::: ASSOCIATED INSTITUTIONS : Institutre of Social Obstetrics & Government Kasturba Gandhi Hospital for Women & Children

An antique view of the Kasturba Gandhi Hospital

GOVERNMENT KGH formerly known as “The Royal Victoria Caste & Gosha Hospital for Women” was founded in 1885 has rendered 125 years of service for the Women by the Women.

The idea to start a hospital entirely for women who were unwilling to go to hospital run by men germinated in January 1885 but the meeting held under the presidency of Her Excellency Lady Grant Dufferin on 6th March 1885 along with eminent persons of yore like Kasturi Bashyam Iyengar, Diwan Bahadur R.Raghunatha Rao C S I, Raja of Vizianagaram, Justice Muthuswamy Iyer, Raja of Venkatgiri and Raja Sri Savalai Ramaswamy Mudaliar resolved to establish a caste & gosha hospital. A sum of Rs.70,000/- was collected on the spot and with further donations the hospital was declared open on the 7th December 1885 by Her Excellency Lady Grant Dufferin. It was named after Her Majesty Queen Victoria Hospital by the efforts of Dr.May Scharlab, a pioneer among medical women, the first Superintendent. She got permission from the Queen herself to name this institution after her.

It was first located at Moore’s Garden, Nungambakkam; offered free of rent by Hon’ble Humayun Jah Bahadur. This institution was affiliated to the Countess of Dufferin’s fund from February 1886. Madras government donated a site at Chepauk in the year 1890 and also donated a sum of Rs.10, 000 along with a year’s supply of medicines. The main building was constructed with the donation of Rs.1 Lakh by The Raja of Venkatgiri. The hospital moved to its current place in June 1890. The internal management of the hospital was entirely transferred to the Dufferin’s Fund Committee in 1892. Superintendent’s quarters was got ready in 1889 with the donation of Rs.37000/- by the Raja of Vizianagaram. Nurses’ quarters was built in 1901. The inpatient ward was built with Rs.50000/- given from the Madras Women’s Memorial for Queen Victoria Fund in 1902. A delivery ward was opened by Lady Bashyam Iyengar in 1904 (NDR) and in 1909 a separate ward was built to treat the septic cases (ODR). In 1911 at a cost of Rs.3000/- electrical installations and lighting was completed with general donations. In 1913 efforts were made to render the hospital self supporting. Miss. Hendrie M B & C H B was appointed as Lady Superintendent.

The Madras government took over the management of this hospital on 18th April 1921 and Dr. Mary Beadon was appointed as the superintendent. Miss. Lazarus & Miss. Maduram were the first two Indian Superintendents.

In 1922 Madras public raised funds to commemorate His Royal Highness the Prince of Wales visit to Madras and decided to build a hospital for sick children as an annexure to the government Victoria Caste & Gosha hospital. It was opened in April 1936 with 52 beds.

Genesis of other Departments

In 1952 a General Medicine department was started. A Modern Steam Laundry was also established in 1955. In 1960 E.N.T. & Dental care facilities were added. In 1953 Family Planning department was started and also a regular Blood Bank. In 1981 I.C.M.R. started a Human Reproductive Research Centre and in 1989 Microsurgery facility was made available. A special ‘Diabetic Clinic for Women’ was started in 1995.

As a Training center

In 1992 the hospital was recognized as ‘Laparoscopy Training Centre’. Its training capabilities in the field of ‘Manual Vacuum Aspiration’ and ‘Cancer Screening’ – Visual Inspection of Acetic Acid, Visual Inspection of Lugols Iodine14 & Colposcopy were recognized in 2005. Also the hospital was made a ‘BEMONC & CEMONC’ training centre (BEMONC – Basic Emergency Obstetric & Neonatal Care & CEMONC – Comprehensive Emergency Obstetric & Neonatal Care). Year 2006 brought in the recognition for the hospital as a ‘CENTRE OF EXCELLENCE for Reproductive & Child Health.

Now the hospital is also a recognized Colposcopy Training Centre (2007) & Sonar and Laparoscopy Training Centre and has trained more than 200 Doctors. In April 2009 a Tertiary Training Centre for ‘Emergency Obstetrics Care’ (EmOC), for Medical Officers from primary health centres (PHC), Taluk & Head quarters hospitals started functioning. The training period is 6 months.

 

 

 

A view of the present KGH

                    List of successive Heads of Department

Dr. Mary Beadon M.S

1921-1927

Dr.H.M. Lazarus M.S

1927-1940

Dr.E.Maduram MB FRCS, MRCOG

1940-1948

Dr.A.B.Hardy BMRCP

1948-1950

Dr.E.A.Kung MBBS MRCP

1950-1952

Dr.Paru Kutty Rajan MBBS MRCP

1952-1954

Dr.A.B.Marikar M.D DGO

1954-1960

Dr.S.Subbulakhsmi MBBS

1960-1960

Dr.S.Abraham MD DGO

1960-1961

Dr.Maj.A.Abraham MD DGO

1961-1968

Dr.A. Sitaratna MD DGO

1968-1975

Dr. Mary Rajaratnam MD.DGO

1975-1976

Dr.E.S.Philips FRCOG DGO

1976-1977

Dr.Sogha begum MD DGO

1977-1978

Dr.C.R.Karthamani MD DGO

1979-1986

Dr.Lalitha MS DGO MNAMS

1986-1988

Dr.A. Rajibai MD DGO

1988-1988

Dr.S.Premila MD DGO

1989-1990

Indra Chowdappa MD DGO

1990-1992

Dr.C.N. Suyaya kumari MD DGO

1992-1994

Dr.A. Shanmugapriya MD DGO

1994-1995

Dr.A. Senthamil Selvi MD DGO

1995-1996

Dr.S.Umarani MD DGO

1996-1998

Dr.R.Lakshmi MD DGO

1998-1999

Dr.V.S.Devaki MD DGO

1999-2000

Dr.S.Janaki MD DGO

2000-2001

Dr.Bhuvaneswari MD DGO

2001-2001

Dr.A Sundaravalli MD, DGO

2001 -2002

Dr. Sakundala Barathi MD, DGO

2002 -2004

Dr. Madhini MD, DGO

2004 –2005

Dr. P M Shanthamani MD, DGO

2005 -2006

Dr. Dhanalakshmi MD, DGO

2006 –2007

Dr. Vasantha Subbiah MD, DGO

 

