Obstetrics and Gynecology

A.Y. 2019/2020
Overall hours
Learning objectives
To know the pathophysiological, clinical, and psychological issues (from the preventive, diagnostic, and therapeutic point of view), concerning fertility, procreation, pregnancy and childbirth, the puerperium about sexuality and its reflexes in these phases of a woman's life. Knowledge of the main periconceptional and perinatal screening methods, invasive and non-invasive prenatal diagnosis.
Being able to recognize the most common forms of gynecological pathology, indicating the essential preventive and therapeutic measures, and identifying the conditions that require the specialist's professional contribution.
Expected learning outcomes
At the end of the course, the student will possess knowledge related to:
a) physiopathology and clinic of the female genital apparatus, functional and instrumental semeiotics, clinical methodology, traditional and minimally invasive therapy and surgery in gynecology;
b) reproductive pathophysiology, pregnancy screening aimed at predicting fetal and maternal pathologies, diagnosis and treatment criteria of most important obstetric syndromes
He will be able to recognize the most frequent forms of gynecological pathology, indicating preventive and therapeutic measures and identifying the conditions that require the specialist's professional contribution.
He will be able to recognize the risk conditions of the most common fetal-maternal pathologies and to indicate the preventive and therapeutic measures of competence of the specialist.
Course syllabus and organization

Linea: Policlinico

Course syllabus
Clinical anatomy and congenital anomalies of the female genital tract
Physiology of the ovulatory cycle and reproduction
Gynecology of childhood and adolescence
Female sexuality and sexual dysfunctions
Menstrual cycle abnormalities and hyperandrogenisms
Fertility control
Endometriosis - Adenomyosis
Sexually transmitted diseases and pelvic infections
Sexual violence
Uterine leiomyomas - Ovarian cysts
Endoscopic techniques in gynecology
Infertility and Assisted reproductive technology
Menopause and climacteric
Ultrasound in gynecology
Pathology of pelvic statics and urinary incontinence
Cervical cancer: pathogenesis, prevention, and treatment
Pre-malignant and malignant disorders of the vulva and endometrium
Ovarian cancer: pathogenesis, prevention, and treatment
Screening, diagnosis, and treatment of breast cancer
Modifications of the maternal organism during pregnancy
Pathology of the first trimester: miscarriage and ectopic pregnancy
Pathology of the trophoblast
Law 194-Voluntary interruption of pregnancy
Screening in obstetrics and genetic counseling for maternal and fetal risk conditions
Drugs and vaccines during pregnancy
Gestational diabetes
Premature birth
Hypertensive disorders in pregnancy
Early and late fetal intrauterine growth restriction
Multiple pregnancies
Infections with maternal-fetal transmission
Blood loss in the third trimester of pregnancy - Rh iso-immunization
Monitoring pregnancy at term and post-term
Labor birth: eutocic delivery and most common form of dystocia
Cesarean section: indications, epidemiological data, and role of the pregnant woman
Prerequisites for admission
No prior knowledge is required
Teaching methods
Frontal lessons. The majority of lesson's slides will be available on the online platform "Ariel"

Professionalizing activities:
- Gynecological Outpatient: from 8.30 to 12.30 (two students per day 8.30-10.30 / on Monday, Wednesday, and Friday)
- Pathology of Pregnancy Outpatient clinic: from 8.30 to 11.30 (one student per day - on Monday, Wednesday, and Thursday)
- Outpatient Gynecological Ultrasonography: from 8.30 to 12.00 (two students per day 8.30-10.30 / - from Monday to Thursday)
- 1 day in the delivery room (8.00 to 20.00). Two students entrusted to the doctor in charge
- Gynecological Operating Room: 8.30-14.00 (two students per day - Monday to Friday)
Teaching Resources
DeCherney AH et al.
Current Diagnosis &Treatment:
Obstetrics & Gynecology
12th Edition (inglese) Edizione per student, 15 dic 2019
McGraw-Hill Education-Lange

Straus SE et al.
Evidence-based medicine: how to practice and teach EBM
Elsevier, 5th edition, 2019

Cunningham, Leveno, Bloom
Williams Manual of Pregnancy Complications
McGraw-Hill Medical
Assessment methods and Criteria
The exam takes place in written form (60 multiple choice questions). The test result is communicated orally to the students on the same day.
The oral exam is reserved for those who, having passed the written test, consider that they wish to improve their grades. The oral exam can result in an increase in the grade obtained in the written test, as well as in its confirmation or in a reduction.
Anyone wishing to take the oral exam must notify the secretariat immediately after notification of the mark obtained in the written test.
If the student who requested does not attend the oral exam, the mark obtained in the written test is considered valid.
MED/40 - OBSTETRICS AND GYNAECOLOGY - University credits: 5
Lessons: 60 hours

Linea: San Donato

Course syllabus
Anatomy of the female genital tract
Pathophysiology of the ovarian and menstrual cycles
Climacteric and menopause
Cancer prevention in Gynecology
HPV infections
Malignant gynecological tumors
Benign gynecological pathology
Gynecological emergencies
Infections of the female genital tract
Pelvic inflammatory disease
Pathology of pelvic statics and urinary incontinence
Fertilization and nesting
Sterility: male and female diagnostics, therapeutic approach and law 40
Prenatal diagnosis: screening and invasive diagnosis
Spontaneous abortion
Law 194
Gender-based violence
Ectopic pregnancy and trophoblast pathology
Changes induced by pregnancy
Monitoring of pregnancy
Lifestyle and pregnancy
Diabetes in pregnancy
Hypertension, pre-eclampsia and eclampsia
Infections in pregnancy
Placenta previa and detachment of placenta
Childbirth labor: eutocic, dystocic and operative delivery
Growth retardation and preterm birth
Cesarean section
Labor analgesia
Prenatal diagnosis: screening and invasive diagnosis
Prerequisites for admission
To understand and face the course, the student must have successfully passed the preparatory exams described in the regulations for the degree course.
The knowledge, in fact, of general notions of anatomy, physiology, biochemistry, pharmacology, pathological anatomy and radiodiagnostics represents an indispensable prerequisite for the student who wants to follow the course with profit.
Teaching methods
Frontal lessons of the topics included in the program with the help of audiovisuals
Practical activities in the ward, outpatient clinics, operating room and delivery room to be scheduled according to the number of students
Teaching Resources
Pescetto, De Cecco, Pecorari, Ragni : Manuale di Clinica Ostetrica e Ginecologica. Società Editrice Universo, V Edizione, 2017

Zanoio, Barcellona, Zacche': Ginecologia e Ostetricia - con tavole di F. H. Netter e accesso online. Seconda Edizione, Ed. Masson, 2013
Assessment methods and Criteria
The exam consists of an oral test consisting of a discussion, lasting about 20 minutes (the duration varies according to the performance), aimed at ascertaining the level of knowledge, the ability to understand and summarize achieved by the student and to verify the acquisition of method, language properties and exposure. The examination test is structured around the different thematic areas (Medical Gynecology, Gynecological Endocrinology, Human Reproduction, Oncological Gynecology and Perinatal Medicine) that characterize the course.
MED/40 - OBSTETRICS AND GYNAECOLOGY - University credits: 5
Lessons: 60 hours
Professor: Vignali Michele

Linea: San Giuseppe

MED/40 - OBSTETRICS AND GYNAECOLOGY - University credits: 5
Lessons: 60 hours