STUDY GUIDE OF GYNECOLOGY &

OBSTETRICS
 CONTENTS

1. VISION & MISSION 3

2. OUTCOMES OF THE MBBS PROGRAM 4

3. INTRODUCTION OF OBSTETRICS & GYNAECOLOGY 5

4. TEACHING AREA AND TEACHING AIDS 6

5. INSTRUCTIONAL STRATEGIES 7

6. TABLE OF SPECIFICATION 8

7. LEARNING RESOURCES 57

8. ASSESSMENT 59
 VISION & MISSION

Vision:

Our vision is to be a global leader in transformative medical

education and healthcare delivery.

Mission:

To advance the art and science of medicine through

innovative medical education, research, and compassionate
healthcare delivery, within available resources, in an
environment that advocates critical thinking, creativity,
integrity, and professionalism.
 OUTCOMES OF THE MBBS PROGRAM

The QAMC graduate of the MBBS program will be able to:

1. Utilize knowledge of basic and clinical sciences for patient care.
2. Take Focused history, perform physical examination, formulate a
diagnosis and management plan for common health problems.
3. Require professional behaviors that embodies lifelong learning, altruism,
empathy and cultural sensitivity in provision health care service.
4. Identify problems, critically review literature, conduct research and
disseminate knowledge
5. Lead other team members as per situational needs for quality health
service.
6. Apply evidence-based practices for protecting, maintaining and
promoting the health of individuals, families and community.
INTRODUCTION OF OBSTETRICS &GYNAECOLOGY
Introduction

Obstetrics and Gynecology deals with reproductive health of women.

It evolves basic sciences, basic principle of medicine and surgery as
well as endocrinology. It deals with preventive as well as curative
medicine along with surgical intervention as well as non-invasive
techniques to deal with pathological condition of women from
puberty to menopause.

Rationale

Obstetrics deals absolutely with all problems related with pregnancy

whereas gynaecology is mainly concerned with all issue related with
reproductive health of a woman along with menopausal problems. It
is further disseminated in accordance with specific condition.

STUDENTS’ INSTRUCTIONS FOR CLINICAL ROTATION

1. Introduce yourself and take consent before taking the history and clinical

examination.

2. Be gentle and polite during taking the history.

3. If there is language problem take the help of interpreter.

4. Please avoid cross talking.

5. Put cell phones on silent mode.

6. Male student should Always take a female student or a nursing staff with

them while taking history and clinical examination.

7. Provide a separate examination room for the patient along with her female

attendant to ensure her privacy.

8. Avoid overcrowding of students in the examination room.

9. Explain all the methodology of clinical review in a stepwise manner.

10.Consent and counseling must be done regarding the diagnosis, steps of

management and consequences.

11.In case of an aggression shown by any patient or attendant, involve the

supervisor and head of the department.

TEACHING AREA AND TEACHING AIDS

Clinical Teaching Area

1. Lecture halls
2. Tutorial rooms
3. Skills Lab
4. A. Out Patient Department
a. Gynaecology Clinic
b. Obstetrics Clinic

B. Inpatient Department
• Tutorial
• Seminar Room
• HDU
• O.T
Teaching Aids
• Television monitoring LW
• Slide projector
• Multimedia
• Flip charts
• Full body mannequin
• Birth demonstrator
• Examination dummy
• Surgical equipment
• Surgical specimens
• X – Rays
• CTG machines
 • Ultrasound machines

INSTRUCTIONAL STRATEGIES

• Lectures
• Clinical teaching (Bedside Teaching, SGD)
• Tutorial
• Assignments
• Workshops

Curriculum map of Gynea/Obs department

Based on the 6 core competencies namely: knowledge, patient Cognition: MCQ, SEQ,
Professor care, professionalism, interpersonal communication, personal Viva
improvement, system improvement
Assistant Professors Psychomotor: OSPE
Senior Demonstrators Affective: Direct
Demonstrators Observation, counseling
Learning Student sessions ,PERLS
APWMO/PMO Staff assessment
outcome
WMO/MO
Large Group: Lectures,
Support staff Labs
Educational
space Gynea/obs strategies
Small Group:
Demonstrations.
Lecture Halls, Presentations. Flipped
Demonstration Rooms, classroom. CBL, PBL, SDL.
Labs, Skill lab, Museum. Assignments, reflective
Library Time writing
Equipment content
Line

Microscopes
As per Guidelines of UHS
Models & PMDC
Audio Visual aids Guidelines as per UHS & PMDC rules
 LIST OF FACULTY

Head of Department
1. Prof. Dr. Salma Jabeen
2. Prof Dr Shakeela Yasmeen
Associate Professor
1. Dr. Saba Nadeem
Assistant Professor
1. Dr. Shahnaz Anwar
2. Dr. Bushra Mukhtar
Senior Registrar/ WMOs
1. Dr. Samina Imran
2. Dr. Naila Shabbir
3. Dr. Sajeela Shahid
4. Dr. Nimrah Sattar
5. Dr. Nargis Sheryar
6. Dr. Samia Asghar
7. Dr. Sana Asghar
8. Dr. Memona
9. Dr. Sohaima
10. Dr. Samreen Akram
11. Dr. Naima Ismail
Time table
INTRODUCTION

1. Introduction to the subject of Obstetrics & Gynaecology.

2. The course content evolved, knowledge based learning by taking lectures

and improve cognitive learning by skill based tutorials and effectiveness
gained by clinical exposure and counseling of patients (virtual or simulator
based).

(a) Preconception Care and ANC

Basic and essential information regarding the preconception status, the

physiology of pregnancy is very important to understand for have a successful
conception and better pregnancy outcome. Along with screening of a
pregnancy by ANC helpful in high risk pregnancy detection, prevention and
cure.

(b) Reproductive Health

To develop the concept of reproductive health care of a woman starting from

menarche till menopause, understanding of the physiological events (like
menstruation and ovulation are very important. This will guide you to
understand any abnormal behavior like irregular menstruation, abnormal
placentation or unsuccessful pregnancy by miscarriage and the significant of
contraception in women reproductive health.