 

SUCCESSIVE DIRECTOR OF SOCIAL OBSTETRICS

2007 –2007

Dr. Vasantha Subbiah MD, DGO

2007 –2008

Dr. Renuka Devi MD, DGO

2009 May

Dr. M. Mohanambal MD, DGO

2009 -2011

Dr. A.M. Famida, MD,DGO 

2012Jan-2012 Apr

Dr. P.Meenalochani MD,DGO           

Dr.S.Dilshath ,MD,DGO

2012Aug-Sep 12

2012 sep 

Dr.Vijaya 2015-2016

 

Mile Stones

  • 1937 – New Outpatient block constructed.
  • 1938 – Construction of an extension block connecting the OP block and old existing wards.
  • 1946 – Bed strength raised to 367 including special wards.
  • 1948 – May, renamed as Govt Kasturba Gandhi Hospital for Women and Children.
  • 1952 – Bed strength increased to 515.
  • 1953 – Nurses Quarters opened.
  • 1955 – Family Welfare Services inaugurated.
  • 1961 – New ward built & bed strength increased by 100.
  • 1963 – Quarters for the last grade servants accommodating 101 families.
  • 1971 – Ward of 20 bed ‘post partum block’ completed.
  • 1972 - A separate ‘Operation Theatre for Family Planning’ & 20 more beds added.
  • 1973 – A crèche-cum nutrition day care centre was opened on 12th October 1973 by Her Excellency Tmt. Madhuben Shah for the benefit of preschool children of last grade servants of this hospital.
  • 1973 - 50 Neonatal beds were added. The bed strength has now become 695.
  • 1974 - Lab and Mortuary made available.
  • 1975 – New ‘outpatient block’ constructed.
  • 1985 – Extension OP Block & air-conditioned mortuary ready for use.
  • 1986 - Birth of Uro Gynecological Services.

Other bright plumes in the cap

  • In 2004, a Payment Ward was started.
  • In 2007 this hospital was upgraded as ‘Institute of Social Obstetrics’.
  • A certificate Course in Uro Gynaecology commenced in the year 2007.
  • In 2008 it became a Nodal Centre for Cervical Screening.
  • In 2009 Nodal Centre for EmOC Training

This Centre of Excellence will be providing expert care and treatment for  mothers and children.  It will  the various training schools and train doctors  in emergency obstetrics, cancer screening and life saving  anaesthetic skills.  The skills disseminated will be useful for  persons ,working in the field of reducing maternal, neonatal and infant mortality throughout India.

 

Department of Obstetrics & Gynaecology

 

Patient care Services

                                      In a year nearly 250,000 (two lakh fifty thousand) out patients, 30,000 (thirty thousand) in patients are treated and about 25,000 (twenty five thousand) surgeries are performed. Every year nearly 12,000 (twelve thousand) deliveries and 3,000 (three thousand) sterilizations are conducted.  

Units

O.P

Major Theatre

Endoscopy Theatre

1st Unit

Mon

Thurs

Fri

2nd Unit

Tue

Fri

Mon

3rd Unit

Wed

Mon

Tue

4th Unit

Thurs

Tue

Wed

5th Unit

Fri

Wed

Thurs

Sat, Sun

Rotation basis

 

 

Out Patient : Monday to Friday – 5 units

 

Antenatal clinic - run on all days from 7.30am to 12.00pm

  • Basic investigations are done for all antenatal patients.
  • High risk pregnancies screened out.

Diabetic Clinic - On Fridays – 9 – 12 pm

Specialists from GH will attend to patients

 

NACO Clinic

Screening for HIV done on all days. Started in 01.01.2000
In 2004-2009 – 94 ANC Positive Cases were detected.

Gynaec clinic -run on all days

Routine examinations like PA. PV, Papsmear, Leucorrhoea evaluation etc done

 

Infertility clinic - run on all days(except Sundays) from 7.30am to 10.30am

Routine investigations carried out and needed patients admitted for Hysterolab & HSG.

Colposcopy clinic - run on all days - 7.30am to 10.30 am

VIA & VILI done

Adolescent clinic  run on all days - 7.30am to 10.30 am

In Patient

In Patients admitted under 5 units , Major & minor surgeries performed depending on complaints .

 

Performance Statistics

 

2007

2008

2009

2010

2011

2012 till Aug

Major

1216

1431

1305

1397

975

682

Minor

1366

1367

1419

1267

1139

715

O.P

48096

45252

38680

33563

30856

19052

I.P

2854

3488

3488

3185

2828

1952

Total Deliveries

10741

10515

9801

8425

8395

5410

Minor Surgeries

  • Dilatation & Curettage
  • Premenstrual Curettage
  • LLETZ

Major Surgeries

  • Fothergill’s procedure
  • Sling surgeries for prolapse
  • Myomectomy

Hysterectomy

  • Vaginal
  • Abdominal
  • Laparoscopic

Endoscopic Surgeries

·         Diagnostic Hysteroscopy

·         Hysteroscopic Therapeutic Procedures

·         Laparoscopic Surgeries

Labour ward

NDR - Medical officers, PGs, CRRIs available 24 hrs. Normal deliveries, forceps delivery, vacuum delivery , Emergency LSCS ( separate Op theatre in labour ward) , Neonatal resuscitation , Emergency laparotomy - ectopic pregnancy, ovarian cyst torsion, PPH procedures

 ODR- Infective patients (jaundice, HIV+, fever, diarrhea, chickenpox etc) deliveries are conducted here , Missed abortions curetting done

HDU - 6 beds for highly complicated patients with intensive care facilities like ventilators.                                                                                                                       

Casualty

24 hrs available, Patients in labour pain, patients coming after OP time are admitted through casualty. Payment ward. It was Started in 2004 with 33 beds , Dormitory – 20 beds , Cubical – 10 beds , Single room – 3 beds , With minimum paying amount all facilities made available to patients.

