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DEPARTMENT
OF OBSTETRICS AND GYNAECOLOGY OVERVIEW There
are two postings in Obstetrics and Gynaecology. The first or junior
posting is to provide a survey of the field and introduce contept and
vocabulary that will be used in the field. This will be done over a 16
week period. At the senior posting the student will have the opportunity
to apply much of the information obtained in the first year course. With a
good general background and previous experience in the clinical setting,
the student will quickly be able to take an active part in the care of the
gynecological and obstetric patient. OBJECTIVES General At
the end of the course the student will be able to: 1.
Manage the common gynaecological disorders of the
human female. 2.
Appreciate that the environment, including poor
hygiene can contribute to a number of these disorders. 3.
Appreciate that ignorance, poverty and poor medical
care also contribute to some of the patient’s illnesses. 4.
Manage normal and complicated pregnancies and
conduct a normal delivery. Attitudes
The
student should: 1.
Be sympathetic to the patient’s complaints, and
spare some time to listen to the patients. 2.
Not have a pre-conceived idea of the patient’s
ailments before she finishes narrating her complaints. 3.
Present himself/herself in such a way that the
patient feels confident to reveal all her “secrets.” 4.
Develop the habit of reading books and journals in
gynaecology and obstetrics to acquire knowledge and be able to question
some of the “facts” or surgical procedures he/she is taught. Acquisition
of Skill
The
student should: 1.
Be able to extract and analyse the patient’s
symptoms so that by the time he completes the history taking he has
narrowed down the possible diagnosis. 2.
Then proceed to conduct an adequate gynaecological
or obstetric examination to confirm or dismiss the suspicion he had after
history taking has been completed. 3.
Be able to request specific investigations, which
will enable him to make a definitive diagnosis and serve as a baseline
before commencing treatment. 4.
Detect abnormalities by keen observations in the
clinics and wards. TEACHING
AND LEARNING METHODS EVALUATION Multiple
choice Questions with true-false items, together with essays and
electronic and non electronic OSCA; this augments normal clinical
examination. Professional
examination is conducted together with Community Health and Paediatrics. 500
LEVEL CLASS
OBG
591: INTRODUCTION TO CLINICAL
OBSTETRICS & GYNAECOLOGY (2 CREDITS)
Course
objectives: At
the end of the course the student should be able to list and describe
methods of clinical and pelvic examination of the gynaecological and
obstetrical patient. Teaching
& Learning Methods: Lectures,
tutorials Problem
based learning. Evaluation MCQ
(True-False items, Essay, Practical) Content History
taking and examination of the gynaecological patient
Investigation
of gynaecological conditions/intimate
Procedures
Use
of the laboratories
The
conduct of students in the operation theatre:
Principles
of asepsis
Pelvic
examination in the gynaecological patients
Guidelines,
ethical considerations, chaperones etc
The
menstrual cycle
Introduction
to clinical obstetrics
History
taking and examination of the obstetric patient
Antenatal
care: history and current practice
The
conduct of labour and delivery: mechanism of labour, stages, use of the
partogram etc.
