OBSTETRICS & GYNAECOLOGY

• About Department

• Staff

• Clinical Facilities Available

• Book Chapters

• Research Projects in 3 years

• Publications during last five years

• Departmental Statistics 2021

• Education and Training

About Department

The Department of Obstetrics and Gynaecology, Medical College Baroda provides tertiary level care to women with normal and abnormal pregnancy and gynaecological problems. The department was opened on 9th November 1886 by His Excellency the Count of Dufferin, Viceroy and Governor General of India at the request of Maharaja Sayajirao Gaekwad, the then ruler of Baroda. The department is recognized by the Medical Council of India for undergraduate and postgraduate studies (degree and diploma). It has one of the 31 recognized HRRCs of the Indian Council of Medical Research. The outpatient department operates from OPD-10 located in the common OPD building. Facilities in the OPD include Ultrasonography, Colposcopy, fetal monitoring using Cardiotocography, screening for cervical cancer etc. The indoor admissions are made to wards 9, 10 and 11, located in a separate complex. The department receives patient referral from nearing districts of central Gujarat, Madhya Pradesh and Rajasthan.

The obstetric services are provided in Smt. Rukmini Chainani Prasuti Gruh which is a 184 bedded building with 4 floors. This building has been constructed with a generous donation from the Baroda Medical College Alumni Association of North America.

The state of art Gynecology building has three Operation theatres which includes a fully equipped Endoscopy theatre. The department has 4 ultrasound machines including a 4D Color Doppler System. This building has been renovate with funds from the Smt. Kamlaben Ramanlal Shah Gambhirawala Trust. A 6 bed Obstetric NICU was added last year.

State of art 6 bed obstetric ICU in vicinity of labour room is established for managing life threatening  obstetric complications with  financial support  of NHM and technical support from UNICEF.