Academic activities

Preparing the next generation for the arduous and noble task is not only vital but also essential. A beginning in this regard was made earnestly in 1913 itself with 6 pupil nurses. A Post Graduate Diploma in O & G was started in 1959 with the affiliation of the hospital to Lady Wellington Medical School which was later abolished and amalgamated with Stanley Medical College. The PG Degree course – M D (O & G) was sanctioned in 1975. This is a teaching hospital recognized by the TN Dr. M.G.R Medical University. Every year at present 7 M.D., (O&G) and 14 D.G.O., and 148 Nurses are trained at this institute.

This hospital has Medical, Surgical, Obstetrics, Gynaecology, Paediatrics, Paediatric Surgery, Urogynaecology, Dental, Pathology, Microbiology, Bio-Chemistry, E.N.T. Radiology and Imaging Sciences Departments and a full fledged Blood Bank.

Courses handled

PG Courses

M.D (Obstetrics & Gynaecology)
Diploma in Obstetrics & Gynaecology

 

UG Courses

M.B.B.S

 

Diploma Courses

Diploma in nursing

Intake

M.D (Obstetrics & Gynaecology) - 7 students per year
Diploma in Obstetrics & Gynaecology - 14 students per year

Eligibility

Should have acquired MBBS Degree from a recognised University.

Course Duration

M.D (Obstetrics & Gynaecology) - 3 years (For straight admission).
- 2 years for Post DGO students.

Diploma in Obstetrics & Gynaecology - 2 years

Selection Procedure

Through Tamil Nadu And All India Entrance Exams

 

Affiliated University

The Tamil Nadu Dr. MGR Medical University, Chennai.

 

Academic Curriculum

UG - M.B.B.S

  • More than 150 students are being taught about the O & G concepts per batch.
  • Students are selected from preclinical to final year
  • Case discussions in daily OP
  • Symposia is arranged once every month
  • Preclinical exams conducted at the year end
  • Lectures presented in afternoon

                M.D (Obstetrics & Gynaecology)

                   First Year

Labour ward

4 months

Antenatal ward/OPD

2 months

Gynaecology ward/OPD

2 months

General medicine

2 months

General surgery

2 months

                Second Year

Labour ward

2 months

Antenatal ward/OPD

2 months

Gynaecologgy ward/OPD

2 months

Post natal ward

2 months

Neonatology

2 months

Department of oncology

1 month

Family welfare

1 month

Community obstetrics

1 month

                Third Year

Labour ward

3 months

Antenatal ward/OPD

2 months

Gynaecology ward/OPD

2 months

Anaesthesia department

1 month

Medical genetics

1 month

Community obstetrics

1 month

Sonar

1 month

Endoscopy

1 month

                                     

                  D.G.O

                 First Year

 

Labour ward

3 months

Antenatal ward/OPD

3 months

Gynaecologgy ward/OPD

3 months

Neonatology

1 months

Pathology- cytology

1 month

Family welfare

15 days

Community obstetrics

15 days

                  Second Year

Labour ward

3 months

Antenatal ward/OPD

3 months

Gynaecology ward/OPD

3 months

Anaesthesia department

15 days

Medical genetics department

15 days

Oncology

1 month

Sonar

15 days

Endoscopy

15 days

Academic schedule

Clinical routine

  • Dispense OP daily with assistants.
  • Daily OP case presentation & discussion .
  • Being trained to do vaginal examination.
  • Being trained in OP procedures such as Pap smear, Colposcopy, CuT insertion.
  • Examining of Antenatal cases.
  • In wards being trained in all minor & major Gynaec surgeries.
  • Being trained for Normal deliveries.
  • LSCS.
  • Being trained in Hysterectomy – abdominal, vaginal.
  • Being trained in Sterilization – Lap, PS.

Academic routine

  • Daily Case presentation
  • Lectures daily afternoon
  • Journal club monthly
  • CME monthly
  • Guest lecture monthly
  • Grand rounds weekly
  • Seminars, symposium monthly
  • PGs attend National & State level conferences & Revision courses conducted in conjunction with OGSSI (twice/year)
  • PGs are guided to Present papers in National conference & OGSSI, monthly Clinical meetings.
  • Participate in monthly Clinical meetings
  • PGs are motivated to Participate intercollegiate medical quiz program
  • Monthly mortality meeting conducted & discussed with all chiefs, assistants, PGs

University Examination details

M.D (Obstetrics & Gynaecology)

Theory Examination

Part I - Basic Studies
Part II – Obstetrics
Part III – Gynaecology
Part IV – Recent advance

Practical Examination

Viva voce - Examination centre IOG, Egmore for both IOG & KGH PG’s

Diploma in Obstetrics & Gynaecology

Theory Examination

Part I - Basic Studies
Part II – Obstetrics
Part III – Gynaecology

Practical Examination

Viva voce - Examination centre IOG, Egmore for both IOG & KGH PG’s.

Periodic Academic activities

Symposiums

  • Anemia in pregnancy
  • PCOS
  • Endometriosis
  • Recurrent pregnancy loss
  • Cancer cervix
  • Family planning old & recent methods
  • IUGR
  • Rh negative
  • Gdm
  • Normal labour

Guest Lectures

  • I trimester → Dr.Suresh
  • Recurrent pregnancy loss → Dr. Ramakrishnan
  • GDM in pregnancy → Dr. Anjalatchi

Continue Medical Education programmes

  • Role of insulin sensitizing PCOS
  • Progesterone for luteal support
  • Tubal factors in infertility
  • Male factors in infertility
  • Endometrium –GnRH analogus
  • Parenteral iron (iron sucrose) therapy
  • Anaemia in pregnancy

 

                                                                 URPS workshop 2005 Founder day 2009

Workshops

  • HysteroscopY workshop
  • ColposcopY workshop11 July 2008 @ ISO & KGH
  • USG workshop
  • PIE workshop
  • 21 & 22 March 2009 @ Chennai Port Trust Hospital, Chennai.
  • 4 August 2009 Workshop on Colposcopy & cryotherapy @ Thanjavur.
  • 6 August 2009 Workshop on Colposcopy & cryotherapy @ Theni.
  • 5ps Worshop – OGSSICON 2012

Conferences

Professors, Assistants, PGs attend national, State & Regional level conferences such as OGSSI (Obstetric & gynecological society of southern India), FOGSI – Federation of Obs & Gyn Societies of India, laparoscopic conferences, URPSSI, AICOG (All India Congress of Obstetric & Gynaecology) etc. Professors take part in giving guest lectures, panel discussions and as chairpersons for lectures.

