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The Obstetric and Gynaecology Department in Sarawak General Hospital consists of five wards in total. Four of which are situated in the main building while one, which is the Gynaecology ward is situated in the side building.
1. Labour Ward / LW
The labour ward and PAC (Pregnancy Assessment Centre) is located on the fourth floor of the main building.
Pregnant mothers who are stable and came in presenting with gynaecological issues are referred to the PAC first. It is basically the emergency department solely catering to mothers and women with gynaecological issues.
The labour ward is situated on the same floor as the PAC but situated at the back of PAC. Women in active phase of labour, requiring augmentation of labour or who are unstable requiring close monitoring are usually placed here.
2. Maternity 1 and High Dependancy Unit (HDU)
The High Dependancy Unit (HDU) is located within the Maternity 1 ward and it is situated on Level 3 of the main building.
Postpartum mothers are usually transferred here upon delivery. Patients who are transferred to the high dependancy unit are usually postoperative patients requiring completion of magnesium sulphate over 24 hours or postoperative patients who have bled more than 1L intraoperatively. Besides that, patients who have undergone classical caesarean section or hysterectomy are being monitored here as well.
3. Maternity 2
The antenatal ward.
Mothers who are admitted from PAC but yet to be in active phase of labour or perhaps electively admitted are monitored here.
This ward can be a rather intimidating place to work in. Mainly because should there be any acute emergencies on the cardiotocograph monitoring, the medical officers or the oncall team are not there since they are in the labour ward and as house officers, it is our duty to monitor the CTG and to inform immediately for any issues besides attending to other issues such as spontaneous rupture of membrane, as well as checking the os opening of the patients should they complain of strong contraction pain and the feeling of bearing down.
4. Maternity 3
Similar to Maternity 1, this ward is also known as the “postpartum ward”.
Post operative patients who have underwent lower segment caesarean section (LSCS), post spontaneous delivery patients or post vacuum assisted delivery patients are usually transferred here, if not to Maternity 1.
It is a ward that can get rather busy during mornings since the rate of patient turnover is extremely high as post SVD patients are usually discharged the following day itself if they are stable.
5. Gynaecology Ward
This is the last and final ward in the O&G Department.
This ward is located on Level 5 of the side building.
As the name suggests, patients with gynaecological issues such as miscarriages, stillbirth, abnormal uterine bleeding and gynaecological-oncology related issues are being monitored here.
Related Posts:
- Being An O&G Operating Theatre House Officer – Housemanship Diaries
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- My “Coming Morning” Priority – Housemanship Diaries
- 8 Best Advices I Will Remember For The Longest Time – The Orthopaedic Posting
- My Second Posting During Housemanship – Obstetrics & Gynaecology
- I Survived 26 Days Of Tagging In O&G – Housemanship Diaries
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