17067 - Gynaecology and Obstetrics

Learning outcomes

At the end of the learning module the studente will understand: the processes of the normal pregnancy and parturition; the pathophysiology, diagnosis and treatment of the most common maternal and fetal complications; the biological basis of normal reproduction and its most common abnormalities; the pathophysiology, diagnosis and treatment of the most frequent diseases involving the female genital tract; the etiopathogenesis of genital tract neoplasms, and the principles of prevention, diagnosis and treatment

Course contents

Obstetrics
Principles of embryogenesis
Physiology of pregnancy: maternal changes in pregnancy
Pregnancy monitoring. Congenital anomalies: diagnosis and screening
First trimester metrorrhagia. Abortion, ectopic pregnancy and vesicular mole.
Infectious diseases in pregnancy.
Anti-erythrocytic alloimmunisations.
2nd and 3rd trimester metrorrhagia
Pregnancy pathology: gestational hypertension, pre-eclampsia, gestational diabetes.
Twin pregnancies. Twin-related syndromes TAPS; TTTS, TRAP
Pathology of the foetus: intrauterine growth retardation
Pathology of adnexa (placenta previa, accreta, percreta)
Sepsis and obstetric shock
Monitoring of the pregnant woman (ultrasonography and cardiotocography)
Childbirth (preterm, term, vaginal, caesarean, breech) and birth injuries
The pathology of childbirth: mechanical, dynamic and secondary dystocia - Puerperium
Gynaecology
The approach to the gynaecological patient: anamnesis, objective examination, pelvic ultrasound, colposcopy, hysteroscopy, diagnostic laparoscopy
The reproductive axis and the regulation of female gonadal function in the different periods of life. The menstrual cycle, menstrual cycle disorders.
Principles of gynaecological endocrinology: hyperandrogenemia and PCOS. Contraception.
Pathophysiology and clinic of the menopause. Genital prolapse and urinary incontinence.
Endometriosis
Infertility and medically assisted procreation.
Viral vulvovaginitis
Inflammatory disease

Readings/Bibliography

Dewhurst's Textbook of Obstetrics & Gynaecology, 9th Edition
Keith Edmonds (Editor-in-Chief), Christoph Lees (Co-Editor), Tom Bourne (Co-Editor)
ISBN: 978-1-119-21142-6 November 2018 Wiley-Blackwell 1088 Pages

F Petraglia, G Pelusi, C Bocchi, MC Meriggiola.Ginecologia e ostetricia. Seconda Edizione. Poletto Editore, Vermezzo (Milano), 2011.

BOLIS: Manuale di Ginecologia e Ostetricia, Edises Napoli, 2011

ZANOIO, BARCELLONA, ZACCHE':Ginecologia e Ostetricia. Elsevier Masson, Milano 2013;oppure

PESCETTO, DE CECCO, PECORARI, RAGNI, Manuale di ginecologia e ostetricia - Società Editrice Universo, Roma.

Williams Obstetrics, 26e - F. Gary Cunningham, Kenneth J. Leveno, Jodi S. Dashe, Barbara L. Hoffman, Catherine Y. Spong, Brian M. Casey. Mc Graw-Hill Education

Teaching methods

Lectures supported by slides

Assessment methods

The end-of-course exam aims to evaluate the achievement of the didactic objectives by verifying the student's ability to apply his or her knowledge and to make the necessary logical-deductive connections.

The final evaluation consists of an oral test on the topics of the program.

Gradation of the final grade:

Preparation on a very limited number of topics covered in the course and analytical skills that emerge only with the help of the teacher, expressed in an overall correct language → 18-19;

Preparation on a limited number of topics covered in the course and ability to autonomous analysis only on purely executive matters, expression in correct language → 20-24;

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

Basically exhaustive preparation on the topics covered in the course, ability to make autonomous choices of critical analysis and connection, full mastery of specific terminology and ability to argue and self-reflection → 30-30L.

Teaching tools

The teaching material consists of Powerpoint presentations for each individual topic. The didactic materials deemed useful for the purposes of preparation will be placed on the University's platforms or will be available from the teacher.

Office hours

See the website of Paolo Casadio

See the website of Anna Nunzia Della Gatta