Download Context Module 2

Obstetrics and Gynecology
Standard discipline
1. Introduction
Lections
– 30 h
Practical studies
– 220 h
Independent work
– 200 h
Maintenance of discipline is structured for 4 modules and 13 contents modules.
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
In all
auditorium
ISW
Study
year
Control
lections
Practical
training
450/ 15
30
220
200
4-6
10
40
40
4
10
40
40
4
module 2:
Context
modules 1
90 h. / 3,0
credits
ЕСТS
90 h. / 3,0
credits
ЕСТS
60 h. /
2,0 credits
ЕСТS
10
30
20
5
Line and final
module
control
module 3:
Context
modules 4
75 h. /
2,5 credits
ЕСТS
10
40
25
5
Line and final
module
control
Total for the 5
study year
135 h./
4,5 credits
ЕСТS
225 h. / 7,5
credits
credits
ЕСТS
225 h. / 7,5
credits
ЕСТS
20
70
45
5
110
115
6
110
115
6
hours/
credits ЕСТS
module 1:
context module
2
Total for the 4
study year
module 4:
Context
modules 3
Total for the 6
study year
Line and final
module
control
Line and final
module
control
4.1. MODULE 1: Physiology of pregnancy, labor and puerperium
Theme’s Plan of Lectures
№
1.
2.
3.
4.
5.
№
1.
2.
3.
4.
5.
6.
7.
8.
9.
№
1.
Quan/
h
Theme
Organization of Obstetric and Gynecological center
Physiology of pregnancy. Perinatal care of fetus.
Physiology of labor. Anesthesia in labor.
Multifetal pregnancy
Pharmacotherapy in obstetrics. Questions of medical ethics and
deontology. Pharmacokinetics and pharmacodynamics of medical
drugs.
Placental insufficiency. Hypoxia (acute and chronic). Retardation,
hypotrophy.
Total
Theme’s Plan of practical classes
Theme
Bone Pelvis. Fetus as an object of labor.
Physiology of pregnancy. Perinatal care of fetus. Methods of
examination of pregnant women. Obstetrics terminology
Physiology of labor. Anesthesia in labor.
Physiology of puerperium. Physiology of newborn.
Breech presentation. Malpresentations. Contracted pelvis
Abnormalities of conceptus’ development. Multifetal pregnancy.
Malpresentations of fetus.
Diagnostic methods of well-being of fetus. Placental insufficiency.
Rh-izoimmunisation of fetus. Disorders of neonatal period. Asphyxia
of the newborn. Methods of resuscitation of the infants.”
Defense of educational history of labor.
2
2
2
2
2
10
Quan/h
4
4
4
4
4
4
4
4
4
Final modular control I.
4
Total
40
Theme’s Plan of Independent students work (ISW)
Kind of ISW
Quan/h
Control
Preparation for the practical classes and
lections
Working on topics which are not included in
plan of practical classes
31
3.
Individual independent work
2
Final modular control
4.
Preparation for the Final modular control
Total hours
7
40
Final modular control
2.
Line modular control
on practical classes
Final modular control
-
4.2. MODULE 2.PATHOLOGICAL COURSE OF PREGNANCY, LABOR
AND PUERPERAL PERIOD
Theme’s Plan of Lectures
№
Theme
Quan/
h
1.
Early gestosis. Hypertonic diseases and pregnancy. Preeclampsia,
eclampsia
Miscarriage
Obstetric Hemorrhages during the first trimester of pregnancy.
Extrauterine pregnancy. Obstetric Hemorrhages during the second half
of pregnancy, labour and in puerperal period. Intensive therapy and
reanimation in obstetrics.
Parturient maternal traumatism.
Postnatal infectious complications
Total
Theme’s Plan of practical classes
2
2.
3.
4.
5.
№
1.
2.
3.
4.
5.
6.
7.
8.
Theme
Early gestosis. Hypertonic diseases and pregnancy. Preeclampsia,
eclampsia
Miscarriage
Overterm pregnancy. Uterine birth activity anomalies.
Pregnancy and labor with extragenital diseases.
Obstetric Hemorrhages during the first trimester of pregnancy.
Extrauterine pregnancy. Obstetric Hemorrhages during the second
half of pregnancy, labour and in puerperal period. Intensive therapy
and reanimation in obstetrics.
