I started my ObGyn posting on the first of May.
It was a public holiday (Workers’ day) but a Caesarean section had been booked for a senior colleague’s wife.
The Consultant, the only Female Obstetrician in our Centre, performed the surgery and was assisted by one of the senior residents.
The procedure lasted about an hour but I did not enjoy one bit of it. I told myself right then to keep away from the perineum by all means.
The first few weeks of my posting were strictly spent attending to antenatal cases, thanks to the ongoing JOHESU strike.
The booking clinic (where a pregnant woman visits the doctor for the first time) runs once a week, while follow-up visits are scheduled based on how far gone the pregnancy is:
GA 12-28 weeks every month
GA 28-36 weeks every 2 weeks
GA 36-40 weeks every week
After the strike was called off, normal activities resumed in the department.
I started with LABOR WARD Posting and had my first call on a Thursday evening.
Though it wasn’t too busy, still I worked my butts off, and that became the pattern throughout my stay in the department.
Every labor ward call I did was a hit from back to back, and it was rare to find the time to catch a nap even for a few hours.
There were some calls where I had dinner right at my work desk.
I recall a couple of crazy calls where I actually dozed off while clerking patients 😂😂😂
And how can I ever forget the characteristic odor of liquor?
I hated that smell with a passion.
It was in ObGyn I discovered my hatred for blood too – especially perineal blood. The smell and sight both made me queasy.
Thankfully most of my calls were uneventful as per mortality.
I got to assist in a number of Caesarean sections, which weren’t too exciting, because I lacked the “ginger” and the stamina.
I did my share of (accurate) Vaginal Examinations and attempted a couple of perineal tear repairs. I didn’t get to do an episiorrhaphy per se, as many of the cases I saw were actually bad (with multiple lacerations and PPH) and senior colleagues had to intervene.
Last, last, I didn’t take any delivery by myself. Perhaps the only regret I have in that department.
The other aspect of my ObGyn posting was Gynecology.
It was a more enjoyable experience for me.
Many of the patients that presented during my posting and call hours were outpatient cases, so there was minimal stress for me.
One of the traumatic cases I saw was the delivery of a set of previable twins to a severely Ecclamptic woman and watching the second twin die (the first twin was somewhat deformed and had died inutero).
There were a few procedures I assisted with or performed- MVAs, taking Pap smear or ECS.
In all my ObGyn posting was a fairly enjoyable one but I was glad when it was over.
*GA– Gestational Age
*JOHESU– Joint Health Sector Unions
* ECS– Endocervical Swab
* MVA– Manual Vacuum Aspiration
*All images are from the web.
Also read: HouseJob Chronicles|| The Journey So Far.
And read: HouseJob Chronicles|| PROGRESS.