Staff

There are five teaching units with 190 beds

2. Non Teaching Staff 

3. PG intake capacity :
Total 14 seats MS ( Obstetrics & Gynecology) per year

	Clinical Facilities Available 1. High risk Obstetrics 2. Infertility 3. Operative Endoscopy 4. Microsurgery 5. Gynaec Oncology 6. Urogynaecology 7. Family planning and MTP 8. Ultrasonography 9. Genetic counseling 10 Antenatal Services 11 Gynecological Services 12 High Dependency Unit 13. Colposcopy 14. Cryotherapy 15. Maternal Fetal Medicine 16. PPTCT program
Book Chapters 1. Dr Ashish V Gokhale- H1N1 (influenza),Ebola,Zika virus diseases during pregnancy.ICOG Campus on Maternal Infection exposure to expression pg79 issue No.3;oct 2018 2. Garima Arora Gandhi, Poonam Sachdeva. "Intrauterine growth restriction " In: Poonam Sachdeva, Swaraj Batra (editors). Essentials of obstetrics. Thieme publishing. 2017 3. Rachana Sharma, Garima Arora Gandhi. "Minor surgical procedures in obstetrics" In: Poonam Sachdeva, Swaraj Batra (editors). Essentials of obstetrics.2017 4. Maitri Shah, Saloni Prajapati. Puerperal Pyrexia. In: Reena Wani (eds) fever in pregnancy. cbs publishers and distributors pvt ltd, new delhi 2016; p. 110-5. 5. Nandita Maitra. The Booking visit in pregnancy In:Handbook of Obstetrics and Gynecology for Asia and Oceania. Eds: Bhide A, Divakar H, Arulkumaran S. Jaypee Publishers Ltd. 2016; pp52-55 6. Nandita Maitra, Saloni Prajapati. Abdominal Examination in Pregnancy. In:Handbook of Obstetrics and Gynecology for Asia and Oceania. Eds: Bhide A, Divakar H, Arulkumaran S. Jaypee Publishers Ltd. 2016;pp 56-61 7. Nandita Maitra. Plan for Antenatal Care. In:Handbook of Obstetrics and Gynecology for Asia and Oceania. Eds: Bhide A, Divakar H, Arulkumaran S. Jaypee Publishers Ltd. 2016;pp 62-66 8. Nandita Maitra, Kamaljeet Dogra. Routine blood tests in pregnancy. In:Handbook of Obstetrics and Gynecology for Asia and Oceania. Eds: Bhide A, Divakar H, Arulkumaran S. Jaypee Publishers Ltd. 2016 pp 67-71 9.Nandita Maitra. Specific blood tests in pregnancy. In:Handbook of Obstetrics and Gynecology for Asia and Oceania. Eds: Bhide A, Divakar H, Arulkumaran S. Jaypee Publishers Ltd. 2016. Pp 72-77 Research Projects in 3 Years 1.A study of Teenage pregnancy and its outcome. ICMR (2011-2015) 2.A comparative study of the simplified partograph (GOI Adaptation 2010) and ICMR partograph. (April 2014) 3.Hospital Based Surveillance of Female Genital Fistula ICMR .(2010-2013) 4.Hysterectomy Profile in Tertiary Care public hospitals (ICMR Task Force study) (Proposed) 5.Respectful Maternity care initiative (ICMR Task Force study) (Proposed) 6.Assisted vaginal delivery and cesarean section at full cervical dilatation at tertiary level hospitals: incidence, impact and current management. 7.Evaluation of Maternal and fetal outcomes in women diagnosed with GDM or Normoglycemia using IADPSG criteria, among women diagnosed with normoglycemia by DIPSI criteria: Prospective multi centre Observational cohort study- ICMR task force project. 8.National Covid registry on Covid -19 infection among pregnant women and neonates-ICMR task force study 9. Maternal Near Miss Review (MNM-R) and Corrective measures at selected Tertiary hospitals in India Publications during last five years  1) Dr  A V Gokhale et al Compliance and efficacy of  syndromic  management  of  sexually transmitted infections (STI ). in women attending Gynec OPD at tertiary care centre- Journal of IMA page 9-13,Vol 115,Number 07,July 2017  2) Dr Ashish V Gokhale H1N1(influenza),Zika and Ebola Virus disease during pregnancy :ICOG Campus Bulletin Issue no.3,Oct 2018 page 70-74  3) Dr  Anand Nupur,Dr Gokhale AV Sofa scoring tool for prediction of outcome in obstetric ICU at tertiary care centre – ObsRev : J obstetGynecol 2020:6(2) 32-37/jog.2020i02.01  4) Dr Gokhale AV, Dr Agarwal S,  Dr Modi Dimpi. Improving pregnancy outcome in tertiary care institution in India through obstetric intensive care unit : three year analysis – Int J  Reprod Contracept ObstetGynecol 2020;9:1965-71  5) Suman S. Sharma*, Ashish V. Gokhale, Shonali Agarwal Abnormal placentation at tertiary care centre:   International Journal of Reproduction, Contraception, Obstetrics and Gynecology Sharma SS et al. Int J Reprod Contracept Obstet Gynecol. 2020 Sep;9(9):  6) Nupur Anand, A. V. Gokhale, Shonali Agarwal A case report on IgA nephropathy in pregnancy:   International Journal of Reproduction, Contraception, Obstetrics and Gynecology  2019 Aug;8(8):3402-3405  7) Suman S. Sharma, Ashish V. Gokhale, Shonali Agarwal Review of ectopic pregnancy at tertiary care center: 2 years analysis: International Journal of Reproduction, Contraception, Obstetrics and Gynecology  2020 Oct;9(10):  8) Suman S. Sharma, Ashish V. Gokhale, Shonali Agarwal A case report on ruptured interstitial ectopic pregnancy: diagnostic dilemma  Int J Reprod Contracept Obstet Gynecol. 