SYLLABUS:

1. Anatomy and Physiology of reproductive system

a. Normal anatomy and function of the reproductive system including the understanding of the hypothalamo-pituitary-ovarian axis and the positive/negative feedback mechanism.

2. Normal pregnancy

a. Physiology and immunological adaptation of pregnancy

b. Diagnosis and assessment of a normal pregnancy

c. Routine care of a pregnant women, including screening for infection and non-communicable conditions in pregnancy

3. Early pregnancy problems

a. Common problems in early pregnancy including bleeding, pain and excessive pregnancy symptoms and chronic medical conditions in early pregnancy

b. Clinical presentation of different types of problems in early pregnancy

c. Choice of investigative modalities in assessing underlying cause and assessment of pregnancy viability and prognosis

d. Management principles of early pregnancy problems

4. Normal labour and delivery

a. Diagnosis of labour

b. Physiology of labour and delivery

c. Intrapartum care including methods for maternal and fetal monitoring

d. Conduct of normal delivery

5. Abnormal labour and operative delivery

a. Identifying abnormal labour and the possible causes

b. Management of abnormal labour

c. Types of operative delivery- instrument-assisted delivery, caesarean

section

6. Induction of labour

a. Indications for induction of labour

b. Methods of induction of labour

c. Conduct and management of complications

7. Episiotomy

a. Indications

b. Technical aspects of performing and repair of episiotomy

c. Short and long term complications

8. Puerperium

a. Physiological changes of puerperium

b. Care of women during puerperium

c. Common complications during puerperium and its management

9. Obstetric emergency

a. Common causes for emergency situations in obstetric – massive

haemorrhage, obstetric collapse, emergency complications during

labour such as cord prolapse, shoulder dystocia

b. Management of individual cases of obstetric emergency

c. Maternal and fetal/neonatal risks associated with obstetric

emergency situations

10. Pregnancy complications:

PPROM/PROM

a. Diagnosis, maternal and fetal/neonatal risks, identification of complications, management during pregnancy and delivery

Antepartum haemorrhage

b. Differential diagnosis, assessment of severity, maternal and fetal/neonatal risks, management during pregnancy and delivery

11. Medical complications of pregnancy:

Hypertensive disorders

a. Diagnosis and classification of hypertensive disorders of pregnancy

b. Assessment of disease severity

c. Maternal and fetal/neonatal risks

d. Management during pregnancy and delivery

Glucose intolerance

e. Diagnosis and classification of glucose intolerance during pregnancy

f. Assessment of disease severity

g. Maternal and fetal/neonatal risks

h. Management during pregnancy and delivery

Cardiac disease

i. Identifying different types of cardiac disease during pregnancy

j. Pre-conception care and counselling

k. Assessment of disease severity

l. Assessment of maternal and fetal/neonatal risks, including indications for termination of pregnancy

m. Role of multidisciplinary care

n. Management during pregnancy and delivery

Anaemia

o. Diagnosis and classification of anaemia during pregnancy

p. Prevalence in the community including identification of high risk groups

q. Assessment of disease severity

r. Maternal and fetal/neonatal risks

s. Management during pregnancy and delivery

12. Antenatal fetal assessment/monitoring

a. Identifying pregnancy at high risk for fetal compromise

b. Methods of assessment – fetal movement chart, serial fundal height measurements, serial ultrasonography for measurements of fetal parameters, amniotic fluid adequacy, Doppler study of umbililcal and fetal vessels, non-stress cardiotocograph

c. Assessment of sensitivity and specificity of each methods of assessment

d. Management of pregnancy when fetal compromise is detected

13. Perinatal mortality

a. Local and global perspectives of perinatal mortality including comparison of rates between different countries worldwide

b. Classification of causes of perinatal mortality

c. Management of individual pregnancy complicated by perinatal

mortality including counselling to parents and investigation into causes of death

d. Measures to reduce the perinatal mortality rates locally and worldwide

14. Maternal mortality

a. Local and global perspectives of maternal mortality including comparison of rates between different countries worldwide

