Sylabus
Syllabus (teaching schedule) OBSTETRICS AND GYNAECOLOGY
VI. year, English, General Medicine
Bed-side teaching: 5 hours per day in block - 20 days
Student‘s independent work in all divisions of the department under teacher‘s guidance.
Labor and delivery, postpartum care, postoperative care, high risk pregnancy, out patients, ultrasound, operative rooms, general gynecology
/Preterm Labor and Delivery, Hemorrhage in Obstetrics, Hormonal Treatment,
Gynecological Oncology/
State examination (test, oral)
Literature:
McKay Hart, Norman, Callander, Ramsden: Gynecology Illustrated. Churchill Livingstone, 2000,
Hanretty, Ramsden, Callander: Obstetrics Illustrated. Churchill Livingstone, 2010
Topics for state exam in Gynecology and Obstetrics
Group 1.
Physiology, propedeutics
· Development of reproductive organs.
· Anatomy of female reproductive tract.
· Gynecological examination + medical history.
· Prebioptic methods in gynecology, screening - cervix, breast.
· Imaging methods in gynecology.
· Female reproductive hormones.
· Menstrual cycle and its regulation.
· Climacterium - definitions, hormonal changes, acute climacteric syndrome, organic and metabolic estrogen-deficient syndrome.
· Contraception - male, female.
· Hormonal contraception.
· Puberty, development of secondary sex characteristics.
· Human gametes, fertilization, blastogenesis, nidation. Embryogenesis.
· Symptoms and diagnosis of pregnancy, estimation of date of delivery.
· Physiological changes in female body during pregnancy.
· Placenta, morphology and function, variations and anomalies.
· Feto-maternal circulation.
· Amniotic fluid - composition, function, formation. Polyhydramnios, oligohydramnios.
· Fetal lie, position, presentation and attitude in the uterus. External obstetric examination.
· Prenatal care in normal pregnancy, its organization, examinations in prenatal visits.
· Non-invasive methods of prenatal diagnostic testing. Screening for chromosomal anomalies and congenital fetal malformations.
· Invasive methods of prenatal diagnostic testing. The most common genetic syndromes.
· Birth canal. Internal obstetric examination.
· Forces of labor.
· First stage of labor. Definition, duration, mechanism of cervical dilatation.
· Obstetric anatomy of fetal skull.
· Second stage of labor. Definition, duration, mechanism of delivery of the fetus.
· Third stage of labor. Definition, duration, mechanism of delivery of the placenta.
· Admission of a parturient to labor ward. Management of labor.
· Obstetric analgesia - methods, benefits and disadvantages.
· Cardiotocography.
· Intrapartal fetal pulse oxymetry (IFPO), ST analysis of the fetus (STAN).
· Ultrasound in obstetrics.
· Puerperium - physiological changes.
· Newborn, postpartum adaptation, resuscitation of a newborn.
· Breasts and lactation.
Group 2.
Obstetrics
· PROM. Causes, diagnosis, risk, management of pregnancy.
· Fetal distress.
· Maternal obstetric injury. Episiotomy. Uterine rupture.
· Ceasarean delivery.
· Operative vaginal delivery: Forceps, ventouse.
· Breech delivery. Management of pregnancy and delivery.
· Transverse and oblique lie of the fetus. Abnormal presentation.
· Abnormalities of the 1st and the 2nd stage of labor
· Fetal macrosomia. Shoulder dystocia.
· SGA/IUGR.
· Deflexed cephalic presentations.
· Abnormalities of the 3rd (4th) stage of labor. Postpartum hemorrhage.
· DIC.
· Abortion, miscarriage.
· Placenta praevia.
· Placenta abruption
· Rhesus and AB0 blood group system. Isoimmunization in pregnancy.
· Preterm birth (premature delivery).
· Post-term pregnancy, postmaturity - definition, management of pregnancy. Labor induction.
· Multiple pregnancy.
· Infections in pregnancy, GBS - pregnancy management.
· Diabetes in pregnancy
· Hypertension in pregnancy. Preeclampsia and eclampsia.
· Cardiovascular diseases in pregnancy.
· Thromboembolic disorders during pregnancy.
· Neurological and respiratory diseases in pregnancy.
· Stillbirth.
· HELLP syndrome, intrahepatic cholestasis of pregnancy.
· Gastrointestinal diseases in pregnancy.
· Uropoetic diseases in pregnancy.
· Acute abdomen in pregnancy.
· Systemic and endocrine diseases in pregnancy.
· Abnormal puerperium. (lochiometra, hemorrhage in puerperium, puerperal infections, vulvar and paravaginal hematoma).
· Abnormal lactation.
· Perinatal audit. Perinatal morbidity and mortality.
· Perinatal audit. Maternal mortality a morbidity.
Group 3.
Gynecology
· Abnormal menstrual cycle - terminology, diagnostic and therapeutic algorithm.
· Primary and secondary amenorrhea.
· Dysmenorrhea, Premenstrual syndrome.
· Hormonal replacement therapy - HRT.
· Sterilization and medical abortion.
· Vulvovaginitis - etiology, differential diagnosis, therapy.
· Cervicitis, Endometritis, Myometritis, Perimetritis.
· Pelvic inflammatory disease (PID) - classification, etiology, spread, therapy.
· Veneric diseases and STD.
· HPV and vaccination.
· Ectopic pregnancy.
· Acute abdomen in gynecology.
· Pelvic pain.
· Endometriosis.
· Benign diseases and precanceroses of the vulva and the vagina.
· Benign diseases and precanceroses of the cervix.
· Benign diseases and precanceroses of the uterus/endometrium.
· Benign diseases and precanceroses of the ovary and the Fallopian tube.
· Ovarian cysts.
· Benign diseases and precanceroses of the breast.
· Basics of oncogynecology - terminology, histology, therapeutic modalities.
· Malignancies of the vulva and the vagina.
· Malignancies of the cervix.
· Malignancies of the uterus.
· Ovarian and Fallopian tube malignancies.
· Gestational trophoblastic disease.
· Breast malignancy.
· Human infertility.
· Assisted reproduction, IVF.
· Urine incontinence - terminology, diagnostic methods.
· Urge incontinence, OAB (Overactive bladder).
· Stress incontinence.
· POP - Pelvic Organs Prolapse.
· Female sexuality and sexual disorders.
· Pediatric gynecology.
· Congenital malformations of female reproductive tract.
· Endocrinopathies in gynecology - hyperandrogenic syndrome, hyperprolactinemia.
· Preparation for surgery and postoperative care in gynecological patients.
· Laparoscopy in gynecology - indications, procedure description, complications.
· Hysteroscopy - indications, procedure description, complications.
· Vaginal gynecologic operations.
· Abdominal gynecologi
Anotace
Gynecology: Intersexuality. HRT. Contraception. Hormonal treatment in gynecology. Endometriosis. Pelvic pain. Pelvic inflammatory disease. Sexually transmitted diseases. Gynecologic operations. Urogynecology. Precancerosis of the uterine cervix and the endometrium.
Obstetrics: Bleeding in pregnancy. Obstetric analgesia. Coagulopathy, DIC. Breech presentation. Caesarean Section. Multiple pregnancy. Postpartum care. Maternal and perinatal mortality.