🌹 Obstetrics & Gynaecology

UPSC CMS OBG Questions

Obstetrics and Gynaecology (OBG) is a core component of UPSC CMS Paper II. It covers the complete spectrum from antenatal care and normal/abnormal labour to gynaecological disorders, reproductive medicine, and family planning.

OBG questions in UPSC CMS are clinical in nature, testing the ability to manage obstetric emergencies, interpret investigations, and apply correct management protocols. Questions on family planning, medical termination of pregnancy, and national health programmes are frequently asked.

Primary references include DC Dutta’s Textbook of Obstetrics, DC Dutta’s Textbook of Gynaecology, and Williams Obstetrics. OBG accounts for approximately 40–50 questions in CMS Paper II.

✨ High-Yield Areas
Antenatal Care: Antenatal visits schedule, routine investigations in pregnancy, high-risk pregnancy identification, TORCH infections, gestational diabetes mellitus screening and management.

Obstetric Complications: Pre-eclampsia and eclampsia (diagnosis, management, MgSO4 protocol), antepartum haemorrhage (placenta praevia vs abruption), PROM, preterm labour management, postpartum haemorrhage (causes, management, uterotonics).

Labour: Stages of normal labour, partograph use, fetal monitoring (CTG interpretation), abnormal labour (prolonged, obstructed), operative deliveries (forceps, vacuum), caesarean section indications.

Gynaecological Disorders: Menstrual disorders (amenorrhoea, DUB, dysmenorrhoea), PCOS (Rotterdam criteria, management), endometriosis, uterine fibroids, pelvic inflammatory disease.

Reproductive Oncology: Carcinoma cervix (CIN, FIGO staging, HPV vaccination), carcinoma endometrium (risk factors, staging), ovarian tumours (classification, management), gestational trophoblastic disease (hydatidiform mole, choriocarcinoma).

Gynaecological Procedures: Hysteroscopy, laparoscopy, colposcopy, pap smear interpretation, LEEP, cone biopsy indications.

Family Planning: Contraceptive methods (OCP, IUCD, barrier, sterilisation), MTP Act, emergency contraception, failure rates of different methods.

Infertility: Male and female factor evaluation, ovulation induction, IUI, IVF indications, endoscopic surgery in infertility.
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