KING EDWARD MEMORIAL HOSPITAL

Faculty at K.E.M Hospital

Name	Designation
Dr. N.M. Mayadeo	Professor and Head
Dr. P.Y. Samant	Additional Professor
Dr.Ching Ling Yi	Additional Professor
Dr. H. K.Chaudhari	Associate Professor
Dr. H. S Warke	Associate Professor
Dr.PritiHatkar	Associate Professor
Dr.Aditi Phulpagar	Additional Associate Professor
Dr.Vibha More	Assistant Professor
Dr.Shruti Panchbudhe	Assistant Professor
Dr.Harshada Thakur	Assistant Professor
Dr.Kimaya Mali	Assistant Professor
Dr.Munira Ansari	Assistant Professor
Dr.DurgaValvi	Assistant Professor
Dr.Namrata Tiwari	Assistant Professor
Dr.Rahi Pednekar	Assistant Professor
Dr.Priyanka Honavar	Assistant Professor
Dr Gaurav Desai	Assistant Professor
Dr JyotsnaDwivedi	Assistant Professor
Dr Chaitanya Gaikwad	Assistant Professor

Resident and Staff Development:

Courses offered: 
Research
methodology
Stress management.
Time management.
Communication skills.
Anger management.
CPCR.
Computers in the department: Total
number: seven desktops, two laptops. All desktops are connected with
LAN and have internet access.
Recreational
Facilities for residents & Staff: 
Separate Gymnasium facilities for staff members, female and male
resident doctors.

Educational Facilities

Department Library:

We
have a well equipped departmental library. It contains:

Books: Reference and standard text books. Total number is 808.

Journals
and Periodicals: Total number 249. These include:

1. The Journal of Obstetrics and Gynecology of
India.(1950-2006).
2. Journal of Post graduate Medicine.
3. Population Reports
4. Obstet Gynec Today (few issues)
5. The Journal of the International Federation of Gynecology and
Obstetrics (1963 – 2000).
6. American Journal of Obstetrics and Gynecology (older issues)
7. British Journal of Obstetrics and Gynecology. (From 1954-1987).
Total 91 issues.
8. Obstetrics and Gynecology. (older issues).
9. Asia- Oceania Journal of Obstetrics and Gynecology. (1970- 1975).
10. The Fertility and Sterility. (1984 – 2001).
11. Bombay Hospital Journal. (1989-1992).
12. NAMS Journal. (1988-2000)
13. Indian Journal of Cancer Chemotherapy. (1986-1991).

Please note recent issues of Journals listed in No. 6-8 are available
in the central library.

Audio visual equipment and teaching aids:

LCD
Projector.

Computers with software to create presentations
35 mm slide projector.
Overhead Projector (OHP)
VCD player with monitor.
Audio library database : Total number: 7.
Includes lecture on medicolegal aspects and Heart sounds.
Video library database: Total number: 81

MD Dissertations 

Reading
Hall – seating capacity of 40

Lecture
hall – seating
capacity of 40

Approximately
20 new books are added every year in our library.

Educational software for use by residents and staff members.

Pelvitrainer

Model
to self training in assessment of cervical dilatation

Model
to self training in assessment of fetal station

Teaching set of gynecological and obstetric instruments

Investigation FacilitiesThe
department has facilities for investigations required in the management
of Obstetric and Gynecologic conditions. The following tests are
available.

Cytology	VDRL	Semen analysis
Hemogram	Indirect Coombs’ test	Ultrasonography
Blood grouping	Amniotic fluid analysis	Fetal monitoring
Coagulation profile	Sperm washing

In addition, the patients have access to investigations like CT scan,
hormone assays, karyotyping, immunological tests, biochemical tests,
microbiological tests, and histopathological tests within the
hospital. 

Surgical Services

There
are four operation theaters in the department, which offer the
following services.

