INTRODUCTION OF DEPARTMENT:

Nestled in the heart of RYK, located at the junction of three provinces (Sindh, Punjab & Balochistan) lies the prestigious Sheikh Zayed Medical College / Hospital, a beacon of excellence in maternal and child healthcare. Established in 2003, this institution has grown to become a corner stone of obstetrics & Gynaecological services in the region.

Gynae Unit-III stands for its dedication to patient care, education & research under the dynamic leadership of Dr. Saima Zulfiqar. She is an author of research papers and ensures that the unit thrives in both academics and clinical excellence.

The unit offers a wide array of services including:-

• Emergency care services available 24/7.
• Comprehensive OPD services such as Gynaecology, Antenatal care, Infertility management & Family planning, performing OPD procedures like Pap Smear, Pipelle Sampling.
• Specialized diagnostic facilities including state of the art “Cervical Cancer Screening Facilities”.

The unit also boosts a well structured training program for Postgraduates students pursuing FCPS & MS. To nurture their academic growth, the unit organizes:-

• Twice a week academic classes for Postgraduate residents & House officers.
• Weekly journal club.
• Regular Morning meeting, statistical services, audit & perinatal care discussions.
• Clinical risk management sessions and maternal mortality audits to enhance patient safety and care quality.

Unit has meticulously developed SOPs to ensure consistency in managing Emergencies, OPD & Indoor cases.

GOALS & OBJECTIVES:

1. Provide high quality, evidence based obstetrical and gynaecological care to improve maternal and neonatal outcomes.
2. Train ethical, compassionate and skilled doctors through structured programs aligned with International standards.
3. Foster a research oriented environment to advance the field of obstetrics & gynaecology.
4. Prepare graduates to excel in diverse and global healthcare environments.

HEAD of Department UNIT-III

DR. SAIMA ZULFIQAR

MBBS, MCPS, FCPS, DHPE

(From 07-11-2024 to todate)

FACULTY POSITION ACCORDING TO PMDC:

Dr. Shahida Aslam MBBS, MCPS, FCPS Senior Registrar (Unit-III)
Dr. Sadia Younas MBBS, FCPS, CHPE Senior Registrar (Unit-III)
Dr. Farhana Shabnam MBBS, FCPS, CHPE Senior Registrar  (Unit-III)

Group Photo

EDUCATIONAL ACTIVITES:

• Total Number of FCPS Residents: 07
• Total Number of MS Residents: 06
• Comprehensive daily ward rounds to enhance patient care and clinical skills.
• Regular morning meetings.
• Weekly journal clubs with case based discussions.
• Quarterly CPC presentation.
• Monthly mortality and statistics presentation.
• Every maternal mortality is meticulously reviewed and documented as part of MPDSR.
• Annual preparatory courses and drills for FCPS & MS candidates.
• Annual hands on workshops on:-
  • Perineal tear repair
  • Neonatal resuscitation
  • Labour care guide
  • Obstetrics emergencies
  • Contraceptive + PPIUCD insertion
• Awareness programs & Workshops with doctors from periphery also invited on:-
  • PPH bundle
  • LAVH
  • Perineal tear prevention during labour in collaboration with SOGP and PUGA
  • Cervical cancer screening + VIA in collaboration with SOGP
  • Liver diseases in pregnancy
  • BLS
• Routine VIA (visual inspection with acetic acid) is performed on every patient in OPD as part of our cervical screening program.
• Specialized diagnostic facilities including chorionic villous sampling in thalassemic patients.
• Annual campaigns for International Women’s day, Breast cancer awareness month & Folic acid awareness day.

