Department of Obstetrics
The sector examines and treats patients with diabetes, gestational diabetes, other diseases complicating the pregnancy (cardiovascular, kidney, thyroid, lung), multiple pregnancy and its complications, all modern tests on the state of the foetus are performed, and a pregnancy and childbirth care plan is drawn up. , detailed recommendations are provided. In the case of foetal hypotrophy and prolonged pregnancy, sequential examinations of the condition of the foetus (cardiotocography, ultrasound examination and dopplerometry) are performed. After the diagnosis of twin transfusion syndrome and the initial examination, the referral of pregnant women to other European hospitals for laser therapy is organised. In cases of breech presentation, external reversal of the foetus is performed. Women with the aforementioned pathologies and their newborns are also cared for after childbirth. Students and residents have the opportunity to familiarise themselves with the peculiarities of care and treatment of pregnant women, examinations of the condition of the foetus and their interpretation, visit patients before and after childbirth, participate in joint visits, caesarean section surgeries. Resident doctors are trained and, under the supervision of experienced doctors, have the opportunity to perform most examinations of the state of the pregnant woman and the foetus, and participate in the treatment process.
Department of Pregnancy Pathology
The department treats patients with hypertensive conditions of pregnancy, rhesus isoimmunization, bleeding during pregnancy, retardation of foetal growth, multiple or prolonged pregnancy, breech birth control. A large number of patients are cared for here, together with their newborns after delivery. While working in this sector, students and residents have the opportunity to learn to study and draw up treatment and monitoring plans for high-risk pregnancy patients, to assess the condition of the foetus by analysing cardiotocography, ultrasound data and dopplerometric studies of foetal and placental blood flow. Students, residents, participants of post-graduate courses are given the opportunity not only to participate in the examination of the pregnant woman and foetus, clinical diagnosis and treatment, in the care of mothers and their newborns, but also to observe and assist in planned caesarean operations or other obstetric procedures.
Premature birth and pregnancy infection sector
An associate professor and two lecturers work in the sector, with the help of obstetrics and gynaecology and family medicine residents, students studying at LSMU and other universities and performing clinical practice under exchange programmes acquire clinical skills. Under the guidance of professors working in the sector, students and residents conduct research on preterm labour, premature amniocentesis, infection in obstetrics and gynaecology, and other topics.
At LSMU Hospital Obstetrics and Gynaecology Clinics Maternity Ward, low or high-risk women give birth. The department has seven birthing wards that provide a safe and comfortable environment, an operating room for emergency caesarean section or other necessary operations. Adjacent to the Maternity Ward is the Neonatal Intensive Care and Resuscitation Department. This provides conditions for giving birth in a comfortable, single-family environment at low risk, and in case of high risk, to ensure urgent and maximally competent and safe assistance to the mother, foetus or newborn.
For students of LSMU and other medical education institutions, the Maternity Ward provides opportunities to get to know and learn about low-risk (supervised only by midwives) and high-risk (supervised by teams of specialists) births. In this section, there is an opportunity to see and feel like a member of the team. With the consent of the birthing family, an opportunity is created for one student to observe the birth process, assist the family and staff.
The most important thing is that students are given the opportunity to see how theoretical knowledge fits with practice.
Gynaecologic oncology sector
In the gynaecologic oncology sector, patients with precancerous diseases and cancer are examined and treated using the latest diagnostic methods and minimally invasive surgical techniques.
Students studying in this sector are introduced to the diagnosis and treatment of gynaecological cancer and precancerous diseases (cervical dysplasia, uterine and ovarian neoplasia). Studying and intern doctors have the opportunity to actively participate in the process of examination and treatment of patients – not only to observe surgeries, but also to assist experienced specialists during surgeries. During training, students have the opportunity to participate in weekly interdisciplinary patient discussions, in which pathologists, oncologists, chemotherapists, radiotherapists, radiological diagnostics and other specialists participate, not only complex, rare and complicated clinical cases are discussed, but also a treatment and monitoring plan is drawn up for each woman with oncological disease . Students, residents, participants of postgraduate courses and individual internships study and deepen their knowledge in the gynaecologic oncology sector.
In the micro-invasive and plastic gynaecology sector, patients with a wide range of gynaecological pathologies are treated. The specific field of the sector is the treatment of pelvic floor dysfunction, manifested by prolapse of the genitals and urinary incontinence. Students can see the examination and surgical treatment of patients with prolapsed uterus and vagina, as well as various modern incontinence surgeries. The sector also performs minimally invasive laparoscopic and hysteroscopic surgeries for many acute and chronic genital diseases. Students can see endoscopic procedures for uterine fibroids, polyps, ovarian cysts, ectopic pregnancy and other diagnostic and therapeutic operations.
Department of Gynaecology
In the sector of female reproductive health disorders, it is treated in the case of menstrual cycle disorders and abnormal uterine bleeding from adolescence to premenopausal age, in the case of fertility disorders and complications of assisted fertility technologies, in the case of early pregnancy pathology (ectopic, non-developing pregnancy, spontaneous miscarriage, trophoblastic disease). There is an opportunity to acquire knowledge of the aforementioned diagnostics and differential diagnostics, to master the methods of performed manipulations and endoscopic (hysteroscopy, laparoscopy) operations.
General gynaecology sector
The septic gynaecology sector treats patients with pelvic inflammatory disease, peritonitis of gynaecological origin and sepsis, in case of infectious complications after childbirth.
Students in the sector have excellent opportunities to participate in the process of examination and treatment of these patients, to observe interdisciplinary cooperation with surgeons, microbiologists, ultrasound specialists, interventional radiologists, etc. A distinctive feature of this sector is the diagnosis of diseases according to strict clinical criteria and treatment with adequate antibiotic therapy. Sick mothers have excellent conditions for treatment and, with the help of relatives, to take care of healthy newborns. In addition to conservative treatment, many surgical interventions are performed, in which experienced doctors are assisted by residents, and conditions are created for students and future family doctors-residents to observe the operations.
LSMU Kaunas Clinics Department of Obstetrics and Gynaecology provides 3rd level specialised consulting assistance in the fields of gynaecologic oncology, high-risk pregnancies, infertility, endocrine gynaecology, urogynaecology. Antenatal genetic testing is also performed, and urgent emergency care is provided. During the year, 44 doctors consult about 30,000 patients and perform about 1,800 outpatient surgeries. Residents of the specialities of obstetrics and gynaecology, family medicine, dermatovenerology study and acquire practical skills here, and doctors are trained here. Students collect materials for SMD works from outpatient cards.