2019 Jun;8(6):2567-2570  9) Nobhojit Roy, Prashant Kamble ,Niranjan Mayadeo, Ashish Gokhale- Sept 2020 Understanding the Effect of COVID-19 Pandemic on Emergency Surgical Care Delivery in India: A Multicenter Cross-sectional Study International Journal of Surgery:    1)       Fetal heart rate patterns in patients with thick meconium staining of amniotic fluid and its association with perinatal outcome. Desai D, Maitra N, Patel P. Int J Reprod Contracept Obstet Gynecol. 2017Mar;6(3):1030-1035 2)       Predicting Successful Trial of Labor After Cesarean Delivery: Evaluation of Two Scoring Systems. Patel M.., Maitra N., Patel P., Sheth T., Vaishnav P. JOGI July 2018;68(4):276-282. 3)      Comparison of Cervical Length Measured by Transvaginal Ultrasonography and Bishop Score in Predicting Response to Labor Induction. Khandelwal R., Patel P., Pitre D., Sheth T., Maitra N. JOGI June 2017 4)   Comparison of efficacy and safety of intravenous labetalol vesus hydrallazine in the management of severe hypertension in pregnancy. Patel P., Koli D., Maitra N., Sheth T., Vaishnav P. JOGI Oct 2017 DOI:10.10007/s 13224-017-1053-9 5)      An unusual case of cervical leiomyosarcoma with uterine prolapsed: a case report. Maran V., Maitra N., Patel P., Sheth T., Vaishnav P. Int J of Sci and Research. 2019; 8(6) 6)      Assessing the new ICD-MM classification for assigning the cause of maternal mortality at a tertiary centre in Western India: a retrospective study. Sheth T., Vaishnav P., Maitra N. Intl J Reprod Contracept Obstet Gynecol 201;8(9):3629-3634. 7)      Evaluation of Cleopatra 1 score for predicting preterm birth in subjects with threatened preterm labour. Maran V., Maitra N., Sheth T., Vaishnav P., Parmar N. African Journal of Medical and Health Sciences 2020, 19(8):136-142 8)      Shock Index in the prediction of adverse maternal outcome. Chaudhary M., Maitra N., SHeth T., Vaishnav P. J Obstet Gynecol India 2020;70(5):355-359 9)      Third Trimester Cerebroplacental ratio as a predictor of neonatal outcome in low risk pregnancy. Maitra N., Prajapati P., Sheth T.,Vaishnav P., Patel P. J South Asian Fed Obstet Gynecol 2020: 10.5005/jp-journals-10006-1781.   1)     Maitri Shah , Zalak Karena, Sangita V. Patel, Niyati parmar, Pawan K Singh, Atul Sharma. Treatment of Vaginal Atrophy with VaginalEstrogen Cream in Menopausal Indian Women. Oman Medical Journal [2017], Vol. 32, No. 1: 15–19  2)     Rahul D. Khokhariya , Nikhil J. Patel , Sangita Patel , Maitri Shah . Effect of Health Education on Grass Root Level Health Workers regarding Medical Termination of Pregnancy Act (MTP Act). Healthline Journal 2017; 8(1):61-6. 3)     Hardik Vansjaliya,  Khushbu Prajapati, Maitri C Shah, Niyati Parmar. Analysing Barriers In Acceptance of Postpartum Intrauterine Device (PPIUCD) At Tertiary Care Hospital of Gujarat. NJIRM 2017; Vol. 8(5): 9-12. 4)     Megha Chaudhary, Maitri Shah, Nitin Makwana. Placental cord drainage during third stage of labour: a randomized control trial at a tertiary care centre. Int J Reprod Contracept Obstet Gynecol. 2020 Mar;9(3):1143-1147 DOI:http://dx.doi.org/10.18203/2320-1770.ijrcog20200890 5)     Shah M, Khandelwal A, Patel S. Urogenital atrophy in 40–75 years women assessed with different scoring systems at tertiary care hospital of India. J Mid-life Health 2018;XX:XX-XX. 6)     Keyur Patel, Megha Chaudhari, Maitri Shah. Effect of gestational weight gain on pregnancy outcome of Indian mothers. Int J Reprod Contracept Obstet Gynecol. 2020 Apr;9(4):1681-1685  7)     Makwana N, Shah M, Chaudhary M. Vaginal pH as a diagnostic tool for menopause: A preliminary analysis. J Mid‑life Health 2020;11:133-6. 8)     Shah M, Parmar C, Gor R. Comparative study of ormeloxifene and low dose oral contraceptive pill for the treatment of dysfunctional uterine bleeding in peri-menopausal age group. Int J Reprod Contracept Obstet Gynecol 2021;10:3112-8. 9)     Koli H, Gopidas M, Shah M. Impact of structured pre-natal counselling on early initiation of breast feeding and adherence to exclusive breast feeding: a comparative interventional study. Int J Reprod Contracept Obstet Gynecol 2021;10:2699-703 10)Patel SV, Malkhede S, Shah M, Chugh L, Patel JH, Parmar A. Effect of postpartum counseling on adoption of family planning within six months in women delivered in SSG Hospital: an interventional study. Int J Reprod Contracept Obstet Gynecol 2021;10:3864-9.    1) Gokhale AV, Agarwal S, Modi D .Improving pregnancy outcome in tertiary care institution in India through obstetric intensive care unit : three year analysis.– Int J Reprod Contracept ObstetGynecol 2020(9):1965-71  2) S Alveeor, S Agarwal .Heme iron polypeptide in treatment of anemia in pregnancy.. ObsGyn Review: journal of Obstetrics and Gynecology. July-September 2018; 3(3):68-70   1.      Rano R, Patel PK. Analysis of risk factors associated with caesarean section surgical site infections: a case control study. Int J Reprod Contracept Obstet Gynecol 2020;9:5075-81.  2.      Chauhan A, Pandey N, Desai A, Raithatha N, Patel P, Choxi Y, et al. (2019) Association of TLR4 and TLR9 gene polymorphisms and haplotypes with cervicitis susceptibility. PLoS ONE 14(7): e0220330. 3.      