Department of Obstetrics & Gynecology
Gynaecology is concerned with the well-being and health of the female reproductive organs and the ability to reproduce. It includes endocrinology, female urology and pelvic malignancy. The specialty spans paediatric and adolescent gynaecological problems through to later years.
In obstetrics most women, although pregnant, are otherwise fit and healthy. However, others will have acute or chronic medical problems that complicate their pregnancy and are under the specific care of an obstetrician.
An improvements in ultrasound have made care of the baby in the womb a central part of the specialty. It is an evolving discipline with many research arms, both at clinical and molecular level.
Within obstetrics, most of the care of low risk mothers and uncomplicated deliveries are performed by midwives.
For those who undertaken by an obstetrician, usually for more complex cases or if the baby becomes distressed during labour. Their work includes:
using instruments to assist delivery – including forceps or a ventouse (vacuum-assisted delivery)
performing caesarean sections, either as a planned or emergency procedure
Within gynaecology procedures include:
carrying out surgical interventions following miscarriage
treating abnormal bleeding and polyps
major surgery for gynaecological cancers
minimal access surgery for problems including endometriosis
Keyhole or minimal access surgery is now commonplace and has many advantages.
Assisted reproduction (fertility treatment) has helped many women have a family, which would not have been possible in the last generation