Gynecology and Obstetrics
Objectives
The main purposes of the CU are the achievement of knowledge, skills and attitudes for womens health promotion, considering the specific needs and socio-cultural characteristics of each woman. At the end of the course, students should have:
Acquired knowledge on family planning, preconception counselling, gynecological cancer screening, normal pregnancy surveillance, major obstetric and gynecological pathologies.
Be able to collect patient´s medical history and perform an obstetric and gynecological examination; collect cervical-vaginal smears; provide prenatal care in low-risk gestations and recognize high-risk pregnancies; recognize symptoms and signs of labor; establish a plan research, formulate diagnostic hypotheses and propose therapy for current situations in Gynecology and Obstetrics; recognize obstetric and gynecologic emergencies.
General characterization
Code
11185
Credits
8
Responsible teacher
Prof.ª Doutora Fátima Serrano
Hours
Weekly - Available soon
Total - Available soon
Teaching language
Portuguese
Prerequisites
Bibliography
Obstetrics and Gynecology 8ª ed, 2018. Beckmann et al (ACOG). Wolkers Kluer. ISBN 978-1496353092
Medicina Materno-Fetal 5ª ed, 2017. Luís Mendes da Graça. Lidel Edições Técnicas, Lda. ISBN9789897522888
Programa Nacional para a vigilância da gravidez de baixo risco - www.dgs.pt (Pgs 24-29; 33-50; 52-62; 69-75; 80-89)
Saúde Reprodutiva / Infertilidade (Orientações/DGS) www.dgs.pt
Saúde Reprodutiva /Planeamento Familiar (Orientações/DGS) www.dgs.pt
Consenso sobre Contraceção - Sociedade Portuguesa de Contraceção. www.spdc.pt
PDF e PowerPoint áudio de aulas teóricas disponibilizados no MOODLE da NMS/FCM.
Textos de apoio disponíveis na Intranet da NMS/FCM (MOODLE)
Teaching method
Given the contingencies of the present PANDEMIC COVID 19 and the unpredictability regarding its development, in the 1st semester, the curricular unit will be implemented through a b-learning teaching methodology, with 3 weeks of distance learning methods (lectures, theoretical-practical classes, seminars and workshops) and 2 weeks of face-to-face classes (hospital internship and simulation classes). Teaching will be in Portuguese. Study material may be in Portuguese or English.
Lectures: on main topics in obstetrics and gynecology, will be available to all students, in audio PowerPoint format, on the MOODLE NMS´s platform.
Workshops: involve student´s debate and immediate feedback by the teacher, these workshops, addressed to all students, cover some learning objectives such as the aspects and specificities of the clinical history in gynecology in obstetrics, breast pathology, childbirth and puerperium.
Clinical case discussions: offered in zoom platform to groups of approximately 24 students (block) with a Problem-Based Learning methodology. They include the clinical case discussions related to the most frequent topics in gynecology (family planning, abnormal uterine hemorrhage, amenorrhea, infection and pain) and in obstetrics (pregnancy surveillance, preterm delivery, hemorrhages, diabetes and hypertension and pregnancy).
Seminars: presentation by groups of 4 students of original works or topics previously prepared, with discussion supervised by 2 assistants. Although seminars themes are of free choice, the teachers responsible for the class must previously approve them. The presentations, in Portuguese or English, last 20 minutes plus 10 minutes for discussion. The presentation by all members of the group is mandatory; to be held in Portuguese or in English.
Hospital internship: students accompany assistants in their daily clinical activity, including the Emergency department according to a weekly on-off rotation. In order to minimize the risk of COVID 19 contagion, the expected teacher/student ratio in this semester is 1/1.
Simulation classes: directed to groups of 3- 4 students, involve the simulation of basic procedures in obstetrics and gynecology, with the support of anatomical models. They will take place in the 2 weeks of hospital internship, in the departments where it takes place.
The contents of simulation classes, theoretical-practical classes and workshops are exam subjects.
Evaluation method
Final classification is in a scale of 0 to 20. Forty per cent of this value is obtained from the evaluation on clinical practice, considering parameters such as attendance, punctuality, participation, clinical reasoning, knowledge and skills. It will be complemented by an oral presentation and discussion of 2 clinical histories. The remaining 60% (theoretical evaluation) is obtained in a multiple-choice test to be answered in Medquizz platform at the end of the semester. For approval at the UC a minimum of 10 (= 9.5 points) in each component (practical and theoretical) is mandatory. Approval in the clinical practice is necessary for admittance to the final written test.
Subject matter
Menstrual cycle, conception and implantation. The fetoplacental unit. Maternal adaptation to pregnancy. Fetal growth. History in obstetrics and gynecology. Preconception and antepartum care. Multifetal gestation. Prenatal diagnosis. Bleeding in the first half of pregnancy. Preterm labor. Premature preterm rupture of membranes. Infections and pregnancy. Bleeding in the second half of pregnancy. Hypertensive, renal, cardiac, endocrine diseases and pregnancy. Anemia. Fetal monitoring. Labor and delivery. Puerperium. Sexual and reproductive health. Contraception. Amenorrhea and abnormal uterine bleeding. Pain and infection in Gynecology. Pelvic support defects and urinary incontinence. Infertility and endometriosis. Menopause. Gynecologic cancer. Breast pathology.