Teaching Outline of
Obstetrics and Gynecology
(For Oversea Students)
2011-06
Course Code:
Course Name: Obstetrics and Gynecology
Total Class Hours : 48 for lectures and 48 for clinical probation
Credit: 6
Textbook/Teaching material:
[1] Alan H. DeCherney, Lauren Nathan, Current Obstetric and Gynecologic
Diagnosis and Treatment, 9thEdition
[2] DC Dutta，Textbook of gynaecology including contraception，fifth edition
[3] DC Dutta， Textbook of Obstetrics including Perinatology and Contraception，
seventh edition
Course Objective: This course is designed for junior undergraduate students in the
medical school. The basic knowledge of diagnosis and treatment strategies in obstetric
and gynecology are covered. The intention is that the courses will provide a
foundation for theoretical and clinical understanding in obstetric and gynecology.
Course Description:：This course will introduce both in lectures and in clinical
probation. In introducing each part of the course such as obstetrics, gynecology and
gynecological endocrinology, we will start with basic anatomical and physiological
concepts. Then we will introduce different topics in the sequence of introduction,
etiology and pathogenesis, symptoms and signs, laboratory findings, diagnosis and
differential diagnosis, treatment and prognosis. The topics in gynecology will cover
anatomy of the female reproductive system, pelvic inflammation, abortion, ectopic
pregnancy, leiomyoma, endometriosis, ovarian cancer, gestational trophoblastic
disease, endometrial and cervical cancer. In obstetric, we will learn physiology of
pregnancy，perinatal care, normal labor and delivery, abnormal labor and delivery,
high risk pregnancy, hypertensive disorder complicating pregnancy, diseases
complicating pregnancy (rheumatic heart disease, diabetes mellitus, tuberculosis),
obstetrical hemorrhage. In the gynecological endocrinology, we will learn physiology
of the female reproductive system, dysfunctional uterine bleeding, amenorrea,
infertility and family planning. And we will also learn how to apply the lectures into
clinical works, and how to interpret the specific medical cases, and how to make
diagnosis and choose the suitable treatment.
Prerequisite：The prerequisite of this course includes, but is not limited to, the
knowledge of anatomy, physiology, pathology, pathophysiology, diagnosis. Those
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who are not familiar with this knowledge are encouraged to read related text books
before hand.
Ways to engage students to the class： In-class discussion will be conducted as
often as possible; After-class assignments will be passed out approximately every
week. These assignments will include both problem discussions and solving. Besides,
during probation students are required to communicate with patients and take medical
histories. The assignments will be graded by the teaching assistant, and will be
reviewed in the discussion sections. Questions regarding history-taking and writing of
medical reports should be directed to the teaching assistant.
Reference books:
[1] Alan H. DeCherney, Lauren Nathan, Current Obstetric and Gynecologic
Diagnosis and Treatment, 9thEdition;
[2] DC Dutta，Textbook of gynaecology including contraception，fifth edition
[3] DC Dutta， Textbook of Obstetrics including Perinatology and Contraception，
seventh edition
Grading
The total score of OBGYN is made up of two parts: probation ( including 6
quizzes )(60%) and final exam(40%). All the quizzes and the final exam are
close-book and close-note.
Time
Exam method
content
score
Week 2
Model practice
Basic PE in OBGYN
10
Week 4
Multiple
questions
Week 8
Figures
mini-cases
Week 11
choices
and
Prenatal visits
diagnosis
and
prenatal
10
Partogram & EFM
10
PBL
Diagnosis
and
differential
diagnosis
of
common
gynecological diseases
10
Week 14
PBL
Common diagnostic methods in
gynecological
endocrinology
Suitable choices of family planning
methods
10
Week 17
Case reports
Two case reports in OBGYN
10
Week 19
Final exam
All contents in OBGYN
40
Total score
100
Office Hour:
Wednesday: 16:00 to 17:45; And by Appointment.
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Table of Contents
Ⅰ. Teaching contents & Requirement
1.
2.
3.
4.
5.
6.
7.
Anatomy of the Female Reproductive System
Physiology of the Female Reproductive System
Physiology of Pregnancy
Perinatal Care
Normal Labor & Delivery
Abnormal Labor & Delivery
Obstetric complications (Multiple Pregnancy, Polyhydramnios,
Malformations)
8. Diseases Complicating Pregnancy (Tuberculosis, Diabetes Mellitus,
Disease)
9. Hypertensive Disorder Complicating Pregnancy
10. Antepartum Hemorrhage
11. Postpartum Hemorrhage
12. Inflammation of the Female Reproductive System
13. Abortion
14. Ectopic Pregnancy
15. Myoma of uterus
16. Cervical Cancer
17. Carcinoma of Endometrium
18. Ovarian Tumor
19. Gestational Trophoblastic Diseases
20. Endometriosis & Adenomyosis
21. Dysfunctional Uterine Bleeding
22. Amenorrhea
23. Infertility
24. Family Planning
Fetal
Heart
Ⅱ. Probation contents
1.
