Obstetrics and Gynaecology for FMGE

Prepared and reviewed by the PrepElephant Academic Review Team

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Overview

Obstetrics and Gynaecology carries one of the heaviest clinical weightages in the FMGE, and it is the subject most firmly anchored to Indian practice. The National Board of Examinations in Medical Sciences (NBEMS) screening test repeatedly draws from antenatal care under national programmes, the partograph, magnesium sulphate regimens for eclampsia, the DIPSI approach to gestational diabetes, the Government of India anaemia and postpartum haemorrhage protocols, the MTP Act and the National Family Planning Programme. Foreign graduates often know the medicine but not the Indian numbers, regimens and legal limits — and in a screening test built on recognition, those details decide marks. This page maps the high-yield OBG territory for FMGE, how to study it the Indian way, and a revision rhythm that suits a pass-or-fail examination.

High-yield topics

  • Antenatal care: registration, visit schedule, screening package, iron-folic acid prophylaxis, tetanus immunisation and high-risk identification.
  • Anaemia in pregnancy: Hb cut-offs, Indian classification, oral and parenteral iron, transfusion thresholds and Anemia Mukt Bharat.
  • Hypertensive disorders: pre-eclampsia definitions and severe features, magnesium sulphate (Pritchard and Zuspan), HELLP syndrome and delivery timing.
  • Gestational diabetes: DIPSI single-step 75 g OGTT, universal screening under MoHFW guidance, targets and postpartum testing.
  • Normal labour: stages, cardinal movements, partograph recording and active management of the third stage.
  • Prolonged and obstructed labour: alert and action lines, arrest of dilatation, Bandl's ring, and the obstetric fistula link.
  • Postpartum haemorrhage: the four Ts, stepwise uterotonics with contraindications, tranexamic acid and the surgical ladder.
  • Sepsis in pregnancy and the puerperium: puerperal sepsis definition, common organisms, one-hour antibiotics and source control.
  • Early pregnancy: ectopic pregnancy diagnosis and methotrexate criteria, abortion types by os status, and MTP Act gestational limits.
  • Multiple pregnancy and abnormal lie: chorionicity assessment, twin-twin transfusion syndrome, breech, transverse lie and shoulder dystocia.
  • Foetal wellbeing: kick counts, CTG interpretation, biophysical profile scoring and Doppler patterns.
  • Caesarean section and induction: Bishop score, ripening agents, indications for LSCS, VBAC criteria and PPIUCD.
  • Gynaecological endocrinology and bleeding: PALM-COEIN classification of AUB, PCOS by Rotterdam criteria and infertility evaluation basics.
  • Tumours and infections: fibroids, ovarian masses with marker pairing, PID with NACO syndromic management, and cervical cancer screening by VIA and Pap smear.
  • Family planning: Cu-T 380A, Chhaya, injectables, sterilisation methods and emergency contraception windows.

How to study OBG for FMGE

Study OBG as the examiners write it — short clinical vignettes that turn on a number, a sign or a first step. For every obstetric condition, drill the classic presentation, the single best investigation, the first-line management and the Indian guideline anchor: DIPSI for gestational diabetes, Government of India classification and Anemia Mukt Bharat for anaemia, MoHFW and LaQshya-style protocols for PPH, NACO for HIV and STI management in pregnancy. Memorise the regimens that FMGE loves to ask by dose — magnesium sulphate loading and maintenance, uterotonics, anti-D 300 micrograms, tranexamic acid 1 g within three hours, misoprostol schedules. Frame conditions the Indian way: anaemia and obstructed labour as public-health problems, genital tuberculosis as a cause of infertility and amenorrhoea, puerperal sepsis in the context of institutional delivery targets. On the gynaecology side, build classification-first recall — PALM-COEIN for bleeding, Rotterdam for PCOS, FIGO staging basics for cervical cancer — because one-best-answer keys are built on classifications. Finally, practise the emergencies as algorithms you can recite in order: eclampsia, PPH, shoulder dystocia, cord prolapse and septic abortion.

Revision strategy

Convert each topic into a one-page recall sheet: definition with cut-off, classic signs, investigation of choice, management ladder, Indian guideline or Act, and one exam trap. Rotate the volatile number-heavy material on a fixed cycle — drug doses, screening windows, vaccine schedules, legal gestational limits — because these decay fastest and are asked most directly. Work previous FMGE papers and a topic-wise question bank, logging every wrong answer with its reason. Pair obstetrics with its physiology and pharmacology (oxytocin, magnesium, carboprost) and gynaecology with pathology (cervical intraepithelial neoplasia, endometrial hyperplasia) so one revision pass covers two subjects. In the final month, sit full-length 150-question mocks to build stamina, and use the no-negative-marking format to attempt everything.

