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1. Presentation for the
Department of Obstetrics and
Gynaecology

2. Index
Introduction

Functions

Objectives
Diseases

Features

Location

Space Requirements

Design

Layout

Equipments in use

Service areas

Staff Pattern

Safety Measures

Conclusion

Bibliography

3. Introduction

Obstetrics and gynaecology is concerned with
pregnancy, childbirth and the treatment of
women's diseases.

Obstetrics is the surgical speciality dealing with
the care of women and their children during
pregnancy, childbirth and postnatal period.

Gynaecology is the medical practice dealing
with the health of female reproductive system.

4. Functions

Diagnostic

Curative

Care of emergencies

Preventive

Education

Counselling

Research

5. Objectives

6. Objectives

7. OBG Objectives

They must be safe for mothers and babies.

They must provide high quality care and
treatment.

They must provide a women-centred service.

They must offer choice.

There must be good communication.

Mothers should be in control.

They should ensure continuity of care and of
carer.

8. Diseases

Cancer & pre-cancerous diseases of
reproductive organs.

Incontinence of urine

Amenorrhoea

Dysmenorrhoea

Infertility

Menorrhagia

Prolapse of pelvic organs

Infections

9. Surgery's Performed

Dilation & Curettage

Hysterectomy

Oophorectomy

Tubal Ligation

Hysteroscopy

Diagnostic Laparoscopy

Exploratory Laparotomy

Cystoscopy

Appendectomy

10. Features

LDR rooms & suites

Operation Theatres

Procedure & post-procedure recovery rooms

Neonatal isolation care unit

Consultation rooms

Aerobic/ Antenatal classes

Ultramodern medical equipment including
diagnostic facilities like 4D ultrasound, X-Ray
and laboratory.

11. contd...

Onsite Pharmacy

Cafeteria

Maternity wear & kids toy shops

Handpicked team of doctors, specialists,
consultants & nurses.

12. Location
The obstetrical suite should be so located &
designed as not to permit non-related traffic
through the suite.
A cul-de-sac location at the end of a wing or
floor is ideal.
This arrangement provides privacy to patients.
The maternity services may be clubbed with
the child care complex or the pediatric ward.
The complex should also accomodate
consultation chambers & adequate space for
health education, lectures & demonstrations.

13. Space Requirements
No.of beds Delivery Suite (Sq.ft)
(Area Per Bed)
100 10-16

200 9-14

300 9-14

400 8-12

500 8-12

14. Ward Unit of 750 Sq.ft ward unit
Bedded Hospital 24-30 beds
Reception & admission
with waiting 450

Examination & preparation
room with toilet 230
Nurse's change room 115
Doctor's change room 115
Sterile storage 3000
Instrument & linen store 5
Recovery room 912

15. contd...
Labour room 800
Delivery room 230
Operating delivery room 380
Instrument sterilizing 380
Scrub up 115
Children bath 115
Eclampsia room 230
Dirty utility 190

16. Planning Considerations
The labour & delivery room should be pleasant to
the eyes & ears, adequate in size, properly
located, well equipped & should conform to strict
infection control standards.
The number & size of labour & delivery rooms
depend upon many factors, one of which is the
no.of cases delivered per month.

No.of rooms = DLY
365 X DLRD
DLY = Deliveries per year(excluding C-Sections)
365 = Days per year
DLRD = Deliveries per room per day

17. Design
Attention must be paid to four major
functional areas.

Preparation room

Labour rooms

Delivery rooms

Recovery room

18. LDRP Suites

Sophisticated & advanced version of earlier
birthing rooms.

These elegantly designed & well appointed
suites offer the option of having the entire
birthing process- labour, delivery, recovery
& postpartum care- in one place in a perfect
family setting.

Each LDRP suite is cheerfully decorated
with comfortable furniture, bed, drapes &
spread, & has cradle, telephone, music &
TV to provide the warmth & convenience of
a home.

