MBBS | Syllabus | Obsterics & Gynecology

Faculty of Medical Faculty SGT University
Obsterics & Gynecology
Syllabus – Obstetrics
S. No. Topic Domain Duration (Hrs.)
1 Basic Sciences in Obstetrics    
  – Importance of maternal and child health, Scope of Obstetrics Must Know 1
  – Applied Anatomy . Early Development of Embryo, Development of Placenta and Membranes Must Know 2
  – Applied Physiology: Physiology of Ovulation, Conception, Implantation . Physiological changes during pregnancy, labor, puerperium, lactation Must Know 5
2 Clinical Case Taking and Skills in Obstetrics    
  – Diagnosis of pregnancy Must Know 1
  – Obstetrics History Must Know 1
  – Antenatal Examination Must Know 1
  – Basic Investigations in Pregnancy Must Know 1
  – Detection of high risk factors Must Know 1
  – Case presentations Must Know 4
  – Clinical assessment of fetal weight, liquor etc. Good to know 1
  – Pelvic Assessment Good to know 1
  – External Cephalic Version Good to know 1
3 Antenatal Care and Counseling    
  – Objectives of antenatal care Must Know 1
  – Basic Investigations in pregnancy Must Know 2
  – Special Investigations in pregnancy Must Know 2
  – Nutrition in Pregnancy Must Know 2
  – Advice on common complaints, Immunisation, Prescribing Drugs Must Know 3
  – Risk Approach in Pregnancy, Elderly Primi, Grand multi Good to know 2
4 Normal Labor and Delivery    
  – Maternal Pelvis, fetal skull, Mechanism of Normal Labor Good to know 4
  – Mechanism in Malpositions & malpresentations (OP, Face, brow) Good to know 2
  – Clinical Course of Normal Labor Must Know 2
  – Management of 1st , 2nd, 3rd stage of Labor Must Know 6
  – Management of OP, DTA, face, brow Good to know 2
5 Normal Puerperium    
  – Clinical course of puerperium & Lactation Must Know 1
  – Common complaints in PN period & management Must Know 1
  – Advice on discharge and alert signs Must Know 1
  – Breast Feeding and related complications Must Know 1
  – Management of Complications in Puerperium Good to know 1
6 Early Pregnancy Complications    
  – Hyperemesis Gravidarum: etiology, presentation, complications Must Know 1
  – Hyperemesis Gravidarum: management of complications Good to know 1
  – Abortions: types, diagnosis, management Must Know 2
  – Ectopic Pregnancy & Vesicular mole: types, diagnosis, management Must Know 2
  – Ectopic Pregnancy & Vesicular mole: management, follow up Good to know 2
S. No. Topic Domain Duration (Hrs.)
7 Late Pregnancy Complications    
  – Antepartum hemorrhage: types, presentation, management Must Know 2
  – Antepartum hemorrhage: complications Good to know 1
  – Cord Prolapse, Unstable Lie, Compound Presentation Must Know 1
  – Multiple Pregnancy: diagnosis, management in pregnancy & labor Must Know 2
  – Multiple Pregnancy: Complications and their management Good to know 2
  – Intra Uterine Growth Restriction: Diagnosis Must Know 2
  – Intra Uterine Growth Restriction: Management Good to know 1
  – Oligohydramanios, Hydramnios Good to know 1
8 Maternal Medicine    
  Anemia in Pregnancy    
  – Nutritional : causes, presentation, complications, management prevention Must Know 2
  – Non-Nutritional: causes, presentation, complications, management Good to know 1
  Hypertension in Pregnancy    
  – classification, diagnosis, complications, predictive tests, prevention Must Know 1
  – Pre Eclampsia, Gestational Hypertension: management Must Know 2
  – Eclampsia: management, differential diagnosis convulsions in pregnancy Must Know 1
  – Chronic hypertension: causes, manangement Good to know 1
  Other Medical Disorders in Pregnancy    
  – Gestational Diabetes Mellitus in Pregnancy: diagnosis, management Must Know 1
  – Diabetes Mellitus in Pregnancy: complications and their management Good to know 1
  – Heart Disease in Pregnancy: Rheumatic Must Know 1
  – Heart Disease in Pregnancy: Congenital Good to know 1
  – Pregnancy with Jaundice Must Know 1
  – Thyroid disorders Good to know 1
  – Tuberculosis Good to know 1
  – Asthma, Epilepsy Good to know 1
  – Malaria, Dengue fever Good to know 1
  – Asymptomatic bacteriuria, UTI Good to know 1
9 Special Pregnancy Situations    
  – Preterm Labor and PROM: causes, diagnosis, prevention, managment Must Know 2
  – Tocolytic drugs, Neonatal problems of preterm babies Good to know 1
  – Postdated Pregnancy: evaluation, management Must Know 2
  – Rhesus Isoimmunization: diagnosis, evaluation, management, prevention Must Know 2