Pandey N, Chauhan A, Raithatha N, Patel P et al.  Association of TLR4 and TLR9 polymorphisms and haplotypes with cervical cancer susceptibility. Scientific Reports (2019) 9:9729 4.      Varsha Maran, Nandita Maitra, Purvi Patel, Tosha Sheth, Palak Vaishnav. An Unusual Case of Cervical Leiomyosarcoma with Uterine Prolapse: A Case Report. International Journal of Science and Research (IJSR) Volume 8 Issue 6, June 2019:2310-2312. 5.      Chauhan A, Pandey N, Raithatha N , Patel P et al. Absence of toll-like receptor 9 Pro99Leu polymorphism in cervical cancer. F1000 Research 2018, 7:606 6.      Nilesh Pandey, Alex Chauhan, Nitin Raithatha, Purvi Patel, Ajesh Desai, Neeraj Jain.Absence of association between TLR4 Thr399Ile polymorphism and cervical cancer susceptibility. Meta Gene 17 (2018), 249-255. 7.      Patel M, Maitra N, Patel PK, Sheth T, Vaishnav P Prediction successful trial of labor after cesarean delivery. J Obstet Gynaecol India 2018 Aug 7;68(4):276-282. Epub 2017 Jul 7. 8.      Patel, P., Koli, D., Maitra, N. et al. Comparison of efficacy and safety of intravenous labetalol versus hydralazine for management of severe hypertension in pregnancy J Obstet Gynecol India 2018, 68 (5): 376-381 9.    Khandelwal R, Patel P, Pitre D, Sheth T, Maitra N.Comparison of cervical length measured by trans vaginal ultrasonography and Bishop’s score in predicting response to labor induction. Jr. O & G India (January–February 2018) 68(1):51–57 10.  Desai DS, Maitra N, Patel P.  Fetal heart rate patterns in patients with thick meconium staining of amniotic fluid and its association with perinatal outcome. Int J Reprod Contracept Obstet Gynecol 2017;6:1030-5. 11.  Akare MD, Patel PK. A comparison of sublingual with vaginal administration of misoprostol for induction of labor at term. Int J Reprod Contracept Obstet Gynecol 2017;6:1398-403.    1) S. Gandhi,J.K.Brahmbhatt*.singleton versustwin pregnancy:maternal complications and neonatal outcome.International journal of research in medicine2017;2(6)46-51. 2) Devada K M,BrahmbhattJ K,JetaniN J,ModiD M,ChaudhariA M,SharmaS S. A study evaluation of tubal factors of infertilityby hysteron-salpingography and diagnostic laparoscopy.Int J Reprod Contracept Obstet Gynecol 2020;9;533-9.   1)      A study of 70 cases of DUB. Yogesh C. Parmar Volume 3, Issue 11; November: 2019; International Journal of Medical and Biomedical Studies Page No. 166-168  2)      Study of Correlation of Histopathological Patterns of Endometrium in Dysfunctional Uterine Bleeding Dr.YogeshParmar , Dr.Kritika Pandey. International Journal of Science and Research (IJSR) Volume 8 Issue 11, November 2019    1)Sheth TM, Vaishnav PP, Maitra NK. Assessing the new ICD-MM classification for assigning the cause of maternal mortality at a tertiary centre in Western India: a retrospective study. Int J Reprod Contracept Obstet Gynecol 2019;8:3629-34. 2)Modi DA, Vaishnav PP. Routine versus selective use of episiotomy in primigravida: a prospective non-randomized case-control study. Int J Reprod Contracept Obstet Gynecol 2020;9:1003-6.   1)A study of cesarean section at full cervical dilatation. Rami B, kaul S international journal of reproduction, contraception in obstetrics & gynecology, Apr 2020, 9(4): 1672-75 2)A prospective observational study of breech pregnancy in a tertiary care centre. Kaul s, Rami B. International journal of reproduction, contraception in obstetrics & gynecology, feb 2020, 9(2): 688-91  3)Study of fetomaternal outcome in twins pregnancy. Rami B, kaul S. international journal of reproduction, contraception in obstetrics & gynecology, dec 2019, 8(12): 4762-65  4) A prospective study of fetomaternal outcome in placenta previa . kaul s, rami b, international journal of reproduction, contraception in obstetrics & gynecology, oct 2019, 8(10): 4028-33    1) Gandhi Garima, Chandnani Kavita. Association between clinical diagnosis of foetal distress with umbilical artery acidaemia at birth in women undergoing caesarean section for foetal distress.  Int.J Reprod Contracept Obstet Gynecol 2019 Jun; 8(6):2393-99 2)Gandhi Garima, Chandnani Kavita.  A prospective study of the incidence and outcomes of eclampsia in a tertiary care hospital and teaching institute  in India. Int.J Reprod Contracept Obstet Gynecol 2019 Jul; 8(7):2766-72 3) Gandhi Garima, Chandnani Kavita. Vaginal misoprostol alone for first trimester termination of pregnancy. Int.J.Clin.Obstet.Gynaecol, 2019 Sept-Oct; 3(5): 77-80   Shah M, Parmar C, Gor R. Comparative study of ormeloxifene and low dose oral contraceptive pill for the treatment of dysfunctional uterine bleeding in peri-menopausal age group. Int J Reprod Contracept Obstet Gynecol 2021;10:3112-8. Rano R, Patel PK. Analysis of risk factors associated with caesarean section surgical site infections: a case control study. Int J Reprod Contracept Obstet Gynecol 2020;9:5075-81.
DEPARTMENTAL STATISTICS FOR 2021 Total Outpatient visits 40101 Total indoor admissions 10233 Deliveries 6471 Cesarean Section 2371 Gyn major Surgery 734 Minor Gyn surgery 327 Tubal Ligation 333