 Intrapartum Care (Labour)

Provision of knowledge and skills about the intrapartum care and monitoring of
term and preterm pregnancy to have successful vaginal delivery, followed by
post partum care to avoid complications like PPH.

 Urogynaecology

The content of module will make the student to learn about the various
aspects of uro-genital problems from the prepubertal age (like infectious
problems & Endometriosis) along with post-menopausal issue (i.e. pelvic organ
prolapsed etc.)
  Obstetrics Emergencies

The course content of this module will helpful in understanding the causes of
obstetrical emergencies that leads to high maternal mortality and morbidity in
our community.

 Gynae Endocrinology

The level of Endocrinology which deals with female reproductive development

and functions are included in the content of this module. Male Endocrinology
aspects that are found to be essential for fertility are also added.

 Feto-Maternal Medicine

The student will come to know about the effects of common medical disorder
like hypertension, anemia and diabetes etc on the pregnancy and its perinatal
outcome, so to apply this knowledge in early detection and learn management
protocols.

(c) Gynaecological Tumors

All the reproductive tracks mainly cervix, uterus and ovaries have both
benign and malignant pathologies. That needs to be screen for early
detection. Understanding their causative factors and manifestations of
disease knowing the tools of diagnosis and management outlines are
included.

Subject: Gynaecology + Obstetrics

 1.a (Pre-Conception& ANC*) 1.b (Reproductive

Topics
Health)
1.Pre-natalScreening 1. Physiology of
Menstruation
/ Ovulation
2.Physiology of pregnancy 2. Abnormal uterine
bleeding.
3.Antenatal care 3. Abortion
4.High risk pregnancy (Twin) 4. Ectopic pregnancy
5.High risk pregnancy (Breech) 5. Contraception
 (ANC= Antenatal Care)

2.a (Labour) 2.b (Urogynaecology)

Topics

1.Basic physiology of labour, 1. Vaginal discharge

stages, phases of labour,
Induction of labour

2.Intrapartum care 2. Pelvic inflammatory

disease

3.Mode of Delivery (Vaginal, 3. Endometriosis

Instrumental vaginal delivery
and C-Section)

4.Postpartum care 4. Genito urinary syndrome /

Menopause

5.Preterm labour 5. POP (pelvic organ

prolapsed)

3.a (Obstetrics Emergencies) 3.b (Gyne Endocrinology)

Topics

1.Antepartum haemorrhage 1. Primary amenorrhea

(Placenta Abrupto)

2.Antepartum haemorrhage 2. Secondary amenorrhea

(Placenta Previa)

3.Postpartum haemorrhage 3. Polycystic ovarian

syndrome (PCO’s)

4.3 delays and maternal 4. Female infertility

mortality
 5.Complications of previous scar 5. Male infertility
c-section

Topics 4.a (Feto-Maternal Medicine) 4.b (Gynaecological

Tumors)

1.Pregnancy induced 1.Cervix

hypertension
2.Gestation diabetes mellitus 2.Uterus
3.Anaemia in pregnancy 3.Ovaries
4.Thyroid disorders in 4.GTD (Molar)
pregnancy
5.Rh-incompatibility
6.Cholestasis in pregnancy
.
 At the end of the session, the student of MBBS will be able to:
Name Serial Topic Learning Objectives Learning Resources Venue
or No. no. of
topic

1 Prenatal screening 1. Define prenatal screening. • Obstetrics by lecture hall

Ten Teachers 20th Edition.
2. Enlist serum markers for prenatal diagnosis
3. Describe role of ultrasound to screen • Dewhurst text book of
obstetrics & Gynaecology
chromosomal and structural anomalies. 9th Edition
4. Describe CVS and Amniocentesis as prenatal
a) PRE -CONCEPTION & ANTENATAL CARE

diagnostic test.

2 Physiology of 1. Describe placental hormones, its functions • Obstetrics by lecture hall

and transfer of metabolites. Ten Teachers 20th Edition.
pregnancy
2. Discuss the normal physiological changes in • Dewhurst text book of
obstetrics & Gynaecology
cardiovascular, hematological, gastro
9th Edition
intestinal and renal system.
3. Recognize LMP (Last Menstrual Period) to
calculate EDD (Expected Delivery Date).
4. Enlist the general physiological symptoms of
pregnancy.
1(
3 Antenatal care 1. Define antenatal care • Obstetrics by lecture hall
Ten Teachers 20th Edition.
2. Use strategies for confirming pregnancy and
expected date of delivery by utilizing • Dewhurst text book of
obstetrics & Gynaecology
Neagle’s Rule. 9thEdition.
3. Describe the importance of WHO
recommended visits for antenatal care.
4. Describe the physiological symptoms of
pregnancy during ANC. OPD

5. Record the events of pregnancy in a given

scenario, according to each trimester.
6. Schedule the visits of the pregnancy.
7. Select the appropriate investigations and
screening test as routine antenatal care by
WHO recommendations.
Skill
Lab
8. Perform the per abdominal examination in a
simulated environment on manikin,
9. Counsel the patient regarding the
breastfeeding, contraception and
immunization during antenatal care.
4 Multiple gestation 1. Define multiple pregnancy. • Obstetrics by Lecture
Ten Teachers 20th Edition. hall
2. Classify types of multiple pregnancy.
• Dewhurst text book of
3. Enumerate the risk factors of multiple
obstetrics & Gynaecology 9th
pregnancy. Edition.
4. Describe the diagnostic evaluation for multiple
pregnancy.
5. Discuss the clinical manifestation
6. Enlist the complications of multiple pregnancy.
7. Discuss the mode of delivery of multiple
pregnancy.

