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Obstetrics
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About the Department |
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The Department of Obstetrics and Gynecology has always been the most productive medical institution in Hualien and Taitung.It offers care for the largest number of gynecology cases and has a number of full-time attending physicians with various specialties. In 1991, our hospital was the first hospital in Hualien and Taitung to use laparoscopy to perform various surgeries. In 2001, it was also the only hospital in Hualien and Taitung that passed the “baby-friendly hospital” certification and passed the accreditation of [baby-friendly hospital] of the Department of Health, Executive Yuan every year.The Department also keeps improving in teaching mothers about breastfeeding, including setting up prenatal mother classroom, pre-delivery room, postpartum wards, delivery room and surgery room, early skin-to-skin contact with babies in the recovery room, early breastfeeding in the recovery room, and encouraging breastfeeding in postpartum wards and 24-hour rooming-in.In the same year, our hospital also passed the [Grading Certification of Hospital Responsible for High-Risk Pregnancy] of the Department of Health and the Taiwan Society of Perinatology.
Our hospital is a grade 3 (the highest rating) hospital for referral service. In particular, the Department has a cross-departmental integrated medical team for high-risk pregnancies.Its members include obstetrics and gynecology specialists, neonatologists, sub-specialist consultants in internal medicine and surgery, obstetrics and gynecology nurse practitioners, high-risk pregnancy care nurses, and social workers. In April 2011, the Department began promoting fetal medicine outpatient clinics. The Department also cooperated with DIANTHUS MFM CENTER in 2014 for Down syndrome screening during pregnancy. Sophisticated and precise ultrasound machines in the early stage of pregnancy can detect fetal abnormalities earlier and provide necessary prenatal consultation and treatment for complex cases, ensuring that both mothers and babies receive excellent and high-quality health care. In terms of fetal medicine, our hospital encourages residents, general nurse practitioners, nurse practitioners in delivery and postpartum wards, and intern nurses to develop the habit of reading contemporary basic obstetrics and gynecology textbooks and specialist journals.They are also made to participate in obstetrics and gynecology case discussion meetings every Tuesday morning, regularly submit case and book reports, and learn techniques forpresenting reports.
Medical Services of the Department of Obstetrics and Gynecology
Family-centered high-quality obstetric care includes all physiological and pathological changes of mother and fetus before, during, and after childbirth for early diagnosis, prevention, and treatment.The Department applies epidural anesthesia pain relief to minimize the pain of labor and introduces a variety of high-quality delivery and care models according to obstetric indications to ensure the safety of mothers and babies.It encourages patients who have previously undergone a cesarean section to try natural deliveryand those who have performed monthly and statistical reviews of cesarean section indications to reduce the cesarean section rate. Furthermore, the Department uses the latest prenatal examination methods to detect abnormal babies early and reduce fetal and neonatal mortality. In terms of special care for high-risk pregnant women, the Department provides prenatal care after diagnosing abnormal fetuses. Moreover, a postpartum nursing home is also set up for postpartum mothers so that mothers can have confinement nearby.
Ward Staffing of the Department of Obstetrics and Gynecology
The Department of Obstetrics and Gynecology has 1 director, 3 attending physicians, 1 specially contracted physician, and 5 nurse practitioners for physician staffing. Meanwhile, the Department’s ward has 1 head nurse, 12 nurses, 1 delivery room team leader, 10 nurses, and 1 administrative assistant for nurse staffing.Nurses can use theirrespective nursing expertise to assist the physicians and provide mothers with the best care throughout the labor and postpartum phases.
“Five-star” high-quality equipment
The Department’s delivery room was established with the hospital in 1982. In 1991, it moved the delivery room and the Department of Obstetrics and Gynecology ward to the 3rd floor of the Faith Building. There were only four delivery beds, one delivery room, two delivery tables, and 29 beds in the ward. Nevertheless, the delivery rate has increased yearly since 1996, and the hospital was constructing the Peace Building. In 1996, the wards and delivery rooms were moved to the Department of Obstetrics and Gynecology on the3rd floor of the Peace Building.
