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GYNAECOLOGY AND OBSTETRICS

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Versione italiana
Academic year
2022/2023
Teacher
PANTALEO GRECO
Credits
6
Didactic period
Primo Semestre
SSD
MED/40

Training objectives

Aim of the teaching is to both give basic science and theoretical /practical knowledge of physiological and pathological processes of human reproduction, pregnancy, parturition and puerperium.
To acquire knowledge of prevention, diagnosis and treatment of main gynecological problems.
To know the most common problems presenting in medically assisted procreation
obstetric and gynecological pathology in a gender-oriented perspective.

Knowledge and understanding:

At the end of the course the student will:
- know the main changes of the maternal body in pregnancy; theoretical knowledge of the stages of physiological delivery; the clinical presentation of obstetric emergencies.
- know the theoretical bases of contraception, the pathophysiology of menopause; the clinical framework of abnormal uterine bleeding and endopelvic masses ; the pathology of the pelvic floor. The preventive programs, the presentation early diagnosis and the clinic of the main gynecological malignancies.

Applying knowledge and understanding:

At the end of the course the student will have developed the ability to know: what investigations are planned for the monitoring of low-risk pregnancy and their interpretation; initiate appropriate interventions for the management of obstetric emergencies.
- know how to set up basic counseling for contraception, infertility and for menopause problems.
-know how to prescribe adherence to cancer prevention programs in gynecology. Set the beginning of the correct diagnostic procedure for the main gynecological pathologies.
Autonomy of Judgment:
the student will be able to deal with cases of obstetric and gynecological pathology by formulating clinical hypotheses, collecting data on the basis of scientific evidence
Communication skills: objectives of the course are:
- development of effective communication skills within the care team and team work in particular for the management of obstetric and gynecological emergencies.
-development of counseling skills on issues related to fertility, prenatal diagnosis and contraception.
Learning ability:
The aim of the course is to make students understand the need for a critical evaluation of the updates of scientific research relating to the topics of the course through the use of the databases available for bibliographic research in the obstetric-gynecological field.

Prerequisites

Knowledge and skills of preclinical disciplines with particular reference to: physiopathology of the menstrual cycle, microbiology and pathological anatomy. Furthermore, in order to record the final grade it is necessary to have passed the examination of "Internal Medicine II and Medical Therapy.

Course programme

Obstetrical examination / Maternal Physiological changes in pregnancy. Fetal growth / placenta and membranes. Antenatal care. Labour, delivery, puerperium
Abortion /ectopic pregnancy
Obstetrical haemorrhage. Infectious diseases in pregnancy
Multifetal pregnancy
Medical problems in pregnancy. Preterm delivery / post-term pregnancy
Gynaecological examination
The menstrual cycle and its anomalies. Infertility, sterility and contraception.
Menopausal transition and postmenopause. Gender differences in emerging cardiovascular risk factors
Postmenopausal bone loss, osteoporosis, gender differences
Abnormal uterine bleeding. Benign gynaecological diseases: pelvic inflammatory disease, uterine fibroids, endometriosis.
Prevention, diagnosis and treatment of gynaecological malignancy: ovary, endometrium, cervix,,vagina and vulva.
The pelvic floor and its anomalies.
Vaginitis and cervico-vaginitis. HPV and related HPV diseases. Gender-oriented approach in sexually transmitted diseases.

Didactic methods

Frontal lectures and practical activity Discussion of simulated clinical cases. The student will be encouraged to use the "problem based learning" approach to address cases of obstetric and gynecological pathology by formulating clinical hypotheses, collecting and critically evaluating data based on scientific evidence.

Learning assessment procedures

Verification of learning will be carried out through a written test.
The written test lasting between 30 and 60 minutes depending on the total number and the different complexity and type of questions, without the use of notes or books or personal electronic devices, in the presence of teachers or using telematic methods.
The questions will be formulated with multiple choice questions (4 options for each question) relating to all the training objectives as defined above. The questions will be prepared in order to verify the knowledge and skills acquired by the student both with reference to the basic notions and with reference to their clinical application, also through the interpretation of clinical data, the resolution of simple clinical problems and consultation with scientific guidelines and position statements presented during the course. The score is awarded out of thirty. The maximum score, equal to 30 cum laude, is provided for those who correctly answer all the questions; the minimum score, equal to 18, is provided for those who reach 60% of the maximum score, taking into account the different weight attributed to the questions themselves. Questions may have different weight based on the complexity of the question and the particular knowledge that occurs. There will be no penalty for wrong or missing answers . The test result will be published together with the most frequently incorrect questions.
To facilitate the proper preparation for the exam, the student can only attend one session per month.

Reference texts

Dewhurst's Textbook of Obstetrics & Gynaecology, 9th Edition
Keith Edmonds (Editor-in-Chief), Christoph Lees (Co-Editor), Tom Bourne (Co-Editor)
ISBN: 978-1-119-21142-6 November 2018 Wiley-Blackwell
Alessandro Caruso, Manuale di ginecologia e ostetricia, CIC Ediz. Internazionali Roma,2011
Augusto G. Ferrari e Luigi G. Frigerio, Core Curriculum di Ginecologia e Ostetricia, McGraw Hill 2013
Teaching material provided by the teacher and uploaded on the didactic platform https://sea-el.unife.it