 

Training programs

MVA (Manual vacuum aspiration) training

  • Doctors & nurses (VHN & ANM) from peripheral district headquarters hospital, PHCs
  • Training period is 15 days.
  • Laparoscopic training
  • Doctors are trained in Hysteroscope & laparoscope procedures

USG training

  • Ultrasound training for corporation doctors, PHC doctors.

Cemonc training (Comprehensive Emergency Obstetrics & Neonatal Care)

  • Training given for peripheral, Village Health Nurses, ANM doctors.
  • More than 10-15 batches trained.
  • ‘Birth attender’ for labour ward patients → implemented first in KGH

Colposcopy training

  • VIA & VILI (Visual inspection of acetic acid & Visual inspection of Lugol’s iodine) training for early screening of Cancer Cervix. 2 days
  • Colposcopy training 1 week training
  • Doctors from peripheral, district headquartes hospitals PHCs are trained.
  • VHN, ANM, nurses are also trained
  • NCD Programmes
  • Phase 1 and 2 Colposcopy training

Urogynaecology training

  • Government authorized Certificate Course
  • Training Course in Uro gynaecology 2007
  • Training given for durations of 6 months / 1 year / 1 month

Continuum care for PPH training

  • Started in 2008
  • Doctors from all medical colleges, district headquarters hospital,
  • Corporation, VHN, ANM, nurses are trained to prevent Postpartum Haemorrhage.
  • 1day training, many batches trained
  • Clinical aspects of PPH trained for postgraduates

Biomedical waste Training

  • 1 day training program for all hospital staffs including ISO & KGH.

EMOC training (Emergency Obstetric Care)

  • Doctors from periphery are trained for 6 months in tertiary training care. They are posted in labour ward and outpatient depts.
  • One batch trained and each batch has 8 doctors

FACILITY

LIBRARY

                      In the library more than 1000 Medical books are available for various specialties vise   Obstetrics and Gynecology, Paediatric,  Anaesthesiology, pathology, ENT, Paediatric Surgery, for  the teaching purposes of  Under Graduates  and Post Graduates  Students  and references  for all Professors and Assistant Professors.

The Library is functioning between 8am to 6pm

STEAM LAUNDRY

                     Steam Laundry Department working   in this Institution with following equipments and machineries for daily steam washing of hospital linen approximately  650 nos per day and steam disinfecting ( Sterilization) of  Theatre and Ward bins and bundles.

 

 

1.     One no of 2ton  Steam boiler equipment which is used to produce steam for hot water washing of cloths and for steam sterilizing bins and bundles.

2.     100Kg washing machine -  4 no’s for washing of cloths

3.     50Kg Hydro extractor – 3 No’s and 25 Kg Hydro extractor – 1 No’s used to spin the washed cloths.

4.     One no of Steam Chamber running to make cloths dry with steam.

5.     Ironing roller – 1 No’s used to ironing the dry cloths  (uses only at the time of rainy time)

 

6.     Abort  from the above there is a CSSD section for sterilization the ward and theater material bins and bundles with electrical operated and steam operated disinfectors’

            The steam laundry department washing in this institution more than 60 years. Now the above department proposed to convert as Modern Steam Laundry with Modern equipments. The works under progress for the same.    

 

Prizes and Awards

Dr .Ramani - Digital Video Colposcopy – boon to preventive oncology – Awarded I Prize in AICOG Jaipur 2009

 

Awards received for Best maintained Govt Hospital from Mylapore Academy for the year 1996 and 2005

 

Baden Lecturer Award to Dr. Raja Maheswari at Texas 2006 Kalpana Chawla Award -2009 to Dr. Raja Maheswari

Dept. of Colposcopy at ISO- GOVT. KGH-CHENNAI

          This department of cervical cancer screening was started in February 2005 headed by Dr.Ramani Rajendran.  Screening was done on symptomatic and high risk population initially.  Now the services of the department  has widened with the advent of video Colposcope and provides screening for cervical cancer for all women attending the out patient department.  It is the single nodal centre that has screened more than 15,000 women.

  FIRST &ONLY TRAINING CENTRE in CERVICAL SCREENING METHODOLOGY FOR THE ENTIRE STATE.

Ø  All medical officers of Theni &Thanjavur district have been trained.

Ø  All PHC medical officer have been trained in VIA&VILI

Ø  All DGO-&M.D district hospitals were trained in Colposcopy.

Ø  All lady medical officers from Corporation of Chennai.

Ø  Medical officers from  Govt. KMC Hospital – screening outreach camps

Ø  Public Health Nurses – Institute Of Public Health – Poonamallee.

Ø  PG Medical Graduates Doing Their Dissertation on Colposcopy  From Thirunelveli, Coimbatore &various  medical colleges

 

1.    TEACHING INSTITUTE FOR UNDER GRADUATE, POST GRADUATE STUDENTS OF MADRAS MEDICAL COLLEGE.

 

2.    SPECIAL TRAINING COURSE ON COLPOSCOPY IS ROUTINELY CONDUCTED.

 

3.    THIS IS CENTRE WHERE DIAGNOSTIC &THERAPEUTIC COLPOSCOPIC PROCEDURES ARE CONDUCTED.

 

4.    REFERRAL CENTRE FOR ALL THE PROBLEMATIC CASES FOR THE ENTIRE STATE.

 

5.    ONLY CENTRE WHERE MORE THAN15300CASES HAVE BEEN DONE IN PAST 7YEARS.

 

6.     BRING OUT A DIGITAL TEACHING ATLAS ON COLPOSCOPY.

 

7.    THIS EQUIPMENT IS MANDATORY FOR UPGRADATION OF TREATMENT FACILITIES USING LASER.

 

8.    RESEARCH Projects  – in collaboration with our Department an M.E- ASSOCIATE PROFESSOR HAS ENROLLED FOR PhD on “Development of Newer Technical Methods In Detection Of Cervical Cancer”.

