Curriculum Planning |
Obstetrics |
S. No. |
Topic |
Learning Objectives The student should be able to… |
Teaching Guidelines |
Methodology |
Time (Hrs) |
1 |
Basic Sciences |
Explain the the basics of reproductive anatomy and physiology; changes & adaptations that occur in the mother during pregnancy, along with their clinical application. |
▪ Anatomy of internal and external reproductive organs, other pelvic organs and applied anatomy related to O & G |
▪ Student Interactive Sessions ▪ Student Seminars |
8 |
▪ Physiology of ovulation, conception, implantation |
▪ Early Development of Embryo, fetal development & growth as gestation progresses, drugs/teratogenic agents to be avoided in early pregnancy |
▪ Development of Placenta and Membranes |
▪ Anatomical & Physiological changes in circulatory system, respiratory, urinary, and GI tract during pregnancy and their clinical implications |
2 |
Basic Clinical Skills |
Elicit history and examine a pregnant woman with logical interpretation to come to a provisional diagnosis and plan further management. |
▪ Respectful approach & effective communication |
▪ Student Interactive Sessions, |
12 |
▪ Logical sequence of History taking in pregnancy |
▪ OPD demonstrations |
▪ General Examination to elicit important signs, accurate B.P. measurement, and systemic examination |
▪ Ward rounds |
▪ Obstetric examination to assess the gestational age, fetal lie, presentation, position, viability and growth |
▪ Case Presentations |
▪ Integrate history, examination & investigation results |
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▪ Detailed clinical note keeping. |
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3 |
Antenatal Care |
Impart antenatal care, identify high risk pregnancy and acute conditions requiring hospital admission or appropriate referral; Interpret test results of laboratory and radiological investigations as they apply to obstetric patient |
▪ Clinical Diagnosis of pregnancy ▪ Pregnancy tests |
▪ Student Interactive Sessions, |
12 |
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▪ Objectives and patterns of antenatal care |
▪ OPD demonstrations |
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▪ Risk approach in pregnancy |
▪ Ward rounds |
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▪ Fetal growth assessment and antenatal fetal surveillance |
▪ Case Presentations |
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▪ Basic and Special Investigations in pregnancy |
▪ Integrated teaching with Commmunity medicine |
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▪ Immunisation & Prescribing Drugs in Pregnancy |
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▪ Nutrition counseling in pregnancy |
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▪ Counseling regarding common complaints in pregnancy and alert signs |
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▪ Pelvic assessment in late pregnancy |
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S. No. |
Topic |
Learning Objectives The student should be able to… |
Teaching Guidelines |
Methodology |
Time (Hrs) |
4 |
Normal Labor and delivery |
Manage normal labor and conduct normal deliveries, using safe delivery practices in the primary and secondary care settings; Diagnose complications of labor, institute primary care and manage such cases/refer in a timely manner |
▪ Anatomy of maternal pelvis and fetal skull |
▪ Student Interactive Sessions, |
16 |
▪ Labor Mechanism in occipito-anterior/transverse position |
▪ Tutorials |
▪ Onset of labor, stages of labor and clinical Course |
▪ Labor room posting |
▪ Management of 1st stage of labor, partogram |
▪ Log books |
▪ Pain relief in labor, pudendal block |
▪ L.R.Teacher Seminars |
▪ Fetal monitoring, fetal distress |
▪ Integrated teaching with anesthesia department |
▪ Management of 2nd stage, conduct of delivery |
▪ Management of 3rd stage of labor: conventional/active |
▪ Danger signals in labor |
▪ Induction of labor-Indications, C.I., pre-requisites, methods , successful/failed induction, complications |
5 |
Normal Puerperium |
Provide postnatal care, including education in breast‐feeding, counsel and support couples in the correct choice of contraception |
▪ Physiology and course of puerperium & Lactation |
▪ Student Interactive Sessions, |
5 |
▪ Common complaints in PN period & management |
▪ Ward rounds |
▪ Breastfeeding and common problems like lactational failure, mastitis, breast abscess |
▪ PNC clinic demonstrations |
▪ Care of neonate, infant and Immunisation schedule |
▪ Case Presentations |
▪ Advice on discharge and alert signs |
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▪ Postpartum contraception. |
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6 |
Early Pregnancy Complications |
Diagnose and manage problems such as hyperemesis gravidarum and vaginal bleeding in first trimester |
▪ Etiopathogenesis, complications, investigations & management of hyperemesis gravidarum |
▪ Student Interactive Sessions, Tutorials |
8 |
▪ Abortions – types, causes, investigations, management |
▪ OPD demonstrations |
▪ Ectopic pregnancy – types, diagnosis and management |
▪ Ward rounds |
▪ Vesicular mole – Diagnosis, management, follow up |
▪ Case Presentations |
7 |
Late Pregnancy Complications |
Diagnose and manage problems such as antepartum haemorrhage, amniotic fluid volume disorders, multiple pregnancy, intrauterine growth restriction and intrauterine fetal death |
▪ APH – classification, presentation, differential diagnosis, investigations, complications & management |
▪ Student Interactive Sessions, Tutorials |
12 |
▪ Hydramnios and oligohydramnios- causes, diagnosis, investigations & management |
▪ OPD demonstrations |
▪ Multifetal gestation – causes, diagnosis, differential diagnosis, complications, mangement |