Surgical obstetricsParturient maternal traumatism.
Postnatal infectious complications
Final modular control 2.
2
2
2
2
10
Quan/h
Total
4
4
4
4
4
4
4
4
30
Theme’s Plan of Independent students work (ISW)
№
1.
2.
3.
Kind of ISW
Quan/h
Control
Preparation for the practical classes and
lections, writing educational history of
gynecological disease.
Individual independent work
12
Line modular control
on practical classes
3
Final modular control
Preparation for the Final modular control
Total hours
5
20
Final modular control
4.3. MODULE 3.
DISEASES OF THE FEMALE REPRODUCTIVE SYSTEM. FAMILY PLANNING.
THEMe’s PLAN OF LECTURES
№
Theme
1.
Violation of menstrual function. Neyroendokrinological syndromes in
gynaecology.
Benign tumors of female genital organs.
Backgrounds and precancerous diseases of female genital organs.
Malignant new formations of genital.
Pelvic inflammatory diseases of female genital organs.
Infertility marriage. Family planning.
Total
Theme’s Plan of practical classes
2.
3.
4.
5.
№
1.
Quan/
h
2
2
2
2
2
10
Quan/h
6.
7.
8.
Theme
Clinical anatomy and physiology of female genital organs. Methods
of inspection of gynaecological patients.
Disoders of menstrual cycle. Neyroendokrine syndromes in
gynaecology.
Endometriosis. Gynaecological diseases of children and teenagers.
Anomalies of position and development of female genital organs.
Gynaecological aspects of diseases of suckling gland. Benign
tumours of female genital organs.
Backgrounds and precancerous diseases of female genital organs.
Malignant new formations of genital organs. Trophoblast diseases.
Inflammatory diseases of female genital organs.
Acute abdomen in gynaecology.
Infertility marriage. Family planning.
9.
Defence of educational history of disease.
4
10.
Final modular control III.
4
Total
40
2.
3.
4.
5.
2.
4
4
4
4
4
4
4
Theme’s Plan of Independent students work (ISW)
Kind of ISW
Quan/h
Control
№
1.
4
Preparation for the practical classes and
lections
Individual independent work
15
Line module control
on practical classes
Final module control
5
3.
Preparation for the Final module control
5
Total hours
25
Final module control
4.4. MODULE 4. OBSTETRICS AND GYNECOLOGY
Theme’s Plan of practical classes
№
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16
17.
18.
Theme
Physiology of pregnancy, labor and puerperium. Perinatal care of
fetus. Pharmacotherapy in obstetrics. Questions of medical ethics and
deontology.
Early gestosis. Hypertonic diseases and pregnancy. Preeclampsia,
eclampsia.
Multifetal pregnancy. Preterm delivery.
Obstetric Hemorrhages during pregnancy, labour and in puerperal
period. Hemorrhagic shock. THS. Terminal states in obstetrics.
Uterine birth activity anomalies. Parturient maternal traumatism.
Modern methods of diagnostic and treatment labor traumas of the
mother and fetus
Pregnancy and labor with extragenital diseases.
Placental dysfunction. Low weight babies. Pathology of the newborn
period. Methods of therapy and reanimation of the newborn.
Clinical and physiologycal changes of female genital organs in
different ages. Neyroendokrine regulation of function of the female
genital organs.
Female urogenital inflammatory diseases. Diagnostic, treatme3nt and
prophylaxis.
Disoders of menstrual cycle in different ages. Neyroendokrine
syndromes in gynaecology.
Endometriosis. Methods of diagnostic, treatmant and prophylaxis of
endometriosis. Anomalies of position and development of female
genital organs
Pathological states of reproductive system of children and teenagers.
Quan/h
5,5
5,5
5,5
5,5
5,5
5,5
5,5
5,5
5,5
5,5
5,5
5,5
Benign tumours of female genital organs. Methods of diagnostic,
treatmant and prophylaxis. Gynaecological aspects of diseases of
suckling gland.
Backgrounds and precancerous diseases of female genital organs.
Malignant new formations of genital organs. Trophoblast diseases.
Acute abdomen in gynaecology.
5,5
Treatment and diagnostic endoscopic methods of treatment in
gynecology. Principles and methods of anesthesiology and
reanimation during gynecological operations
Infertility marriage. Modern principles and methods of infertility
treatment.
