Syllabus
Entry requirements: no prerequisites
Outcomes (Gynecology and Obstetrics I): 1. the student will acquire theoretical knowledge of obstetrics 2. the student acquires basic practical skills in clinical reasoning, diagnosis and treatmentand and clinical activities in the field of gynaecology and obstetrics
Lecturers
Prof. Jiří Špaček, M.D., Ph.D., IFEPAG
Prof. Marian Kacerovský, M.D., Ph.D.
Prof. Ivana Kacerovská Musilová, M.D., Ph.D.
Ivo Kalousek, M.D., Ph.D.
Karel Hodik, M.D., Ph.D.
Miroslav Gregor, M.D., Ph.D.
Jaroslav Thierry Kříž, M.D., Ph.D.
Martin Štěpán, M.D., Ph.D.
Jaroslav Stráník, M.D.
Assoc. prof. Blanka Vavřinková, M.D., Ph.D.
Introduction to gynaecology and obstetrics.History.Topographical anatomy, vascular and lymphatic supply of the female reproductive organs,clinical significance. Anatomy of pelvis, important diameters of the fetal head.Pelvimetry. (Špaček )
Organisation of care in pregnancy, antenatal care. Statistical indicators of pregnancy. Perinatal and maternal morbidity and mortality. Neonatal morbidity. Legal issues in obstetrics. (Kacerovský)
Diagnosis of pregnancy. Complications of early pregnancy - early pregnancy loss, ectopic pregnancy. Prenatal diagnosis - ultrasound diagnosis management. Methods of pregnancy termination during 1st and 2nd trimester. (Kacerovská Musilová)
Intrauterine fetal development. Stages of intrauterine fetal development, pregnancy duration, determination of gestational age. Placenta - the morphology, location, function. Fetal membranes, amniotic fluid. Obstetrics analgesia and anesthesia. (Gregor)
Normal fetal lie, presentation, attitude, position. Fetal malposition and malpresentation - breech presentation, transverse, oblique and unstable lie. Obstetrics examination before and during labour - external and internal obstetric examination, external examination of the pelvis. Fetal well-being assessment - determination of fetal vitality, hypoxia diagnosis. (Hodík)
Normal labour, stages of labour, mechanism and management . Abnormalities of the expulsive forces. Home birth. (Hodík)
Placental and umbilical cord abnormalities. Trophoblastic disease, placenta praevia, placenta accreta, placental abruption, umbilical cord abnormalities. Abnormal amount of amniotic fluid.(Kacerovská Musilová)
Abnormalities of 3 rd stage of labour, uterine atony. Perineal tear. Peripartal haemorrhage. Amniotic fluid embolism. Tromboembolism in pregnancy and in labour. Pre-eclampsia, eclampsia, HELLP. (Stráník )
Normal pregnancy. Maternal physiology - cardiovascular, respiratory, gastrointestinal, uropoetic, endocrine systems, metabolic and skin changes. (Štěpán Martin)
Preterm birth - spontaneous and iatrogenic. Post-term pregnancy. Labour pre-induction and induction. Prostaglandins in pregnancy. Stillbirth. Diabetes in pregnancy. (Kacerovský)
Obstetrics operations - ceasarean section, assisted vaginal delivery (forceps, vacuum extraction). (Kacerovský)
Fetal disordes. Intrauterine growth restriction, haemolytic disease, multiple pregnancy, twin-twin transfusion, congenital abnormalities, prenatal infasive procedures. (Kacerovská Musilová)
Maternal pregnancy complications. Hyperemesis gravidarum. Pregnancy-related hypertension, infectious, renal,liver, cardiovascular and haematological diseases. Malignancies in pregnancy. (Kacerovská Musilová)
Normal and complicated puerperium, roomin in. Drug addiction in pregnancy and during lactation. Resuscitation of the newborn. Neonatal intensive care. (Stráník)
Practical courses & seminars
Lecturers
Assoc. Prof. Iva Sedláková, M.D., Ph.D.
Prof. Marian Kacerovský, M.D., Ph.D.
Prof. Ivana Kacerovská Musilová, M.D., Ph.D.
Ivo Kalousek, M.D., Ph.D.
Karel Hodík, M.D., Ph.D.
Jaroslav Thierry Kříž, M.D.,Ph.D.
Adam Řezáč, M.D., Ph.D.
Miroslav Gregor, M.D., Ph.D.
Pavel Kopecký, M.D., Ph.D.
Martin Štěpán, M.D.,Ph.D.
Daniel Leško, M.D.
Jaroslav Stráník, M.D.,Ph.D.
Roman Janits, M.D.
Ivan Práznovec, M.D.
Tomáš Faist, M.D.
Viera Doničová, M.D.
Hladký Jan, M.D.
Chalupská Martina, M.D.
Dominik Habeš, M.D.
Onyedikachi Munachiso Ndukwe, M.D.
Seminars
Assisted vaginal delivery (vacuum extraction, forceps) - indications, requirements, technique, complications, hands-on training. Breech presentation and multiple pregnancy - management of labour, phantom training.
Assessment of fetal well-being. Cardiotocography - theory, presentation and analysis of particular cases. ST waveform analysis. Fetal pulse oximetry.
Normal labour - stages of labour, mechanism and management, hands-on training, phantom training, DVD.
Caesarean section - indications, technique, DVD. Female sterilisation.
Antepartum and postpartum haemorrhage. Case report.
Prenatal ultrasound diagnosis, screening of fetal abnormalities - theory, DVD.
Practical courses
UC Ultrasound clinic
MOS Small Operating Theatre
OG Department of Gynecologic surgery
OT + OMN Department of Gynecology and Pregnancy
PS Obstetrics Theatre
AMB Outpatient Department
OG+oper. sály Department of Gynecologic surgery and Operating Theatre
FAN Phantom training - examination in gynecology
- examination in obstetrics
Notes:
Students will start practical courses at the Department of Obstetrics and Gynecology at 8.00 AM. All students must have white clothing (white trousers, white coat, white shirt or T-shirt and white shoes) for practical courses.
Annotation
Anatomy and physiology of female, vital statistics, normal and pathological pregnancy, antenatal care, obstetrical examination, spontaneous labour, foetal malpositions and malpresentations, breech presentation, ultrasound examination, prenatal diagnosis of fetal malformations, antepartum hemorrhage, foetal distress, obstetric operations, acute obstetrics emergencies.