Obstetrics and Gynaecology course aims at achieving theoretical and practical knowledge from this subject which could be useful in everyday work of general practitioners.
It is planned that Gynecology lectures enable students/future doctors in primary health care to identify gynecological diseases, as well as to teach them contemporary diagnostic and therapeutic procedures. In the field of Obstetrics it is planned that students get whole insight into the course of normal as well as high-risk pregnancy, necessary hygiene and diet during pregnancy, appropriate approach to various pathological diseases and disorders during pregnancy, how to psychophysically prepare pregnant women for labour, as well as the course of delivery itself. Especially important is continuous time spent in the delivery ward which will last for 7 days.
Prof. Olivera Kontic-Vucinic, Chairperson
Prof.Milos Petronijevic
Prof. Snezana Plesinac
Prof. Snezana Rakic
Prof. Lidija Tasic
Prof. Nebojsa Radunovic
Prof. Amira Egic
Prof. Miroslava Gojnic Dugalic
Prof. Ljiljana Mirkovic
Prof. Andreja Glisic
Prof. Svetlana Spremovic Radjenovic
Prof. Elijana Garalejic
Prof. Dejan Filimonovic
Prof. Zeljko Mikovic
Prof. Mladenko Vasiljevic
Prof. Biljana Kastratovic
Prof. Milenko Prorocic
Prof. Aleksandar Stefanovic
Assoc. Prof. Svetlana Vrzic- Petronijevic
Assoc. Prof. Katarina Jeremic Assist.
Prof. Milan Dokic Assist.
Prof. Ivana Babovic
Assist. Prof. Jelena Dotlic
Assist. Prof. Jelena Stojnic
The teaching is organized by the Clinic of Obstetrics and Gynecology during the 9th and 10th semesters. Teaching comprises of lectures, practicals, elective courses and delivery ward stay.
In the 9th Semester there are 30 lectures and 20 practicals, and in 10th Semester 34 lectures and 17 practicals.
Elective Courses: 1 course in 9th semster. 1 course in 10th semester. 1 course consists of 5 lectures and 10 practicals.
Delivery Ward Stay: 7 days, 15 practicals
IX SEMESTER 2017/2018
Practical gynecology (1st week)
08.30-10.00 OBGYN history taking. OBGYN examination (general examination, breast examination, abdominal examination, vaginal examination). Methods and types of examinations. Explanation of technic of OBGYN examination
Practical gynecology (2 nd week)
08.30-10.00 Hystory taking. Position of patient (dorsal, lateral). Inspection and palpation of external genital tract.
Practical gynecology (3 rd week)
08.30-10.00 History taking. Speculum examination. Bimanual examination.
Practical gynecology (4 th week)
08.30-10.00 History taking and complete OBGYN examination. Normal status of vulva, vagina and uterine cervix
Practical gynecology (5 th week)
08.30-10.00 History taking. Speculum examination and bimanual examination. Normal status of upper genital tract.
Practical gynecology (6 th week)
08.30-10.00 History taking and OBGYN examination
Practical gynecology (7 th week)
08.30-10.00 History taking and OBGYN examination. Normal OBGYN status
Practical gynecology (8 th week)
08.30-10.00 Individual communication with patient ( history taking \ OBGYN status)
Practical gynecology ( 9 th week)
08.30-10.00 History taking and OBGYN examination
Practical gynecology (10th week)
08.30-10.00 Complete examination of patient. Obtaining material for cytohormonal analysis and early detection of carcinoma (cervical swab and swab from posterior fornix of the vagina). Transport of material to laboratory.
Practical gynecology (11th week)
08.30-10.00 Complete OBGYN examination of patient. Microscopy examination of vaginal discharge.
10.00-11.30 History taking and OBGYN examination.
Cytohormonal analysis and Papanicolaou smear - microscopy demonstration.
Practical gynecology (12 th week)
08.30-10.00 Complete OBGYN examination of patient. Microscopy examination of vaginal discharge.
10.00-11.30 History taking and OBGYN examination.
Cytohormonal analysis and Papanicolaou smear - microscopy demonstration.
Practical gynecology (13th week)
08.30-10.00 Complete OBGYN examination of patient. Medical documentation/record.
