Reference-book For Student Obstetrics and Gynecology icon

Reference-book For Student Obstetrics and Gynecology




Скачати 135.76 Kb.
НазваReference-book For Student Obstetrics and Gynecology
Дата22.06.2012
Розмір135.76 Kb.
ТипДокументи

Bukovinian State Medical University


“Approved”

First Pro-rector


Professor________________ M. Y. Kolomoyets

“___”______________________ 200_ year


Reference-book For Student

Obstetrics and Gynecology

______________________


(Structure, aim, maintenance of discipline, checking questions)


Approved” on methodological meeting of Department of Obstetrics and Gynecology with the Course of Infant and Adolescent Gynecology

___”______________________ 200_ year (protocol # )


T.a. as the Head of the Department of Obstetrics and Gynecology with the Course of Infant and Adolescent Gynecology

Professor________________ O.A. Andriyets


Approved” on methodological meeting of Pediatric discipline of Obstetrics and gynecology

___”______________________ 200_ year (protocol # )


The Head of PMK

Professor________________ O.V. Kravchenko


Chernivtsi – 2008


Obstetrics and Gynecology

Standard discipline

  1. Introduction


Lections – 10 h

Practical studies – 40 h

Independent work – 40 h

Maintenance of discipline is structured for 1 module and 2 contents module.


  1. ^ The Structure of discipline Obstetrics and Gynecology


Module 1: Physiology of pregnancy, labor and puerperium

Context module 1: Physiology of pregnancy, labor and puerperium

Context module 2: Perinatology. Risk factors of perinatal period


Module 2: Pathology of pregnancy, labor and puerperium

Context module 3: Pathology of pregnancy, labor and puerperium


Module 3: Family planning.

Context module 4: Endocrine disorders of women’s reproductive system.

Context module 5: Principles of oncogynecology.

Context module 6: Inflammation diseases of women’s reproductive system.

Context module 7: Family planning.


Module 4: Obstetrics and Gynecology

Context module 8: Physiological obstetrics.

Context module 9: Pathology of pregnancy and labor.

Context module 10: Perinatal pathology.

Context module 11: Physiology of pregnancy, labor and puerperium

Context module 12: Gynecological diseases

Context module 13: Family planning


The curriculum description on discipline obstetrics and gynecology for students of medical faculties who study the obstetrics and gynecology on a speciality 7.110101


^ Subject matter structure

Quantity of hours, from them

Study year

Control

In all

auditorium

ISW

lections

Practical training

hours/

credits ЕСТS

450/ 15

30

220

200

4-6




module 1:

context module 2

90 h. / 3,0 credits ЕСТS

10

40

40

4

Line and final modular control

Total for the 4 study year

90 h. / 3,0 credits ЕСТS

10

40

40

4




module 2:

Context modules 1


60 h. /

2,0 credits ЕСТS

10

30

20

5

Line and final modular control

module 3:

Context modules 4


75 h. /

2,5 credits ЕСТS

10

40

25

5

Line and final modular control

Total for the 5 study year

135 h./

4,5 credits ЕСТS

20

70

45

5




module 4:

Context modules 3


225 h. / 7,5 credits credits ЕСТS




110

115

6

Line and final modular control

Total for the 6 study year

225 h. / 7,5 credits ЕСТS




110

115

6






Module 1: Physiology of pregnancy, labor and puerperium


4.1. Theme’s Plan of Lectures




Theme

Quan/h

1.

Organization of Obstetric and Gynecological center

2

2.

Physiology of pregnancy. Perinatal care of fetus.

2

3.
^

Physiology of labor. Anesthesia in labor.


2

4.

Multifetal pregnancy

1

5.

Placentary insufficiency. Hypoxia (acute and chronic). Retardation, hypotrophia.

2

6.

Pharmacotherapy in obstetrics. Questions of medical ethics and deontology. Pharmacokinetics and fharmacodynamics of medical drugs.

1




Total

10



^ 4.2. Theme’s Plan of practical classes




Theme

Quan/h

1.

Bone Pelvis. Fetus as an object of labor.

4

2.

Physiology of pregnancy. Perinatal care of fetus. Methods of examination of pregnant women. Obstetrics terminology

4

3.
^

Physiology of labor. Anesthesia in labor.


4

4.

Physiology of puerperium. Physiology of newborn.

4

5.
^

Breech presentation. Malpresentations. Contracted pelvis


4

6.

Abnormalities of conceptus’ development. Multifetal pregnancy. Malpresentations of fetus.


4

7.