 

MOLECULAR GENETIC AND GENE EXPRESSION STUDY ON HUMEN CERVICAL CANCER IN COLLABORATION WITH Dr. A.L.M. PG, Institute of basic sciences Tharamani University of Madras.

 

 

Family Planning Department

Clinic started in 1953 when only routine checkup of postnatal mother warden. In 1957 advice on family planning and propaganda work on methods of family planning were started in addition to puerperal sterilization operation.

Post partum program started on February 1970 by Dr. Lalitha Anantha Subramanian posted for family planning unit in 1970. In 1972 MTP was started. Separate OP, IP, Theatre – 1971.

OP weekly 6 days. Timings 7.30am to 12.30pm , Average OP cases 15 cases/day . Promoting one child Norm.

 

 

Supportive departments

Department of Urogynaecology

Urogynaecology department was started in 1986. KGH is the first Urogynaecology set up in India to deal with Urogynaecology examination.Dept HOD is Dr. RajaMaheswari MD DGO MCh.

 

 

The  Department  has  one  Assistant Professor of Urogynaecology  Dr. K. Seethalakshmi  and  one  Assistant  Professor  of  Urology  Dr. Harry  Shantha  Seelan.

FISTULA WARD

The unique fistula ward is only one of its kind in India serving exclusively to women patients who suffer from continous urinary leakage. The fistula ward is named as “Dr. Paula Rane Fistula Ward as it has been adopted by Dr. Paula Rane , Australia and the fistula ward gets periodical donations from  National and International  philanthropists. With the formation of fistula ward more than 500 Fistula patients  are cured   per  year  and re- integrated  into society.

 

In 1986, Urogynaecologist was posted.

 In1989, Urodynamic evaluation was started to facilitate the diagnosis & management of women patients who suffer from bladder dysfunction. Urodynamic and other necessary infrastructure made available.

 

 

 The Department has been instrumental in raising awareness about Urogynaecological problems among public and Professionals through conferences.

 In 2000, “Urogynaecology update” - Scientific medical education programme for the Gynecologists commenced with regular Annual Conference in Urogynaecology. Periodically  International Conference was held from 2001 which was resounding success.  

In 2002, State of the art Urodynamic equipment installed. Ureteroscope and other accessories were made available.

In 2004, Recognized by Royal College of Australia & New Zealand (RANZOG) for 6 weeks training of Urogynaecology Fellows.

 In 2005, Official declaration of Department of Urogynaecology (Only one of its kind in India) .

In 2007, Commencement of Certificate course & Training Course in Urogynaecology.

Academic Activites:

The Department of Urogynaecology  represents Government  Kasturba Gandhi  Hospital in various  National and International Journals   through regular publications of   case reports and Research studies conducted  in  the  Department.

Academic Achievements

Awarded first prize for “Innovations in Urology” for the surgical technique. paper “Mid Urethral Bulbo Cavernous Muscle Sling for SUI – An alternative to synthetic sling ? Presented in the 36th Annual Conference “USICON 2003”(Urological Society of India) held at Guwahati. 

Services rendered

  • Monday- Saturday : OP Clinic 
  • Tuesday : Ultra sonogram
  • Wednesday:  Pelvic Floor Imaging.  
  • Thursday; Urodynamic study. 
  • Monday and Friday; Major operations day.
  • Saturday: Cystoscopy day.

Doctors from India & outside India Undergo Urogynaecology Certificate Courses & many batches have gone out and are serving in periphery of our country.

 

The department has a  separate Departmental library ,  Video Library and Lecture Hall .

 

 The Urogynaecology training course at this Institution is the First of its kind in INDIA. The Course offers extensive and valuable exposure to the trainees. Since the introduction of the training programme, the department has offered training to 88 specialists till date.

Year

1 month course

3 months course

6 months course

1 year course

Total

2007-08

3

1

5

3

12

2008-09

7

4

4

3

18

2009-10

16

2

1

2

21

2010-11

11

6

-

3

20

2011-12

8

-

2

3

13

2012(upto 31.8.12)

2

2

 

 

4

Total

47

15

12

14

88

 The details of Certificate and Training course in Urogynaecology can be accessed  from the website www. tnhealth.org

Uro gynaec Statistics

Year

2007

2008

2009

2010

2011

OP patient

6991

6367

7952

13886

12453

IP patient

355

527

234

321

367

USG done

687

708

577

758

820

UDE done

89

54

59

76

58

Minor surgery

479

428

286

427

424

Major surgery

254

279

171

202

211

     

 

 

 

 

This  is  the  only  Urogynaecological  Department  in  the  Country,  catering  to  the  needs   of  with 109 crore population of India, of which  50%  is contributed  by  female  population. More  than  50%  of  women  above  the  age  of 35  years  suffer  from  urogynaecological  problems.

                                                The department has an active educational programme involving international exparts, live operative workshops, surgical demonstration and hands on training regularly.

                                               The Urogynaecology department of Govt. Kasturba Gandhi Hospital has evolved into a premier centre for learning and caring in our country. Overtime even international students opt for training and international faculty choose to visit the department as observer. It is the only one recognized department of a Country with one billion populations.

Department of Medicine

The long tradition of posting only female medical officers in the hospital changed as per government sanction of posting make doctors and Dr. Shanmuga Sundaram B.Sc MD was posted as physician first in medical wing on April 1913 in medical wards. Medical department facilities are now run by one chief and 3 assistant. OP – run on all days except Sunday, 7.00am to 12.00pm

The department conducts the following clinics

General OP clinic, Hypertension clinic, Seizure Clinic

Diabetic clinic - Inpatients are admitted for diabetes, hypertension and other problems.