10.00-11.30 Complete OBGYN examination of patient. Diagnostic procedures (curettage, biopsy, polypectomy).
Practical gynecology (14th week)
08.30-10.00 Complete OBGYN examination of patient. Medical documentation/record.
10.00-11.30 Complete OBGYN examination of patient. Diagnostic procedures (curettage, biopsy, polypectomy).
Practical gynecology (15th week)
08.30-10.00 Complete OBGYN examination of patient. Medical documentation/record.
10.30-13.0 Complete OBGYN examination of patient. Makeups of exercises.
LECTURES 9th Semester
Lectures (1st week)
10.30-11.15 Anatomy of the female pelvic organs
11.15-12.00 Development and embryology of the female pelvic organs
Lectures (2nd week)
12.00-12.45 Gametogenesis and development of the ovum
12.45-13.30 Puberty and the menopause
Lectures (3rd week)
10.30-11.15 The sex hormones
11.15-12.00 The menstrual cycle. Physiology and patophysiology
Lectures (4th week)
12.00-12.45 The placenta: development and morphology
12.45-13.30 The morphologic/functional development of the embryo/ fetus
Lectures (5th week)
10.30-11.15 Diagnosis of pregnancy; Fetal condition evaluation
11.15-12.00 Maternal adaptation to pregnancy
Lectures (6th week)
12.00-12.45 Physiology of labor: Mechanism of normal labor and in occipital presentation
12.45-13.30 Placental physiology and functions
Lectures (7th week)
10.30-11.15 Amenorrhoea
11.15-12.00 Dysmenorrhoea
Lectures (8th week)
12.00-12.45 Hormone therapy in gynecology
12.45-13.30 The puerperium
Lectures (9th week)
10.30-11.15 The menstrual cycle disorders
11.15-12.00 Endometriosis
Lectures (10th week)
12.00-12.45 Family planning; Contraception
12.45-13.30 Conduct of normal labor and delivery
Lectures (11th week)
10.30-11.15 Multifetal pregnancy
11.15-12.00 Dystocia caused by abnormalities in presentation, position or development of the fetus
Lectures (12th week)
12.00-12.45 Dystocia caused by pelvic contraction
12.45-13.30 Dystocia caused by anomalies of the expulsive forces
Lectures (13th week)
10.30-11.15 Ectopic pregnancy
11.15-12.00 Assisted reproductive technologies
Lectures (14th week)
12.00-12.45 Termination of pregnancy
12.45-13.30 Preterm and postterm pregnancies
Lectures (15th week)
10.30-11.15 Infertility
11.15-12.00 Injuries to the birth canal
GYNECOLOGY AND OBSTETRICS
X SEMESTER
Practical OBGYN (1st week)
08.30-10.00 Repeat of history taking and OBGYN examination
Practical OBGYN (2nd week)
08.30-10.00 History taking and clinical examination of patient.
Case report of desorders of the uterine cervix.
Practical OBGYN (3rd week)
08.30-10.00 History taking. Case report of desorders of uterine corpus.
Practical OBGYN (4th week)
08.30-10.00 History taking. Demonstrating and explanation of diagnostic procedures (hystero-salpingography ).
Practical OBGYN (5th week)
08.30-10.00 History taking and bimanual examination. Case report of pelvic
inflammatory disease (adnexitis, pelveoperitonitis etc).
Practical OBGYN (6th week)
08.30-10.00 History taking. Case report of adnexal disorders
Practical OBGYN (7th week)
08.30-10.00 History taking and OBGYN examination. Case report of malignant
disorders.
Practical OBGYN (8th week)
08.30-10.00 Complete OBGYN examination of patient (history taking and physical examination)
10.00 - 11.30 History taking and clinical exemination of patient and patology disorders of the vulva
Practical OBGYN (9th week)
08.30-10.00 History taking \ Case report of menstrual problems, abnormal uterine bleeding and other endocrinological disorders.
Practical OBGYN (10th week)
08.30-10.00 Complete OBGYN examination of patient (history taking and physical
examination).
10.00 - 11.30 History taking and clinical examination of patient with patology disorders of the vulva.