Diagnostic methods of well-being of fetus. Placental insufficiency.

4

8.
^

Rh-izoimmunisation of fetus. Disorders of neonatal period. Asphyxia of the newborn. Methods of resuscitation of the infants.”


4

9.

Defense of educational history of labor.

4




Final modular control I.

4




Total

40



^ 4.3. Theme’s Plan of Independent students work (ISW)





Kind of ISW

Quan/h

Control

1.

Preparation for the practical classes and lections

31

Line modular control on practical classes

2.

Working on topics which are not included in plan of practical classes


-

Final modular control

3.

Individual independent work


2


Final modular control

4.

Preparation for the Final modular control

7

Final modular control




Total hours

40






^ LIST OF INDIVIDUAL TASKS


  • Writing the abstract «Physiology changes in the organs of the cardiovascular system and breathing system during pregnancy».

  • Writing the abstract «Physiology changes in the organs of gastric tract during pregnancy».

  • Writing the abstract «Physiology changes in the organs of the kidney system during pregnancy».

  • Writing the abstract «Physiology changes in the organs of blood system and endocrine system during pregnancy».

  • Writing the abstract «Anesthesia in labor».

  • Writing the abstract «Causes of labor start».

  • Writing the abstract «Modern aspects of conduct of multifetal pregnancy».

  • Writing the abstract «Estimation of the fetus well-being basing on cardiotokography».

  • Writing the abstract «Biophysical type of fetus».

  • Writing the abstract «Dopplerometric characteristics of the fetus’ well-being»

  • Writing the abstract «Sepsis of the newborn».

  • Writing the abstract « “Diagnostic and treatment of retardation of fetus».

  • Writing the abstract «Antenatal pneumonia».

  • Writing the abstract «Macrosomia of fetus».

  • Writing the abstract «Trophoblast diseases».



^ LIST OF QUESTIONS FOR STUDENTS’ PREPARATION TO CURRENT AND FINAL MODULE CONTROL


  1. Organization of obstetric-gynaecological aid. Medico-actuarial science. A question of health protection maternity and childhood is in the modern legislation of Ukraine.