Family planning. Modern aspects of contraception
5,5
Final modular control IV.
5,5
Total
110
5,5
5,5
5,5
5,5
Theme’s Plan of Independent students work (ISW)
Kind of ISW
Quan/h
Control
№
1.
3.
Preparation for the practical classes and
lections
1.Disparity of fetuses head and female pelvis
2.Postnatal septic infections
3.Imunological compatibles mothers blood
and fetus
Preparation for the practical classes
49,5
Final module control
4.
5.
6.
Methods of inspection gynecological women
Individual independent work
Preparation for the Final module control
4,5
13
18
Final module control
Final module control
Final module control
Total hours
115
2.
21
3
3
3
Line module control
on practical classes
Final module control















4.5 LIST OF INDIVIDUAL TASKS
Module 1
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’ wellbeing»
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».
MODULE 2
Writing the abstract “Early gestosis.”
Writing the abstract”Hypertonic diseases and pregnancy”
Writing the abstract “Preeclampsia, eclampsia.”
Writing the abstract “Reasons of the miscarriage in early terms.”
Writing the abstract “Preterm labor”
Writing the abstract “Overterm pregnancy”
Writing the abstract “Modern methods of diagnostic of uterine birth activity
anomalies”
Writing the abstract “Blood diseases and pregnancy”
Writing the abstract “ Endocrine diseases and pregnancy”
Writing the abstract “Cardio-vascular diseases and pregnancy”
Writing the abstract “Diseases of the kidney system during pregnancy”.
Writing the abstract “Gastro-intestinal diseases and pregnancy”
Writing the abstract “Infectional diseases and pregnancy”
Writing the abstract “Extrauterine pregnancy: classification, clinic, diagnostic,
modern methods of treatment”
Writing the abstract “Prepositional of placenta: etiology, pathogenesis, classification,
clinic, diagnostic.”
Writing the abstract “Uterine bleeding in puerperal period”
Writing the abstract “Shock. Terminal states in obstetrics”
Writing the abstract “Endoscopic methods in gynecology”
Writing the abstract “Rupture of uterus”
Report of essay at meeting of Students scientific association.
Publishing of theses and articles.
MODULE 3
1. Writing the abstract «Endoskopic methods of research: kolposkopiya,
gisteroskopiya, cystoskopiya, laparoskopiya».
2. Writing the abstract «Amenoreya: classification, clinic, and diagnostics.
Modern methods of treatment».
3. Writing the abstract « Dysfunctional uterine bleeding: ovulated,
anovulyated».
4. Writing the abstract ««Neyroendokrinological syndromes in gynecology.
Modern methods of treatment, role of endoscopic methods in diagnostics and
treatment».
5. Writing the abstract «Endometriosis: etiology, pathogenesis, classification,
diagnostics and clinic. Modern methods of treatment. A medical rehabilitation
of women with endometriosis».
6. Writing the abstract «Peculiarity of clinic, diagnostics and treatment of the
most widespread types of gynecological pathology for girls and teenagers».
7. Writing the abstract «Anomaly of position of female genital organs.
Treatment. Prophylaxis».
8. Writing the abstract «Defect of development of female genital organs.
Infantilism, violation of sexual development, disgenesis of gonads».
9. Writing the abstract « Benign tumors of external female genital organs ».
10.Writing the abstract «Benign tumors. A concept about cyst and cystoma».
11.Writing the abstract «Benign tumors of uterus. Fibromioma of uterus. Clinic,
diagnostic and treatment».
12. Writing the abstract «Precancerous diseases of external female genital
organs».
13.Writing the abstract «Precancerous diseases of cervix uteri».
14.Writing the abstract «Hyperplasic processes of endometrium. Modern
methods of diagnostic and treatment».
15.Writing the abstract «Cancer of external female genital organs».
16.Writing the abstract «Cancer of cervix uteri».
17.Writing the abstract «Cancer of corpus uteri. Sarcoma of uterus».
18. Writing the abstract «Trophoblast diseases».
19.Writing the abstract «Gynecological aspects of diseases of suckling gland».
20.Writing the abstract «Inflammatory diseases of unspecific etiology (vulvit,
vaginit, endotservitsit, endometrit, adneksit, pelvioperitonit, parametrit)».
21.Writing the abstract «Inflammatory diseases of specific etiology».