The
puerperium
The
use of the computer in obstetrics/gynaecology
Examination
skills: essay writing, MCQ techniques, clinicals and viva voce
OBG
592: ADVANCED COURSE IN OBSTETRICS & GYNAECOLOGY (4 CREDITS)
Course
objectives: At
the end of the course the student should be able to list and describe
diseases of reproductive system in women
and their management. He/she should also be able to manage the pregnant
woman and her labour and puerperium. Teaching
& Learning Methods: Lectures,
tutorials Problem
based learning. Evaluation MCQ
(True-False items, Essay, Practical) Content Content
Infertility:
-Management
of the infertile couple
-Infertility
in the female
-Male
infertility
-Investigating
the infertile couple
-Ovulation
induction
-Assisted
reproduction/reproductive technologies
-Molecular
embryology/genetic engineering
-Menstrual
disorders: amenorrhoea, abnormal uterine bleeding
-Dysfunctional
uterine bleeding
-Anovulation:
the polycystic ovary
-Prostaglandins:
biochemistry and significant roles in reproduction
-Endometriosis
Gynecological
oncology
-Tumours
of the lower genital tract
-Cervical
tumours polyps, ulcers. Pre-invasive
disease of the cervix
-Carcinoma
of the cervix
-Benign
tumours of the corpus uteri: Leiomyoma
-Malignant
tumours of the corpus uteri: endomentrial cancer, uterine sarcoma,
fallopian -tube
-Tumours
-Ovarian
tumours
-Trophoblastic
tumours
Urogynaecology -Anatomy
/Embryology of the pelvic organs -Mechanism
of normal micturition, cystitis, stress/urge incontinence Contraception/Fertility
Regulation
-Steroidal
contraceptives -Intrauterine
contraceptives -Barrier
methods -Surgical
contraception -Fertility
awareness-based methods including periodic abstinence -Lactational
amenorrhoea method (LAM) -Infections/Infectious
diseases -Infections
of the lower genital tract -Pelvic
inflammatory disease -Sexually
transmissible disease -HIV
in pregnancy: prevention of mother to child transmission -Pruritus
vulvae Paediatric/adolescent
gynaecology -Vulvovaginal
lesions: labial agglutination, Imperforate hymen, vaginal discharge -Congenital
anomalies/ neoplasms -Intersex -Puberty -Special
problems of the adolescent: dysmenorrhoea, DUB, amenorrhoea Reproductive
Health Issues -Women’s
sexual and reproductive rights -Reproductive
health and its components: safe motherhood -Unwanted
pregnancy , unsafe abortion and its complications: Abortion law -Post
abortion care -Female
genital mutilation (FGM) -Course
description Special
topics -Abortions -Ectopic
pregnancy -Ultrasonography
in gynaecology -Menopause -Pre-operative
and post-operative care -Ethics
in Obstetric/gynaecological practice -Psychiatric
disorders in obstetrics and gynaecology The
Physiology of pregnancy and labour -Conception:
ovulation, sperm transport, fertilization, zygote formation and
development of the embryo -The
placenta/ feto-placental unit -Physiological
changes in pregnancy -Diagnosis
of pregnancy -Antenatal
care Normal
labour -The
passage -The
passenger -The
powers -The
mechanism of labour -Clinical
course of labour: stages -The
management of labour: the partogram -Pain
relief in labour -The
puerperium: physiological changes, abnormalities Abnormal
pregnancy -Antepartum
Haemorrhage -Hypertensive
disease in pregnancy -Anaemia
in pregnancy, haemoglobinopathies -Cardiac/respiratory
disease in pregnancy -Diabetes
mellitus in pregnancy -Urinary
tract infections/pyelonephritis in pregnancy -Iso-immunization
in pregnancy -Variations
in the duration of pregnancy: pre-term labour, prolonged
pregnancy/induction
of labour -Pre-term
rupture of membranes -Fetal
surveillance: antenatal and intra-partum -Malpositions,
malpresentations and cord prolapse -Multiple
pregnancy Abnormalities
of labour/puerperium -Faults
in the passenger and passage: macrosomia, shoulder dystocia,
hydrocephaly,Contracted pelvis, cephalo-pelvic disproportion -Faults
in the powers: precipitate labour, inefficient uterine action, active
management of labour -Postpartum
haemorrhage -Damage
to the genital tract (tears, uterine rupture), episiotomy, shock in
obstetrics
-Disorders
of the puerperium Obstetric
procedures -Termination
of pregnancy and induction of labour -Instrumental
delivery -Caesarean
section -Use
of oxytocics in obstetrics Epidemiology
of obstetrics -Maternal
mortality -Perinatal
mortality The
Infant
-Neonatal
physiology and Care of the newborn -Congenital
anomalies -Hypoxia
in the newborn -Birth
injuries/neonatal infections -The
low birthweight babies OBG
593: POSTING IN OBSTETRICS & GYNAECOLOGY (4 CREDITS) There
are two postings. Junior and Senior postings OBG
594: TUTORIALS IN OBSTETRICS & GYNAECOLOGY (1 CREDITS)
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