FMIC

Obstetrics and Gynaecology​​​ 

Healthcare services and cases which are done in OBS/GYN department at FMIC Hospital

1.       Antepartum care(antenatal care)

Aimed at ensuring the health of both the mother and the fetus during pregnancy

Education and counseling

1. Birth planning

2. Signs of labor
   

3. Breast feeding benefits and techniques

4. Lifestyle modifications(e.g safe exercise)

Psychosocial support

Management of preexisting conditions

Vaccination

2.       Intrapartum care

Maternal monitoring

1. Vital sign
   

2. Uterine contractions

3. Labor progress

4. Psychological support

5. Pain management (epidural analgesia)

6. Labor complication management (prolonged labor, fetal distress, hemorrhage, chorioamnionitis)

7. Delivery and postpartum management (vaginal delivery, assisted vaginal delivery, C/S, and neonatal resuscitation)

3.       Postpartum care

Monitoring of postpartum complication

1. Postpartum hemorrhage

2. Infections

3. Thromboembolic events

4. Hypertension 

• Emotional and psychological support

• Breastfeeding support

• Education and counseling
  
  

4.       Interconception care

Health assessment

1. Manage chronic condition(e.g hypertension, diabetes)

2. Provide guidance on nutrition, weight, and physical activity

3. Update immunization as needed

• Reproductive life planning

1. Discuss and initiate appropriate contraception

2. Promote preconception health for future pregnancies

3. Counsel on optimal birth spacing

Maternal health and social support

5.       Obstetric emergency cases

Emergency Cesarean section

Management of postpartum hemorrhage

Preeclampsia /eclampsia management

Management of antepartum hemorrhage

Management of ectopic pregnancy

Management of infection (chorioamnionits,  endometritis,…)

Management of Shoulder dystocia

Management of uterine rupture

6.       Hysteroscopy

minimally invasive procedure that uses a thin, lighted tube(hysteroscop)inserted through the vagina and cervix to examine the inside of uterus.

7.       Laparoscopic procedure

Diagnostic laparoscopy

Laparoscopic tube ligation

Laparoscopic ovarian cystectomy

Laparoscopic salpingectomy

Laparoscopic oophorectomy

Adhesiolysis

Ovarian drilling

Laparoscopic assisted vaginal hysterectomy

8.       Vulvar-vaginal procedure

Vulvar biopsy and

Vaginal biopsy

Colposcopy

Bartholin gland cyst drainage and cystectomy

excision of vulvar lesions

labiaplasty

vaginal septum resection (congenital anomalies )

repair of vaginal lacerations

anterior and posterior colporrhaphy ( for cystocele and rectocele repair

perineorrhaphy(repair of perineal body

fistula repair

sacrospinous ligament fixation(for vaginal vault prolapse)

sling procedures (for stress urinary incontinence)

trans obturator fixation​

9.       Open procedures

Cesarean section

Peripartum hysterectomy

Exploratory laparotomy for obstetric hemorrhage

Surgical management of ectopic pregnancy (salpingostomy, salpingectomy)

Total abdominal hysterectomy (removal of uterus via abdominal incision)

Myomectomy (removal or uterine fibroid while preserving the uterus)

Oophorectomy (removal of ovaries)

Ovarian cystectomy (removal of ovarian cysts)

Open lysis of adhesions (for severe pelvic adhesions causing pain and infertility)

Surgical repair of fistula

Salpingectomy (removal of fallopian tubes)

 Tube ligation (for contraception)

Blocked tubes reversal

10.   Family planning

11.   Ambulatory Gynecologic procedures

Pap smear

STI screening

Breast exam and evaluation

Endometrial biopsy

Colposcopy

Management of chronic pelvic pain

Management of PCOS

Management of abnormal uterine bleeding

LEEP procedure (loop electrosurgical excision)

12.   Other procedures

evacuation of molar pregnancy

D&C

Manual vacuum aspiration

transvaginal hysterectomy​