22.Writing the abstract «Apoplexy of ovary, twirling of leg of tumor, rupture the
capsules of tumor of ovary».
23.Writing the abstract «Traumatic damages of female genital organs».
24.Writing the abstract «Differential diagnostic of urgent gynecological states
with acute surgical pathology».
25.Writing the abstract «Endoscopic methods of treatment infertility,
endometriosis and other types of gynecological pathology».
26.Writing the abstract «Reasons of women and masculine infertility. An
inspection of matrimonial pair at sterile marriage».
27.Writing the abstract «Modern reproductive technologies».
28. Writing the abstract «Organization, structure and task of service of planning
of family».
29. Writing the abstract «Modern aspects of contraception. Classification,
mechanism of action and efficiency of modern contraceptive facilities».
30. Report of essay at meeting of Students scientific association.
31. Publishing of theses and articles.
MODULE 4
1. Writing the abstract “Pharmacotherapy in obstetrics.”
2. Writing the abstract “Rare forms of early gestoses.”
3. Writing the abstract “Pregnancy and labor with preeclampsia and eclampsia.”
4. Writing the abstract “Multiple pregnancy.”
5. Writing the abstract “Problems of miscarriage in modern obstetrics.”
6. Writing the abstract “Hemorrhages in the I half of pregnancy”
7. Writing the abstract “Hemorrhages in the II half of pregnancy”
8. Writing the abstract “Hemorrhages in labor.”
9. Writing the abstract “Hemorrhages in puerperium.”
10.Writing the abstract “Hemorrhagic shock in obstetrics”
11.Writing the abstract “Rupture of uterus”
12.Writing the abstract «Physiology changes in the organs of the cardiovascular
system and breathing system during pregnancy».
13.Writing the abstract «Physiology changes in the organs of gastric tract during
pregnancy».
14.Writing the abstract “Abnormalities of conceptus of fetuses egg”
15.Writing the abstract “Postnatal infectious diseases”
16.Writing the abstract “Immunological incompability mothers blood and fetus”
17.Writing the abstract “Infections in gynecology”
18.Writing the abstract “Neuroendocrine syndromes in gynecology”
19.Writing the abstract “Endometriosis of female privy parts”
20.Writing the abstract “Cyst and cystoma”
21.Writing the abstract “Backgrounds and precancerous diseases of female genital
organs”
22.Writing the abstract “Mioma of uterus”
23.Writing the abstract “Malignant new formations of genital organs”
24.Writing the abstract “Acute abdomen in gynecology”
25.Writing the abstract “ Endoscopic methods in gynecology”
26.Writing the abstract “Modern principles and methods of treatment of female
infertility”
27.Writing the abstract “Modern aspects of contraception”
28. Publishing of abstracts.
4.6 A DIVISION OF MARKS IS FOR ESTIMATION OF EDUCATIONAL
ACTIVITY OF STUDENT
Assessment of student’s knowledge
Module 1
Context Module 1
Theme 2 Bone Pelvis. Fetus as an object of labor.
Theme 3 Physiology of pregnancy. Perinatal care of fetus. Methods
of examination of pregnant women. Obstetrics terminology
Theme 4 Physiology of labor. Anesthesia in labor.
Theme 5 Physiology of puerperium. Physiology of n ewborn.
Context Module 2
Theme 6 Breech presentation. Malpresentations. Contracted pelvis
Theme 7 Abnormalities of conceptus’ development. Multifetal
pregnancy. Malpresentations of fetus.
Theme 8 Diagnostic methods of well-being of fetus. Placental
insufficiency.
Theme 9 Rh-izoimmunisation of fetus. Disorders of neonatal period.
Asphyxia of the newborn. Methods of resuscitation of the infants.”
Theme 11 Defense of educational history of labor.
Points
12
12
12
12
12
12
12
12
12
Independent students’ work
12
Total current study work
Final modul control I.
120
Total
200
80
Com
ment
s: “5”
– 12
point
s, “4”
– 10 points, “3” – 8, “2” – 0 points.
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.
Module 2
(table of contents of the estimated activity)
Themes module 3.
Theme 12. Early gestosis. Hypertonic diseases and pregnancy.
Preeclampsia, eclampsia.
Theme 13. Miscarriage.
Theme 14. Uterine birth activity anomalies.