  2. Structure and principles of work of maternity hospital. Basic indexes of work of obstetric hospital.

  3. A role of female consultation in the prophylaxis of complications of pregnancy and labor, perinatal care of fetus.

  4. Female consultation and its role is in a prophylaxis, diagnostics and treatment of gynaecological diseases.

  5. Influence of harmful factors on menstrual and reproductive functions.

  6. Consultation on «Marriage and family». Medico-genetic consultation, its functions. Family planning.

  7. Psychological preparation of woman before labor.

  8. Farmacotherapy in obstetrics, influence of medications on a fetus.

  9. Medical deontology in obstetrics and gynecology. Ethics of doctor.

  10. Ways of passing AIDS, ТORCH-infections and methods of their prophylaxis.

  11. External and internal female genitalia.

  12. Blood delivery and lymphatic systems of female genitalia.

  13. Physiology changes are in the female sexual system in different age-old periods.

  14. A modern picture of the neuro-endocrine regulation of menstrual function.

  15. Structure of female pelvis. Pelvis from the obstetric point of view.

  16. Fetus as an object of labor (sizes of head, sutures, fontanels).

  17. Structure of gametes. Impregnation and development of fetus. Implantation.

  18. Placentation. Organogenesis. Development of fetal shells.

  19. Methods of examination of pregnant. External and internal obstetric examination of pregnant. Obstetric terminology.

  20. Diagnostics of early terms of pregnancy.

  21. Diagnostic of late terms of pregnancy.

  22. Viability and maturity of fetus.

  23. Periods of labor.

  24. Biomechanism of labor in anterior and posterior occipital presentations.

  25. Period of cervical effacement in labor. Clinical flow and management.

  26. Non-medical anesthesia in labor.

  27. Period of pushing efforts. Clinical flow and management.

  28. Perineal protection maneuvers.

  29. Placental period (the third period of labor). Clinical flow and management. Signs of placental separation.

  30. Physiological separation of placenta.

  31. Conservative methods of separation of placenta.

  32. Methods of estimation of after-birth condition of placenta. Physiological and pathological blood loss.

  33. Clinical flow and management of puerperium.

  34. Changes in maternal organism during puerperium.

  35. Aseptic in obstetrics.

  36. Multifetal pregnancy. Collision of twins.

  37. Prophylaxis of complications of multifetal pregnancy.

  38. Classification of breech presentation.

  39. Biomechanism of delivery in case of breech presentation.

  40. Management of the delivery in case of breech presentation. Classical aid. Aid by Tsovyanov (I and II).

  41. Anatomically and clinically contracted pelvis.

  42. Classification of pelvis’ contraction.

  43. Features of flow of pregnancy and delivery in case of contracted pelvis.

  44. Features of biomechanism of labor in case of different forms of contracted pelvis.

  45. Labor and large fetus. Etiology. Methods of diagnostics. Complications in labor.

  46. Circulation of blood as an element of the functional system of placenta and fetus.

  47. Functions of placenta. Biological role of amniotic fluid.

  48. Methods of determination of the functional state of the placental system in the different terms of pregnancy, in labor. Biopsy of chorion. Amniocentesis. Cordocentesis.

  49. Embryo and fetal periods of development. Blasto-, embrio- and fetopathy. Diagnostics of defects of development of fetus in different periods of pregnancy.

  50. Perinatal pharmacology. Influence of strong medications and nicotine on a fetus.

  51. Immunological incompatibility of blood of mother and fetus (Rh-conflict, etc).

  52. Pathogenesis of immunological conflict, modern system of diagnostics and treatment.

  53. A conduct of pregnancy and determination of optimum term of births in case of immunization of rhesus.

  54. A conduct of post-natal period in case of immunological conflict.

  55. Hemolytic disease of newborn. Diagnostics and treatment.

  56. Placenta insufficiency. Classification. Diagnostics and therapy of placenta insufficiency.

  57. Modern methods of diagnostics of the fetus well-being.

  58. Fetal retardation. Etiology, diagnostics and methods of treatment. Tactic of labor.

  59. Methods of treatment of hypoxia of fetus.

  60. An estimation of newborns according to scales of Apgar and Silverman. Reanimation and intensive therapy of asphyxia of newborn.

  61. Features of adaptation of pre-term newborns.

  62. Hormonal crisis of newborn.

  63. Infection toxic diseases of newborn.

  64. Intrauterine infections of fetus. TORCH-infections.

  65. Violation of function of lactation. Methods of correction.


Practical tasks

Practical tasks are to be fulfilled on practical class. They are aimed for better learning of theoretical material of class and for practical application of gained knowledge:

- anamnesis taking

- examination of pregnant

- development of plan of laboratory examination of pregnant

- interpretation of analyses and results of examination

- differential diagnostics of complications of pregnancy

- establishment of clinical diagnosis

- development of tactics of management of pregnancy and delivery

- giving the emergency care

- resolving the situational clinical sums

- training on practical skills on obstetric phantoms and on patients

- management of medical documentation


^ Practical skills for final control:

- external measurement of pelvis

- Leopold maneuvers, measurement of conjugate vera

- determination of gestational term

- determination of gestational age of fetus and mass of the fetus

- determination of date of delivery

- management of normal delivery

- giving of the obstetrical aid in delivery and during the fetus

- estimation of the newborn’s conditions according to Apgar scale

- primary care of newborn

- management of medical documentation


^ Assessment of student’s knowledge





Theme

Points

1.

Bone Pelvis. Fetus as an object of labor.

12

2.

Physiology of pregnancy. Perinatal care of fetus. Methods of examination of pregnant women. Obstetrics terminology

12

3.
^

Physiology of labor. Anesthesia in labor.


12

4.

Physiology of puerperium. Physiology of newborn.

12

5.
^

Breech presentation. Malpresentations. Contracted pelvis


12

6.

Abnormalities of conceptus’ development. Multifetal pregnancy. Malpresentations of fetus.


12

7.

Diagnostic methods of well-being of fetus. Placental insufficiency.

12

8.
^

Rh-izoimmunisation of fetus. Disorders of neonatal period. Asphyxia of the newborn. Methods of resuscitation of the infants.”


12

9.

Defense of educational history of labor.

12




Independent students’ work

12




Total current study work

120




Final modular control I.

80




Total

200


Student can be allowed to pass final modular control in case he/she fulfilled study program and received at least 72 (9x8) points during practical classes. Final modular control can be described as “passed” in case student received at least 50 of 80 points.

^ Criteria of marks and students’ knowledge assessment on obstetrics for 4th year students of medical faculty

Student receives mark “excellent” in case he/she learned theoretical material comprehensively and thoroughly, is able to perform correct taking of anamnesis/ complains and physical examination of pregnant women, parturient women and women in puerperium. He/she has to be able to perform vaginal examination. The student has to be able to make a plan of diagnostics and treatment of woman, depending of present pathology, and to perform all manipulations, requested by practical skills list. Changing of task or additional questions do not cause any difficulties for student. Corresponds to 12 points.