Practical OBGYN (11th week)
08.30-10.00 Complete OBGYN examination of patient.Family planning and contraception
10.00-11.30 History taking with OBGYN examination. Case report of early pregnancy
Practical OBGYN (12th week)
08.30-10.00 Complete OBGYN examination and history taking of infertile couple.
10.00-11.30 Complete OBGYN examination of patient. Case report of ectopic pregnancy. Function of pouch of Douglas (culdocentesis).
Practical OBGYN (13th week)
08.30-10.00 Complete OBGYN examination of patient.
LECTURES
Lectures (1st week)
10.30-11.15 Obstetric hemorrhage in the first half of the pregnancy
11.15-12.00 Obstetric hemorrhage in second half of the pregnancy
12.00-12.45 Obstetrics hystory. Physical examination
Lectures (2nd week)
10.30-11.15 Intrauterine growth retardation
11.15-12.00 Miscarriage
12.00-12.45 Esential factors of labor. Pelvic anatomy. Fetal presentation, position and lie.
Lectures (3rd week)
10.30-11.15 Infections during pregnancy
11.15-12.00 Endocrine disorders
12.00-12.45 The course of normal labor.Mechanism of labor-occiput presentation
Lectures (4th week)
10.30-11.15 Diseases of the hearth and hematologic disorders
11.15-12.00 Miscellaneous complications: nervous, respiratory systems, alimentary tract, liver and gallbladder, connective tissue disorders
12.00-12.45 Mechanism of labor. Persistent occiput posterior position. Persistent transverse position. Asynclitism.
Lectures (5th week)
10.30-11.15 Rh alloimunisation; ABO alloimunisation
11.15-12.00 Shock in pregnancy
12.00-12.45 Mechanism of labor. Face presentation. Frontal presentation. Brow presentation.
Lectures (6th week)
10.30-11.15 Gestational trophoblastic diseases
11.15-12.00 Hypertensive disorders in pregnancy
12.00-12.45 Breech presentation. Mechanism of labor. Manually assist in delivery by perforing the Smellie Veit and Bracht maneuver. Complications of labor.
Lectures (7th week)
10.30-11.15 Pathological puerperium
11.15-12.00 Thromboembolismus in pregnancy, delivery and puerperium
12.00-12.45 Transverse and oblique lie. Mechanism & course of labor.
Lectures (8th week)
11.30-12.15 Acute abdomen in pregnancy.
12.15-13.00 Postoperative complications after gynecological operations.
Lectures (9th week)
10.30-11.15 Psychosomatics in pregnancy
11.15-12.00 Multiple pregnancy. Mechanism and course of labor.
12.00-12.45 Mechanism of delivery of placenta. Manual removal of the placenta.
Manual and instrumental exploration of the uterus. Episiotomy.
Lectures (10th week)
11.30-12.15 Preparation for labor. Prenatal care. Psyhoprophylaxis.
12.15-13.00 Forceps. Typical and atypical forceps. Vacum extractor.
Lectures (11th week)
11.30-12.15 Diagnostic procedures in delivery room (ultrasound, fetal heart rate
monitoring, fetal scalp blood sampling, amnioscopy).
12.15-13.00 External, internal and combine version.
Lectures (12th week)
11.30-12.15 Invasive procedures in perinatology
12.15-13.00 Cesarean section. Indications, types and technique.
Lectures (13th week)
10.30-11.15 Benign and malignant tumors of the uterus.
11.15-12.00 Injuries and acute hemorrhage in gynecology.
Literature:
1. Monga A: Gynaecology by ten teachers. 19th ed. Edward Arnold Publishers Ltd; 2011.
2. Monga A: Obstetrics by ten teachers. 19th ed. Edward Arnold Publishers Ltd; 2011.
Suggested Reading:
3. Hamilton-Fairley D. Lecture notes: Obstetrics and Gynaecology. 3rd ed. Wiley-Blackwell; 2009.
4. Nelson-Piercy C. Handbook of Obstetric Medicine. 4th ed. Informa Healthcare; 2010.
5. Turentine JE. Clinical Protocols in Obstetrics and Gynaecology. 3rd ed. Informa Healthcare; 2008.
6. Kaufman MS, Schachel PP, Holmes JS, Stead LG. First Aid for Obstetrics & Gynecology Clerkship.
A student - to - student guide. The McGraw-Hill Companies Inc, 3rd Edition 2011.