Theme 15. Pregnancy and labor with extragenital diseases.
Theme 16. Obstetric Hemorrhages during the first trimester of
pregnancy. Extrauterine pregnancy. Obstetric Hemorrhages during the
second half of pregnancy, labour and in puerperal period. Intensive
therapy and reanimation in obstetrics.
Theme 17. Parturient maternal traumatism
Theme 18. Postnatal infectious complications
Individual independent work
Together current educational activity
Final module control
A SUM OF MARKS IS FOR MODULE
Maximal
amount of
marks
16
16
16
16
16
16
16
8
120
80
200
Comments: “5” – 16 points, “4” – 13 points, “3” – 10, “2” – 0 points. Independent
students work –8 points. Maximum number of points – 120.
Student can be allowed to pass final modular control in case he/she
fulfilled study program and received at least 70 (7x10) points during practical classes.
Final modular control can be described as “passed” in case student received at least
50 of 80 points.
Module 3
(table of contents of the estimated activity)
Maximal
amount of
marks
Themes module 4.
Theme 19. Clinical anatomy and physiology of female genital organs.
13
Methods of inspection of gynaecological patients.
Theme 20. Violation of menstrual function. Neyroendokrinological
13
syndromes in gynaecology.
Theme 21. Endometriosis. Gynaecological diseases of children and
13
teenagers. Anomalies of position and development of female genital
organs.
Themes module 5.
Theme 22. Benign tumors of female genital organs. Gynecological
13
aspects of diseases of suckling gland.
Theme 23. Backgrounds and precancerous diseases of female genital
13
organs. Malignant new formations of genital organs. Trofoblast
diseases.
Themes module 6.
Theme 24. Inflammatory diseases of female genital organs
13
Theme 25. Acute abdomen in gynecology.
13
Themes module 7.
Theme 26. Infertility. Planning of family.
13
Theme 27. Defense of educational history of disease.
13
Individual independent work
3
Together current educational activity
120
80
Final module control
A SUM OF MARKS IS FOR MODULE
200
Comments: “5” – 13 points, “4” – 10 points, “3” – 8, “2” – 0 points. Independent
students work –3 points. Maximum number of points – 120.
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.
Module 4
(table of contents of the estimated activity)
Context module 8.
Theme 28. Physiology of pregnancy, labor and puerperium period.
Perinatal care of fetus. Pharmacotherapy in obstetrics. Questions of
medical ethics and deontology.
Context module 9.
Theme 29. Early gestoses. Hypertonic diseases during pregnancy.
Preeclampsia, eclampsia. Operation techniques in obstetrics.
Theme 30. Multiple pregnancies. Preterm labour
Theme 32. Obstetric Hemorrhages during pregnancy, labour and in
puerperal period. Hemorrhagic shock. THS. Terminal states in
obstetrics.
Theme 33. Uterine birth activity anomalies. Parturient maternal
traumatism.
Theme 34. Pregnancy and labor with extragenital diseases.
Context module 10.
Theme 36. Placental dysfunction. Low weight babies. Pathology of
the newborn period. Methods of therapy and reanimation of the
newborn.
Context module 11.
Theme 38 Disoders of menstrual cycle in different ages.
Neyroendokrine syndromes in gynaecology.
Context module 12.
Theme 40 Female urogenital inflammatory diseases. Diagnostic,
treatment and prophylaxis.
Theme 41 Disoders of menstrual cycle in different ages.
Neyroendokrine syndromes in gynaecology.
Theme 42 Endometriosis. Methods of diagnostic, treatmant and
prophylaxis of endometriosis. Anomalies of position and development
of female genital organs
Theme 43 Pathological states of reproductive system of children and
teenagers.
Theme 44 Benign tumours of female genital organs. Methods of
diagnostic, treatmant and prophylaxis. Gynaecological aspects of
diseases of suckling gland.
Theme 45 Backgrounds and precancerous diseases of female genital
organs. Malignant new formations of genital organs. Trophoblast
diseases.
Theme 46 Acute abdomen in gynaecology.
Maximal
amount of
marks
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
Theme 47 Treatment and diagnostic endoscopic methods of treatment
in gynecology. Principles and methods of anesthesiology and
reanimation during gynecological operations
Context module 13.
Theme 48 Infertility marriage. Modern principles and methods of
infertility treatment.