Student receives mark “good” in case he/she learned theoretical material deeply enough, is able to perform taking of anamnesis/ complains and physical examination of pregnant women, parturient women and women in puerperium. The student has to be able to make a plan of diagnostics and treatment of woman, depending of present pathology, and to perform manipulations, requested by practical skills list. Few inaccuracies in answer or in clinical cases solving may be assumed. Corresponds to 10 points.

Student receives mark “satisfactorily” in case he/she learned basic theoretical material, is able to perform elements of taking of anamnesis/ complains and physical examination of pregnant women, parturient women and women in puerperium. The student has difficulties in making a plan of diagnostics and treatment of woman, and in performing manipulations, requested by practical skills list. Corresponds to 8 points.

Student receives mark “unsatisfactorily” in case he/she didn’t learn theoretical material, is not able to perform taking of anamnesis/ complains and physical examination of pregnant women, parturient women and women in puerperium, is not able to make a plan of diagnostics and treatment of woman, depending of present pathology, and to perform manipulations, requested by practical skills list. Major inaccuracies in answer or in clinical cases solving can be reason for not-passing the credit. In case student gained less then minimum sum of points, he/she receives mark “unsatisfactorily with the mandatory repeated course” and has to learn the module again (see table below).


scale ECTS

National scale

^ Scale BSMU (in balls)

А (excellent)

excellent

180-200

В (very well)


good

165-179

С (good)

150-164

D (satisfactorily)


satisfactorily

135-149

Е (poorly)

120-134


FX

unsatisfactorily

with possibility of repeated

drafting


70-119


F

unsatisfactorily

with the mandatory repeated course


1-69



Recommended literature


Main:

1. Danforth's Obstetrics and gynaecology. - Seventh edition.- 1994.

2. Obstetrics and gynaecology. Williams & Wilkins Waverly Company. - Third Edition.- 1998.

3. Basic Gynecology and Obstetrics. - Norman F. Gant, F. Gary Cunningham. -1993.

4. Clinical Obstetrics of Fetus and Mother – E. Albert Reece&John Hobbins. – Third Edition. – Blackwell publishing. – 2007.

5. Obstetrics Illustrated. – Kevin P. Hanretty. – Sixth Edition. – Churchill Livingstone. - 2003.

6. Manual on Obstetrics. – Arthur T. Evans. – Seventh Edition. - Lippincott Williams & Wilkins. – 2007.


Additional:

  1. Акушерство за ред. В.І. Грищенка -Харків, Основа 1996.-608с.

  2. Гінекологія за ред. В.І. Грищенка -Харків, Основа 1996.-728с.

  3. Неотложные состояния в акушерстве и гинекологии / Г.К. Степанковская (ред.). — К. : Здоров'я, 2000. — 672с.

  4. Бодяжина В.И. Гинекология.- М.: Медицина, 1977.- 416 с.

  5. Бодяжина В.И., Жмакин К.Н., Кирющенков А.П. Акушерство.- М.: Медицина, 1986. - 496 с.

  6. Запорожан В.М., Цегельський М.Р., Рожковська Н.М. Акушерство і гінекологія. Підручник : у 2-х томах. Т.1. – Одеса: Одес. держ. мед. ун-т, 2005.-472с.

  7. Бохман Я.В. Руководство по онкогинекологии. - М.: Медицина, 1989.- 464 с

  8. Шехтман М.М Руководство по экстрагенитальной патологии у беременных.-М.: Триада-Х,1999.- 812с.

  9. Грищенко В.И. и соавт. Течение беременности и родов при экстрагенитальных заболеваниях. - Харьков,1992.-190с.

  10. Грищенко В.И., Щербина Н.А., Гузь С.В. Перинатальная гипоксия.- Харьков, 1993.-123с.

  11. Грищенко В.І. та соавт. Комп,ютернi системи в акушерствi i гiнекологiї.-Навчальний посiбник. - Харкiв,1993.-95с.

  12. Рембез И.Н. Оперативная гинекология.- К.: Здоровья, 1985.-256 с.

  13. Савельева Г.М. Эндоскопия в гинекологии.- М.: Медицина, 1983.- 199 с.

  14. Савельева Г.М. Акушерство и гинекология .-ГЭОТАР Медицина,1997.-735с.

  15. Тимошенко Л.В. Практическая гинекология.- К: Здоровья, 1988.- 320с.