5 Malpresentation 1. Define malpresentation. • Obstetrics by lecture hall

Ten Teachers 20th Edition.
(breech) 2. Classify the types of breech at term.
3. Enumerate the risk factors of breech • Dewhurst text book of
obstetrics & Gynaecology 9th
presentation at term.
Edition.
4. Discuss the significance of external cephalic
version at term.
5. Formulate the management plan for assisted
vaginal breech delivery or elective caesarian
section at term
6. Enlist the complications of breech vaginal
delivery at term
 1 Physiology of 1. Define menstruation and ovulation. • Gynaecology by Ten Lecture
Teachers 20th edition. hall
b) REPRODUCTIVE HEALTH

menstruation / 2. Describe the biological events of menstrual

• Jeffcoate’s principle of
ovulation cycle due to hormonal influence. Gynaecology.
3. Identify the last menstrual date to exclude • Gynaecology by Rashid
menstrual abnormalities. Latif.
1(
2 Abnormal uterine 1. Define abnormal uterine bleeding • Gynaecology by Ten Lecture
Teachers 20th edition. hall
bleeding 2. Compare terminologies regarding abnormal
• Jeffcoate’s principle of
uterine bleeding of woman of reproductive Gynaecology.
age group • Gynaecology by Rashid
3. Explain the pathophysiology of menstrual Latif.
disorder and ovulation.
4. Identify the various causes of abnormal
uterine bleeding.
OPD
5. Describe the current treatment options.

6. Interview a patient with abnormal uterine

bleeding to obtain history
7. Organize the sequencing questions for
history taking of AUB.
8. Critique the recorded history for self
improvement purpose;
9. Observe the gynecological examination (per
abdominal+per vaginal) by facilitator to
exclude mass.
10. Select the diagnostic test to determine cause
of AUB.
11. Outline the management plan.
3 Abortion and its 1. Define abortion • Gynaecology by Ten Lecture
Teachers 20 th
edition. hall
management 2. Classify its different types on basis of signs
• Jeffcoate’s principle of
and symptoms Gynaecology. Gynaecology
3. Distinguish between different types of abortion by Rashid Latif
4. List the causes of recurrent abortion
5. Evaluate relevant investigations and
management plan.
6. Discuss post abortal care. Gynae
OPD

7. Obtain and record history of a patient with

abortion
8. Organize the sequence of events for history
taking.
9. Correlate history and clinical features to make
provisional diagnosis.
10. Justify investigations required for the
management. Gynae Ward
11. Outline the management plan.

12. Draw the observations regarding the

evacuation of uterine cavity for retained
product of conception: OT
a) medical management
b) surgical management
4 Ectopic Pregnancy 1. Define ectopic pregnancy. • Gynaecology by Ten Lecture
Teachers 20th edition. hall
2. Enumerate the risk factors of ectopic
pregnancy. • Jeffcoate’s principle of
Gynaecology.
3. Recognize the clinical presentation for ruptured
ectopic pregnancy.
4. Identify the role of ultrasound and serum beta
HCG in detecting un ruptured ectopic
pregnancy.
5. Discuss the management options for ruptured
as well as un ruptured pregnancy.

5 Contraception 1. Define contraception. • Gynaecology by Ten worksho

Teachers 20 th
edition. p/tutori al
2. Identify the epidemiological factors responsible (Semina r
• Jeffcoate’s principle of
for its prevalence rate. Gynaecology. room)
3. Discuss the different methods of contraception. • Gynaecology by Rashid
4. Compare the efficacies of different Latif.
contraceptive methods.
5. Describe Emergency contraception in detail.
6. Explain MEC 2015: methods of contraception.
7. Counsel a patient for family planning in a
simulated environment.

1 LABOUR 1. Explain the boundaries of pelvis. • Obstetrics by Skill lab

Ten Teachers 20th Edition.
Applied Anatomy of 2. Identify the diameters of pelvis inlet, mid cavity
LABOUR

Pelvis +Pelvimetry and outlet. • Dewhurst text book of

obstetrics & Gynaecology 9th
3. Describe the different types of pelvis.
Edition.
4. Explain the importance of clinical Pelvimetry for
2.(a)

a laboring patient. Tutorial and

5. Describe the diameters of fetal skull and their Skills Lab
Applied Anatomy of clinical importance for a normal labour.
Fetal Skull. 6. Discuss the malposition due to change of
obstetrical diameters at term pregnancy.

7. Define normal “LABOUR”.

8. Describe the physiological events occurring
during normal labour. Labour
Basic physiology of 9. Identify the stages of labour. Room
labour, stages, 10.Describe the mechanism of labour (video).
phases of labour
11.Recognize the importance of obstetrical
examination.
12.Relate the gestation period after measuring
symphysio fundal height.
Obstetric 13.Demonstrate the Leopard maneuvers.
examination (P/A) 14.Examine the fetal heart by pinnard fetoscope
and by sonicaid.

15.Define induction of labour.

16.Enumerate indication for induction of labour.
17.List different methods of induction of

Induction of Labour
2 Intrapartum care 1. Define Intra Partum care. • Obstetrics by
Ten Teachers 20th Labour room
2. Discuss basic principles of intra partum care. Edition.
3. Recognize the current stage of labour through
• Dewhurst text book of
Bishop Scoring. obstetrics &
4. Record the events of labour by Maternal and Fetal Gynaecology 9th
Surveillance charting (CTG and Partogram). Edition.
5. Establish the plan for mode of delivery (vaginal and
C-section).
6. Describe the significance of AMTSL.
7. Examine the placental separation by control cord
traction.
CTG
8. Define cardiotocograph (CTG).
9. Identify the basic features of CTG.
10.Interpret the findings of CTG to detect the non
reassuring CTG.
11.Relate the observation of CTG with the progress of
labour.
PARTOGRAM
12.Define Partogram.
13.Recognize the norms of Partogram.
14. Identify the importance of maintaining Partogram
in laboring patient.
15.Interpret the features of Partogram to make a
decision for mode of delivery.
 EPISIOTOMY
16.Identify the instrument.
17.Classify the types of episiotomy.
18.Discuss the advantages and disadvantages of
specific type episiotomy.
19.Recognize the pre requisite of episiotomy.
SYNTOCINON
20.Identify the drug
21.Describe the mechanism of action 22.Enumerate
the uses of syntocinon
23. Enlist the complications.