▪ Ward rounds |
▪ IUGR and IUD – causes, diagnosis and management of |
▪ Case Presentations |
S. No. |
Topic |
Learning Objectives The student should be able to… |
Teaching Guidelines |
Methodology |
Time (Hrs) |
8 |
Maternal Medicine |
Diagnose & manage medical problems such as anemia, hypertensive disorders, diabetes mellitus, and heart disease in pregnancy |
▪ Anaemia in pregnancy – causes and classification, complications, management, prevention of nutritional anemias & mangement of non-nutritional anemias |
▪ Student Interactive Sessions, |
18 |
▪ Hypertension in pregnany – classification, diagnosis, complication, management of Gestational hypertension, preeclampsia, and chronic hypertension in pregnany, Predictive tests and prevention of PE & eclampsia, differential diagnosis of convulsions in pregnancy |
▪ Demonstrations in high risk clinic |
▪ Gestationaldiabetes mellitus, DM during pregnancy – classification, diagnosis, screening, complications, management of diabetes mellitus during pregnancy and labor, management of neonate of diabetic mother |
▪ Ward rounds |
▪ Heart disease in pregnancy – classification, evaluation, complications, management during pregnancy & labour |
▪ Case Presentations |
▪ Postnatal care and contraceptive advice to women with medical disorders in pregnancy |
▪ Tutorials |
9 |
Special Pregnancy situations |
Diagnose and manage special situations such as Rh negative pregnancy, postdated pregnancy, post cesarean pregnacy, preterm labor and PROM |
▪ Diagnosis, evaluation, management and prevention of Rh Isoimmunisation, In-utero management of Rh iso-immunised, management haemolytic disease of NB |
▪ Student Interactive Sessions, |
10 |
▪ Evaluation monitoring and management of a case of post-caesarean pregnancy, vaginal birth after CS Indications and complications of repeat CS Caesarean |
▪ Demonstrations in high risk clinic |
▪ Evaluation and management of post-dated pregnancy |
▪ Tutorials |
▪ Preterm labour, premature rupture of membranes -causes, diagnosis, prevention, management , tocolytic drugs; neonatal problems of preterm babies |
▪ Case Presentations, Ward rounds |
10 |
Infections during pregnancy |
Diagnose & manage maternal infections during pregnancy and its effects on the fetus |
▪ Maternal infections during pregnancy – asymptomatic bacteriuria, UTI, malaria, dengue, tuberculosis, and TORCH infections – Etiopathogenesis, presentation, complications, fetal effects, prevention and management |
▪ Student Interactive Sessions, ▪ Student Seminars |
10 |
▪ Sexually transmitted infections – syphilis, hepatitis, HIV during pregnancy – risk factors, maternal and fetal complications, PPTCT program |
▪ Integrated teaching with skin & STI clinic |
S. No. |
Topic |
Learning Objectives The student should be able to… |
Teaching Guidelines |
Methodology |
Time (Hrs) |
11 |
Fetal medicine |
Provide periconception counseling, Apply medico‐legal principles applicable to tubectomy, MTP, and PCPNDT act |
▪ Assessment of Fetal Well being (Early & late pregnancy) ▪ Birth Injuries |
▪ Student Interactive Sessions |
10 |
▪ Congenital Malformations: hydrocephalus, anencephaly |
▪ Student Seminars |
▪ Preconception and prenatal diagnostic techniques PNDT Act, periconception Counselling |
▪ Integrated teaching with Radiology |
▪ USG in Obstetrics, doppler USG |
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12 |
Abnormal Labor and 3rd Stage complications |
Diagnose abnormal labor & describe the principles of management of abnormalities in labor |
▪ Shoulder Dystocia, Malpositions, Breech presentation, assisted breech delivery, extraction; Transverse lie |
▪ Student Interactive Sessions, Tutorials |
6 |
▪ Incoordinate uterine action, contracted pelvis, CPD, obstruted labor, rupture uterus; Cord Prolapse, Unstable lie, compound Presentation |
▪ Demonstrations in high risk clinic |
▪ PPH atonic, traumatic; Retained placenta, adherent placenta, inversion uterus |
▪ Case Presentations, Ward rounds |
13 |
Abnormal Puerperium |
Diagnose abnormal puerperium & describe the principles of management of abnormalities in purperium |
▪ Puerperal sepsis diagnosis prevention & management, |
▪ Student Interactive Sessions, |
6 |
▪ Septic shock |
▪ Demonstrations in ward rounds |
▪ Breastfeeding problems like lactational failure |
▪ Case Presentations |
14 |
Operative Obstetrics |
Perform minor operative procedures, describe the indications of major operations , outline of technique, complications, pre- and post-operative care |
▪ Cervical cerclage, episiotomy, forceps and vaccum deliveries, destructive operations, cesarean section, |
▪ Student Interactive Sessions, ▪ Student Seminars |
8 |
▪ Repair of vaginal/ cervical tears and rupture uterus, cesarean hysterectomy, internal iliac ligation |
▪ Observation of surgery – maternity OT |
▪ Permanent contraception ▪ Medical Termination of Pregnancy – Act, methods, complications |
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15 |
Rural Obstetrics |
Describe national rural health mission and government programs to reduce maternal and perinatal mortality |
▪ Maternal mortality causes and prevention |
▪ Student Interactive Sessions, |
4 |
▪ Perinatal mortality causes and prevention |
▪ Tutorials |
▪ NRHM ▪ Govt health progs |
▪ Integrated teaching Commmunity medicine |
16 |
Miscellaneous |
Prescribe drugs safely and appropriately in pregnancy and lactation; Identify and manage some critical conditions in obstetrics |
▪ Obstetric Drugs (Uterotonics, Muscle relaxants, anti-hypertensives, abortifacients, Cervical ripening drugs) |
▪ Student Interactive Sessions, |
5 |
▪ Recurrent Pregnancy Loss, bad obstetric history, elderly primi, grand multi |
▪ Tutorials |
▪ Thrombo embolism in Pregnancy |
▪ Obstetric Shock, amniotic fluid embolism, critical care in Obstetrics. |