Obstetric & Gynaecology posting

I've decided to write for this posting in advance even though i've another 4 more days to go. I do this only for two weeks and no ward rounds this time as attachment to this department is very different form others. as the consultant in charge of elective students for O&G created a time table for me, unlike last time i went to the medical/surgical/paediatrics ward in the morning and stay until i feel like leaving. In the wards, i normally follow the consultants for the morning ward round and then follow the junior doctors to do bloods and review the patients. But then, in O&G i have to follow my time table as created.

MONDAY Gynae OPD & Post-menopausal bleeding clinic
TUESDAY Antenatal Clinic
WEDNESDAY Diabetic Antenatal clinic
THURSDAY Gynae theatre
FRIDAY Labour Ward

So basically i do not get to follow the progression of the patients as they only come to clinic once.
But i can still share with you things that i've seen in clinic but it wont be as interesting as cases that i've seen in the wards...

1) Gynae OPD: the most commom complaint would be menorrhagia for young lady and uterine/vaginal wall prolapse for old lady.
2) PMB clinic: i get to see transvaginal ultrasound scanning to measure the endometrium thickness and also endometrail biopsy... (:p)
3) Antenatal: nothing much, basically just follow-ups to check BP and urine...
4) Diabetic antenatal clinic: this is a super busy one cause there were a consultant, a diabetic nurse, a dietician, a midwife, a student nurse and a medical student (that's me) in that clinic. 6 person to see one patient and everyone would interview the patients to find out her medical condition (by the consultant), her daily blood sugar level (by the diabetic nurse), her diet control (by the dietician), her baby's condition (by the midwife) and her BP+urine (by the student nurse). i am the only one not doing anything in the clinic because i dun know what can i do...
basically i just sat there and watched....
5) theatre: very good experience, i get to see vaginal hysterectomy and also abdominal hysterectomy. In vaginal hysterectomy, the cervix and the uterus were removed together as the patient had uterine prolapse. In abdominal hysterectomy, only the uterus was removed as it was enlarged til the size of 12-16weeks pregnant due to presence of big fibroids.
6) labour ward: very unlucky that day as there was no delivery... and i had my free time to do something else that day....

i think it's going to be the similar things this week. i will update new post if i would see anything more interesting...
and this is going to be the shortest clinical post compared to thers of my posts...