3 Mode of Delivery Instrumental Delivery  Obstetrics by Skills

Ten Teachers Lab
(Instrumental 1. Identifyinstruments (forceps / ventouse).
20th Edition
vaginal delivery 2. Enlist the indications of instrumental vaginal
and delivery.
C-Section) 3. Describe the prerequisite to fulfill their uses.
4. Discuss the complications.
C-Section
5. Identifyinstruments of C-Section.
6. Enlist indication of emergency and elective C-
section. OT and
7. Discuss the preoperative care for CSection. Tutorial

8. Enumerate the intra-operative complications.

9. Discuss the post operative care.
10.Schedule the follow-up.
4 Postpartum care 1. Define Post Partum Care. • Obstetrics by Ten lecture hall
Teachers 20thEdition.
2. Recognize the components of Post Partum Care
• Dewhurst text book of
3. Identify the common problems during obstetrics &
Post Partum Care Gynaecology 9th
(Sepsis,Anaemia,Post Partum Haemorrhage). Edition. Ward

4. Counsel for breast feeding and contraception.

5 Pre Term Labour 1. Define preterm labour • Obstetrics by lecture

Ten Teachers 20th
2. Differentiate between preterm labour and Edition.
threatened preterm labour.
• Dewhurst text book of
3. Discuss etiology and pathogenesis of preterm obstetrics &
labour. Gynaecology 9th
4. Enumerate risk factors and preventive measure for Edition.
preterm labour.
5. Explain screening and diagnostic methods for
diagnosis of preterm labour.
6. Discuss management of preterm labour.
 1 Vaginal Discharge 1. Classify physiological and pathological vaginal • Gynaecology by Ten lecture
discharges. Teachers 20th edition.
UROGYNAECOLOGY

• Jeffcoate’s principle of
2. Discuss the clinical manifestation of various Gynaecology.
pathological discharges. • Gynaecology by
3. Recognize the significance of clinical examination Rashid
i.e.; per speculum examination. Latif.
4. Justify the specific investigations for the
confirmation of diagnosis. OPD
5. Suggest the treatment options in accordance with
guidelines.
6. Interview a patient with vaginal discharge to
2.(b)

record history.

2 Pelvic Inflammatory 1. Define Pelvic inflammatory disease. • Gynaecology by Ten lecture

Teachers 20th edition.
Disease 2. Describe the epidemiology of pelvic inflammatory
• Jeffcoate’s principle of
disease. Gynaecology.
3. Enumerate risk factors for developing pelvic • Gynaecology by
inflammatory disease. Rashid
4. Describe the pathogenesis of pelvic inflammatory Latif.
disease.
5. Discuss the clinical manifestations of

Name Seria Topic Learning Objectives Learning Resources Venue

l no.
of
topic
 pelvic inflammatory disease.
6. Select the specific investigations for evaluation of
diagnosis.
7. Discuss the management protocol of Pelvic
Inflammatory Disease.
8. Interview of both partners(husband and wife) to
detect the risk factor of Pelvic Inflammatory
Disease. OPD
3 Endometriosis 1. Define endometriosis. • Gynaecology by Ten 1 lecture
Teachers 20th edition.
2. Explain the pathophysiology.
• Jeffcoate’s principle of
3. Discuss the clinical and pathological classification Gynaecology.
according to (FIGO). • Gynaecology by
4. Enlist the current treatment option according to Rashid
clinical classification. Latif.

4 Genito Urinary 1. Define Menopause. • Gynaecology by Ten lecture hall

2. Recognize the terminologies like Peri menopause, Teachers 20th edition.

SyndromeMENOPAU
• Jeffcoate’s principle of
SE induced Menopause and Premature Menopause, Gynaecology.
Primary Ovarian Insufficiency. Gynaecology by
3. Describe the classical symptoms of menopause. Rashid
4. Discuss the management options for menopausal Latif
symptoms.

5. Counsel the patient for post

menopausal health and life style modification

OPD
5 Pelvic Organ 1. Define Pelvic Organ Prolapse • Gynaecology by Ten lecture hall
Teachers 20th edition.
Prolapse 2. Identify the degrees and types of Pelvic Organ
• Jeffcoate’s principle of
Prolapse. Gynaecology.
3. Enumerate the anatomical supporting ligament of • Gynaecology by
uterus Rashid
4. Discuss etiological factors in Pelvic Organ Prolapse. Latif.
5. Recommend the investigating tools(POP Q) to
evaluate the degree of prolapse.
6. Formulate management plan for Pelvic
OPD
Organprolapse.

7. Obtain and record history of a patient with Pelvic

Organ prolapse.
8. Observe examination with facilitator and
identifyPelvic Organ prolapsed.
 1 Ante Partum 1. Define Ante Partum Hemorrhage. • Obstetrics by
Ten Teachers 20th lecture hall
Hemorrhage 2. Classify Ante Partum Hemorrhage. Edition.
OBSTETRICS EMERGENCIES

(Abruptio Placenta) 3. List causes of Ante Partum Hemorrhage. • Dewhurst text book of
4. Enumerate the risk factors of Abruptio Placenta obstetrics &
5. Suggest the appropriate investigations to Gynaecology 9th
exclude any complication. Edition.
6. Formulate the management plan of Abruptio `````````````````
Placenta. labour room

7. Obtain and record history of a patient with

abruptio placenta.
3.(a)

2 Ante Partum 1. Define Placenta Previa • Obstetrics by lecture hall

Ten Teachers 20th
Hemorrhage 2. Enlist the types of Placenta Previa. Edition.
(Placenta Previa) 3. Enumerate the risk Factors of Placenta Previa. • Dewhurst text book of
4. Differentiate the clinical features of placenta obstetrics &
previa with abruptio placenta. Gynaecology 9th
5. Recognize role of ultrasound to localize the Edition.
placenta and its complication

related with previous scar.

