I "sat-in" to the Gynae outpatient clinic having been told by the staff that I would see the wide range of typical cases seen here. Patients often present in the late stages due in part to an absence of surveillance. For example, cervical smears are largely performed when it is perceived that there is a gynae problem. From my day there, the clinic routinely deals with fibroids, cancer (cervical, ovarian), dysmenorrhoea, postmenopausal bleeding, genital prolapse, complications of surgery.The experience has given me a different perspective of gynaecology and highlighted the importance of screening.
I also followed a doctor on the labour ward and had the opportunity to practise history taking, clerking in a patient, obstetric examination, taking blood. The foetal stethoscope is used to check the foetal heart rate and foetal distress when ultrasound and sonicaid are not available. "It" went missing today to the anger of the doctor in charge who insisted that there should be one per bed. A different approach to pain is taken and laboring women are not routinely given analgesia (some are given i.m pethidine).
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