Women's Medicine: Obstetrics

Code:

M5_BC03

Acronym:

MMO

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2021/2022 - 2S (of 14-02-2022 to 09-06-2022)

Active?	Yes
Responsible unit:	Medical Teaching
Course/CS Responsible:	Integrated Masters Degree in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIM	81	Official Study Plan	5	-	3	32	81

Teaching language

Portuguese

Objectives

Objectives:
Main objective:
- To provide basic information in the field of Obstetrics and to get that students of the MIM to develop related capacities: knowledge about physiology, semiology, pathology and therapeutics, clinical examination and subsidiary examinations, prevention and screening. To underline the coexistence of two potential patients, the mother and the fetus.

General objectives:

- To know the pre-conceptional care and therelevance of the pre-conceptional consultation

- To know the maternal and fetal-placental physiology.

- To know the intrinsic pathology of pregnancy.

- To Know how certain preexisting conditions can affect pregnancy and vice versa.

- To learn the relevant aspects of an obstetric history, identifying problems pointing patient referrals.

- To know how to monitor a pregnancy, in the dual perspective of the mother and the fetus.

- To understand the reason underlying the request for certain analyzes and imaging tests and at what gestational ages.

- To know the techniques of evaluation of the fetal wellbeing

- To know attitudes and ways of preventing diseases that can affect the success of pregnancy
- To learn to advise pregnant women about lifestyles, diet and habits

- To learn to identify a risky pregnancy
- To learn to solve small problems that may occur during pregnancy and puerperium.
 - To earn to perform a routine obstetrical examination, such as speculum vaginal inspection, bimanual touch, detect fetal heart activity, measure uterine height and diagnose fetal presentation through abdominal palpation in the term.
- To fill the Pregnancy Health Report correctly
- To know the physiology of childbirth, which distinguishes a normal birth from an abnormal birth and the basic care in a normal birth.
- To know postpartum care and the importance of breastfeeding.
- To know the relevant legislation related to pregnancy.

 

Learning outcomes and competences

Key objective:

Acquisition of basic knowledge of clinical evaluation, screening, prevention and therapy in the area of Obstetrics and maternofetal medicine.Parte superior do formulário

 

General Objectives

To know:
- how to provide pre-conceptional care
- how to distinguish between what is physiological and what departs from normal physiology in pregnancy
- how to collect a complete medical and obstetrical history, identifying problems that involve patient referral.
- how to advise pregnant women about lifestyles and  diet

- how to apply for routine checkups during pregnancy.
- how to identify a risk pregnancy and the intrinsic pathologies of pregnancy
- what pathologies need reference and increased care.
- how to solve minor problems that may occur during pregnancy and puerperium.
- how to perform an obstetrical examination, namely speculum vaginal inspection, bimanual touch, to detect fetal heart activity,  to measure uterine height and to diagnose fetal presentation through abdominal palpation in the term.
- how to recognize the onset of labor and evaluate its progression
- how to evaluate fetal wellbeing during labor.
- how to  fill the Pregnancy Health Report correctly.

Working method

Presencial

Program

THEORETICAL CLASSES

1- Preconception. First trimester.


2- Maternal, fetal and placental physiology. Genetics and genetic diseases.


3 - Hypertensive disorders of pregnancy. Diabetes and other endocrinopathies.


4- Growth restriction. Macrossomia. Amniotic fluid disorders.


5- Preterm birth and rupture of membranes. Post-term pregnancy.

6- Haemorrhages in pregnancy and postpartum.

THEORETICAL and PRACTICAL CLASSES

1- Diagnosis and dating of pregnancy. Antepartum care. Obstetric examination (simulation).


2- Prevention. Drugs. Screening in pregnancy. Alarm signals. Frequent complaints. Clinical cases.

3- Fetal antepartum evaluation (morphology, growth, well-being). Clinical cases.

4- Normal childbirth. Intrapartum care. Induction of labor (simulation).

5- Intrapartum fetal evaluation. Abnormal childbirth (simulation)

 
6- Multiple pregnancy. Clinical cases.


7- Surgical and gastrointestinal pathology. Cardiac pathology. Respiratory pathology. Clinical cases.

8- Hematological diseases. Isoimmunization.

Clinical cases.

Neurological and psychiatric disorders. Clinical cases.

Renal diseases. SLE and other autoimmune diseases. Clinical cases.

Infections. Clinical cases.

Placenta previa. Placenta accreta. Postpartum haemorrhage. (Simulation)

Postpartum care. Breast-feeding. Clinical cases.

Mandatory literature

Prof. Luís Mendes Graça; Medicina Materno-Fetal

Complementary Bibliography

Prof. Luís Cabero; Tratado de Ginecologia, Obstetricia e Medicina de Reprodução
Prof. Fernando Árias; High-Risk Pregnancy and Delivery

Teaching methods and learning activities

Theoretical, practical and simulation classes.

In the context of the COVID-19 pandemic, teaching / learning methodologies will depend on the existing epidemiological situation and we can have one of the 3 scenarios:

A. Face-to-face - classes will take place in the usual manner

B. Blended format for contact hours:

. Theoretical classes will be held with presence of some students or totally remotely via Zoom in a synchronous way.

. TP classes will be held with presence of some students or totally remotely via Zoom in a synchronous way with discussion of clinical cases.

. Practical classes: the groups will be divided into two parts, half should have contact with the real patient and the other half with the virtual patient or perform another activity indicated by the teacher, alternating the following week.

C. Distance learning - this model will only be applied if the conditions for semi-face-to-face teaching are impossible due to pandemic and will be done entirely with the use of virtual patients and digital platforms.

 

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Participação presencial	25,00
Teste	75,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	49,00
Frequência das aulas	32,00
Total:	81,00

Eligibility for exams

To obtain the frequency is necessary the presence in 3/4 of the theoretical and practical classes.

Calculation formula of final grade

The evaluation formula will take into account:
 
Practical assessment:
a) attendance: 2 values;
 b) participation, interest and presentation and discussion of clinical chaos: 3 values;

Multiple choice final test: 15 values

Special assessment (TE, DA, ...)

By means of oral examination

Classification improvement

By means of oral examination

Observations

.