6. Discuss the mode of delivery and management
plan.
7. Obtain and record history of a patient with
Placenta Previa. ward
3 Post Partum 1. Define post partum hemorrhage. • Obstetrics by lecture hall
Ten Teachers 20th Edition.
Hemorrhage 2. Enumeraterisk factors for Post partum
hemorrhage. • Dewhurst text book of
obstetrics & Gynaecology 9th
3. Enlist the causes of post partum hemorrhage.
Edition.
4. Describe protocol for managing post partum
hemorrhage Skills lab

5. Sequence the steps of management in a

simulated environment in a given scenario of
PPH.

4 3 Delay and 1. Define and enlist common obstetrical • Obstetrics by lecture hall
emergencies. Ten Teachers 20th Edition.
Maternal Mortality
2. Describe 3 delays in obstetrical emergencies. • Dewhurst text book of
3. Discuss the causes of 3 delays in obstetric obstetrics & Gynaecology 9th
Edition.
emergencies
4. Outline the strategies to improve 3 delays and
maternal mortality.

5 Complication of 1. Determine the frequency of uterine scar in • Obstetrics by lecture hall

multiparous women. Ten Teachers 20th Edition.
Previous Scar C-
2. Identify the obstetric risk/ complications • Dewhurst text book of
Section
obstetrics & Gynaecology 9th
associated with previous scar.
Edition.
3. Discuss the vaginal mode of delivery (VBAC)
 1 Primary 1. Define and classify amenorrhea. • Gynaecology by Ten Teachers lecture hall
20th edition.
Amenorrhea 2. Distinguish the clinical features of primary
• Jeffcoate’s principle of
GYNE ENDOCRINOLOGY

amenorrhea from secondary amenorrhea. Gynaecology.

3. Enumerate the causes of primary • Gynaecology by Rashid
amenorrhea. Latif.
4. Utilize the basic knowledge for the evaluation
of primary amenorrhea OPD
5. Discuss the management plan for primary
amenorrhea.

6. Interview a patient to record history of

primary amenorrhea.
7. Examine the patient for specific features of
3.(b)

primary amenorrhea.

2 Secondary 5. Define secondary amenorrhea. • Gynaecology by Ten Teachers lecture hall

6. Identify the pathophysiological events of 20th edition.

Amenorrhea
• Jeffcoate’s principle of
secondary amenorrhea. Gynaecology.
7. Correlate the different clinical features to • Gynaecology by Rashid
make a provisional diagnosis of secondary Latif.
amenorrhea.
8. Select the basic diagnostic tool for the OPD
confirmation of diagnosis.
9. Discuss the management plan.

10. Obtain and record history of a patient with

secondary amenorrhea.
3 Polcystic Ovarian 1. Define Polycystic Ovarian Syndrome. • Gynaecology by Ten Teachers lecture hall
20th edition.
Syndrome PCO’S 2. Describe the pathophysiological events
• Jeffcoate’s principle of
related with Polycystic Ovarian Syndrome. Gynaecology.
3. Recognize the clinical features of Polycystic • Gynaecology by Rashid
Ovarian Syndrome. Latif.
OPD
4. Evaluate the Polycystic Ovarian Syndrome
according to Rotterdam criteria and
endocrinological basis.
5. Outline the management plan for Polycystic
Ovarian Syndrome.

6. Interview a patient with Polycystic Ovarian

Syndrome to obtain history.
7. Examine the patient to detect specific

features.
8. Calculate BMI.
4 Female Infertility 1. Define infertility. • Gynaecology by Ten lecture hall
Teachers
2. Differentiate between primary and secondary
20thedition.
infertility.
• Jeffcoat’s principle of
3. Categorize different aspects of subfertility. Gynaecology.
4. Suggest the relevant investigations to • Gynaecology by Rashid
evaluate female infertility Latif.
5. Formulate the management plan for female OPD
infertility.

6. Obtain and record history of a patient with

female infertility.
7. Perform a specific general physical and
systemic examination related to subfertility to
reach diagnosis.(BMI, Thyroid,
Galactorrhoea,Hirsuitism and Pelvic mass)

5 Male Infertility 1. Define Male Infertility. • Gynaecology by Ten lecture hall

Teachers
2. Enumerate risk factors of male infertility.
20thedition.
3. Categorize the causes of male
• Jeffcoate’s principle of
infertility(pretesticular,testicular,and Gynaecology.
 post testicular).  Gynaecology by Rashid
Latif.
4. Evaluate the male infertility.
5. Distinguish between normal and abnormal
semen analysis using latest WHO criteria.

1 Pregnancy induced 1. Define pregnancy induced hypertension. • Obstetrics by Ten Teachers lecture hall
hypertensionand 2. Classify PIH according to severity. 20thEdition.
-MATERNAL

Eclampsia • Dewhurst text book of

3. Discuss the pathogenesis of PIH.
obstetrics & Gynaecology 9th
4. Recognize the clinical manifestation pre edition.
MEDICINE

eclampsia and eclampsia.

5. Identify the complications due to PIH
(Eclampsia and HELLP syndrome)
FETO

6. Suggest the appropriate investigations to

establish the diagnosis.
7. Anticipate the complications of PIH and
4.(a)

eclampsia.
8. Formulate management plan for fetomaternal
surveillance during antenatal period,
intrapartum period and
 postpartum period.
Labour
Room
9. Discuss protocol for management of eclampsia.
10. Interview a patient with PIH to obtain history.
11. Discuss history with facilitator.
12. Perform relevant general physical examination to
determine the features of imminent eclampsia
and HELLP syndrome.

MAGNISIUM SULPHATE:
13. Identify the drug
14. Describe mode of action of MgSO4.
15. Discuss the protocol of MgSO4 for prophylaxis and
for the treatment of eclampsia.
16. Describe the systemic effects of MgSO4 toxicity.