Education and Training

Undergraduate Teaching: In the form of classroom lectures, clinical bedside teaching, screening of videos, integrated lectures, focus group discussions, seminars and the use of teaching aids.
Postgraduate Teaching: A dedicated teaching program includes didactic lectures, weekly clinical meets, death audits, seminars and journal clubs. Active participation of postgraduates in state and national level conferences is encouraged.
Service Teaching: Training of medical officers in Emergency Obstetric Care, MTP and Laparoscopic TL
National Programs : National Family Planning Program, Anemia Control Program, PPTCT program; Emergency Obstetric Care Training program, Training of Skilled Birth Attendants.

1) Gurukul Programme 2017 – CME for Postgraduates in collaboration with Indian Menopause society Vadodara chapter-13 July 2017
2) Lactation management training workshop in collaberation with FND MSU, department of PSM and Pediatrics Medical College, Baroda on 6-7 August 2018.
3) FORCE 2019-CME for Postgraduates in collaboration with Medical Education Committee FOGSI & Baroda OG Society 2nd & 3rd March 2019
4) CME on Managing Obstetric Emergencies (MOE) in association with Urban India Maternal Health Initiative, Jivdaya Foundation, USA on 6th September 2018
5) Workshop on Strengthening Evidence based Sexual & Reproductive Health services in preservice medical education in India in collaboration with UNFPA ,Deptt of OG & PSM PGIMER Chandigarh on 9th& 10th September 2019.

Prizes won by PG students of the department:
2018 Midterm State Conference: SOGOG 9 ,10 th June Bharuch
Quiz- 1st prize Dr Kirti Devda and Dr Dimpi Modi
Poster presentation- 1st prize- Dr Ojsa Rastogi
Paper presentation: 1st prize- Dr Suman Sharma, 3rd prize- Dr Riya Rano

2019-State Obstetrics & Gynecological Society conference (SOGOG 2019) held on 27,28 & 29 September 2019 at Vadodara
PG Debate on robotic v/s laparoscopic hysterectomy 1st prize-Dr Dimpi Modi &Dr Monika Chaudhary
PG scientific papers-Gynec 1st Prize-Dr Nirav Jetani
Misc category—1st prize- Dr Kirti Devda

Runners up-Dr Hiral koli
Scientific Poster-2nd Prize-Dr Dimpi Modi
3rd Prize- Dr Riya Rano
PG Quiz- 3rd prize- Dr Suman Sharma & Dr Riya Rano

At MOGS paper presentation 2021 (1st prize) Dr Nidhi Thakkar
Quiz COGSICON 2021 (1st prize) Dr Nidhi Thakka

DEBATE: Laparoscopic versus vaginal hysterectomy: the preferred route. ( SOGOG 2021) ( 2nd prize). Dr Zeel
Poster presentation (SOGOG 2021)(1st prize). Dr Vandana Bhatt
DEBATE (SOGOG 2021)(3rd prize) Dr Vandana Bhatt
QUIZ (SOGOG 2021) (3rd prize) Dr Vandana Bhatt
Poster presesntation SOGOG 2022 (2nd prize). Dr Shivani Shukla
Medha fogsi- diabetes mellitus in pregnancy (4 august 2021) (2nd prize) Dr Shivani Shukla

Prizes/ AWARDS / CERTIFICATION won by the department:
LAQSHYA Certified Labour Room & Maternity OT at Rukhmani Prasuti Gruh,O&G Deptt. Medical College & SSG Hospital,Baroda -8th April 2019 by GOI,MOHFW New Delhi