  – Rh iso-immunised fetus: In-utero management Good to know 1
  – Recurrent pregnancy loss/ Bad obstetric history Good to know 2
10 Infections in Pregnancy    
  – TORCH infections: etiopathogenesis, fetal effects, prevention Must Know 2
  – TORCH infections: management Good to know 2
  – STIs in Pregnancy: risk factors, maternal and fetal complications Must Know 2
  – HIV in Pregnancy Must Know 2
  – PPTCT program Good to know 2
S. No. Topic Domain Duration (Hrs.)
11 Fetal Medicine    
  – Assessment of Fetal Well being in Pregnancy: methods, interpretation Must Know 2
  – Fetal Monitoring in Labor: interpretation, management of NRFH Must Know 2
  – Congenital Malformations (hydrocephalus, anencephaly) Must Know 1
  – Genetic Congenital Malformations, Periconception Counselling Good to know 1
  – PNDT Act, Prenatal Diagnostic Techniques Must Know 1
  – USG Imaging in Obstetrics Must Know 2
  – Doppler US in Obstetrics Good to know 1
12 Abnormal Labor    
  – Breech Presentation: Diagnosis, types & External cephaic version Must Know 1
  – Breech Delivery: Mechanism, Management Good to know 1
  – Malpresentations – Transverse Lie, Obstructed Labor Must Know 1
  – Prolonged Labor, Incoordinate Uterine action Good to know 1
  – Shoulder Dystocia Must Know 1
  – Birth Injuries Good to know 1
13 3rd stage Complications and Abnormal Puerperium    
  – Atonic PPH Must Know 1
  – Traumatic PPH Must Know 1
  – Adherent placenta, Inversion uterus management Good to know 1
  – Puerperal Sepsis: diagnosis, prevention, management Must Know 1
  – Septic Shock Good to know 1
  – Breast Feeding related complications Must Know 1
14 Operative Obstetrics    
  – Instrumental delivery: Forceps, Vacuum , Destructive Must Know 3
  – Cesarean Section, Pregnancy following C.S. Must Know 2
  – Induction of Labor Must Know 2
  – Obstetric Analgesia Good to know 1
15 Rural Obstetrics    
  – Rural Obstetrics, NRHM, Government health programs Must Know 2
  – Maternal mortality prevention Must Know 1
  – Perinatal mortality prevention Must Know 1
16 Miscellaneous    
  – Drugs in Obstetrics (Uterotonics, Muscle relaxants, antihypertensives, Cervical ripening agents, abortifacients) Must Know 2
  – Deep Vein Thrombosis, Pulmonary Embolism in PRegnancy Must Know 1
  – Obstetric Shock, Amniotic fluid embolism, Critical care in Obs. Must Know 1
  – Asepsis, disinfection, sterilisation, Biomedical Waste management Must Know 1
Faculty of Medical Faculty SGT University
Obsterics & Gynecology
Syllabus – Gynecology
S. No. Topic Domain Duration (Hrs.)
1 Basic Sciences in Gynecology    
       Introduction: Scope of Gynecology Must Know 1
       –  Prepubertal, pubertal, reproductive, menopausal span of women’s life Must Know  
       Applied Anatomy                                                                                                                                                                                                                          4
        – Anatomy of upper and lower genital tract , lower urinary tract   Must Know  
        – Development of genital tract Must Know  
        – Blood supply and lymphatic draiage of genital organs Good to know  
       – Pelvic floor anatomy and Utero vaginal supports  Must Know  
        Applied Physiology                                                                                                                          3
        – Normal Pubertal development Must Know  
        – Physiology of menstrual cycle and its endocrine control                                     Must Know  
        – Physiology of Micturition Good to know  
2 Clinical Case Taking  and Skills in Gynecology    
       – Gynaec history taking Must Know 3
       – Per- speculum, vaginal & rectal examination  Good to know 3
       – Pap smear  Must Know 2
       – Wet smear  of  vaginal discharge Good to know 2
3 Genital Tract Infections    
       – Lower Genital Tract Infections: causes, management Must Know 2
       – Upper Genital Tract Infections: causes, management Must Know 2
       – Sexually Transmitted Infections: causes, management Must Know 2
       – Vaginal discharge: causes, investigations, predisposing conditions Must Know 1
       – Syndromic Approach to vaginal discharge  Good to know 1
4 Pelvic Inflammatory Disease    
       – Pelvic inflammatory disease: definition, causes, sequelae, management  Must Know 2
       – Genital Tuberculosis: diagnosis, management Must Know 2
       – Syndromic Approach for chronic pelvic pain Good to know 1
       – Syndromic Approach to  genital ulcer Good to know 1
5 Abnormal Uterine Bleeding    
       – Definitions, classification, basic clinical and investigative work up  Must Know 2
       – Advanced investigations,  management principles Good to know 2
6 Benign Lesions of  female genital tract                                             
       – Fibroid uterus, Endometriosis & Adenomyosis: Presentation, diagnosis Must Know 3
       – Benign Lesions of Cervix, Vulva & Vagina: Presentation, diagnosis                               Must Know 3
       – Ovary: non-neoplastic: Presentation, diagnosis         Must Know 2
       – Ovary: benign neoplastic lesions: Presentation, diagnosis         Must Know 2
       – Benign lesions: Surgical management  Good to know 2
7 Reproductive Endocrinology    
       – Primary amenorrhoea: causes, work up, management Must Know 3
       – Secondary amenorrhoea: causes, work up, management Must Know 3
       – Hirsutism, galactorrhea: causes, work up, management Good to know 2
       – Delayed and precocious puberty:  Causes, investigations & management   Good to know 2