2 Gestational 1. Define gestational diabetes. • Obstetrics by Ten Teachers lecture hall

20thEdition.
diabetes mellitus 2. Explain the pathophysiology of maternal
• Dewhurst text book of
hyperglycemia. obstetrics & Gynaecology
3. Identify the risk factors for gestational diabetes. 9thEdition.
4. Enumerate maternal and fetal complications of
gestational diabetes.
 5. Discuss the screening and diagnostic test for
gestational diabetes.
6. Enlist the current treatment option for
gestational diabetes.

7. Interview a patient with gestational diabetes to

obtain history.
8. Counsel patient for life style modification, diet ward
control and pharmacological therapy.
9. Inspect the management of hyperglycemia in
laboring patient.
labour room
3 Anemia in 1. Define anemia in pregnancy. • Obstetrics by Ten Teachers lecture hall
20thEdition.
pregnancy 2. Classify anemia in pregnancy.
• Dewhurst text book of
3. Enumerate its etiological factor. obstetrics & Gynaecology
4. Describe pathophysiology of iron deficiency 9th Edition.
anemia in pregnancy. OPD/wa
5. Explain the diagnostic algorithm of iron rd
deficiency of anemia.
6. Relate the laboratory findings to diagnose iron
deficiency anemia.
7. Outline management of for correction of
anemia
8. Obtain and record history of a patient with
anemia.
9. Discuss the history with facilitator.

10. Perform relevant general physical and systemic

examination
4 Thyroid disorder in 1. Explain the physiological role of Thyroid hormone in • Obstetrics by lecture hall
fetal development during pregnancy. Ten Teachers 20th
pregnancy Edition.
2. Classify the disorders according to the
• Dewhurst text book
manifestations of clinical features. of
3. Describe the clinical significance of screening obstetrics &
pregnant women for thyroid disorders in first Gynaecology
trimester. 9thEdition.
4. Discuss the effects of hypothyroidism and
hyperthyroidism during pregnancy.
5. Enlist the recommended treatment options for
hypothyroidism and hyperthyroidism during
pregnancy.

5 Rh-Incompatibility 1. Define iso-immunization and Rhesus factor. • Obstetrics by lecture hall

2. Identify causes. Ten Teachers 20th
Edition.
3. Describe the pathophysiology of Rhincompatibility.
• Dewhurst text book
4. Suggest the appropriate investigations for the of
evaluation of Rh-incompatibility during antenatal obstetrics &
care. Gynaecology 9th
Edition.

5. Recall the protocol for its prophylaxis.

 6 Cholestasis in 1. Define cholestasis of pregnancy. • Obstetrics by lecture hall
Ten Teachers 20th
pregnancy 2. Describe the pathophysiology of cholestasis of Edition.
pregnancy.
• Dewhurst text book of
3. Recognize the clinical features of cholestasis of obstetrics &
pregnancy. Gynaecology 9th Edition.
4. Discuss its possible feto maternal complications.
5. Correlate the relevant investigations to confirm
the diagnosis.
6. Enlist the treatment options to minimize its
complications.

1 Tumors of cervix 1. Identify the risk factors for cervical cancers. • Gynaecology by Ten lecture hall
2. Discuss the pathophysiological classification Teachers 20th edition.
GYNAECOLO

• Jeffcoate’s principle of
according to FIGO.
TUMORS

Gynaecology.
GICAL

3. Describe the clinical features to make a • Gynaecology

provisional diagnosis.
4. Suggest the investigations for its

4.(b)
Name. Seria Topic Learning Objectives Learning Resources Venue
l no.
of
topic
screening and detail evaluation to approach the by Rashid OPD
diagnosis. Latif.
5. Outline the management plan.
6. Obtain and record history of woman with irregular
vaginal spotting or post coital bleeding.
7. Inspect the cervix during P/S examination done by skill lab
facilitator for taking pap smear and cervical biopsy.
8. Define pap smear.
9. Describe the significance of pap smear
10. Demonstrate method of taking pap smear in
simulated environment on manikin.
11. Enlist types of cervical screening.
12. Enumerate cytological classification of smear.
13. Describe significance of colposcopy for further
management.

2 Tumors of uterus BENIGN TUMORS :FIBROID • Gynaecology by Ten Tutorial( ski

Teachers ll lab)
1. Identify the specimen( uterus with fibroids)
20thedition.
2. Classify uterine fibroids according to anatomical
• Jeffcoate’s principle of
location and clinical manifestation. Gynaecology.
3. Describe the pathophysiology of • Gynaecology by
Rashid

Name. Seria Topic Learning Objectives Learning Resources Venue

l no.
of
topic
fibroids. Latif. OPD

4. Justify the investigations for the diagnosis and further

management.
5. Enumerate the complications due to fibroids in
pregnancy.
6. Outline the management plan of fibroids with or without
pregnancy.

7. Obtain and record history of a patient with pelvic mass.

8. Perform per abdominal examination specifically to
palpate pelvic mass with facilitator.
9. Correlate the pelvic mass origin to exclude the diagnosis.

lecture
hall

MALIGNANT TUMORS:
ENDOMETRIAL CARCINOMA
1. Identify the risk factors and causes of endometrial
carcinoma.
2. Describe the pathophysiology of endometrial carcinoma.
3. Recognize the clinical features of
 Seria Topic Learning Objectives Learning Resources Venue
Name l no.
of
topic
 endometrial carcinoma. OT

4. Classify endometrial carcinoma according to FIGO

classification.
5. Suggest the investigations and diagnostic tools required
for provisional diagnosis.
6. Explain the steps of management according to FIGO
classification of tumor grading.

ENDOMETRIAL SAMPLING:

7. Define Endometrial Sampling.

8. Enlist Indication for endometrial sampling.
9. Identify the pre-requisites for endometrial sampling
(endometrial biopsy) in procedure room.
10. Write down the consent for taking endometrial biopsy. 15 LO in
11. Describe methods available for taking endometrial
biopsy.
12. Identify instruments used in dilatation and curettage.
13. Identify Instrument(Pipelle).
14. Enlist complications of the procedure

15. Practice the endometrial sampling in a simulated skill lab

environment on a pelvic model.

