, prevention of complications, HRT, cancer screening - genital, breast.
• Recent advances.
• Newer diagnostic aids - USG, interventional sonography, other imaging techniques, endoscopy.
  • Hysteroscopy, laporoscopy - diagnostic, simple surgical procedures, including laparoscopic tubal occlusion , endometrial ablative techniques, colposcopy.
• Medicolegal aspects, ethics, communications and counselling.( Sexual / Assaults)
• Operative gynaecology - Selection of case, technique and management of complications of minor and major gynaecology procedures.
  • Abdominal and vaginal hysterectomy
  • Surgical procedures for genital prolapse
  • Surgical management of benign and malignant genital neoplasms.
  • Repair of genital fistulae, SUI
  • Operative endoscopy – Laparosocpic, Hysteroscopic
• Recent advances in gynaecology - diagnostic and therapeutic
• Special groups - Pediatric and adolescent gynaecology, geriatric gynaecology
• Evidence based management

Family Planning :

• Demography and population Dynamics.
• Contraception - Temporary methods. Permanent methods (vasectomy and female sterilization) Legal issues.
• MTP Act and procedures of MTP in first & second trimester.( Recent Amendments, Legal/ethical issues)
• Emergency contraception.
• Recent advances, New development, Future research work in contraceptive technology.