Now, there are 6 maternity beds (3 rooms) in front of the nursing station of the delivery room, 1 in the examination room, 2 in the delivery room, 1 in the surgery room, and 4 in the recovery room.Each bed in the delivery room is equipped with a fetal heart sound monitor, connected to the IV pump and the central system fetal heart sound monitor in the nursing station to monitor the uterine contractions and fetal heartbeat of the expectant mothers in each bed.In this way, abnormal conditions can be detectedpromptly.Further, the Department of Obstetrics and Gynecology has 39 beds in the ward, 1 bed in the examination room, 1 meeting room, 1 prayer room, and 1 storeroom.
Specific Performance of Medical Service Innovation
- A nursing room was set up in the Department of Obstetrics and Gynecology outpatient clinic to facilitate breastfeeding by mothers visiting our hospital.
- In 2019, the number of births was about 1,577, and the average monthly number of births was 131. In particular, the total cesarean section rate was about 28-32%, and the first-born cephalic cesarean section rate was about 20% or less.
- The Department of Obstetrics and Gynecology is also the center of Hualien and Taitung in diagnosing and treating high-risk pregnancies and severe diseases (e.g., preeclampsia, eclampsia, gestational diabetes, and placenta previa, and placenta accrete). It has particularly treated the largest number of patients.Noteworthily, its attending physicians have extensive experience in the field.
- The delivery room adopts the system of designated physicians for delivery, providing good services and increasing the sense of safety of pregnant women in childbirth.
- Fetal umbilical cord blood can be collected during delivery according to the needs of the individual cases.
- Taking into account the problems of pregnant women’s health, postpartum follow-up, and child development, the gynecology and pediatrics team also has maternity and child care specialists, premature infant care specialists, early care specialists, and mobile early care specialists to provide better and integrated services.Notably, the team won the Taiwan SNQ Gold Award for the gynecology and pediatrics team in 2019.
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Services |
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prenatal and postnatal checkups for pregnant women habitual abortion,irregular uterine contraction, and vaginal bleeding. |
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 Dr. Chi-Yuan Liao |
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 Education: |
Department of Medicine, National Defense Medical Center |
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Experiences: |
Training in obstetrics and gynecology, Taipei Veterans General Hospital
Training in a high risk pregnancy, Columbia University Irving Medical Center
Training in laparoscopic surgery, University of PhoenixIllinois |
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Specialties: |
High-risk pregnancy, Infertility surgery, Laparoscopic surgery |
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Publications: |
1.Liao, C. Y.* (2018). Distinguishing between interstitial and angular pregnancies: Is there a role for saline infusion sonohysterography?. Taiwanese Journal of Obstetrics and Gynecology, 57(4), 605-607. (SCI)
2.Liao, C. Y.*, Luo, F. J. ＆ Huang H. W. (2018). Endometriosis Found in an Isolated Paraaortic Lymph Node: A Case Report. The journal of reproductive medicine, 63(4):393-396. (SCI)
3.Lin, G. L., Chang, H. H., Lien, T. S., Chen, P. K., Chan, H., Su, M. T., Liao, C. Y. ＆ Sun, D. S. (2017). Suppressive effect of dengue virus envelope protein domain III on megakaryopoiesis. Virulence, 8(8), 1719-1731. (ESCI)
4.Liao, C. Y.* (2017). Cornual Wedge Resection for Interstitial Pregnancy and Postoperative Outcome. Australian and New Zealand Journal of Obstetrics and Gynecology. (SCI)
5.Liao, C. Y.* ＆ Luo, F. J. (2017). Placenta accreta (Percreta) at 8 weeks of gestation and hysterectomy at 13 weeks of gestation due to uterine rupture: A rare case with no history of cesarean section: A case report. The journal of reproductive medicine, 62(6): 684-686. (SCI)
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