3 Tumors of ovary BENIGN OVARIAN CYST: • Gynaecology by Ten
Teachers
1. Classify the types of Ovarian Cyst
20thedition.
(pathological or non pathological) • Jeffcoate’s principle
2. Explain its prevalence and etiological Risk factors. of Gynaecology.
3. Recognize the clinical features of ovarian cyst. • Gynaecology by skill lab
4. Describe approach for its evaluation. Rashid
Latif.
5. Discuss the management options (medical as well
surgical).

MALIGNANT TUMORS:
6. Identify the risk factors for ovarian cancers. lecture hall
7. Classify the ovarian tumors according to FIGO
classification.
8. Describe the pathophysiology of

ovarian cancer.
9. Suggest the investigations for the diagnosis.
10. Identify the role of ultrasound and MRI for clinical
staging.
11. Underline the steps of management according to FIGO
classification.
 4 Gestational 1. Define “Gestational Trophoblastic Disease”. • Gynaecology by lecture hall
Ten Teachers 20th
Trophoblastic 2. Classify Gestational Trophoblastic Disease.
edition.
Disease (GTD) 3. Describe the clinicopathological features of complete and • Jeffcoate’s
incomplete molar pregnancy. principle of
4. Recognize the diagnostic values of S.B.HCG. Gynaecology
5. Differentiate the benign from malignant disease. • Gynaecology by
Rashid OPD
6. Discuss the significance of FIGO Scoring System for the Latif.
management and prognosis of Choriocarcinoma.
7. Obtained & record the history to be discussed with
facilitator.
8. Summarize the clinical scenario.
Tutorial and
9. Draw the observation regarding the suction and OT

evacuation of uterine cavity by suction curettage.

10. Recall the steps of procedure of

Name Serial Topic Learning Objectives Learning Resources Venue

. no. of
topic

evacuation of uterine cavity.

11. Anticipate the complications of procedure.
 LEARNING OBJECTIVES OF CLINICAL ROTATION
At the end of the 2 Hours session, the student of MBBS will be able to:
Seria Topic Learning Objectives Learning Venue
l no. Resources
of
topic
1 Orientation of 1. Define the term Obstetrics.  Obstetrics by Ward

Obstetrics 2. Apply the principles of taking obstetrics Ten Teachers

20th Edition.
history.
3. Demonstrate the key components of history
taking by presenting it.
2 Orientation of 1. Define the term Gynaecology.  Jeffcoat’s Ward

Gynaecology 2. Recall the anatomy of female genital tract. principle of

Gynaecolog
3. Apply the principles of taking gynecology y 9th Edition.
history.
4. Demonstrate the key components of history
taking by presenting it.
3 Physiology of 1. Define Menstruation. • Gynaecology by Ward
Ten Teachers
Menstruation and 2. Identify the biological events of menstrual 20th edition.
Ovulation cycle. • Jeffcoat’s
3. Obtain the last menstrual date to exclude principle of
amenorrhea. Gynaecology 9th
Edition.
4. Record the detail menstrual history to
• Gynaecology by
exclude any menstrual abnormalities. Rashid Latif.
4 Menstrual 1. Define “Menstrual irregularities” by • Gynaecology OPD
by Ten
irregularities and its explaining different terminologies of Teachers 20th
terminologies abnormal uterine bleeding. edition.
2. Describe the pathological causes of • Jeffcoat’s
menstrual irregularities. principle of
3. Recognize the clinical features presented in a Gynaecology
9th Edition.
given scenario.
• Gynaecology
by
Rashid Latif.

5 Heavy Menstrual 1. Define HMB • Gynaecology Ward

by Ten
Bleeding (HMB) 2. Identify the causes of HMB Teachers 20th
3. Describe the pathology of menorrhagia. edition.
4. Obtain and record history of HMB. • Jeffcoat’s
5. Interpret the investigations for HMB to make principle of
Gynaecology
a provisional diagnosis. 9th Edition.
• Gynaecology
by
Rashid Latif.
6 Primary 1. Define and classify amenorrhea. • Gynaecology OPD
by Ten
Amenorrhea 2. Distinguish the clinical features of primary Teachers 20th
amenorrhea from secondary amenorrhea. edition.
3. Examine the patient for specific features of • Jeffcoat’s
primaryamenorrhea. principle of
4. Utilize the basic knowledge for the Gynaecology
9th Edition.
evaluation of primary amenorrhea.
• Gynaecology
by
Rashid Latif.
7 Secondary 1. Define secondary amenorrhea. • Gynaecology OPD
by Ten
Amenorrhea 2. Identify the patho-physiological events of Teachers 20th
secondary amenorrhea. edition.
3. Correlate the different clinical features to • Jeffcoat’s
make a provisional diagnosis of secondary principle of
amenorrhea. Gynaecology
9th Edition.
4. Select the basic diagnostic tool for the
• Gynaecology
confirmation of diagnosis. by
Rashid Latif.

8 Physiology of 1. Describe placental hormones, its functions  Obstetrics by Ward

Pregnancy and transfer of metabolites. Ten Teachers

20th Edition, 
2. Discuss the normal physiological changes in
Barbara Bates
cardiovascular, hematological, gastro 5th Edition.
intestinal and renal system.
3. Recognized her LMP (Last Menstrual Period)
to calculate EDD (Expected Delivery Date).
4. Enlist the general physiological symptoms of
pregnancy.
9 Antenatal Care 1. Define Antenatal Care.  Obstetrics by OPD

2. Use strategies for confirming pregnancy and Ten Teachers

20th Edition, 
expected date of delivery.
Barbara Bates
3. Record the events of pregnancy in a given 5th Edition.
scenario, according to each trimester.
4. Counsel the patient regarding the
breastfeeding, contraception and
immunization during antenatal care.
5. Schedule the visits of the pregnancy.
 6. Select the appropriate investigations and
screening test as routine antenatal care by
WHO recommendations.
10 Placental 1. Define placenta.  Obstetrics by Labor
Ten Teachers Room
Abnormalities 2. Recognize the gross anatomy & functions of
20th Edition, 
normal placenta.
Barbara Bates
3. Discuss the different types of placental 5th Edition.
abnormalities.
4. Identify the role of an ultrasound in
detecting placental abnormalities.

