Obstetrics & Gynecology

 

 

 

The Obstetrics and Gynecology Department is well equipped with the latest technology to provide a wide range of comprehensive treatments. The department has 21 beds to provide in-patient services by 6 consultants and 7 assistant consultants. Its residency program was approved by the Saudi Health Commission recently. The scope of services includes reproductive endocrinology andinfertility, maternal and fetal medicine, gynecologic oncology, urogynecology, and minimally invasive surgery. It is the only referral center for the management of placenta accreta in the western region.

 

Scope of Services:

The Department of Obstetrics & Gynecology composed of four (4) subspecialities.

  1. Maternal Fetal Medicine
  2. Urogynecology
  3. Gynecologic Oncology
  4. Assisted Reproductive Technique

 

1- Maternal Fetal Medicine

The MFM sub-speciality provides comprehensive care for both mother and fetus. The unit provide to high risk pregnancies quality care by working as a team.

Our unit provides both consultations and on-going prenatal care to women with high-risk pregnancies. It also provides pre-pregnancy consultations to women who have medical problems or have had difficult pregnancies, in order to assist them in deciding about a future pregnancy.

Our approach to care includes a multidisciplinary team for optimum care in such a high risk cases.

Pregnancy complications such as preterm labor, preterm rupture of the membranes, pregnancy induced hypertension, eclampsia, chorioamnionitis, placental abruption, and other obstetrical complications, complication related to abnormal placentation, evaluation of cervix will be evaluated and managed by our expert staff.

Our MFM unit is one of the few centers in western region that provides prenatal diagnosis service. This includes full assessment by detailed Ultrasound using one of the highest standard Ultrasound technology. Further prenatal diagnosis can be complimented by invasive or non-invasive prenatal testing.

Non-invasive prenatal screening with nuchal translucency and detailed advanced ultrasound evaluation using state of art ultrasound equipment with 3D/4D scans.

 

Fetal diagnosis service:

The Fetal Diagnosis Service assists women and their families when an abnormality has been detected on a prenatal ultrasound exam or for specific diagnostic purposes in certain genetic diseases.

Invasive prenatal testing can be performed as early as 11 week in which a sample of chorionic villi from the placenta is used for the chromosomal or genetic testing. Beyond 15 weeks of pregnancy, amniocentesis is used for a similar purpose to remove a small amount of amniotic fluid for further testing. Another approach for genetic testing is through feta blood sampling.

When fetal anomalies are identified, we provide a team approach for the care of the fetus and the mother during the course of pregnancy and the postnatal period, this team is unique to each case.

Other challenging cases such as Rh isoimmunization, intrauterine growth restriction, fetal arrhythmias multiple-pregnancy, fetal malformations and other fetal/placental disorders has been successfully managed in our unit.

Recently, our unit started antenatal education classes to educate and to provide comprehensive information related to pregnancy, labour, post-partum care and breast feeding.

 

2- Urogynecology

Our Urogynecology Section is one of the few centers in the western region that has a specialized Urogynae Division, under the supervision of sub-speciality consultants.

Our highly specialized Urogyne team contribute in planning, management and enhancing quality care of the Urogyne patient.

The unit is also providing Urodynamic clinic facilities with new Urodynamic machine for the diagnosis of patients with voiding dysfunction and a pessary clinic.

Our most recent advancement is inclusion of sacro-neuromodulation to refractory cases of over-active bladder.

 

3- Gynecologic Oncology

The Gynecologic Oncology Unit, contributing the highest quality of patient care, with advanced expertise in managing all type of gyne oncology patient under the supervision of experienced sub-speciality consultants.

In collaboration with MD team (Medical Oncology, Radiation Oncology, Pain Management Team, Palliative Care Team), the gyne oncology unit manage a wide range of complex cases that require tertiary level expertise and complicated surgical intervention.

  1. One of the few centers that is having the facility of laparoscopic staging for endometrial cancer, providing minimally invasive surgery in women with endometrial cancer, with a plan to switch to Robotic surgery in the near future.
  2. The gyne oncology unit also having the facility for the diagnosis and treatment of all types of GTD, together with women diagnosed with Gynecological cancer during pregnancy.
  3. Our unit offer opportunistic screening for cervical cancer and follow-up of abnormal pap smear with colposcopy examination.

 

- Management of Congenital malformation of Female Reproductive Organs.

  1. Referral center for creation of neovagina in patient with mullerian agenesis.

 

4- Assisted Reproductive Technique (ART)

The objective of the ART Unit is to provide the highest quality evidence-based innovative in ART Unit, utilizing a wide spectrum of protocols ranging from conventional to the recent micromanipulation technique.

The unit consist of specialized and experience staff under the supervision of sub-specialized and experienced qualified consultant to deal with

  1. Controlled ovulation induction
  2. IVF
  3. ICSI
  4. Cryo preservation
  5. Male factor infertility, facilities includes semen analysis, sperm preparation for IUI, and urology referral.

The IVF clinic works for the management and follow-up (Sunday, Thursday) and Procedure clinic (Sunday, Tuesday and Thursday) started from July 2002.