Chest Clinic

  • Separate block for TB patients present.
  • OP conducted on alternate days.
  • Anti TB drug with latest protocol available.
  • Doctors and workers from Chetpet TB Hospital visit the clinic.

Department of Surgery

Started 75 years ago by Prince of Wales as OP Dept , Deals with surgery problems concerned with women.

Services offered

  • OP run on all week days between 8am and 12pm
  • Surgical procedures in operation Theatre are performed once a week
  • Breast clinic (screening for breast CA done)
  • Thyroid clinic
  • Gastroenterology clinic

28 beds are available

Average OP is 50/day & Average IP is 2/day

On an average 50 Minor surgeries like breast lump, lipoma excision are performed per month .

On an average 50 Major Surgeries like Incisional hernia repair, Appendicectomy, Cholecystectomy are performed per month .

Department of ENT

Dr. King, the superintendent of the hospital noted the necessity for an ENT specialist on home ground. Dr. C.M. Leelavathy who was the only woman ENT specialist in Madras Medical Service in GH was requested to make weekly visits to KGH with a view of tackling the ENT cases. Full fledged ENT department managed by civil surgeon was only in 1971.Now run by a chief and an assistant.

Services offered

  • OP on all days except Sundays.
  • Operation Theatre weekly once.
  • Audiometer with trained audiometrician.
  • Nursing students are trained.

 

Surgeries performed

Major

 

  • Micro laryngeal surgery
  • Mastoidectomy with tympanoplasty
  • Endoscopic Sinus surgery
  • Adeno tonsillectomy

 

Minor

  • Submandibular lymph node removal
  • Cervical lymphnode excision
  • FB removal
  • Ear hole repair
  • Ethmoidal polyplasty
  • PL scopy bios
  • Tongue tie release
  • Pre auricular sinus excision
  • Rhinosporidiosis nasal cavity excision
  • Lingual tonsil reduction

E.N.T Statistics - 2008-09

YEAR

2009

2010

2011

OP adult

5356

 

3090

Children

980

 

971

Major surgeries

264

 

208

Minor surgeons

856

 

749

Audiogram

318

 

112

Department of Pediatrics

Short History

This  hospital exclusively for children named “H.R.H. THE PRINCE OF WALES HOSPITAL FOR CHILDREN’  along with the women’s hospital for maternity and new born care is situated in Triplicane, Chennai.5

The foundation stone was laid by the then Governor of Madras SIR GEORGE FREDRIC STANLEY ON 20TH August 1934

It was inaugurated and opened  for public service by LADY MARJORIE ERSKINE ON 16th March 1936

Paediatric services started in the year 1936. Separate Paediatric OP run 24 hours where all emergencies are attended. Neonatal unit was started in 1973 with 50 beds. Expansion of pre term, neonatal and high risk new born care services were initiated in 1987. Intensive neonatal care services opened in 1988 with modern equipment. At present it has a 50 bedded children ward & 55 bedded NB ward. Run with 2 Units.

Post Graduates of DCH and MD (Paediatrics) from ICH, MMC are trained here for 1 month in neonatal resuscitation and neonatal care.

In May 1948 the hospital was renamed as Government Kasturba Gandhi Hospital for   Women and Children, Chennai.5

In 1973, 50 neonatal beds were added to the hospital.

The Unit has completed 76 years of service as on September 2012

BACK GROUOND

The Department consists of three units

-       Neonatology Unit   - Bed strength 50

-       Paediatric medical- Bed strength 35

-       Paediatric Surgical Unit

-       All  units conduct daily outpatient and inpatient  services and attend all New born babies at delivery.

 

NEW BORN UNIT

Headed by                   Professor Dr.S.Jagadeeswari

 

Asst. by                       Dr.Giridar

                                   Dr.S.Neelakandan

                                    Dr.Sureshkumar

 

Paediatric Medical Unit

 

Headed by                   Professor Dr.R.Somasekar

 Asst.by                        Dr.Vinodh

                                     Dr.Sivasankaran

                                    

 

 

The Neonatology Unit has two wards –           Preterm Unit  - Ward 20

                                                              Sick New Born Unit – Ward 21

 

Services provided

  • Regular O.P. department services daily from 8-12 Noon attending to nearly 3400-4000 cases per month.
  • Emergency casualty services are provided   24 hours at Casualty-II in the Paediatric Block itself.
  • One duty Assistant Professor with Post Graduate students and CRRI function on 24 hours basis.
  • Immunization coverage is done for all in-born babies and  for babies attending the OPD on all week days (Except Sunday)
  • Special immunization clinic conducted on every Wednesdays
  • Around 3000-3500 doses were given monthly along with Vit.A supplementation during measles dosage at 10th month.
  • In- patients are  treated in the  1. Level II/Upgraded New born Intensive Care Unit with bed strength of 50

                                                  2. Paediatric Medical Ward bed strength  of 35 – Census 261 from 2011

 

Special Clinic Conducted

Monday – Renal Clinic

Tuesday – Asthma Clinic

Wednesday – Well baby clinic along with immunization clinic

-       Neuro  Developmental screening clinic along with spastic Society of Tamil Nadu (SPASTN)

Thursday – Nutrition Clinic

 

Friday – Seizure Clinic

 

SCHOOL HEALTH PROGRAMME

           School Health Programme is conducted twice weekly covering 79 schools in the locality – catering to the needs of nearly 10,000 students.

 

ACADEMIC ACTIVITIES

      Around 6 Post Graduate students are posted to the unit from the            ICH & Hospital for Children, Egmore Chennai.8 on monthly basis.

      8-10 CRRI work in turns every month

TEACHING PROGRAMME

 

Ø  Case presentation                twice weekly

Ø  P.G. Theory classes             twice weekly

Ø  Grand ward rounds               once weekly

Ø  Symposium                           once monthly

Ø  Test                                       once monthly

CRRI are given training based on the F-IMNCI Programme and symposiums are conducted. monthly once

 

“Breast Feeding Week

 

In view of the “Breast Feeding Week” celebrations are conducted  every year in the1st week of August (1-7th)

 

 

 

During this week we have symposiums, quiz programme, counseling of antenatal and post natal mothers outreach programmes

 and cultural events are conducted.