11 Applied Anatomy of 1. Explain the boundaries of pelvis.  Obstetrics by Skill

Ten Teachers Lab
Pelvis + Pelvimetry2. Identify the diameters of pelvis inlet, mid
20th Edition, 
cavity and outlet.
Barbara Bates
3. Describe the different types of pelvis. 5th Edition.
4. Explain the importance of clinical pelvimetry
for a labouring patient.
12 Applied Anatomy of 1. Identify the clinical anatomy of fetal skull.  Obstetrics by Skill
Ten Teachers lab
Fetal Skull 2. Describe the diameters of fetal skull and their
20th Edition, 
clinical importance for a normal labour.
Barbara Bates
3. Discuss the malpositions due to change of 5th Edition.
obstetrical diameters at term pregnancy.
13 Obstetric 1. Recognize the importance of obstetrical  Obstetrics by Labour
Ten Teachers Room
examination (P/A) examination.
20th Edition, 
2. Relate the gestation period after measuring
Barbara Bates
symphysis fundal height. 5th Edition.
3. Demonstrate the Leopard maneuvers.
4. Examine the fetal height by pinnard,
fetoscope and by sonicard.
14 Physiology of Labour 1. Define a normal labour.  Obstetrics by Labour
Ten Teachers Room
+ Stages of Labour 2. Describe the physiological events occurring
20th Edition, 
+ Phases of Labour during normal labour.
Barbara Bates
3. Identify different stages of labour. 5th Edition.
4. Obtain and record history of laboring patient.
15 Maternal 1. Define Partogram.  Obstetrics by Labour
Ten Teachers Room
Surveillance 2. Recognize the norms of Partogram.
20th Edition, 
(Partogram) 3. Identify the importance of maintaining Barbara Bates
partogram in labouring patient. 5th Edition.
4. Interpret the features of Partogram to make a
decision for mode of delivery.

16 Fetal Surveillance 1. Define Cardiotocograph (CTG).  Obstetrics by Labour

Ten Teachers Room
Cardiotocograph 2. Identify the basic features of CTG.
20th Edition, 
(CTG) 3. Distinguish between antenatal and Barbara Bates
intrapartum CTG. 5th Edition.
4. Interpret the CTG findings to make a
decision for the mode of delivery.
5. Explain the stress test.
17 Miscarriages 1. Define miscarriage. • Gynaecology OT
by Ten
2. Discuss the different types of miscarriages. Teachers 20th
3. Recognize the clinical features to diagnose edition.
the type of miscarriage. • Jeffcoat’s
4. Identify the role of ultrasound for the principle of
confirmation of diagnosis. Gynaecology
9th Edition.
5. Discuss the management according to the
• Gynaecology
clinical presentation. by
Rashid Latif.
18 Vaginal Discharge 1. Distinguish between physiological discharge • Gynaecology OPD
by Ten
from pathological discharge. Teachers 20th
2. Discuss the clinical manifestation of various edition.
pathological discharges. • Jeffcoat’s
3. Identify the significance of clinical exam i.e. principle of
(per speculum examination). Gynaecology
9th Edition.
• Gynaecology
by
Rashid Latif.
19 Pelvic Masses 1. Describe the clinico-pathological features of • Gynaecology OPD
by Ten
a pelvic mass. Teachers 20th
2. Correlate the pelvic mass to localize its edition.
origin. • Jeffcoat’s
3. Examine the patient (per abdomen and principle of
Gynaecology
bimanual pelvic examination). 9th Edition.
4. Produce differential diagnosis of a pelvis
• Gynaecology
mass. by
5. Suggest the specific diagnostic tool for the Rashid Latif.
confirmation of diagnosis.

20 Intrapartum Care 1. Define intrapartum care.  Obstetrics by Labour

Ten Teachers Room
(SVD) 2. Recognize the current stage of labour.
20th Edition, 
3. Record the events of labour by Maternal and Barbara Bates
Fetal Surveillance charting (CTG and 5th Edition.
Partogram).
4. Establish the plan for mode of delivery
(vaginal or C-Section).
5. Describe the placental separation by control
cord traction.
21 C-Section 1. Define C-Section.  Obstetrics by OT

2. Enumerate the common indication of Ten Teachers

20th Edition, 
CSection.
Barbara Bates
3. Distinguish between Emergency and 5th Edition.
Elective C-Section.
4. Classify the types of C-Section.
5. List the complications of C-Section.
LEARNING RESOURCES
S.
TITLE AVAILABILITY
NO.
TEXT BOOKS

1 Ten teachers of gynaecology (20th edition) Yes

2 Ten teachers of obstetric (20th edition) Yes

3 Jeffcoate’s Principles of Gynaecology (9th edition) Yes

4 Rashid Latif – Text book of gynaecology (3 rd edition) Yes

REFERENCE BOOKS

5 High Risk Pregnancy Vol. I , Vol. II (4th edition) Yes

6 Clinical Methods by Hutchisons. Yes

Current Medical Diagnoses of Obstetrics

7 Yes
& Gynaecology
8 Diagnostic Radiology (Jaypee) Yes

9 Infertility Practice (by Adam. H. Balen) Yes

REFERENCE JOURNALS

10 British Journal of Obs & Gynae (BJOG) Yes

11 American Journal of Obs & Gyne (AJOG) Yes

GUIDELINES

a. RCOG (International)
12 Yes
b. SOGP (Local)

ASSESSMENT
1.Formative: During clinical rotation.
 Log Book
o Journals
o Case Based Learning (CBL)
o Quiz

o Questions/Answers

o Assignments

2. Internal Evaluation Exams – term exam

3. Summative (Final Assessment by external and internal examiners) at

end of the year (session) as per UHS rules