Theme 49 Family planning. Modern aspects of contraception
Individual students work
Together current educational activity
Final module control
A SUM OF MARKS IS FOR MODULE
6
6
6
12
120
80
200
Comments: “5” – 13 points, “4” – 10 points, “3” – 8, “2” – 0 points. Independent
students work –3 points. Maximum number of points – 120.
Student can be allowed to pass final modular control in case he/she fulfilled
study program and received at least 72 (4x18) 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 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 women. 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 women. 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
А (excellent)
В (very well)
С (good)
D (satisfactorily)
Е (poorly)
FX
F
National scale
excellent
good
satisfactorily
unsatisfactorily
with possibility of
repeated
drafting
unsatisfactorily
with the mandatory
repeated course
Scale BSMU (in balls)
180-200
165-179
150-164
135-149
120-134
70-119
1-69
4.7. A LIST OF QUESTIONS FOR EVENTUAL
CONTROL OF THE KNOWLEDGE
Module 1. Physiology of pregnancy, labor and puerperal period
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
Organization of obstetric-gynaecological aid. Medico-actuarial science. A
question of health protection maternity and childhood is in the modern
legislation of Ukraine.
Structure and principles of work of maternity hospital. Basic indexes of work
of obstetric hospital.
A role of female consultation in the prophylaxis of complications of pregnancy
and labor, perinatal care of fetus.
Female consultation and its role is in a prophylaxis, diagnostics and treatment
of gynaecological diseases.
Influence of harmful factors on menstrual and reproductive functions.
Consultation on «Marriage and family». Medico-genetic consultation, its
functions. Family planning.
Psychological preparation of woman before labor.
Farmacotherapy in obstetrics, influence of medications on a fetus.
Medical deontology in obstetrics and gynecology. Ethics of doctor.
Ways of passing AIDS, ТORCH-infections and methods of their prophylaxis.
External and internal female genitalia.
Blood delivery and lymphatic systems of female genitalia.
Physiology changes are in the female sexual system in different age-old
periods.
A modern picture of the neuro-endocrine regulation of menstrual function.
Structure of female pelvis. Pelvis from the obstetric point of view.
Fetus as an object of labor (sizes of head, sutures, fontanels).
Structure of gametes. Impregnation and development of fetus. Implantation.
Placentation. Organogenesis. Development of fetal shells.
Methods of examination of pregnant. External and internal obstetric
examination of pregnant. Obstetric terminology.
Diagnostics of early terms of pregnancy.
Diagnostic of late terms of pregnancy.
Viability and maturity of fetus.
Periods of labor.
Biomechanism of labor in anterior and posterior occipital presentations.
Period of cervical effacement in labor. Clinical flow and management.
Non-medical anesthesia in labor.
Period of pushing efforts. Clinical flow and management.
Perineal protection maneuvers.
Placental period (the third period of labor). Clinical flow and management.
Signs of placental separation.
Physiological separation of placenta.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
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55.
56.
57.
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60.
Conservative methods of separation of placenta.
Methods of estimation of after-birth condition of placenta. Physiological and
pathological blood loss.
Clinical flow and management of puerperium.
Changes in maternal organism during puerperium.
Aseptic in obstetrics.
Multifetal pregnancy. Collision of twins.
Prophylaxis of complications of multifetal pregnancy.
Classification of breech presentation.
Biomechanism of delivery in case of breech presentation.
Management of the delivery in case of breech presentation. Classical aid. Aid
by Tsovyanov (I and II).
Anatomically and clinically contracted pelvis.
Classification of pelvis’ contraction.
Features of flow of pregnancy and delivery in case of contracted pelvis.
Features of biomechanism of labor in case of different forms of contracted
pelvis.
Labor and large fetus. Etiology. Methods of diagnostics. Complications in
labor.
Circulation of blood as an element of the functional system of placenta and
fetus.
Functions of placenta. Biological role of amniotic fluid.
Methods of determination of the functional state of the placental system in the
different terms of pregnancy, in labor. Biopsy of chorion. Amniocentesis.
Cordocentesis.
Embryo and fetal periods of development. Blasto-, embrio- and fetopathy.
Diagnostics of defects of development of fetus in different periods of
pregnancy.
Perinatal pharmacology. Influence of strong medications and nicotine on a
fetus.
