Obstetrics and Gynaecology

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Overview

The department of Obstetrics and Gynaecology, Federal Teaching Hospital, Lokoja started in 1999 as one of the foundation clinical departments following conversion of the then General Hospital Lokoja to a Federal Medical Centre before the recent upgrade to a Teaching Hospital. Since then, the Department has been active in its triple functions of service, training and research. Professor Momoh Anate was the pioneer consultant in the department and was also the pioneer Medical Director of the institution at inception.

The department is committed to provision of evidence-based specialist care in obstetrics and Gynaecology as well as human resource development through training and research. Our vision is to help in the reduction of maternal and perinatal morbidity and mortality; produce more specialists for improved and effective service delivery and embrace the enormous challenges of infertility and gynaecological cancers with a view to reducing the burden.

The Department has been active participant in the training of house officers and resident doctors since 2008 and 2011 respectively. In the last 11years, the Department has been preparing trainees for certification by the National Postgraduate Medical College of Nigeria and the West African College of Surgeons. Since the inception of training programs, 12 fellows of the 2 colleges have emerged from the department.

While engaged in these training and research activities, more than 40,000 women have had babies delivered in our labour ward, a sizeable population of them having been referred for life-threatening complications in pregnancy and labour. Many others have received specialist attention for various gynaecological disorders.

The Department commenced gynaecological endoscopic services in 22nd September 2015 and colposcopy services in 2018 with the aim of providing the latest and more advanced reproductive health services by way of evaluation as well as treatment of common gynaecological problems including infertility and gynaecological cancers. Our ultimate goal is to advance female reproductive health services to subspecialty levels in the major subspecialty arms of Obstetrics and Gynaecology and offer subspecialty procedures affordable to all that require it.

List of previous heads of department

Name	Tenure


Dr Okoyomo Alexander	2004 - 2011
Dr Onile Temitope Gabriel	2011 - 2013
Dr Nzurumike Charles Nnana	2013 - 2015
Dr Gbejegbe Emmanuell Hero	2015 - 2017
Dr Ugiagbe Osadolor	2017 - 2019
Dr Ogoke Grace Olapeju	2019 - 2021
Dr Musa Abdulkarim Omoyine	2021 - 2023

Services

Antenatal care services including foetal assessment
Labour and delivery services including instrumental and operative deliveries
Basic and comprehensive emergency obstetric care
Postnatal care services including postpartum family planning(PPFP)
General outpatient gynaecological services including infertility management
Gynaecological emergency services
Gynaecological surgeries
Gynaecological endoscopy (Hysteroscopy and laparoscopy), both diagnostic and therapeutic.
Papsmear/colposcopy and gynaecological cancer surgery/chemotherapy
Family planning services including BTL via MLLA (Minilaparotomy under Local Anaesthesia)

Family planning services including BTL via MLLA (Minilaparotomy under Local Anaesthesia)

For the purpose of clinical services, the Department is presently divided into three (3) units for effective service delivery and training purposes. These include unit 1, unit 2 and unit 3 with each unit having Consultants, Senior registrars, Registrar and House officers.

Unit 1 holds Gynaecology clinic on Mondays, ANC clinic on Tuesday, Theatre on Wednesday, Consultants teaching round on Thursday

Unit 2 holds Theatre on Monday, Consultants teaching round on Tuesday, ANC clinic on Wednesday, Gynaecology clinic on Thursday

Unit 3 holds Consultants teaching round on Tuesday morning, Gynaecology clinic on Tuesday afternoon, Theatre on Wednesday, ANC clinic on Thursday.

The 3 units take turns to run Booking clinic on Friday

The department also run family planning clinic Monday to Friday manned by family planning nurses and resident doctors under the supervision of consultant in charge.

We also have a colposcopy/pap smear clinic where pap smears are taken on daily basis while Thursdays are reserved for colposcopy with LEEP procedures when indicated.

Minimal access/endoscopic surgeries (Laparoscopy/Hysteroscopy) are done on Mondays and Wednesday for elective cases. Emergency endoscopic services are offered as indicated.

Ward rounds on in-patients are done daily and 24-hour emergency services offered.

We also have a memorandum of understanding with Zonal Hospital Okene for residents' rural postings.

Academic programmes include daily morning reviews, weekly clinical conferences/scientific meetings, weekly journal reviews, daily teaching rounds and monthly morbidity and mortality meetings. OSCE is done every quarter.

Departmental Daily Schedule

S/N	Day	8:00 - 10:00am	Unit 1	Unit 2	Unit 3


1	Monday	Morning case review	Gynae Clinic	Theatre	Ward round
2	Tuesday	Morning Case review			Consultant teaching round / Gynae clinic
3	Wednesday	Morning case review	Theatre	ANC	Theatre
4	Thursday	Morning case review	Consultant teaching	Gynae clinic	ANC
5	Friday	Scientific meeting / Monthly morbidity and mortality review	Booking clinic / ward round

Head of Department

Dr Musa Abdulkarim Omoyine

FMCOG, FWACS

HOD, Obstetrics and Gynaecology