2.
3.
4.
5.
6.
7.
8.
Anatomy & Physiology of the Female Reproductive System
Diagnosis of Pregnancy
Normal Puerperium
Puerperal Infections
Medical History and Physical Examination for Gynecologic Patients
Chronic Vulvar Dystrophy and Vulvar Itching
Female Health Care
Vaginal Cytology
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Teaching Contents & Requirements
Reproductive Basics
Chapter 1. Anatomy of the Female Reproductive System (3 class hours)
Objectives and requirements:
(1) Be familiar with structure of bony pelvis and understand the delivery-related
anatomic characteristics;
(2) Be familiar with the anatomy of female internal and external genitalia and
their relationship with adjacent organs;
(3) Master the anatomy of female pelvic floor.
Teaching contents:
(1) Components of female pelvis, each plane of the pevis;
(2) Anatomy of female external genitalia
(3) Anatomy of female internal genitalia (vagina, uterus, oviduct and ovary);
(4) Adjacent organs including urethra, urinary bladder, ureter, rectum, and their
relationship with female reproductive organs;
(5) Distribution of pelvic vessels and lymphatics, the anatomy of female pelvic
floor.
Teaching Methods: lectures
Chapter 2. Physiology of the Female Reproductive System (3 class hours)
Objectives and requirements:
(1) Know about the physiological characteristics of different development stages
of women;
(2) Master the clinical manifestations of menstruation and regulating mechanism
of menstrual cycle;
(3) Master the process of follicle development and secretion of gonadal
hormones;
(4) Master the physiological functions of gonadal hormones and be familiar with
periodical changes of ovary, uterus and other reproductive organs as well as
their clinical significance.
Teaching contents:
(1) Physiological characteristics of different development stages of women;
(2) Clinical manifestations and characteristics of menstruation;
(3) Development, maturation of an ovarian follicle, ovulation, formation and
degeneration of a corpus luteum, physiological functions of estrogen and
progesterone;
(4) Periodical changes of endometrium of uterus, mucosa of vagina, mucus of
uterine cervix and oviducts along with periodical changes of ovary;
(5) Regulating mechanism of menstrual cycle, regulatory relationship between
the H-P-O axis and endometrium of uterus.
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Teaching Methods: lectures
Obstetrics
Chapter 3. Physiology During Pregnancy (Including maternal changes) (2 class
hours)
Objectives and requirements:
(1) Know about the characteristics of embryonic and fetal growth and
development during gestational period;
(2) Be familiar with formation and function of placenta, be able to know about
functions of amniotic fluid, fetal membrane, and umbilical cord;
(3) Be familiar with maternal changes during gestational period.
Teaching contents:
(1) Fertilization, transportation, development and nidation of fertilized ovum;
(2) Formation and function of placenta;
(3) Functions of amniotic fluid, fetal membrane, and umbilical cord;
(4) Maternal characteristic changes in reproductive systems, breast,
hematological system, and cardiovascular system during gestational period;
(5) Characteristics in embryonic and fetal growth and development.
Teaching Methods: lectures
Chapter 4. Perinatal Care (1.0 class hour)
Objectives and requirements:
(1) Be familiar with the definition of perinatal care;
(2) Be familiar with contents of prenatal care;
(3) Be familiar with contents of puerperal care.
Teaching contents:
(1) Definition of perinatal care;
(2) Stages of gestational period and key points of care in each stage;
(3) Definition and contents of puerperal care
Teaching Methods: lectures
Chapter 5. Normal Labor & Delivery (3 class hours)
Objectives and requirements:
(1) Master the essential factors of labor;
(2) Be familiar with the mechanism of labor in left occipitoanterior position;
(3) Be familiar with the course and clinical management of labor & delivery.
Teaching contents:
(1) The four essential factors of labor: labor force, labor passage, fetus, and
psychological factor;
(2) Mechanism of labor taking left occipitoanterior position as an example;
(3) Threatened labor, diagnosis of labor, the differentiation of false labor and true
labor;
(4) Be familiar with stages of labor, observation and management in each stage
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of labor.