Immunological incompatibility of blood of mother and fetus (Rh-conflict, etc).
Pathogenesis of immunological conflict, modern system of diagnostics and
treatment.
A conduct of pregnancy and determination of optimum term of births in case of
immunization of rhesus.
A conduct of post-natal period in case of immunological conflict.
Hemolytic disease of newborn. Diagnostics and treatment.
Placenta insufficiency. Classification. Diagnostics and therapy of placenta
insufficiency.
Modern methods of diagnostics of the fetus well-being.
Fetal retardation. Etiology, diagnostics and methods of treatment. Tactic of
labor.
Methods of treatment of hypoxia of fetus.
An estimation of newborns according to scales of Apgar and Silverman.
Reanimation and intensive therapy of asphyxia of newborn.
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62.
63.
64.
65.
Features of adaptation of pre-term newborns.
Hormonal crisis of newborn.
Infection toxic diseases of newborn.
Intrauterine infections of fetus. TORCH-infections.
Violation of function of lactation. Methods of correction.
MODULE 2.PATHOLOGICAL COURSE OF PREGNANCY, LABOR AND
PUERPERAL PERIOD
1. Prophylaxis of puerperal diseases.
2. Labor and breech presentation.
3.Modern principles of labor with breech presentation.
4. Early gestoses. Ptialism. Pathogenesis, clinic, diagnostic and treatment of early
gestoses.
5. Late gestoses. Modern classification of late gestoses.
6. Preeclampsia, eclampsia.
7. HELP-syndrom. Diagnostic and treatment.
8. Pregnancy and labor with cardio-vascular diseases.
9.Reasons of the miscarriage in early terms.
10.Preterm labor
11.Overterm pregnancy
12.Modern methods of diagnostic of uterine birth activity anomalies
13.Blood diseases and pregnancy
14.Endocrine diseases and pregnancy
15.Cardio-vascular diseases and pregnancy
16.Diseases of the kidney system during pregnancy.
17.Gastro-intestinal diseases and pregnancy
18.Infectional diseases and pregnancy
19.Extrauterine pregnancy: classification, clinic, diagnostic, modern methods of
treatment
20.Prepositional of placenta: etiology, pathogenesis, classification, clinic,
diagnostic.
21.Uterine bleeding in puerperal period
22.Shock. Terminal states in obstetrics
23.Endoscopic methods in gynecology
24.Rupture of uterus
Module 3. Diseases of female reproductive system.
Family planning.
1. General and special methods of inspection of gynecological patients.
2. Bimanual vaginal inspection through a rectum. Inspection by a vaginal mirror.
3. Methods of functional diagnostics of the state of ovaries.
4. Etiology, pathogenesis, classification of inflammatory diseases of female
genital organs. Features of motion in different age-old periods.
5. Inflammation of external genital organs and vagina.
6. Inflammation of internal genital organs and vagina.
7. Diseases which are passed a sexual way (trikhomanoz, gonorrhea,
ureaplazmoz, chlamidioz).
8. Genital kandidosis. Clinic, diagnostics, treatment.
9. Genital herpes. Clinic, diagnostics, treatment.
10.Bacterial vaginosis. Etiology, clinic, diagnostics, treatment.
11.Tuberculosis of female genital organs.
12.Principles of conducting of pregnant with purulent tuboovarial tumours.
13.Classification of disorders of menstrual function.
14.Amenoreya.
15.Disfunktsional uterine bleeding. Classification. Methods of
diagnostics and treatment.
16.Yuvenil uterine bleeding. Etiology, clinic, diagnostics, treatment.
17.Climacteric uterine bleeding. Etiology, clinic, diagnostics, treatment.
18.Algodismenoreya. Etiology, classification, clinic, treatment.
19. Neyroendokrinological syndromes in gynecology
20. Modern approaches to hormonotherapy in gynecology.
21. Reasons of women and masculine infertility. Forms of female infertility
22. An inspection of matrimonial pair at sterile marriage.
23. Modern principles and methods of treatment of femaleinfertility.
24. Contraceptive facilities. Classification, mechanism of action and efficiency of
modern contraceptive facilities.
25. Endometriosis. Etiology, pathogenesis, classification, clinic, diagnostics,
modern methods of treatment.