  16. Наказ МОЗ України № 620 від 29.12.2003р. “Про організацію надання стаціонарної акушерсько-гінекологічної та неонатологічної допомоги в Україні”.

  17. Наказ МОЗ України № 503 від 28.12.2002р. “Про удосконалення амбулаторної акушерсько-гінекологічної допомоги в Україні”.

  18. Наказ МОЗ України № 582 від 15.12.2003р. “Про затвердження клінічних протоколів з акушерської та гінекологічної допомоги”.

  19. Наказ МОЗ України № 676 від 31.12.2004р. “Про затвердження клінічних протоколів з акушерської та гінекологічної допомоги”.

  20. Наказ МОЗ України № 782 від 29.12.2005р. “Про затвердження клінічних протоколів з акушерської та гінекологічної допомоги ”.

  21. Наказ МОЗ України № 59 від 10.02.2003р. “Про удосконалення заходів щодо профілактики внутрішньолікарняних інфекцій в пологових будинках (акушерських стаціонарах)”.

  22. Наказ МОЗ України № 111 від 28.06.1994р. “Про затвердження інструкцій про порядок проведеня операції штучного переривання вагітності та про порядок проведення операції штучного переривання вагітності методом вакуумаспірації”.

  23. Наказ МОЗ України № 641/84 від 31.12.2003р. “Про удосконалення медико-генетичної допомоги в Україні”.

  24. Наказ МОЗ України № 194 від 6.05.2003р. “Про затвердження галузевої програми “Первинна реанімація новонароджених на 2003-2006 роки”.

  25. Наказ МОЗ України № 539 від 4.08.2006р. “Про організацію діяльності служби планування сім’ї та охорони репродуктивного здоров’я в Україні”.

  26. Наказ МОЗ України № 584 від 29.08.2006р. “Про затвердження Протоколу медичного догляду за новонародженою дитиною з малою масою при народженні”.

  27. Наказ МОЗ України № 899 від 27.12.2006р. “Про затвердження клінічного протоколу з акушерської допомоги “Тазове передлежання плода”.

  28. Наказ МОЗ України № 900 від 27.12.2006р. “Дистрес плода при вагітності та під час пологів”.

  29. Наказ МОЗ України № 901 від 27.12.2006р. “Про затвердження клінічного протоколу з акушерської допомоги “Переношена вагітність”.

  30. Наказ МОЗ України № 906 від 27.12.2006р. “Про затвердження клінічного протоколу з акушерської допомоги “Перинатальні інфекції”.

Схожі:

Reference-book For Student Obstetrics and Gynecology iconStudent’s Guide Obstetrics and Gynecology

Reference-book For Student Obstetrics and Gynecology iconThe health office of ukraine bukovinian state medical university a reference book is for student

Reference-book For Student Obstetrics and Gynecology iconMarkevich. V. V, assistent; Ilyashenko K. L., student of Vth course Sumy state university, Subdepartment of obstetrics and gynecology
А (“F. Hoffmann-La Roche”), introne а (“Sherring Plough”), reaferon (Russian), realdiron (“Biopha”,Litva)
Reference-book For Student Obstetrics and Gynecology iconObstetrics and Gynecology

Reference-book For Student Obstetrics and Gynecology iconList of control questions in obstetrics and gynecology for exam

Reference-book For Student Obstetrics and Gynecology iconMinistry of public health of ukraine national Pirogov Memorial Medical University, Vinnytsya chair of obstetrics and Gynecology №1

Reference-book For Student Obstetrics and Gynecology iconReference book for students of study of discipline “anesthesiology and intensive care”

Reference-book For Student Obstetrics and Gynecology iconДокументи
1. /Zbirnyk14/e-book/1_01_Atamanchuk.pdf
2. /Zbirnyk14/e-book/1_02_Bendes_Syrotyuk.pdf
Reference-book For Student Obstetrics and Gynecology iconДокументи
1. /Filology_V18/e-book/1_01_Marchuk.pdf
2. /Filology_V18/e-book/1_02_Chopyk.pdf
Reference-book For Student Obstetrics and Gynecology iconObstetrics and gynaecology department №2 Methodical recommendations for students of 4th year of stomatological faculty for practical lessons in obstetrics

Додайте кнопку на своєму сайті:
Документи


База даних захищена авторським правом ©zavantag.com 2000-2013
При копіюванні матеріалу обов'язкове зазначення активного посилання відкритою для індексації.
звернутися до адміністрації
Документи