Anatomy and physiology of female, vital statistics, normal and pathological pregnancy, antenatal care, obstetrical examination,
spontaneous labour, foetal malpositions and malpresentations, breech presentation, ultrasound examination, prenatal diagnosis
of fetal malformations, antepartum hemorrhage, foetal distress, obstetric operations, acute obstetrics emergencies.
Requirements to the exam
Last update: Hana Malínská (08.09.2020)
Credit:
Complete attendance of practical courses and seminars (including one night duty)
Examination:
Exam.
Syllabus
Last update: Ing. Dominika Kosinová (29.08.2022)
Entry requirements: no prerequisites
Outcomes (Gynecology and Obstetrics I):
1. the student will acquire theoretical knowledge of obstetrics
2. the student acquires basic practical skills in clinical reasoning, diagnosis and treatmentand and clinical activities in the field of gynaecology and obstetrics
Lecturers
Prof. Jiří Špaček, M.D., Ph.D., IFEPAG
Prof. Marian Kacerovský, M.D., Ph.D.
Prof. Ivana Kacerovská Musilová, M.D., Ph.D.
Ivo Kalousek, M.D., Ph.D.
Karel Hodik, M.D., Ph.D.
Miroslav Gregor, M.D., Ph.D.
Jaroslav Thierry Kříž, M.D., Ph.D.
Martin Štěpán, M.D., Ph.D.
Jaroslav Stráník, M.D.
Assoc. prof. Blanka Vavřinková, M.D., Ph.D.
Introduction to gynaecology and obstetrics.History.Topographical anatomy, vascular and lymphatic supply of the female reproductive organs,clinical significance. Anatomy of pelvis, important diameters of the fetal head.Pelvimetry. (Špaček )
Organisation of care in pregnancy, antenatal care. Statistical indicators of pregnancy. Perinatal and maternal morbidity and mortality. Neonatal morbidity. Legal issues in obstetrics. (Kacerovský)
Diagnosis of pregnancy. Complications of early pregnancy - early pregnancy loss, ectopic pregnancy. Prenatal diagnosis - ultrasound diagnosis management. Methods of pregnancy termination during 1st and 2nd trimester. (Kacerovská Musilová)
Intrauterine fetal development. Stages of intrauterine fetal development, pregnancy duration, determination of gestational age. Placenta - the morphology, location, function. Fetal membranes, amniotic fluid. Obstetrics analgesia and anesthesia. (Gregor)
Normal fetal lie, presentation, attitude, position. Fetal malposition and malpresentation - breech presentation, transverse, oblique and unstable lie. Obstetrics examination before and during labour - external and internal obstetric examination, external examination of the pelvis. Fetal well-being assessment - determination of fetal vitality, hypoxia diagnosis. (Hodík)
Normal labour, stages of labour, mechanism and management . Abnormalities of the expulsive forces. Home birth. (Hodík)
Abnormalities of 3 rd stage of labour, uterine atony. Perineal tear. Peripartal haemorrhage. Amniotic fluid embolism. Tromboembolism in pregnancy and in labour. Pre-eclampsia, eclampsia, HELLP. (Stráník )
Normal pregnancy. Maternal physiology - cardiovascular, respiratory, gastrointestinal, uropoetic, endocrine systems, metabolic and skin changes. (Štěpán Martin)
Preterm birth - spontaneous and iatrogenic. Post-term pregnancy. Labour pre-induction and induction. Prostaglandins in pregnancy. Stillbirth. Diabetes in pregnancy. (Kacerovský)
Maternal pregnancy complications. Hyperemesis gravidarum. Pregnancy-related hypertension, infectious, renal,liver, cardiovascular and haematological diseases. Malignancies in pregnancy. (Kacerovská Musilová)
Normal and complicated puerperium, roomin in. Drug addiction in pregnancy and during lactation. Resuscitation of the newborn. Neonatal intensive care. (Stráník)
Antepartum and postpartum haemorrhage. Case report.
Prenatal ultrasound diagnosis, screening of fetal abnormalities - theory, DVD.
Practical courses
UC Ultrasound clinic
MOS Small Operating Theatre
OG Department of Gynecologic surgery
OT + OMN Department of Gynecology and Pregnancy
PS Obstetrics Theatre
AMB Outpatient Department
OG+oper. sály Department of Gynecologic surgery and Operating Theatre
FAN Phantom training - examination in gynecology
- examination in obstetrics
Notes:
Students will start practical courses at the Department of Obstetrics and Gynecology at 8.00 AM. All students must have white clothing (white trousers, white coat, white shirt or T-shirt and white shoes) for practical courses.
Literature
Last update: Ing. Dominika Kosinová (29.08.2022)
Compulsory literature
1. Philip Baker and Louise Kenny, Obstetrics by Ten Teachers (19th edition)
2. Ash Monga and Stephen Dobbs, Gynaecology by Ten Teachers (19th edition)
Recommend literature
1. Berek, J. S. Berek and Novak´ s Gynecology, Fifteenth edicion, 2012
2. Edmonds, K. D. Dewhurst´s Textbook of Obstetrics and Gynaecology. Eight edition, 2012
3. Smith, R. P. Netter´s Obstetrics and Gynecology, Elsevier Books, 2017
4. Sterphenson, S. R. Obstetrics and Gynecology, Lippincott Williams and Wilkins, 2017