Teaching Methods: lectures, demonstration with models
Chapter 6. Abnormal Labor & Delivery (1.5 class hour)
Objectives and requirements:
(1) Be familiar with the cause, classification, clinical manifestation, diagnosis,
effects on mother and fetus on account of abnormal labor force, labor
passage, fetus, and psychological factor;
(2) Know about the diagnosis and management principles of abnormal fetal
position;
(3) Know about management of dystocia.
Teaching contents:
(1) Classification, clinical manifestation, diagnosis, effects on mother and fetus,
prevention as well as treatment of abnormal labor force;
(2) Clinical classification, diagnosis, effects on mother and fetus, and treatment
of abnormal bony passage;
(3) Classification, diagnosis, effects on mother and fetus, and key points of
treatment of abnormal fetal position;
(4) Etiology of urinary fistula caused by dystocia.
Teaching Methods: lectures, demonstration with models
Chapter 7. Abnormal Pregnancy (Multiple Pregnancy, Polyhydramnios, Fetal
Malformations) (1.5 class hour)
Objectives and requirements:
(1) Be familiar with the cause classification, effects on mother and fetus,
diagnosis, and management of multiple pregnancy;
(2) Be familiar with the cause, clinical manifestation, effects on mother and fetus,
and management of polyhydramnios;
(3) Be familiar with diagnosis, and management of common fetal malformation.
Teaching contents:
(1) Cause and complications (harm on mother and fetus) of multiple pregnancy;
(2) Classification, diagnosis, and management principles of multiple pregnancy;
(3) Cause (possibility of fetal malformation as an important factor), clinical
manifestation, effects on mother and fetus, diagnosis, and management of
polyhydramnios;
(4) Common fetal malformation, antepartum counseling, antepartum diagnosis,
prevention and diagnosis of fetal malformation.
Teaching Methods: lectures
Chapter 8. Diseases Complicating Pregnancy (Tuberculosis, Diabetes Mellitus,
Heart Disease) (3 class hours)
Objectives and requirements:
(1) Know about the related influence of pregnancy, labor & delivery, puerperium
and heart disease on each other;
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(2) Be familiar with the classification of heart disease complicating pregnancy,
especially the diagnosis and management of rheumatic heart disease
complicating pregnancy;
(3) Be familiar with the diagnosis and management of diabetes mellitus
complicating pregnancy;
(4) Be familiar with the diagnosis and management of tuberculosis complicating
pregnancy.
Teaching contents:
(1) Related influence of pregnancy, labor & delivery, puerperium ,and heart
disease on each other;
(2) Classification of heart disease complicating pregnancy, diagnosis and
management of rheumatic heart disease complicating pregnancy;
(3) Diagnosis and management of diabetes mellitus complicating pregnancy;
(4) Diagnosis and management of tuberculosis complicating pregnancy.
Teaching Methods: lectures
Chapter 9. Hypertensive Disorder Complicating Pregnancy (3 class hours)
Objectives and requirements:
(1) Master the classification, clinical manifestation, diagnosis, and differential
diagnosis of hypertensive disorder complicating pregnancy;
(2) Mater the complications of hypertensive disorder complicating pregnancy,
their management, and the influence on mother and fetus;
(3) Master the prevention as well as treatment of hypertensive disorder
complicating pregnancy.
Teaching contents:
(1) Pathophysiology of hypertensive disorder complicating pregnancy;
(2) Classification, clinical manifestation of hypertensive disorder complicating
pregnancy;
(3) Diagnosis, and differential diagnosis of hypertensive disorder complicating
pregnancy;
(4) Prevention of hypertensive disorder complicating pregnancy;
(5) Treatment principles of hypertensive disorder complicating pregnancy in
different states;
Teaching Methods: lectures
Chapter 10. Antepartum Hemorrhage (1.5 class hour)
Objectives and requirements:
(1) Be familiar with the classification, etiology, clinical manifestation of placenta
previa, and its complications of mother and fetus;
(2) Master the diagnosis and management principles of placenta previa;
(3) Be familiar with the clinical manifestation and the complications of mother
and fetus of placental abruption;
(4) Master the diagnosis and treatment of placental abruption.
Teaching contents:
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(1) Common causes of antepartum hemorrhage;
(2) Classification, etiology, clinical manifestation, and diagnosis of placenta
previa;
(3) Prevention and management principles of placenta previa;
(4) Etiology and classification of placental abruption, the clinical manifestation,
physical signs, diagnosis and management principles of different kinds of
placental abruption;
(5) Differential diagnosis between placenta previa and placental abruption.
Teaching Methods: lectures
Chapter 11. Postpartum Hemorrhage (1.5 class hour)
Objectives and requirements:
(1) Master the cause, clinical manifestation and diagnosis of postpartum
hemorrhage;
(2) Master the prevention as well as treatment of postpartum hemorrhage.