Preparation with PrepElephant

The PrepElephant app supports FMGE OBG preparation with topic-wise previous-year questions, a structured question bank, full-length grand-test-style mocks and spaced-revision tools that resurface your flagged questions on schedule. Pair this guide with our FMGE OBG topic pages — from antenatal care to contraception — for exam-ready summaries. Honest practice infrastructure for a licensing exam; no shortcuts promised.

Recently updated Obstetrics and Gynaecology notes

  • Abnormal Labour and Dystocia Abnormal labour and dystocia for FMGE obstetrics: protracted and arrest disorders, uterine inertia, cephalopelvic disproportion and augmentation.
  • Abnormal Uterine Bleeding Abnormal uterine bleeding for FMGE gynaecology: PALM-COEIN classification, normal menstrual limits, HMB management and endometrial sampling rules.
  • Adenomyosis Adenomyosis for FMGE gynaecology: globular tender uterus, dysmenorrhoea with heavy bleeding, ultrasound and MRI diagnosis, LNG-IUS and hysterectomy.
  • Amenorrhoea Evaluation Amenorrhoea evaluation for FMGE Gynaecology: primary versus secondary, progesterone challenge test, FSH TSH prolactin and the four-box method.
  • Amniotic Fluid Abnormalities Amniotic fluid disorders for FMGE Obstetrics: AFI cut-offs for polyhydramnios and oligohydramnios, causes, evaluation and management options.
  • Anaemia in Pregnancy Anaemia in pregnancy for FMGE obstetrics: WHO grading, Indian prevalence, iron doses, IV ferric carboxymaltose and transfusion thresholds.

Study path: Obstetrics and Gynaecology for FMGE

10 modules in a sensible teaching order. Begin with the Start here notes in each module, then work through the rest — or jump to the A–Z list.

  1. Antenatal care, physiology & fetal medicine 8 notes

    Start here

    5 more in Antenatal care, physiology & fetal medicine
  2. Complications of pregnancy 11 notes

    Start here

    8 more in Complications of pregnancy
  3. Medical disorders in pregnancy 13 notes

    Start here

    10 more in Medical disorders in pregnancy
  4. Labour & delivery 20 notes

    Start here

    17 more in Labour & delivery
  5. Puerperium, PPH & obstetric emergencies 7 notes

    Start here

    4 more in Puerperium, PPH & obstetric emergencies
  6. Menstruation, puberty & menopause 9 notes

    Start here

    6 more in Menstruation, puberty & menopause
  7. Infertility & contraception 4 notes

    Start here

    2 more in Infertility & contraception
  8. Infections & benign gynaecology 11 notes

    Start here

    8 more in Infections & benign gynaecology
  9. Gynaecological oncology 4 notes

    Start here

    2 more in Gynaecological oncology
  10. Operative gynaecology, law & ethics 1 note

    Start here

  11. More topics 6 notes

All Obstetrics and Gynaecology topics for FMGE 94

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Frequently asked questions

How many questions come from Obstetrics and Gynaecology in the FMGE?

OBG is among the highest-weightage clinical subjects in the paper. NBEMS does not publish a fixed blueprint per exam, but OBG consistently contributes a large block of questions across both 150-question halves, making it decisive for crossing 150 out of 300.

Should FMGE OBG preparation follow Indian or international guidelines?

Indian framing wins. DIPSI criteria for gestational diabetes, Government of India anaemia cut-offs, the MTP Act, NACO protocols and national family planning method mix set the answer key, even where international guidance differs.

Is DC Dutta enough for FMGE OBG?

DC Dutta's textbooks remain the standard Indian reference and cover most FMGE demands, but supplement them with programme-level facts — Anemia Mukt Bharat, PMSMA, PPTCT and family planning offerings — and regular question practice, which textbooks alone cannot replace.

Which OBG topics give the fastest returns for a repeat candidate?

Obstetric emergencies and protocol-driven topics: PPH, eclampsia and magnesium sulphate, obstructed labour and the partograph, ectopic pregnancy, and the MTP Act. These are asked almost every session in predictable patterns.

How early should I start solving FMGE OBG question banks?

From the first week of the subject, not after finishing it. Reading and testing in alternation exposes weak recall early, and the FMGE rewards recognition speed built through sustained question exposure.

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