Operation Theater	Operative Services
Gynecologic operation theater	Conventional gynecologic operations, major and minor Microsurgery Laparoscopic surgery Cystoscopy
Obstetric operation theater	Conventional obstetric operations, major and minor Emergency obstetric operations Female sterilization Medical termination of pregnancy Laparoscopy Hysteroscopy Colposcopy Cryosurgery
Family planning operation theater	Medical termination of pregnancy Insertion of intrauterine devices Colposcopy
Endoscopy operation theater	Endoscopic surgery

Information for Patients
The Department runs daily outpatient clinics for gynaecological
patients in the morning and obstetric patients in the afternoon. New
registration papers are issued between 8.00am and 10.30 a.m. and 12.30
noon and 2.00 p.m. Emergency care is available all day and night.The
Gynecology Outpatient Clinic is held every day from 8.30 a.m. and 12.30
p.m. in Clinic No. 109. The case papers are available only between 8.30
a.m. and 10.30 a.m. The following services are offered at this clinic.

• Pap smear for
  screening of the genital tract cancer.
• Endometrial
  aspiration cytology for screening for uterine cancer
• Gynecologic
  examination.
• Counseling.
• Colposcopy.

The
Infertility Outpatient Clinic is held every day from 10.30 a.m. and
12.30 p.m. in Clinic No. 109A. Patients referred to this clinic from
the Gynecology clinic can attend it on any day other than Sunday. The
following services are offered at this clinic.

• Ovulation
  study.
• Cervical
  mucus study.
• Postcoital
  test.
• Sperm
  washing.
• Intrauterine
  insemination.

The Obstetric
Outpatient Clinic is held every day from 1.30 a.m. and 4.00 p.m. in
Clinic No. 109. The case papers are available only between 12.30 p.m.
and 3.00 p.m. The following services are offered at this clinic.

• Antenatal
  care.
• Pap
  smear for screening of the genital tract cancer during pregnancy.
• Blood
  testing for hemoglobin, blood group, VDRL, and HIV after counseling.
• Colposcopy.

The Family
Planning Outpatient Clinic is held every day from 9.00 a.m. and 12.30
p.m. in Clinic No. 109. The case papers are available only
between 7.30 a.m. and 10.30 a.m. The following services are offered at
this clinic.

• Counseling
  for contraception.
• Family
  planning methods like sterilization, intrauterine device insertion,
  condoms, combination contraceptive pills, Depot medroxyprogesterone
  injections etc.
• Follow-up
  examination and care for users of contraceptive methods.
• Medical
  termination of pregnancy.

The Postnatal
Outpatient Clinic is held every day from 1.30 a.m. and 4.00 p.m. in the
Family Planning Center. The case papers are available only between
12.30 p.m. and 4.00 p.m. The following services are offered at this
clinic.

• Postnatal
  care to mothers.
• Counseling
  for contraception.
• Colposcopy

The Department
has six units, headed by two professors and four associate professors,
the working of which is as follows:

UNIT NAME	UNIT COMPOSITION	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
NMM UNIT	Dr.N.M. Mayadeo# Dr. Shruti Panc hbudhe* Dr.DurgaValvi* Dr.RahiPednekar* Dr Priyanka Deshpande&	OPD	Emergency	Clinical Rounds	OBOT	GYOT	Infertility OPD
HKC UNIT	Dr.H K Chaudhari@ Dr. Vibha More* Dr.Munira Ansari* Dr. Namrata Tiwari *%% Dr ShreshtaMahanti& Dr Priyanka Rane&	Infertility OPD	OPD	Emergency	Clinical Rounds	OBOT	GYOT
PYS UNIT	Dr.PadmajaSamant@ Dr.Harshada Thakur * Dr. Priyanka Honavar* Dr Pratima Wagh* Dr Priti Sitaram Maykodi&	GYOT	Infertility OPD	OPD	Emergency	CLINICAL ROUNDS	OBOT
CLY UNIT	Dr.Ching Ling Yi@ Dr.AditiPhulpagar@ Dr Chaitanya Gaikwad Dr Pratima Koshewara&	OBOT	GYNOT	Infertility OPD	OPD	EMERGENCY	CLINICAL ROUNDS
PH UNIT	Dr.PreetiHatkar@ Dr Gaurav Desai* Dr. Jyotsna Dwivedi* Dr Riddhima Shetty&	Clinical Rounds	OBOT	GYOT	Infertility OPD	OPD	EMERGENCY
HSW UNIT	H.S Warke@ Dr.Kimaya Mali* Dr.Riddhi Shah* Dr Hritul Madge& Dr Sheetal Shinde&	EMERGENCY	CLINICAL ROUNDS	OBOT	GYNOT	Infertility OPD	OPD

