Essential Obstetrical And Gynecological Skills
(IIIrd Semester)
Procedure Observed
Assisted Reproductive Technology procedures
Ultra sonography
Specific laboratory tests.
Amniocentesis.
Cervical & vaginal cytology.
Procedures Assisted
Operative delivery
Abnormal deliveries-Forceps application, Ventouse, Breech
Exchange blood transfusion
Culdoscopy.
Cystoscopy
Tuboscopy
Procedures Performed
History taking.
Physical Examination-General
Antenatal assessment. 20
Pelvic examination
Assessment of risk status.
Assessment of Intra uterine foetal well-being.kick chart and foetal movement chart, Doppler assessment,
Non Stress Test, Contraction stress test(Oxytocin challenge test)
Universal precautions- Disposal of biomedical waste.
Per Vaginal examination and interpretation (early pregnancy, labour, post partum).
Utilization of Partograph
Medical & Surgical induction(Artificial rupture of membranes).
Vacuum extraction
Conduct of delivery.
Prescription and administration of fluids and electrolytes through intravenous route.
Application of outlet forceps, delivery of breach Burns Marshall, Loveset manoeuvere
Repair of tears and Episiotomy suturing.
Vacuum extraction
controlled cord traction, Manual removal of placenta, placental examination,
Manual vacuum aspiration
Postnatal assessment.- 20
(IVth Semester)
Procedures Observed
Fetoscopy.
Hysteroscopy.
MRI.
Surgical diathermy.
Cryosurgery.
Procedures Assisted
Laparoscopy.
Endometrial Biopsy
Tubal patent test
Chemotherapy
Radiation therapy
Medical Termination of Pregnancy.
Dilatation and Curettage
Procedures Performed
Management of breast engorgement
Thrombophlebitis (white leg)
Postnatal counseling.
Reposition of inversion of uterus.
Laboratory tests: Blood- Hb, Sugar, Urine-albumin,sugar
Breast care, breast exam, and drainage breast abscess.
Postnatal exercise.
Assessment New born assessment; physical and neurological, Apgar score, high-risk newborn,
Monitoring neonates; Clinically and With monitors, Capillary refill time, Assessment of jaundice, danger
signs
Anthropometric measurement
Neonatal resuscitation
Gastric Lavage
Care of newborn in multi channel monitor and ventilator.
Care of newborn in radiant warmer and incubator.
Kangaroo mother care.
Assisting mother with exclusive Breast-feeding
Feeding technique: Katori, spoon, naso/orogastric, Total Parenteral nutrition
Assessement, calculation and administration of fluids and medications: - Oral - I.D. - I.M. - I.V.-
Securing IV line, infusion pump
Administration of drug per rectum
Capillary blood sample collection.
Oxygen therapy.
Phototherapy.
Chest physiotherapy.
counseling Parental, bereavment, family planning, infertility etc
Setting of operation theatre.
Trolley and table set up for Obstetrical & gynaecoligical operations.
Pap smear.
Vaginal smear.
Insertion of pessaries,
Insertion of IUD and removal.
Teaching skills
communication skills
Prepare referral slips
Pre transport stabilization
Networking with other stake holders