S. No. Topic Domain Duration (Hrs.)
8 Reproductive Tract Abnormalities    
       – Utero-vaginal abnormalities: classification, diagnosis, reproductive outcome  Must Know 3
       – Surgical management of anomalies and specific procedures  Good to know 2
       – Intersex –  Male and female pseudo-hermaphroditism Good to know 2
       – Paediatric & Adolescent gynae Problems Good to know 1
9 Infertility     
       – Infertility: causes & Investigations of couple Must Know 3
       – Anovulation: causes, tests for ovulation and induction of ovulation Good to know 3
       – Tubal patency tests, causes and management of tubal blockage Good to know 2
       – Semen analysis and causes of male infertility  Must Know 2
       – Assisted reproductive Technology Good to know 2
10 Pelvic organ prolapse and Uro-gynecology    
       – Uterovaginal prolapse: classification, causes, diagnosis Must Know 4
       – Uterovaginal prolapse: prevention and management principles Must Know 2
       – Pelvic reconstructive surgery Good to know 2
       – Urinary Problems in Gynae: retention, UTI, urgncy Must Know 2
       – Stress urinary incontinence: classification, diagnosis, work up, management Good to know 2
11 Genital tract injuries and Genital fistulae    
       – Post-coital injuries and operative injuries especially to urinary tract Causes Good to know 1
       – Vesico & rectovaginal fistulae, complete perineal tears: diagnosis, management  Good to know 3
12 Pre-malignant lesions and Malignancies of genital tract    
       – Cervical intraepithelial neoplasia: natural history, risk factors, diagnosis Must Know 2
       – Endometrial hyperplasia: diagnosis, prognosis, management Must Know 1
       – Screening and prevention of  cervical cancer, colposcopy Must Know 4
       – Screening for endometrial, ovarian and breast cancers,  tumor Markers  Good to know 1
       – Carcinoma cervix: diagnosis, clinical staging and principles of management  Must Know 3
       – Carcinoma endometrium: diagnosis, surgico-pathological staging, management  Good to know 1
       – Carcinoma ovary: classification, diagnosis, staging and management  Good to know 2
       – Non epithelial tumors ovary: classification, diagnosis, and management  Good to know 2
       – Gestational Trophoblastic Disease  and Choriocarcinoma Good to know 2
       – Chemo- and Radiotherapy for genital cancers Good to know 2
13 Operative Gynaecology    
      – Minor surgical procedures -endometrial biopsy, dilatation and Curettage, cervical biopsy: Indications, technique and complications Must Know 2
      – Major gynecological surgeries  Principles – vaginal hysterectomy, manchester  abdominal hysterectomy, ovariotomy, tubal recanalisation,  staging laparotomy  Must Know 2
       – Pre and Post operative care & Complications  Must Know 2
       – Hysteroscop yprocedures: diagnostic & operative  Good to know 2
       – Laparoscopy procedures: diagnostic & operative  Good to know 2
14 Problems of  menopause    
       – Menopausal syndrome: causes, investigations, management, HRT Must Know 2
       – Premature menopause: causes, investigations and managemnt Good to know 1
       – Post menopausal bleeding: causes and investiagtions Must Know 2
S. No. Topic Domain Duration (Hrs.)
15 Miscellaneous    
       – USG, CT and MRI in Gynecology: indications and interpretation of findings  Good to know 2
       – Hormones and hormone therapy in gynecology Good to know 2
       – Gynae Instruments and specimens Must Know 4
16 MTP and Contraception    
       – MTP Act, Emergency Contraception Must Know 1
       – MTP: Methods, complications Must Know 2
       – Counselling in Contraception & MTP  Must Know 2
       – Contraception: natural & barrier methods Must Know 1
       – Contraception: IUCD  Must Know 2
       – Contraception: Hormonal (OCP,Injectable, Implants, Rings)  Must Know 2
       – Contraception: Permanent (tubectomy, vasectomy) Must Know 2