b. Classification of causes of maternal mortality

c. Measures to reduce the maternal mortality rates locally and worldwide

d. Medico-legal aspects of maternal death

15. Family planning/Contraception

a. Types of contraceptives, mode of action, efficacy and side effects

b. Assessment of most suitable types of contraceptives to individual patients including assessment of compliance and contraindications

c. Reasons for failure of contraceptives

d. Management of common patients’ complaints while on contraceptives

e. Role of contraceptives in improving women’s quality of life

16. Assessment of pelvic mass

a. Common causes of an adnexal mass

b. Clinical presentation of different types of adnexal masses

c. Clinical significance of adnexal mass in different age groups

d. Choice of investigative modalities in assessing adnexal masses

e. Management principles of an adnexal mass

17. Abnormal vaginal bleeding in a non-pregnant patient

a. Common causes of bleeding – endocrine, benign local causes,

malignancy

b. Clinical presentation of different types of pathology presenting as

abnormal vaginal bleeding

c. Clinical significance of abnormal bleeding in different age groups

d. Choice of investigative modalities in assessing abnormal vaginal

bleeding

e. Management principles of abnormal vaginal bleeding

18. Assessment and management of a subfertile couple

a. Definition of subfertility

b. Prevalence of problem, locally and worldwide

c. Assessment for the cause of subfertility in both partners

d. Assessment of suitable methods of assisted conception for

individual couples

e. Common complications related to subfertility treatment

f. Ethical and medico-legal aspects of subfertility management

including law regarding number of embryo transferred, donor sperm/ovum, surrogacy.

19. Pelvic pain

a. Common causes of pelvic pain – endometriosis, pelvic inflammatory disease, adenomyosis

b. Clinical presentation of different types of pathology presenting pelvic pain

c. Choice of investigative modalities in assessing patients with pelvic pain

d. Management principles of patients with pelvic pain

20. Genito-urinary health - Pelvic organ prolapse and urinary incontinence

a. Identification of patients at risk of pelvic organ prolapse and urinary incontinence

b. Prevalence of problem, locally and worldwide

c. Assessment of types and severity of problem including how it affects patients’ quality of life

d. Choice of investigative modalities in assessing patients with genitourinary problems

e. Management principles of patients with genito-urinary problems including assessment for best treatment options for individual patients

21. Pelvic malignancy:

Uterus

• Magnitude of problem locally and worldwide

• Pathophysiology of disease

• Methods of screening

• Clinical presentation

• Choice of investigative modalities for confirmation of diagnosis and assessment of extent of disease

• Management principles including assessment for best treatment options for individual patients and management of treatment complications

Cervix

• Magnitude of problem locally and worldwide

• Pathophysiology of disease

• Screening program for cervical cancer

• Clinical presentation

• Choice of investigative modalities for confirmation of diagnosis and assessment of extent of disease

• Management principles including assessment for best treatment options for individual patients and management of treatment complications

Ovarian

• Magnitude of problem locally and worldwide

• Pathophysiology of disease

• Screening program for cervical cancer

• Clinical presentation

• Choice of investigative modalities for confirmation of diagnosis and assessment of extent of disease

• Management principles including assessment for best treatment options for individual patients and management of treatment complications

22. Menopause

a. Common problems related to menopause including physical and mental aspects of health

b. Treatment options – hormonal versus non-hormonal methods

c. Management principles including assessment for best treatment options for individual patients

23. Patient safety

a. Overview of aspects of patient safety while under institutional care

b. Role of healthcare providers in ensuring patient safety

c. Specific situations directly related to patient safety issues – blood transfusion, administration of medication, surgical procedures

24. Ethics and professionalism

a. Understanding of ethical principles applicable while providing patient-care e.g. beneficience, non-malefiecience, confidentiality, patient autonomy, fidelity, justice

b. Definition of professionalism and what it means to behave professionally

c. Identification of situations when professionalism and ethics might have been breached

d. UNESCO Bioethics

25. Obstetrics/Gynecology audit

a. The importance of audit sessions and principles of good audit

b. To conduct audit sessions based on available data e.g. delivery audit, surgical audit, perinatal outcome audit.