OBSTETRIC PATHOLOGY
- Overview
- Assessment methods
- Learning objectives
- Contents
- Full programme
- Bibliography
- Delivery method
- Teaching methods
- Contacts/Info
Knowledge related to the preparatory courses according with the institutuional schedules. Specifically, knowledge of the human anatomy of the female pelvis as well as the physiology of female reproductive organs is considered mandatory.
An oral exam will be scheduled at the end of the course.
The exam includes a minimum of two open questions related to the topics covered during the course. Maximum duration of the test: 30 minutes.
-To explore and understand the life cycle of women, including the effects of growth, development and aging; the etiology, pathophysiology and natural history of acute and chronic diseases pertaining to the female genital apparatus.
-To determine the main risk factors influencing the onset of pathological conditions during pregnancy.
-To learn the characteristics, the mechanisms of action and the indications of use of drugs; to become confident with the main non-pharmacological therapeutic interventions (behavioral, surgical) for the treatment of the most common obstetrical diseases, as well as the main instrumental diagnostic interventions necessary to a correct classification of the various pathologies.
- Knowing how to discuss the totality of clinical problems and address the therapeutic diagnostic process considering the centrality of the patient, according with the most recent evidence-based literature.
- To understand the proper method of medical history collection, including the various aspects of lifestyles affecting gestation.
To acquire the knowledge for a first-level clinical assessment in obstetrics.
- To learn how to communicate with patients with obstetrical diseases and / or with poor maternal or fetal prognosis.
- To recognize the conditions and obstetrical pathologies representing a potentilally life-threating events for the mother and the fetus.
- To discuss the various obstetric problems in a multidisciplinary framework, involving medical and surgical specialties.
- Knowledge and promotion of the strategies for the prevention of sexually transmitted diseases, implementing screening and early diagnosis interventions.
-To use and correctly interpret epidemiological and demographic data from national or international surveillance registers. Moreover, to demonstrate knowledge of the methodological foundations for a correct approach to scientific research in the medical field.
- To become confident with new technological equipment to improve the clinical and surgical practice related to the most common obstetric diseases.
Ultrasound diagnostics and monitoring of fetal growth.
- Indications and techniques of prenatal diagnosis.
- Labor and abnormal childbirth
- Physiopathology of the puerperium.
- Etiopathogenesis, differential diagnosis, general principles of therapy, complications of pregnancy and delivery:
- Obstetric emergencies and complications: antepartum and postpartum hemorrhage;
- Medical diseases in pregnancy
- Pre-eclampsia and preterm birth; - Complications of twin pregnancy;
- Pathologies of fetal growth
- Dystocia in vaginal delivery, vaginal and abdominal operative delivery.
- Umbilical cord diseases.
- Placental diseases.
-Ultrasound diagnostics and monitoring of fetal growth (role of ultrasounds, accuracy, sensitivity, transvaginal and transabdominal ultrasound, Doppler flow assessment, external and internal fetal heart rate monitoring, timing of delivery)
- Indications and techniques of prenatal diagnosis (non invasive prenatal diagnosis, Fetal DNA in maternal blood, chorionic villous sampling, amniocentesis, fetal blood sampling, fetal surgery).
- Labor and eutocical childbirth (first, second, and third stage of labor, diagnosis, length, monitoring, maternal and fetal modifictions, maternal and fetal complications, normal and abnormal contractions, episiotomy, afterbirth).
- Physiopathology of the puerperium (maternal changes, genital tract modifications, maternal monitoring).
- Etiopathogenesis, differential diagnosis, general principles of therapy, complications of pregnancy and delivery (fist and second trimester miscarriage, uterine bleeding, placenta previa, uterine rupture, surgery during gestation).
- Obstetric emergencies and complications: antepartum and postpartum hemorrhage (diagnosis, medical and surgical treatment, emergent cesarean delivery, vacuum extractor, forceps)
- Medical diseases in pregnancy (pregestational diabetes, gestational diabetes, endocrine diseases, immunological diseases, rheumatologic diseases, trauma during gestation).
- Pre-eclampsia and preterm birth (etiology, definition, medical and surgical treatment, maternal and fetal complications, mode of delivery, premature rupture of membranes, antibiotic treatment).
- Complications of twin pregnancy (twin to twin transfusion, intrauterine growth restriction, preterm delivery, mode of delivery).
- Pathologies of fetal growth (etiology, diagnosis, macrosomia, small for gestational age, management of fetal growth restriction)
- Dystocia in vaginal delivery, vaginal and abdominal operative delivery (vacuum extractor and forceps indications, different types of cesarean deliveries, modality of oxytocin and prostaglandis administration, hemostatic uterine suture, vascular clamping).
- Umbilical cord diseases (small, large, short umbilical cord, single artery, abnormal insertion).
Placental diseases (definition, diagnosis and treatment).
Pescetto - De Cecco - Pecorari – Ragni (V Edizione)
The course will be held through lectures, with presentation of slides and videos. Different experts will participate to the lessons to cover some specific topics.
It will be possible to organize meeting focusing on specific arguments and practical training on simulators