26. Anomalies of position of female sexual parts. Treatment and prophylaxis.
27. Defects of development of female genital organs. Reconstructive operations.
28. Backgrounds and precancerous diseases of cervix uteri.
29. A concept about cyst and cystoma of ovaries. Classification of tumors of
ovaries. Clinic. Diagnostics. Treatment.
30. Fibromioma of uterus. Classification, clinic, diagnostics.
31. Methods of conservative and operative treatment of fibromioma uteri. A
testimony to surgical treatment.
32. Cancer of vulva. Classification, clinic, diagnostics, treatment.
33. Cancer of vagina. Classification, clinic, diagnostics, treatment.
34. Cancer of cervix uteri. Classification, clinic, diagnostics, treatment.
35. Cancer of body of uterus. Classification, clinic, diagnostics, treatment.
36. Sarcoma of uterus. Classification, clinic, diagnostics, treatment.
37. Cancer of ovaries. Classification, clinic, diagnostics, treatment.
38. Cancer of uterine pipe. Classification, clinic, diagnostics, treatment.
39. Ttrophoblast diseases. Diagnostics and treatment.
40. Apoplexy of ovary. Differential diagnostics is with surgical pathology.
41. Twirling of leg of tumor. Differential diagnostics with surgical pathology.
42. Rupture of the capsules of tumor of ovary.
43. Violation of feeding of fibromatose node. Differential diagnostics with
surgical pathology.
44. Purulent tuboovarial tumour. Differential diagnostics with surgical pathology.
45. Traumatic damages of sexual parts. Differential diagnostics with surgical
pathology.
MODULE 4. OBSTETRICS AND GYNECOLOGY
1. Physiology of pregnancy. Perinatal care of fetus. Pharmacotherapy in
obstetrics. Questions of medical ethics and deontology. Pharmacokinetics and
fharmacodynamics of medical drugs.
2. Physiology of labor. Anesthesia in labor. Physiology of puerperium.
Physiology of newborn.
3. Macrosomia in modern obstetrics.
4. Early gestoses. Hypertonic diseases during pregnancy. Preeclampsia.
5. Pregnancy and labor with extragenital diseases.
6. Multifetal pregnancy. Noncarring pregnancy.
7. Overterm pregnancy. Uterine birth activity anomalies.
8. Parturient maternal traumatism.
9. Rh-izoimmunization. Abnormalities conceptus’ fetuses egg.
10.Hemorrhages during p0regnancy, labor and in puerperal period. Hemorrhagic
shock. Terminal states in obstetrics.
11.Surgical obstetrics.
12.Puerperal surgical diseases.
4.8. LIST OF PRACTICAL TASKS
Practical employments after the credit-module system of organization of
educational process are conducted in the mode of rotary press of the modules of
clinical disciplines. Duration of one practical employment is no fewer 4 hours. After
the method of organization they are clinical, mastering of theoretical material and
forming of practical abilities and skills, and also abilities to analyse and apply the got
knowledge for the decision of practical tasks, directed on control; they provide for:
Collection the anamnesis;
Examination of patient;
planning the inspection of patient;
Interpretation the information of laboratory and instrumental researches;
conducting of differential diagnostics of the most widespread gynecological
pathology;
determination of previous clinical diagnosis;
determination of medical tactic;
giving urgent medical assistance;
decision of tasks of situations;
working off practical skills on plaster casts and bedside sick;
to conduct the medical document.
Module 1. Physiology of pregnancy, labor and puerperal period
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
MODULE 2.PATHOLOGICAL COURSE OF PREGNANCY, LABOR AND
PUERPERAL PERIOD
Module 3. Diseases of female reproductive system.
Family planning.
1. Gynaecological research (mirror, bimanual, rectal, rektovagial).
2. To collect the special gynaecological anamnesis, estimate the results of laboratory
research (global and biochemical analyses of blood, urine, coagulation the system of
blood and other).
3. Taking the material from vagina, urethra and cervikal channel.
4. To estimate the results of kolpotcitological research.
5. To estimate the results of kolposkopic research.
6. To estimate the tests of diagnostics of the functional state of ovaries.
7. To estimate the results of citologichal, histological, bacteriological researches.
8. To estimate the results of roentgenological researches of womanish privy parts.
9. To estimate the results of USD.
10. To work out a plan of inspection of sick at different kinds gynaecological
pathology.
4.8 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 медикогенетичної 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”.