Subject: G Y N A E C O L O G Y and O B S T E T R I C S

Class semester hours lectures/practical lessons

5th General medicine winter 24 / 35 credits

5th General medicine summer 24 / 35 credits

6th General medicine 18 / 54 state exam

______

Syllabus

History of gynaecological and obstetrical care. System of gynaecological and obstetrical care. Development of the female genital organs. Normal and topographical anatomy of female external and internal genitalia. Anatomy of the pelvic organs. The breast and mammary gland. Congenital abnormalities of the female genitalia. Physiology of specific functions of the female reproductive organs. Woman´s life periods. Sex hormones. Examination methods in gynaecology. Microbiological examination, cytology, determination of sex, cervical mucos examination, hormonal analysis, menstrual diary and basal temperature, endometrial histology, X-ray examination methods, endoscopic examination methods, ultrasonography, histologic excision, Douglas´s pouch puncture, exploratory laparotomy and diagnostic methods in breast diseases. Sexual life and its disturbances. Menstrual disorders. Anovulatory cycle. Dysfunctional uterine bleeding. Amenorrhoea. Dysmenorrhoea, premenstrual syndrome, climacteric syndrome, pubertas praecox, delayed puberty. Inflammatory diseases of the female reproductive organs. Sexually transmitted disease. Tuberculosis of the genital tract. Endometriosis. Benign tumours and false tumours of the reproductive organs and of the mammary gland. Malignant tumours of the female reproductive organs and of the breast. Prebioptic examination methods. Family planning. Malpositions of reproductive organs. Sterile couple. Methods of assisted reproduction and assisted fertilisation. Infertility. Paediatric and adolescent gynaecology. Specifications of gynaecological examination of child. Urogynaecology. Emergencies in gynaecology. Gynaecological endocrine diseases. Operative treatment in gynaecology. Conservative treatment in gynaecology.

Fertilisation of the ovum and its development. The foetus - morphology and functions of its organs. The placenta and foetoplacental blood circulation. Endocrinology of pregnancy. Galactopoiesis and lactation. Maternal changes in pregnancy. Diagnosis of pregnancy. Obstetrical examination. Basic prenatal care and antenatal education programme. Antenatal care of at risk pregnancy and pathological pregnancy. Normal labour and delivery. Management of precipitate labour and of labour in unfavourable situation. Principles of obstetrical cleanliness. Physiology of normal newborn. Care of newborn. Perinatal demographic statistics. The quality assessment of mother and newborn care. Normal puerperium. Breech delivery. Abortion: spontaneous abortion, termination of pregnancy, causes, clinics, diagnosis, therapy and prevention. Abortion sequelae. Preterm labour. Preterm newborn. Prolonged pregnancy. Ectopic pregnancy. Early gestoses. Preeclampsia. Pregnancy and intercurrent diseases. Abnormalities of the female pelvis and pregnancy and labour. Abnormal development of the foetus. Abnormalities of the placenta. Gestational trophoblastic disease. Foetal membranes, amniotic fluid and umbilical cord disturbances. The foetus at risk in pregnancy. The foetus at risk during labour. Abnormal uterine action during the labour. Transverse and oblique position. Abnormal mechanics in vertex presentation. Compound and cord presentation. Malpresentations. Abnormalities of the third labour stage. Genital tract trauma during delivery. Abnormal puerperium. Emergencies in pregnancy, labour, and puerperium. Operations in obstetrics. Obstetric analgesia and anaesthesia.

Lectures:

Anatomy of the female genitalia. Physiology of the woman. Disorders of the menstrual cycle. Endometriosis. Emergencies in gynaecology. Woman´s life periods. Family planning. Sterile couple. Inflamations of the female reproductive organs. Sexually transmitted diseases. Physiology of pregnancy. Normal labour and delivery. Normal and abnormal puerperium. Abnormal duration of pregnancy. Pathology of pregnancy. Precanceroses and malignant tumours of female reproductive organs. Breast pathology. Emergencies in obstetrics. Benign tumours of female reproductive organs.

Clinical training:

Examination of gynaecologic patient. Microbiology of vagina, vaginal discharge smear, material taking specimens for microbiological, cytological and histological examinations. Practical evaluation of cytological smears. Assistance with gynaecological diagnostic and therapeutic tasks. Up-to-date family planning methods, contraception methods. Management of outpatient clinic for family planning. Early diagnosis of pregnancy, examination of pregnant woman. Early diagnosis of malignant tumours of female genitalia. Obstetrical examination of a woman before labour, treatment in sequential labour stages, obstetrical management of labour. Normal newborn care, pathologic newborn care, resuscitation of the newborn. Suture of vagina and perineum rupture, episiotomy. Examination of woman in puerperium. Examination of physiological and pathologic puerperium. Case reports analysis. Antenatal care, physiological pregnancy, risk and high risk pregnancy, pathologic pregnancy. Management of prenatal out-patient clinic. Invasive diagnostic methods in gynaecology and obstetrics, operative techniques in gynaecology and obstetrics. Diagnostic methods in breast diseases. Analysis and case reports of at risk and pathologic pregnancy cases. Problem of sterile couples. Assisted reproduction. Laboratory diagnostic methods in gynaecology and obstetrics. Processing and elaborating medical patient`s history by medical students. Diagnosis and differential diagnosis.

Prof. Karol Holomáň, MD, PhD.

Head of the 2nd dpt. of gynaecology and obstetrics