# – Professor and HOD

$- Professor

@- Associate professor

*- Assistant professor

&- Senior Resident

^- Currently on Maternity Leave

 (Postnatal Clinic is not open on Saturday, and those patients attend it on
Wednesday. Emergency services on Sunday are given by the six units in
rotation.)

Specialty Clinics: Room number 4, Clinic No. 109.

Specialty OPD Schedule

Weekday	Specialty OPD	Doctors(*Assistant Professor)
Monday	Oncology	Dr. Vibha More* Dr.Munira Ansari* Dr. Namrata Tiwari *%% Residents of HKC unit
Tuesday	Sexually transmitted infections	Dr.Harshada Thakur * Dr. Priyanka Honavar* Residents of PYS unit
Wednesday	Assisted reproductive techniques	Dr.Madhva Prasad* Dr Chaitanya Gaikwad Residents of ASG Unit
Thursday	Gynecological endocrinology	Dr Gaurav Desai* Dr. Jyotsna Dwivedi* Residents of PH unit
Friday	Adolescent gynecology	Dr.Kimaya Mali* Dr.Riddhi Shah Residents of HSW unit
Saturday	Menopause	Residents of SVP unit Dr. Shruti Panchbudhe* Dr.DurgaValvi* Dr.RahiPednekar

Vision Statement

Our
constant endeavor has been to create a medical college that provides
state of the art medical knowledge and skills to undergraduate and
postgraduate students so that the department will be one among the top
in the world.

Our
department shall provide quality health care services to all and shall
be the final referral center for all professionals and all sections of
the society.

It
will be our duty to include these values in every activity we undertake
and inspire all the medical students and professionals to do the same.

Mission statement

We
endeavor to provide quality medical education to all students and
quality health care to the society. We are committed to serve our
patients with compassion, care and integrity, free of cost. Our
research will be highly ethical and targeted towards constant
improvement in patient care. We shall always strive to improve our
facilities, knowledge and skills to offer our patients unmatched
medical services.

It
will be our duty to include these values in every activity we undertake
and inspire all the medical students and professionals to do the same.

Residency Training
Programme

Result

The
residency
training programme is one of the most sought after and admissions are
made on the basis of existing regulations laid down by the state
government of Maharashtra and the Mumbai municipal corporation. The
postgraduate students for both the M.S. and the D.G.O. programme are
posted in King Edward Memorial
Hospital and Nowrosjee Wadia Maternity Hospital on merit. The
postgraduate training program is exhaustive. It includes didactic
lectures which cover the entire syllabus in each unit over three years,
small group teaching, maternal mortality audits, perinatal
mortality audits, journal clubs, seminars, symposia, case discussions,
and quiz programs. Training on operative techniques is both extensive
and intensive.

This
department has a very comprehensive residency training program. It is
both mentally challenging and physically taxing. Resident doctors are
expected to awake at the crack of dawn and see patients before the
treating physicians arrive. The residency years can be gruelling, as it
requires that residents take call and spend the entire day and night in
the hospital to care for sick patients.

Each
year the resident is allowed increasing responsibility and to attempt
more difficult procedures and surgeries. The training is both extensive
and intensive and also, becoming a skilled surgeon takes practice.
Patients coming to KEM Hospital are usually the sickest patients in and
around Mumbai. Residency is both very difficult and very rewarding. The
resident has to spend countless hours caring for sometimes hostile and
violent patients, dying patients, counselling parents if their baby has
no heart beat, as well getting the joy of bringing babies into this
world and saving lives of many babies and their mothers. A young doctor
who chooses a career in ob/gyn should have a passion for the specialty,
since the hours during training are painfully long.

