Obstetrics & Gynaecology is the oldest department at the Kamala Nehru Memorial Hospital and Regional Cancer Centre as Maternal & Child Health services commenced with the inception of the Hospital in the year 1941 and since then the department has served the region with distinction over the past seven decades. Healthy Mother & Healthy Child for vibrant nation was the vision of Kamala ji, which she advocated through out her life. Pioneering efforts of the department have earned several national awards and recognitions.
The indoor beds have increased over the years from 40 to 402. 175 beds are reserved for teaching purposes. Average OPD strength in the year was 250.0 per day.
Department provides free delivery and operative delivery with intensive antenatal care of high risk mothers being a tertiary care centre. This has reduced maternal and neonatal mortality and morbidity. Specialized treatment facilities are available.
Actively involved in maternal care at door step in villages which has been adopted with good referral services which has tremendous impact on reducing maternal mortality. Department has received several recognitions for its dedicated services:
- Padmashree awarded to Two Heads of the Department Dr. V. Samant and Prof. Raj Baveja for their contribution in the field of Reproductive & Child Health.
- BC Roy National Award and Vigyan Bhushan Award conferred on Prof. Krishna Mukherjee, Chief Consultant for her contribution in the field.
Recognitions & Achievements
- Affiliated to M L N Medical College, Allahabad to provide teaching and clinical facilities in Obstetrics & Gynaecology for undergraduate and postgraduate students since 1964.
- Recognised as Centre for Post Partum Programme (Type A) of the Government of India, in 1971.
- Recognised by Central Board of Examinations for DNB teaching and training in Obstetrics & Gynaecology, in the year 1991. It has the reputation of an excellent centre of Postgraduate teaching in the country.
- Accreditation provided by GOUP for Janani Suraksha Yojana in 2012 and JSSK in 2014.
- Jiv Daya Foundation assisted India Maternal Health Initiative started from April 2013 with the Objective to improve infrastructure of care and quality of life in order to have a positive impact on the mother and child during the labour process.
- Recognition from GOUP for non-scalpel vasectomy.
- Received awards from District Health Authorities for family planning achievements.
- Facility for diagnostic hysteron laparoscopy and non-complicated laparoscopic surgery – diagnostic laparoscopic hysteroscopy, LAVH ectopic removal of ovarian tumors.
- Laparoscopic workshops conducted regularly.
- Visiting experts, endoscopic surgeons are invited.
Facilities/equipment in the Department :
- Hopkins Laparoscope System (Karl Storz)
- Endoscope with electro surgical units
- Fetal monitoring for cardio-topography;
- Endoscopic surgical facility for Microsurgeries, specially for tubal recanalisation;
- Colpomicroscope for down staging of cancer of cervix and vulval, cervix and vaginal benign and malignant lesions;
- Cryosurgery minimal access facility include hysteroscopy, laparoscopic surgeries;
- Treatment of Infertility & Assisted Reproductive Technology Phase I. Intrauterine insemination started in infertile couple as office procedure.
- Delivery for HIV positive cases
- Laparoscopic sterilization both at indoor and rural camps.
- 04 major and 02 minor operation theaters for all types of Obstetrical & Gynaecological care and gyno-onco surgery.
- Referral Centre for Tertiary care. Patients from various Hospitals, neigbouring Districts referred for treatment.
- Department collaborates with Janani Suraksha Yojana and Janani Shishu Suraksha Karyakram to reduce maternal and neonatal mortality in the region.
- Department provides services both at tertiary level and grass root level.
- Department collaborates with outreach programme of the Hospital. Consultants conduct outreach clinics in the villages.
- Meetings and seminars are being held time to time involving FOGSI, AOGS, NGOs and maternity centres.
Jiv Daya Foundation sponsored Maternal Health Programme.
India Maternal Health Initiative started from April 2013 with the objective to improve infrastructure of care and quality of life in order to have a positive impact on the mother and child during the labour process. In India the combination of a growing population and a lack of crucial resources in labour and delivery wards have resulted in high neonatal and maternal mortality rates. The Project targets specific, preventable causes of neonatal mortality including sepsis, low birth weight and asphyxia. In the year, 156 antenatal and 3128 post natal mothers were counseled. 579 mothers received financial aid under Janani Suraksha Yojna. Detailed statistics is provided in table IIa.
A case study of multiple leiomyoma of the uterus
Dr. SS Sen &. Dr. K Mukherjee
A lady aged 50 presented to the Gynae OPD with continuous bleeding per vaginum for 01 month. Earlier, her cycles were short with heavy bleeding off and on. Also complained of heaviness in the lower abdomen and increased frequency of micturition for the past 3-4 months. She was Para3 with all vaginal deliveries.
On examination, she was anemic. Abdominal examination revealed a 24 week size abdomino-pelvic mass which was mobile, firm, non-tender with an irregular contour. On per vaginum examination, the cervix was healthy and the mass moved with the cervix. The uterus was not felt separate from the mass. Trans Abdominal and Pelvic Ultrasonography showed multiple leiomyoma of the uterus.
Exploratory laparotomy followed by Total Abdominal Hysterectomy with Bilateral Salpingo-oopherectomy was done. Grossly the uterus was enlarged to 24 weeks size with multiple fibroids on the anterior wall, posterior wall and fundus. Some fibroids were encroaching on to the lower part of the uterus. The size ranged from 2cm to 8cm approx. The weight of the entire specimen was 1kg.
POST PARTUM PROGRAMME
Post partum unit of the Hospital was upgraded in 1971 as an apex centre of GOI, for providing comprehensive facilities for Family Planning, counseling, sterilization – both Laparoscopic and non Laparoscopic (abdominal & vaginal), immunization, vaccination for ante natal cases.
Non Scalpel Vasectomy (NSV) started from January 2011 with establishment of separate OT in the OPD Complex. All the innovative programmes taken up by GOI are implemented through this centre.
Centre Participated and organised all National Programmes:
- Intensive pulse polio immunization (IPPI) at the Hospital OPD and in its 48 booths in the surrounding field – 05 rounds. 24358 children were given polio drops. About 11000 houses were visited in each round.
- Filaria drive from 17th to 21st December 2017.
- Mission Indradhanush 04 rounds and Intensified Mission Indradhanush (IMI) 04 rounds for 07 vaccines door to door campaign.
- Special drive for Vitamin-A supplementation – Baal Swasthya Poshan Maah – 02 rounds
All the cases of Medical Termination of Pregnancy are provided with IUCD, Laparoscopic Sterilization or DMPA.
Staff conducted house to house visit in surrounding areas especially slums of KNMH on regular basis and ensured ANC check up, distribution of IFA, counseling for family planning and birth preparedness, immunization and referral. Total field visits in the year were 2705. Immunization is provided on all working days in OPD and also during house visit at slum level.