Teaching contents:
(1) Obstetrical hemorrhage is the most common cause of maternal mortality;
(2) Four common causes of postpartum hemorrhage: uterine atony, retained
placental tissue, obstetric laceration, and coagulation defects;
(3) Clinical characteristics and management principles of postpartum
hemorrhage caused by different factors.
(4) Prevention of postpartum hemorrhage, the importance of accurate volume
estimation and prompt management of postpartum hemorrhage; It is essential
to strengthen clinical management of labor, especially in the third stage.
Teaching Methods: lectures
Gynecology
Chapter 12. Inflammation of the Female Reproductive System (3 class hours)
Ⅰ. Infections of Vulva, Vaginitis, and Chronic Cervicitis
Objectives and requirements:
(1) Master the cause, infectious patterns, clinical manifestation, diagnosis,
prevention, and treatment of trichomonal vaginitis, vulvovaginal candidiasis,
and bacterial vaginosis;
(2) Master the pathological changes, clinical manifestation, diagnosis, and
treatment of chronic cervicitis.
Teaching contents:
(1) Predisposing factors as well as normal defending mechanism of female
reproductive system;
(2) Biological characteristics, infectious patterns, symptoms, physical signs, and
diagnosis of trichomonal vaginitis, vulvovaginal candidiasis, and bacterial
vaginosis;
(3) Pathological changes, classification, symptoms, physical signs, diagnosis,
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and treatment of chronic cervicitis;
(4) Composition and properties of normal vaginal discharge, differential
diagnosis of abnormal vaginal discharge.
Teaching Methods: lectures, clinical probation
Self-study: Cause, diagnosis and treatment principles of senile vaginitis;
characteristics, prevention as well as treatment of infantile vaginitis;
Ⅱ. Pelvic Infections
Objectives and requirements:
(1) Master the natural defending mechanism of female reproductive system
against infections;
(2) Master the cause, pathological changes, clinical manifestation, diagnosis,
prevention, and treatment as well as the relationship between the last two in
case of acute and chronic pelvic infections.
Teaching contents:
(1) Natural defensive mechanism of female reproductive system in view of
anatomy and biochemistry;
(2) Etiology, clinical findings, treatment principles and prognosis of acute pelvic
infection;
(3) Pathologic changes, diagnosis and treatment principles of chronic pelvic
infection.
Teaching methods: Lectures
Chapter 13. Abortion (1.5 class hour)
Objective and requirements:
(1) Know about etiology of abortion;
(2) Master manifestation, diagnosis and treatment principles of abortion;
(3) Be familiar with the differentiation and treatment on missed abortion,
habitual abortion, and septic abortion;
(4) Know about the prevention of abortion.
Teaching contents:
(1) Introducing the etiology of abortion;
(2) Clinical processes , manifestation and treatment of different stages;
(3) Differential diagnosis of abortion with hydatidiform mole, ectopic pregnancy,
dysfunctional uterine bleeding and myoma;
(4) Prevention: set up menstruation card, strengthen health care during
pregnancy, appropriate treatments for different kinds of abortion.
Teaching methods: Lectures
Chapter 14. Ectopic Pregnancy (1.5 class hour)
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Objective and requirements:
(1) Master its etiology, pathology, and clinical manifestation;
(2) Master its diagnosis and differential diagnosis;
(3) Master its treatment, especially in emergency.
Teaching contents:
(1) Etiology, pathology and transformative results of oviduct pregnancy;
(2) Clinical manifestation, diagnosis and assistant diagnostic methods of oviduct
pregnancy;
(3) Indication of operation, key points in treatment before, during and after
operation, conservative therapy with or without drug.
Teaching methods: Lectures
Gynecologic Oncology
Chapter 15. Myoma of uterus (1.5 class hour)
Objective and requirements:
(1) Master the classification, familiar with the etiology of myoma, and pathology
of myoma;
(2) Master the clinical manifestation, diagnosis, and differential diagnosis of
myoma;
(3) Master principles of treatment;
(4) To know about the interrelationship between myoma and pregnancy.
Teaching contents:
(1) Classification of myoma according to its locations;
(2) To illustrate the relationship between locations, size and succeeding changes
of myoma with its clinical symptom and physical examination;
(3) Treatments including observation and follow-up, drug medication, operation,
interfering medication and radiotherapy;
(4) Relationship, diagnosis and principles of treatment as myoma complimented
with pregnancy.
Teaching methods: Lectures
Chapter 16. Cervical Cancer (3 class hours)
Objective and requirements:
(1) Know about the etiology, causative factors and prevention;
(2) Master the pathology and metastatic routes of cervical cancer;
(3) Master the clinical manifestation, clinical stages and diagnosis at early stage.