During
the residency years, the M.S. resident has also to submit a Dissertation
which is made after detailed research and review into the topic
undertaken under his/her Guide. This is a demanding process. The
academic session for residents also includes preparing and presenting
seminars, teaching the medical school students, taking part in various
workshops and conferences and also publishing one’s research work. The
resident is held accountable for the way he/she manages a patient in
the regularly held maternal and perinatal mortality and morbidity
audits in the department.’

Resident
Involvement Program

Post
Graduate Seminar Database: Seminar topics are selected, researched by a
team of 6-8 residents and then it is presented by them to the
department post graduate residents, students and faculty members.

In
order to instill in them administrative skills resident doctors are
part of
1. Seminar committee.
2. Labour ward committee.
3. Residents welfare committee.

The recognised postgraduate teachers of the Seth G. S. Medical
College are as follows:

KEM Hospital	Designation
Dr. N.M. Mayadeo	Professor & HOD
Dr. P. Y. Samant	Associate Professor
Dr.Ching Ling Yi	Associate Professor
Dr. H. K. Chaudhari	Associate Professor
Dr. H. S. Warke	Associate Professor
Dr.Preeti Hatkar	Associate Profeesor
Dr.Aditi Phulpagar	Additional Associate Profeesor
Shruti Panchbudhe	Assistant Profeesor
Harshada Thakur	Assistant Profeesor
Kimaya Mali	Assistant Profeesor
Vibha More	Assistant Profeesor
Nowrosjee Wadia Maternity Hospital	Designation
Dr. K.R. Damania	Professor
Dr. P.R. Satoskar	Professor
Dr. N.M. Narvekar	Hon. Associate Professor
Dr. Geetha Balsarkar	Professor
Dr. Trupti Nadkarni	Associate Professor
Dr. Pooja Bandekar	Associate Professor
Dr. Amol Pawar Dr. P.D.Lakhani	Associate Professor
Dr Hemraj Narkhede Dr Anagha Chattrapati Dr Deepali kale	Assistant Professor

Research

The
department has Gynecologic and Obstetric Research Center, where a
number of investigations can be done. It also has access to a large
number of laboratories in the hospital, making advanced research
possible. Clinical research is done on different aspects of Obstetrics
and Gynecology all round the year. There is a center of the Indian
Council of Medical Research (ICMR) in the department, where clinical
trials of ICMR are done. Clinical research is also done in association
with other departments of the hospital, and institutes like Institute
for Research in Reproduction.

A large number of drug trials are done in association with
Pharmaceutical companies. All research activity is carried out only
after approval from the Ethics Committee of the institute.

Journal of Postgraduate Gynecology & Obstetrics

Journal
of Postgraduate Gynecology & Obstetrics is an Open Access, peer
reviewed online journal published by Department of Obstetrics and
Gynecology of Seth G. S. Medical College and K.E.M. Hospital, Parel,
Mumbai, 400012, India. It publishes articles received from all over the
world free of charges. It can be accessed at the following link.
Journal of Postgraduate Gynecology & Obstetrics

UG Record Book/Journal
format

This
is to certify that

Mr./Miss
————————————————————

has
performed his/her practical assignments in Gynaecology and Obstetrics
to my satisfaction. The student has been present during the course of
labour and personally conducted each case, making the necessary
abdominal and other examinations under the supervision of the
certifying officer.

