1. GYNECOLOGY-
• Gynecology deals with non pregnant women.
• Patient require a more length pelvic examination. This type of practice requires a large staff,
as each physician needs one or two nurses.
OBSTETRICAL-
• Obstetrics deals with pregnant women and their unborn baby.
• Patients usually makes monthly visits, which entails entail weighing and a brief examination.
2. OBSTETRICS CONSISTS OF THE
FOLLOWING PROCESSES:-
• Labour
• Delivery
• Recovery
• Postnatal
• Separate from these 4
processes, the baby infant
nurseries
FUNCTIONAL AREA-
The obstetric unit consists of the following
functional areas:-
• Reception and arrival area including provisions
for visitors and administrative activities.
• Inpatient areas for general mother care and for
acute care (both antenatal and post natal ).
• Birthing areas
NEONATAL NURSERY AREA_ GENERAL CARE NURSERY AREA.
• Feeding the baby
• Bathing, changing and weighing the baby
• Allowing the baby to sleep during the day
• The obstetric unit will require repaid access to operating unit for emergency caesarean section
deliveries, the operational policy will determine the requirements for facilities located within the
breathing area.
4. EXAM ROOM
• Exam room may have painted wall or vinyl wall covering, perhaps a wood-look vinyl floor.
• And a dressing area where patient may disrobe in privacy. This dressing area can be a 3’x3’ corner of a room with a
ceiling- mounted cubicle drape and a chair or built-in bench.
• The size of an OB-GYN exam room be 8’x12’ but this width is tight, especially if the casework has an area for a
monitor and a place for the patient and physician to sit side by side to view the monitor.
• The room 10’x12’ is desirable and allows the physician to remain in the room while the patient dresses behind a
curtain in order to char and write a prescription.
LABOUR ROOM-
• Labour room should preferably be in the form of cubicles; two labour rooms for every 10 maternity beds.
• As birth follows labour, the labour rooms should be placed adjacent to delivery rooms. The examination-cum-
preparation room and labour room may be combined into a single room.
DELIVERY ROOMS-
• Clean delivery rooms for normal deliveries.
• Operation theatre.
one delivery bed shall be provided for every 10 maternity beds.
STERILIZAING ROOMS-
• The facilities for sterilization of the equipment in the delivery suites should be provided. This room should house a
work counter, sink small high-speed pressure instruments sterilizer etc.
5. STERILE STORE ROOM-
• Close to the sterilizing room, a room to store sterile material should be provided. it should be provided.
SCRUBBING ROOM-
• Scrub-up facilities may be provided between two delivery rooms similar to those provided in operation theatre
department.
DIRTY UTILITY-
• For collection and transferring of blood stained clothes to the laundry unit, a sluice room shall be provided. It is
desirable to install mechanical aid for washing of bed pans, urinals, etc.
OTHER FACILITIES-
• Other facilities for the unit should include change rooms for doctors, nurses, technicians, anesthesia room,
instrument and linen storage, recovery room, etc. and these should be identical to operation theatres
department.
6. CIRCULATION-
Corridors-
• It must be designed for the maximum expected circulation flow it must be at
least 1.5m wide.
• Where patient will be transported on trolleys it must be 2.25m wide.
• The suspended ceiling in corridors may be installed upto 2.4m.
7. DOORS :-
Types of function-
• Normal doors- 2.1-2.2m
• Vehicle entrances, over sized doors -2.5m
• Transport entrances – 2.7-2.8m
• Minimum height of approach road – 3.5m
Stairs :-
• The relevant national safety and building regulation will, of course
apply.
• Stairs must have handrails on both side without projecting tips.
• The effective width of landing and stairs in essential stair cases must
be minimum of 1.5m and should not exceed 2.5m.
8. LIFTS-
• Lifts transport people, medicine, laundry, meals, and hospital beds between floors.
• 2 lifts suitable for transporting beds must be provide the elevator cars of these lifts must be of a
size that allows adequate room for a bed and two accompanying people .
• In addition there should be a minimum similar lifts for portable equipment staff and visitors.
• Dimension of lift car- 0.9x1.2m
• Dimension of shaft 1.2x1.5m