 

 

 

Achievements of the Department of Obstetrics & Gynecology

Accreditation:   

    1. The ART Unit passed the recent CAP accreditation in November 2016.
    2. The Residency Training Program commenced in October 2016, which aim to provide residents in training program structured evidence-based training and evaluation.
    3. With the accreditation by Saudi Commission for Health Specialities, the Department of Obstetrics & Gynecology, KFSH&RC (Gen. Org.) – Jeddah, is recognized as a training center in Obstetrics & Gynecology Residency Training Program for 4 years

 

Performance Improvement Projects:

  1. Completion of Successful P.I Project entitled: “To improve the length of stay of uncomplicated vaginal delivery patients by discharge within 48 hours” in December 2017.
  2. Completion of P.I. Project entitled: “To reduce the percentage of missed calls received from Infertility patients in ART Unit” in October 2017.
  3. Completion of P.I. Project in L&D entitled: “Improving identification process including tri bandidentifying band during hand over.
  4. Introduction of the name CRASH C/S to improve Maternal Fetal outcome with P.I. Project on the way to be conducted.

 Awards and Recognition 2015-2018:

  1. Highest score in Patient Safety Culture Survey result presented in September 2015.
  2. A plaque of appreciation was awarded to one of the OB/Gyn Department staff for educating the student about “The Truth about Specialist 2” in Battergie Medical College (BMC) March 2016.
  3. A plaque of appreciation as “Documentation Champion” during the last Quality Day November 2016 was awarded to our Maternal Fetal Medicine Service Team.
  4. The Department was nominated to head the Maternity and Children’s Care, System of Care in KFSH&RC (Gen. Org.) –Jeddah for the overall Model of Care (MOH) under the direction of the Executive director, Medical and Clinical Affairs, December 2016.
  5. ART Unit received 4th winner award to Improving the Success of Frozen Embryo Transfer Cycles in IVF, P.I. Team received during the Quality Day 2017 “Time to Boost Efficiency”.
  6. World Breast Feeding Week (1st big event) in September 2018.

 

 

Research:

There were many publications published in prestigious journals worldwide and there are several research papers on the way to be conducted and published.

Some research publications are as follows:

 

  • AfafTawfiq, Zachary M Ferraro, Fernanda Contador, Kristi B Adamo, and Laura Gaudet,

Gestational Weight Gain and Medical Outcomes of Pregnancy. Obstetric Medicine: The Medicine of Pregnancy, September 2015; vol. 8, 3: pp. 133-137., first published on June 24, 2015.

 

  • Gari, A. Al-Esemi, A. Al-Gailani, D. Al-Shafi, H. Al-Malki, M. Al-Saadi, Cesarean Section on demand: Is it a choice among women in Saudi Arabia, J Med J 2015; 49 (3): 175-182.

 

  • Abdulrahim Gari, Ala Aziz, NourahALSaleh, YosraHamour, HanaaAbdelal, Raed Sayed Ahmed, Awareness of epidural analgesia among pregnant women in Jeddah, Saudi Arabia, Electronic Physician (ISSN: 2008-5842) , May 2017, Volume: 9, Issue: 5, Pages: 4274-4280

 

  • Abdulrahim Gari,MclndoeNeovagina in patients with Mullerian Agenesis: A single center experience, Clinical Case Series, 236 Pak J Med Sci 2017 Vol. 33 No. 1 www.pjms.com.pk

 

  • Abdulrahim Gari, and Nouf Ali Behzad, Prevalence of Cervical Intraepithelial Neoplasia (CIN) among women with ASC-US Cytology in Saudi Population, Merit Research Journal of Medicine and Medical Sciences (ISSN: 2354-323X) Vol. 5 (6) pp. 304-308, June 2017

 

  • Abdulrahim Gari; BandrHafidh; Adnan Gelidan; Salah Kary and Hussein T. Sabban. Neovagina Using Omental Flap in Patient with Mullerian Aplasia. J Am Sci 2012;8(6):204-207]. (ISSN: 1545-1003).  http://www.jofamericanscience.org. 25 doi:10.7537/marsjas080612.25

 

  • Bandr A. Hafidh, Queena Chou, Mohamed M. Khalil and Hazem Al-Mandeel. De novo stress urinary incontinence after vaginal repair for pelvic organ prolapse: one-year follow-up.  European Journal of Obstetrics & Gynecology and Reproductive Biology, 2013-06-01, Volume 168, Issue 2, Pages 227-230, Copyright © 2013 Elsevier Ireland Ltd.

 

  • Latifah, Clinical Practice Guidelines on the screening and treatment of precancerous lesions for cervical cancer prevention in Saudi Arabia. Annals of Saudi medicine 2016 36(5): 313-320.

 

  • A Al-Kaff, S. C. MacDonald, N. Kent, J. Burrows, E. D. Skarsgard, J. A. Hutcheon, Delivery Planning for Pregnancies with Gastroschisis: findings from a prospective national registry, Am J ObstetGynecol 2015;213:557.

 

  • Abduljabar, M.D., M. Morris, M.D., Pre-surgical Management of Dysmenorrhea and Endometriosis in a patient with Mayer-Rokitansky-Kuster-Hauser Syndrome, Fertility and Sterility_Vol. 96, No. 2, August 2011

 

Innovative Procedures:

Innovative procedures practiced by the department include: successful performance of intrauterine blood transfusion by Maternal Fetal Medicine Team, as well as successful performance of sacral-neuromodulation by Urogyne Team.

 

Education:

The members of OB/Gyn Department are dedicated to provide the structure evidence-based teaching to interns, residents, fellows and nurses, addressing the educational needs for the advancement and growth for their medical careers. Some of the educational activities include: protected teaching time on every Thursday for Resident’s clinical presentation and group discussion, daily morning rounds with discussion and management concerning problem-based cases, and daily morning meetings.