Undergraduate Studies - Department of Obstetrics
Fourth Year Curriculum (Obstetrics & Gynaecology - GYNGyn-41) First Semester - Total Theory Hours: 22 - Practical Clinical Hours/Week: Theory 2, Clinical - Credits: 2
Learning Objectives
The course is designed to enable the student to:
- Demonstrate knowledge in the basic science including relevant to the female reproductive system.
- Explain signs and symptoms of pregnancy and maternal physiological changes.
- Explain the principle of detection and confirmation of early pregnancy problem and common approach to identify high risk pregnancies.
- Describe specific terms used in labour, mechanism of labour.
- Demonstrate the most common complications that may arise during pregnancy; and the approach in diagnosis and management.
Instruction and Learning Methods and Tools
The course is given as twice weekly lecture for 1 hour each.
The lectures are interactive and composed of case based learning with pre and post questions and encourage the student into self-directed learning.
Syllabus
Theory
- Clinical anatomy of the female reproductive tract (1 hour) - Demonstrate knowledge of the female reproductive anatomy and applying it in the assessment of a patient with various obstetrical and gynaecological complaints.
- Maternal physiology (1 hour) - Explain the maternal physiological changes during pregnancy and any deviation from the norm. Applying this knowledge in the interpretation of investigation during pregnancy.
- Ovulation, nidation and fertilization and Structure and function of the placenta (1 hour) - To understand the physiology of ovulation, fertilization, implantation. Recognize the variation in the menstrual cycle. Plan the evaluation process according to the physiological process to ensure the most appropriate diagnosis. Illustrated the development of the placenta with an introduction to abnormal placentation.
- Early development of the foetus (1 hour) - Recalling the previous knowledge in embryology. Demonstrate critical time in early embryological life and effect of various factors on its development.
- Antenatal care (1 hour) - Apply the knowledge of physiological changes in pregnancy so the medical student will be familiar with the clinical signs and diagnosis of pregnancy, symptoms and signs of a normal pregnancy, maternal adaptation to pregnancy and management of a pregnant lady during antenatal care. Predict those pregnancies with high risk how they need to be observed at higher medical levels.
- Bleeding in early pregnancy I, II, III (3 hours) - Recognize different causes of bleeding in early pregnancy. Demonstrate the approach to differentiate each cause (miscarriage, ectopic pregnancy and gestational trophoblastic disease) according to the clinical presentation, necessary investigations. Construct a different strategy for optimal management for each. Illustrated the complication of each condition and its effect on future pregnancy and fertility of women.
- Anatomy of bony pelvis & foetal skull (1 hour) - Demonstrate knowledge in the component of the normal female bony pelvis and its effect on the process of normal labour and stages of labour. Introduce normal variation of bony pelvis and its effect on the chance of vaginal deliveries. Illustrated the anatomy of the foetal skull and its effect on normal labour.
- Normal labour (1 hour) - Demonstrate the process of vaginal delivery. Analyse the main three factors affecting successful vaginal delivery (power, passage and passenger). Apply the knowledge of the normal process in the optimal management of labour and to anticipate any abnormality during parturition and high risk pregnancies.
- Malposition of the vertex, face & brow presentation (1 hour) - Explains labour abnormalities regarding fetal malposition and the management of each condition.
- Breech presentation (1 hour) - Explain the concept of malpresentation during pregnancy and labour and the management of these obstetric conditions. Demonstrate its impact on maternal and foetal outcome and optimum management.
- Transverse lie, cord accidents and unstable lie (1 hour) - Explain the obstetric emergency arising after cord prolapse and risk factors for these emergencies. Observing the steps of management to ensure the best outcome.
- Antepartum haemorrhage I, II (2 hours) - Illustrate the main causes of antepartum haemorrhage. Explain the effect of this condition on maternal and foetal outcome. Analyse the obstetrical history, physical examinations and investigations in order to reach the diagnosis of each condition. Plan the management of this obstetric emergency according to the aetiology.
- Disorders of foetal growth and management of foetal wellbeing (1 hour) - Define the most common abnormalities of foetal growth. Demonstrate the approach in the assessment of foetal wellbeing. Classify different tools of assessment. Organize management plan for the optimal foetal outcome.
- Induction of labour and intrauterine death (1 hour) - Define of induction of labour.