Sophisticated equipments are discreetly
hidden behind the screens.

19. LDRP Suites

Sophisticated & advanced version of earlier
birthing rooms.

These elegantly designed & well appointed
suites offer the option of having the entire
birthing process- labour, delivery, recovery
& postpartum care- in one place in a perfect
family setting.

Each LDRP suite is cheerfully decorated
with comfortable furniture, bed, drapes &
spread, & has cradle, telephone, music &
TV to provide the warmth & convenience of
a home.

Sophisticated equipments are discreetly
hidden behind the screens.

20. Other Facilities

Family waiting room

Patient lounge

Nursery for new born

Laboratory/x-ray service

Nurses station

Obstetrician's office

Changing rooms

Storage facilities

21. Layout

23. Equipments in Use

Sphymomanometer

Clinical Thermometer

Torch

Stethoscope

Forceps

Delivery sets

DNC instruments

Suture set

Delivery tables

Stretchers & wheel chairs

Ultrasound scanning machine

Phototherapy

24. Records maintained in Delivery Room

Delivery records

MTP records

DNC records
Records maintained in Nurses Duty Room

Admission & Discharge register

Indent book

Patients file

Investigation register

25. Service Areas
The following facilities should be provided.

Nursing station so located as to permit
observation of all incoming & outgoing traffic.

Supervisor's/chief nurse's office

Father's waiting room just outside the obstetrical
suite, with toilet, telephone & drinking water
facility.

Sterilizing facility

Drug cabinet

Soiled work room

Fluid waste disposal facilities

Clean workroom/supply room

Equipment storage room

26. contd...

Staff lounge with toilet facilities

Janitor's closet with storage for house keeping
items.

Alcove or recessed space for storing stretchers.

Duty Doctor's room with sleeping accomodation,
bath etc.

27. Staff Pattern
The team consists of Obstetrician, trained
specialist midwives, obstetric anesthetists,
neonatologists, obstetric physician with
back up support of haematologist,
pharmacist, theatre personnel, imaging
department & designated physiotherapist.
An average Nurse:Patient ratio of 1:2 is
specified together with continuous
availability of medical staff.

28. Safety Measures
The effect of medical errors & unsafe
systems of care has had a profound effect
on the practice of OBG.
- Development of reliable & reproducible quality
control measures.
- Create a culture of safety in OBG by
incorporating safety education into all levels
of training.
Maternity services need to be safe &
flexible – designed around the needs &
choices of women & their partners.

29. contd...
The importance of clinical leadership &
multidisciplinary working must be
recognised. All clinicians providing care
need to recognise each other's
responsibilities within the team to improve
safety. Within the network, at all stages of
pregnancy & postnatally, women require
access to the appropriate professional to
give information, advice, care & support.

30. contd...
Staff Development-

It is vital that attention be given locally
to evaluating the skills within the maternity
team. These skills need to be developed
continuously & enhanced in line with the
changes made to services. An audit of skills
would help the hospital to identify any gaps
where they need to channel their
investment.

31. Pictures

43. Conclusion
The future belongs to our children with their
mothers & fathers as custodians. Nothing
can therefore be more important than
cherishing & providing the best possible
care for all women, pregnant mothers,
expectant fathers & babies, & equipping
new parents with the skills & support they
may need to enable every child to have an
equal, confident & healthy start to family
life.
The experience should be a positive one for
both- women & OBG team.

44. Bibliography
Dr.Mohd.Faisal Khan, Dr.Humera Khan,
“Management of Superspeciality Hospitals”,
Deep & Deep Publications Pvt. Ltd.
Sangeet Sharma, Purnima Sharma, “Step
by step hospital designing & planning”.
G.D.Kunders, “Hospitals- Facilities Planning
and Management”.
Syed Amin Tabish, “Hospitals and Nursing
Homes Planning, Organisations and
Management”.

45. Any Queries