7. Callahan T, Caughey AB. Blueprints obstetrics and gynecology.
Lippincott Williams & Wilkins, 6th Edition, 2013
Elective Course I
ULTRASOUND IN GYNECOLOGY AND OBSTETRICS
9th semester
30 hours (lectures: 10, Practical: 20)
COORDINATOR: Prof. dr Olivera Kontic-Vucinic
Lectures and practicals on line
Ultrasound in Gynecology - normal findings
Ultrasound in Gynecology - pathological findings
Ultrasound in Obstetrics - normal findings
Ultrasound in Obstetrics - fetal anomalies
Ultrasound in Obstetrics - fetal behavior
Ultrasound in Obstetrics - twin pregnancy
3D/4D ultrasound in Gynecology
3D/4D Ultrasound in Obstetrics
Invasive ultrasound procedures in Gynecology
Invasive ultrasound procedures in Obstetrics
Elective Course II
INFECTIONS IN GYNECOLOGY AND OBSTETRICS
10th semester
30 hours (Lectures 10, Practical 20)
COORDINATOR: Prof. dr Svetlana Vrzic Petronijevic
Lectures and practicals on line
Nosocomial infections
STD: diagnosis and management
STD prevention: specific approach in gynecological practice
Pelvic inflammatory diseases: diagnosis and management
HPV: management and prevention
Postoperative infections: management and treatment
Streptococcus Group B and pregnancy: screening and significance
Parvo B19 infection in pregnancy
Perinatal infections: significance and management in pregnancy
The role of probiotics in treatment of infection in pregnancy
Professor Olivera Kontic-Vucinic
Chairman: Ob/Gyn Studies in English
Stay at the Delivery Ward at the Clinic of Gynecology and Obstetrics, Clinical Center of Serbia lasts a total of 7 days. It is essential that each medical student attends the delivery ward practicals in order to pass the course of Gynecology and Obstetrics. At the end of their stay, students will have to take a 10 question test on Obstetrics.
During their stay at the Delivery Ward, students will be presented with the following practicals:
1. OBGYN history data taking
2. Organization of the delivery ward
3. Measuring external pelvic dimensions
4. External and internal obstetric examination. Leophold's maneuvers practicing
5. Phases of delivery
6. Observing and witnessing a normal delivery
7. Anesthesia and analgesia during delivery
8. Normal birth with head presentation: using a simulation and in the delivery unit
9. Obstetric interventions: episiotomy, instrumental revision of cervix, manual and instrumental
revision of the uterine cavity
10. Cardiotocography
11. Breech delivery: using a simulation and in the delivery unit
12. Twin delivery
13. Obstetric operations: forceps and vaccum extractor
14. Cesarean section
15. Test
Examination in Ob/Gyn consists of practical exam and final test. In order to take the final test a student is required to pass practical exam which comprises history obtaining and appropriate examination.
Prerequisite for this final Ob/Gyn examination is successful pass of two colloquia. The first one is after Delivery Ward Stay (Clinical Internat) and the second one is after completion of all lectures and examinations at the end of the X semester, and prior to final Ob/Gyn examination.
1. Internat Colloquium consists of 10 questions:
|
6 = 6 |
|
7 = 7 |
|
8 = 8 |
|
9 = 9 |
|
10 = 10 |
2. Colloquium consists of 40 questions:
|
20-22 = 6 |
|
23-26 = 7 |
|
27-30 = 8 |
|
31-34 = 9 |
|
35-40 = 10 |
3. Final Test consists of 75 questions:
|
No of points |
No of correct answers on test of 75 questions |
grade |
|
91-100 |
69 - 75 |
10 |
|
81-90 |
61- 68 |
9 |
|
71-80 |
54 - 60 |
8 |
|
61-70 |
46 - 53 |
7 |
|
51-60 |
38 - 45 |
6 |
Colloquia for academic year:
Internat
Final Colloquium
Repeated Final Colloquium
Final grade
test grade - 50 %
practical exam grade - 20%
Colloquia grade (Internat + Final Colloquium) - 20%
Attendance and activity on Lectures and Practicals - 10%