84485 - Obstetrics and Gynecology

Learning outcomes

Describe the clinical manifestations, etiology, epidemiology, risk factors, natural history, diagnosis, staging, prognostic indicators and management of the major gynecologic diseases and related conditions, with emphasis on those most commonly encountered in the clinical practice. Identify the major diagnostic and therapeutic options for each encountered clinical scenario, and discuss their benefits ane limitations. Describe the course of a normal pregnancy and effective healthcare during pregnancy to ensure the health of the mother and fetus. Discuss the proper management of labor and delivery and the management of common medical complications that occur during and after pregnancy. Present and critically analyze clinical cases, discuss the differential diagnosis, and formulate appropriate diagnostic and therapeutic strategies for each case (Problem-Based Learning).

Course contents

Principles of human embryology and teratogenesis. Maternal adaptations in pregnancy. Principles of antenatal care, obstetric ultrasound, drugs in pregnancy and lactation. labor and delivery. Obstetric surgery. Congental anomalies: impact, diagnosis, screening. Infections in pregnancy. Miscarriage and trophoblastic disease. Ectopic pregnancy. Anti-erythocyte alloimmunizations. Placenta previa and placental abruption. Premature delivery. Hypertension in pregnancy. fetal growth restriction. Diabetes in pregnancy. Multiple gestations. Maternal diseases in pregnancy. From symptoms to diagnosis of the most common obstetric complications. Reproductive axis and female gonadal function regulation throughout life. The normal and abnormal menstrual cycle. Hyperandrogenism and PCOS. Pathophysiology and clinic of menopause. Contraception. Endometriosis and female chronic pelvic pain. Infertility and sterility. Assisted reproduction. Pelvic inflammatory disease and sexually transmitted genital infections. Benign gynecological diseases. Endometrial tumors and endometrial carcinoma. Cervical diseases and cervical carcinoma. Ovarian neoplasms. Genital prolapse. Female urinary incontinence. New surgical techniques and minimally invasive surgery in gynecology.

 

Readings/Bibliography

Hacker NE, Gambone JC, Hobel CJ: Hacker & Moore's Essentials of Obstetrics and Gynecology. Sixth Edition. Elsevier, Philadelphia, 2018

Teaching methods

Lectures supported by slides

Assessment methods

Assessment methods

The purpose of the oral exam is to verify the student's ability to apply knowledge and to make the required deductive reasoning and logic.

Grade point scale:

Preparation on very limited number of topics covered during the course and developing of analytical skills only with the assistance of the professor, using the proper language → 18-19;

Preparation on limited number of topics covered during the course and analytical skills only on purely executive matters, using the proper language → 20-24;

Preparation on large number of topics covered during the course, ability to make independent choices of critical thinking, mastery of specific terminology → 25-29;

Exhaustive preparation on the topics covered during the course, ability to make autonomous choices of critical thinking and connection, full mastery of specific terminology, argue and self-reflection skills → 30-30 cum laude.

Teaching tools

Slides and other material, downloadable from Insegnamenti Online

Office hours

See the website of Gianluigi Pilu

See the website of Renato Seracchioli

See the website of Maria Cristina Meriggiola