 

TRAINING PROGRAMME CONDUCTED

·         F- IMNCI Programme conducted in the year 2010—2011  for the Staff Nurses from the Sivaganga District.

 

Ø   Devakottai               18

Ø    Karaikudi                  30

Ø    Manamadurai            18

Ø    Singampunari              9

Ø    Thirupathur                15

Ø     Total                           90

 

         Our Professors regularly take part in 

 

CHIEF MINISTER’S  COMPREHENSIVE HEALTH INSURANCE SCHEME

  B/o Padmavathy Surendran, Perungudi – PT/(1.250Kg) 32 weeks is the first baby treated under this Scheme.

 

 

 

Facilities available in the Lab

  • Hb%,Urine and motion routine examination
  • ESR, Smear Study

Tests performed

  • Sr.Bilirubin
  • Sr.Electrolytes
  • lucose, Urea & Creatnine
  • X-ray chest, ultrasound abdomen & head

 

                                          A view of Upgraded Newborn ICU An inner view of Newborn ICU

 

Department of Paediatric Surgery

Started functioning in the year 1977 with a specialist Paediatric Surgeon. Apart from the routine surgical work emergencies of neonatal and paediatric surgical are attended. OP on all week days. IP theatre day once a week. Emergency surgeries done 24 hrs.

 Paediatric Surgical Unit

 

Headed by                    Professor Dr.J.Krishna Mohan

 Asst.by                                         Dr.Gopinath

 

 

 

Surgeries performed

  • Intussusception
  • Diaphragmatic hernia
  • Correction of congenital malformations
  • Cleft lip and cleft palate
  • Undecended testis
  • Anorectal malformations
  • Paediatric Urology
  • Paediatric laparoscopy
  • New Born Surgical Procedures

       Ward 22 A – Bed Strength -14

                            Census          - 243

        CMHIS cases -15

 

ACADEMIC ACTIVITIES

               Teaching under graduate and Paediatric Post   graduates

Department of Anaesthesiology

 

The anaesthesiology department in I.S.O Govt KGH is the backbone of the hospital providing 24hours vigilant quality care to all the patients (women and children).

                The department headed by Professor Dr. S. Nellaikumar and has eight assistant professors. All the obstetrics and gynecology cases – elective and emergency are performed and managed postoperatively. ENT, pediatric and general surgery cases are also performed. All techniques of anaesthesia – general, regional and intravenous are provided. Labour analgesia is given to pregnant patients for painless labour. Urogynaecology surgeries (unique and only govt, hospital to perform in the state) are managed efficiently.

A High Dependency unit (HDU) started in 2007 has 5 beds with well trained staff and provides intensive care for critical patients. HDU is well equipped with monitors and new state of art ventilators.

                The Department trains postgraduates from MMC in obstetric anaesthesia and allow them to do dissertations, paper presentation, symposium and research work in obstetrics and gynecology.

LSAS (Life saving anaesthesia skills):

LSAS training is provided to MBBS doctors for six months to enable them manage obstetric cases at PHC level. At present 12th batch is undergoing training.

Our department aims at providing quality care to every patient in KGH and making labor “painless” through modern anaesthetic techniques. “Give a breath – safe a life” is our skill and KGH, we make sure your are in safe hands – ‘ALWAYS’.

Department of Dental Surgery

Dept started in the year 1961. Dr. Anitha Simon took charge in 1971. Routine work is carried out. OP run on all days between 8 am – 1 pm. Total no of OP cases attended in 2008 was 4000.

Department of Blood Bank

Started in 1953, Dr. Suganthamani was in charge. This dept is well equipped and functions all 24 hours. It conducts regular camps, collects blood from patients’ attendees and voluntary donors .

All components of Blood such as FFP, Platelets, Whole Blood, Fresh bleed, Screening is done at all times.

Blood bank

                

                Adequate staff members including medical officer. Trained staff nurses, lab technicians, and councellors and hospital workers.

               Activities: Organizing voluntary blood donation camps in coordination with colleges, banks, community associations etc.,

·         Collecting blood from voluntary donors.

      Pre and post donation counseling for the donors.

·                  Blood grouping and cross matching of in-patients, out-patients and donors.

·                  Screening of donors blood for HIV, HBsAg, HCV, VDRL and MP/MF.

·                  Cross matching before blood and blood products.

                  Equipments:

·         Blood bank refrigerator

·         ELISA Washer and reader

·         Blood collection monitor

·         Blood bag tube sealer

·         Incubator

·         VDRL rotator

·         Table top centrifuge

·         Needle destroyer

·         Autoclave.

               

Department of Radiology

Started rendering service since 1956 when 300 MA X-ray plant was erected. Previously cases were taken to the GH. Dr. Desh took steps to improve the dept. In 1964 Ultra Short Wave Therapy was introduced. In 1969 ECG machine was added.

Plain & Contrast study – Barium Swallow, IVP & HSG.

Training in Ultra sonogram is given in batches for doctors from periphery, head quarters & corporation hospitals.

Tests Performed

Type of test

No. of tests

Plain Xray

 

Barium Swallow

9

Barium Meal

7

Barium enema

15

IVU

109

VCU

12

HSG

90

Statistics

Total Cases

9463

Total no of films

10835

OP Cases

3552

IP Cases

5917

Contrast

242

   

 

DEPARTMENT OF LABORATORY MEDICINE - ISO & Govt. Kasturba Gandhi Hospital, Chennai

Evolution of the department

 

The department of laboratory medicine was started in the year 1971 under the dynamic leadership of Prof. Dr. Murugesan. He started the laboratory with just two dedicated technicians who looked after both clinical lab and histopathology lab.

The growth of the lab was further nurtured by Prof .Dr. Saradhambal who was the first professor to be posted permanently at KGH in 1972. At the same time 18 posts of technical staff (7 grade1 and 11 grade 2) and one artist cum photographer post were sanctioned. Also 3 non medical assistants and 2 non medical demonstrators were posted in Biochemistry department. With the active participation and enthusiasm of the technical staff a full fledged laboratory started functioning from 1972.