Sr. No.	Hospital	Name of Unit	Duration of post with dates	Number of Delivery Cases	Pages from to	Signature of Head of Unit
1	NWMH	Dr.	From ——–

To
———–

Assisted——–

Conducted——From
——–

To
———– 2NWMHDr.From
——–

To
———–

Assisted——–

Conducted——From
——–

To
———– 3KEMHDr.From
——–

To
———–

Assisted——–

Conducted——From
——–

To
———– 4KEMHDr.From
——–

To
———–

Assisted——–

Conducted——From
——–

To
———– 5KEMHDr.From
——–

To
———–

Assisted——–

Conducted——From
——–

To
———–    Total

Assisted——–

Conducted——  

Head of Unit		Head of Unit		Head of Unit
NWMH		NWMH		KEMH

Professor
& Head Of Department

Seth
G.S.Medical College & K.E.M.Hospital

The
Department of Obstetrics and Gynaecology

Labour Ward Practice Guidelines
Copyright	© Department of Obstetrics and Gynecology Seth G.S. Medical College and K.E.M. Hospital , Parel, Mumbai- 400 012.First edition, 2002 Second edition, 2007This publication may be reproduced and distributed in any quantity for educational, noncommercial purposes to healthcare professionals only.For private circulation only
Notice	Obstetrics and Gynecology are ever- changing sciences. The department has checked with sources believed to be reliable in order to provide information which is complete and in accordance with the standards acceptable at the time of publication of this book. However in view of the possible changes in these sciences and human error, neither the department nor the publisher nor any other person involved in the publication of this book warrants that the information contained in it is in every respect accurate or complete, and they are not responsible for any errors or omissions, or for the results obtained from the use of such information. Readers are encouraged to confirm the information contained in this book with other sources, including product information provided by manufacturers of different drugs, so as to be certain that changes have not been made in the recommended doses or in contraindications for the use of those drugs.
Preface	The following guidelines are for resident doctors and staff members working in the receiving room and labor ward.These are evidence-based, based on the standard postgraduate books of obstetrics and therapeutics, and literature survey. They are meant to help manage the patients effectively.The use of these recommendations is optional. Modes of management other than those described may be used to suit different patients. The decision of the qualified doctor treating each patient will be final.
Abbreviations	# Gauge @ At the rate of < Less than > Greater than BBO Blood bank officer CMO Casualty medical officer EMS Emergency medical services FFP Fresh frozen plasma HVS High vaginal swab I/O Input output Lect Lecturer Lwd Labor ward M/C Measure and chart MDACS Mumbai district AIDS control society MICU Medical intensive care unit Mins Minutes MVI Multi vitamin injection UA Urine albumin Wwd Waiting Ward

General Instructions

– Depilatory cream/lotion can be used instead of shaving if the patient so desires, but its use is subject to facilities available-Check list•- Confirm for all women who come to Receiving Room-Inform if * – All instructions for normal labor are also to be followed.-If woman is in labour and she has no HIV report from KEM hospital or from Mumbai District AIDS Control Society (MDACS) then send her blood for spot test for HIV to emergency laboratory and check the report.-Inform neonatologist during 1 st stage of labour in all high risk patients and on delivery of the remaining patients.-Prescribe antibiotics- As per protocol.-If blood group of patient is not known then ask if all 8 types of blood are available (4 +ve and 4 –ve). If any are not available, ask BBO to check patient’s blood group and check if that blood group bag is available. Ask availability of O+ve and O-ve blood.

INDIAN
COUNCIL OF MEDICAL RESEARCH
FIELD STATION, K.E.M. HOSPITAL, MUMBAI (NIRRH) 

Name of the Centre	ICMR Regional Centre for Clinical Research in Human Reproduction
Officer-In-Charge, Principal Investigator	Dr. Niranjan Mayadeo Professor& Head of Unit
Faculty for Training	Dr. Niranjan M. Mayadeo, :Professor & Head of Unit
Office	Dept. of Obstetrics & Gynaecology, Seth G. S. Medical College and K.E.M. Hospital, Parel, Mumbai – 400012
Telephone	(022) 24107843
Email	icmrhrrc@kem.edu

HRRC STAFF		PROJECT STAFF
Post	Name of Person	Post	Name of Person
Scientist (Med)	Vacant	Counsellor	Vacant
Scientist (Med)	Vacant
Scientist (Non. Med)	Mr. Shrinivas Gurav
Social Worker	Vacant
LDC	Vacant
Driver	Mr.Vijay Kapadi	–	–