RESEARCH:

Head of Department DR. SAIMA ZULFIQAR:

1. Paper of “Risk Factors associated with Neural tube defects” publish in Pakistan Postgraduate Medical Journal, Vol.21, Number 01, Jan – Mar 2010.
2. Diagnostic value of colposcopy in diagnosis of CA cervix published in Sheikh Zayed Medical Journal, Rahim Yar Khan, Vol. 04, No.02, Apr – June 2013.
3. A comparison of spot urine protein – creatinine Ratio vs 24 hours Urinary Protein excretion in Women with Pre- Eclampsia, Published in International Journal of Gynaecology & Obstetrics Research, Vol. 02, December, 2014.
4. Efficacy of manual vacuum aspiration in 1^st trimester miscarriages. Published in JSZMC, RYK, Vol. 07, No.04, Oct – Dec 2016.
5. Comparison between nitroglycrine patch and nifidipine in prevention of preterm labour Published in JZMC, Rahim Yar Khan, Vol. 07, No.02, Apr – June 2016.
6. Modified sling procedure for treatment of uterovaginal prolapse. Published in JSZMC, RYK. Vol. 09 No.03 (From July to Sept, 2018)
7. Risk factors associated with osteoporosis. A population based study done in Rahim Yar Khan. International Journal of Advanced Biotechnology and Research (IJABR), Vol 10, Issue-3,2019, pp77-81.
8. “Pregnancy outcome in un-booked patients presenting at civil Hospital, Bahawalpur”

Published in Indo American Journal of Pharmaceutical Sciences. IAJPS 2019, 06 (08), 14837-14842. Available online at: http: //www. Iajps. com.

9. Comparison of Intravenous Hydralazine Versus Oral Nifedipine for Control of Blood Pressure in Severe Pre-eclampsia” Published in JSZMC Rahim Yar Khan Vol. 10, No. 2, April-Jun 2019.

• Frequency of preterm labour and Hypertensive disorders in anemic patients”

Published in Indo Americans of  Journal of Pharmaceutical sciences (IAJPS) 2019,06(08),14903-14912.  Available online at: http://www.iajps.com.

11. Frequency and risk factors of placenta previa in prior cesarean section” Published in JSZM Rahim Rar Khan Vol. 10, No. 03, July –Sep 2019.
12. Frequency of thyroid dysfunction in cases of polycystic ovarian syndrome published in IndoAmerican Journal of Pharmaceuticals sciences. (2019)06(08)p15052-15055.
13. Antenatal dexamethasone for early preterm birth in low resource countries. Published in The new England journal of the medicine. (2020)383; 26.p2514.

ON GOING RESEARCH TOPICS:

1. Comparison of Arabin pessary and cervical cerclage in women with incompetent cervix.
2. Evaluation of VIA as cost effective method for cervical cancer screening.
3. Prevalence of thrombocytopenia and its etiologies in last trimester of pregnancy.
4. Comparison of negative pressure dressing vs simple dressing in septic wound.
5. Frequency of thrombocytopenia among patients with pre-eclampsia.
6. Comparison of maternal IV hydration vs Oral hydration in idiopathic oligohydramnios.

PROJECTS / DEPARTMENTAL EXTENSION / SPECIAL FEATURES:

We have recently completed project of revamping of our ward. These facilities have been transformed to feature a modern design, providing comfort and care for our patients.

We continue to face challenges with a high volume of patients often exceeding our bed capacity, as Sheikh Zayed Hospital is a key referral center drawing patients from three provinces Punjab, Sindh & Balochistan.

HEALTH SERVICES / STATE OF ART FACILITIES:

• We offer advanced obstetrics care, handling emergencies like placenta previa, PPH, Eclampsia, Ruptured uterus & Puerperal sepsis.
• Specialized gynaecological procedures such as Fistula repair, Vaginal hysterectomy, Sacrohysteropexy, Sacrocolpopexy, Vaginoplasty, Prandtl’s and procedures for Uterovaginal prolapse are frequently performed.
• Complex surgeries for Endometriosis, Gynaecological oncology and LAVH are also a key focus.
• The facility is equipped with state of the art Hysteroscopy and Laparoscopy tools.