In the year 1987, Prof. Dr. Aruna Gnanaguruparan took office and served the department for 17 years till she became the director of pathology MMC. Under her able leadership, the department progressed further.

Since 2004 the department is being headed by Prof .Dr .K. Rama.

 A common collection laboratory was set up in the year 2007 so that samples can be collected for pathology, microbiology and biochemical investigations under a single window. This saves a lot of time and avoids strain for the patients.

A 24 h our laboratory is functioning and investigations are done round the clock.

 

 DEPARTMENTS

PATHOLOGY

Services offered

1)     CLINICAL PATHOLOGY

Complete haemogram

ESR

Peripheral smear

Smear for haemoparasites

Coagulation analysis

Reticulocyte count

Special tests like LE cell preparation and osmotic fragility

Cell count of body fluids

CSF analysis

Screening of leucorrhoea cases

Urine analysis

Motion analysis

Urine gravindex

The clinical pathology department is well equipped with state of art equipments like

3 part fully automated haematology analyser

Automated ESR analyser

Photoelectric colorimeter

Self illuminating binocular microscopes

The lab is in the process of getting fully computerised and results are being sent on line to the concerned departments

 

 

 

 

 

2)     HISTOPATHOLOGY

Biopsy

Exfoliative Cytology

FNAC

PAP smears

The histopathology department is well equipped with state of art equipments like

Automated tissue processor

Microtome with disposable blades for thin sections

Slide warmer

Tissue floatation water bath

Self illuminating binocular microscopes

Photomicrography facility

The lab is in the process of getting fully computerised 

 

3)     Museum

A well equipped museum with all the interesting specimens mounted on Perspex sheets is available for post graduate teaching

 

4)     Academic activities

Training of postgraduates in gynaec pathology

Monthly discussion of interesting cases

Frequent presentation of Papers and posters at CMEs, regional and national pathology conferences

 

5)     Research activities

A)    A Comparative Study of VIA / VILI under colposcopy with vaginal cytology & cervical biopsy

B)    Analysis of efficacy of LBC and conventional PAP smear in screening for carcinoma cervix

C)    Use of molecular markers in diagnosis of  hyperplasia and malignancies of endometrium and its prognostic implications   

D)    Comparative study of endometrial lavage, pipelle biopsy, D & C in peri/post menopausal bleeding

 

6)     Papers presented (to name a few)

A)    Primary chorio carcinoma of ovary- 1991

B)    Functioning ovarian tumors- 2001

C)    Mucinous carcinoma of breast- 2004

D)    Comparative analysis of VIA/VILI with PAP smears and cervix biopsy-2008

E)    Teratoma of fallopian tube -2009

F)     Malignant Brenner tumour of ovary-2010

G)    New tests for cervical cancer screening-2011

H)    Papillary thyroid carcinoma in struma ovarii -2012

 

BIOCHEMISTRY

Services offered

Renal function tests

Liver function tests

Lipid profile

Screening for gestational diabetes mellitus

Serum electrolytes estimation

S. calcium

Urine metabolic screening

Fluid analysis

Stone analysis

24 hr. Urine analysis

The department is well equipped with modern equipments like

Fully automated electrolyte analyser

Semi automated analysers

Photo electric colorimeters

The lab is in the process of getting fully computerised and results are being sent on line to the concerned departments

 

 

 

 

 

MICROBIOLOGY

Services offered

Urine culture and sensitivity

Pus culture and sensitivity

Blood culture and sensitivity

Tissue fluids culture and sensitivity

Gram stain

AFB smear

NEC culture and sensitivity

Widal

VDRL

HBs Ag

 Coagulase and Indole test

Card test for dengue fever

The microbiology lab is well equipped to cater to the investigations required for the patients. The lab is getting fully computerised and results are being sent on line to the concerned departments

 

CHIEF MINISTER’S COMPREHENSIVE HEALTH    INSURANCE SCHEME

THE SCHEME

This is a lofty Insurance Scheme launched by the Tamil Nadu State Government through the United India Insurance Company Ltd (a Public Sector Insurer headquartered at Chennai) to provide free medical and surgical treatment in Government and Private hospitals to the members of any family whose annual family income is less than Rs.72,000/- (as certified by the Village Administrative Officers) .The Scheme provides coverage for meeting all expenses relating to hospitalization of beneficiary as defined in the Scope of the Scheme.

 

BENEFITS

The scheme seeks to provide cashless hospitalization facility for certain specified ailments/ procedures. The scheme provides coverage up to Rs.1, 00,000/- per family per year on a floater basis for the ailments and procedures covered under the Annexure ‘C’.
For certain specified ailments and procedures of critical nature, which are listed under Annexure ‘D’ in the Scheme, the overall limit is increased from Rs.1,00,000/- to Rs.1,50,000/-

There are 2 other covers other than the hospitalization benefits under Annexure ‘C’ & ‘D’ available under the Scheme. They are a) Follow-up Treatment as listed under Annexure ‘E’& b) Additional Diagnostic procedures listed under Annexure ‘F’

AVAILING THE BENEFITS

Free health camps / screening camps will be conducted by network hospitals as per the directions given by Project Director of Tamil Nadu Health Systems Society. Minimum of one camp per month per empanelled hospital will be held in the districts in each policy year. The persons who need treatment are identified in the Health camps. Such patients can approach the hospital in the network and follow the guidelines below:

1.     A new Health Insurance identity card with biometrics is being issued to all those members who have been holding the smart cards in the earlier scheme. Till such time new cards are issued the public can use the earlier smart (Health) cards

2.     This card should be shown at the Assistance Counter established at the empanelled hospital.

3.     After due verification of the details and authenticating the identity of the patient by the Liaison Officer, the necessary Pre-authorization request for cashless facility will be submitted by the DMO of the hospital.

4.     The Project Office will approve the request on authentication of the identity and provided the procedure planned is within the Scheme

Even those patients who have the smart cards, though not identified through the Health Camps can also avail the benefit as above

Number of cases approved in this scheme through various departments are 388.

Diseases covered in this scheme are

This scheme has started since February 2012.


 

 

 

 

 

 

 


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