(4) Know about the principle of treatment
Teaching contents:
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(1) Cervical cancer is the most common malignant tumor of female reproductive
(2)
(3)
(4)
(5)
(6)
(7)
system in developing country;
Pathology of cervical cancer;
Main metastatic routes of cervical cancer, especially for lymphatic route;
Clinical stages, manifestation and diagnostic methods of cervical cancer;
Key points in prevention, emphasis on investigation and treatment in large
scale, concentrate on early diagnostic
Treatment: mainly operation and radiotherapy concerned about individual
situation;
Diagnosis and principles of treatment when cervical cancer complimented
with pregnancy.
Teaching methods: Lectures
Chapter 17. Carcinoma of Endometrium (1.5 class hour)
Objective and requirements:
At beginning, simply introduce the outline of this disease.
(1) Know about the causative factors, pathology and metastatic routes;
(2) Be familiar with clinical characteristics, diagnostic method and FIGO stage
of the carcinoma of endometrium;
(3) Be familiar with treatment principles of the carcinoma of endometrium.
Teaching contents:
(1)
(2)
(3)
(4)
Causative factors of the carcinoma of endometrium;
Pathological changes , types and metastatic routes of the carcinoma of
Endometrium;
Clinical characteristics, diagnostic methods (especially fragmented
diagnostic curretage) and differential diagnosis with dysfunctional uterine
bleeding, submucous myoma, polyps of endometrium, cervical cancer, senile
vaginitis, carcinoma of fallopian tube, et al.
(5) Discuss the treatment principles of the carcinoma of endometrium.
Teaching methods: Lectures
Chapter 18. Ovarian Tumor (3 class hours)
Objective and requirements:
At beginning, simply introduce the outline or progress of this disease (e.f.
diagnostic、treatment)
(1) Know about classification, pathological changes, and clinical characteristics
of ovarian tumors;
(2) Master clinical manifestation, diagnosis, and differential diagnosis of ovarian
tumors, especially for benign and malignant tumors;
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(3) Be familiar with common complications of ovarian tumors;
(4) Be familiar with principles and methods for treatment of ovarian tumor and
its follow-up;
(5) Know about the interrelationship between ovarian tumor and pregnancy.
Teaching contents:
(1) Classification of ovarian tumors according to its histogenesis;
(2) Most common seen kinds of ovarian tumors;
(3) Deferential diagnosis of benign and malignant ovarian tumors, clinical stages
and metastatic routes of malignant ovarian tumors;
(4) Deferential diagnosis of benign and malignant ovarian tumors with other
diseases;
(5) Most common seen complications: pedicle rotation, rupture, infection and
malignant transformation;
(6) Regular check-up is an important method in finding ovarian tumor at early
stage;
(7) Treatment principles: operation for benign tumors, operation and
chemotherapy for malignant tumors, radiotherapy and Chinese medicine for
assistant therapy;
(8) Just know about function , side effects and their clinical observations of
chemotherapy, treatment and prevention of side effects;
(9) Relationship between ovarian tumor and pregnancy, labor and puerperium.
Teaching methods: Lectures
Chapter 19. Gestational Trophoblastic Diseases (1.5 class hour)
Objective and requirements:
(1) Master the definition of Gestational trophoblastic tumor and its characteristics;
(2) Be familiar with the pathology, clinical manifestation, natural transformation,
diagnosis, treatment and follow-up of hydatidiform mole.
(3) Be familiar with pathology, clinical manifestation, diagnosis, differential
diagnosis, clinical stages and principles of treatment of invasive hydatidiform
mole and choriocarcinoma.
Teaching contents:
(1) Clinical manifestation and diagnosis of hydatidiform mole, differential
diagnosis with excessive amniotic fluid, twin and abortion, also closely
follow-up;
(2) Pathologic characteristics, clinical manifestation and diagnosis of invasive
hydatidiform mole;
(3) Pathologic characteristics and clinical manifestation of choriocarcinoma,
differential diagnosis with invasive hydatidiform mole;
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(4) Principles of treatment for gestational trophoblastic tumors.
Teaching methods: Lectures
Chapter 20. Endometriosis and adenomyosis (1.5 class hour)
Objective and requirements:
(1) Know about etiology and pathology of endometriosis;
(2) Be familiar with clinical manifestation, diagnosis, treatment and prevention
of endometriosis;
(3) Master the specificity of adenomyosis.
Teaching contents:
(1) Definition of endometriosis;
(2) Possible etiology of endometriosis;
(3) Clinical manifestation, diagnosis and treatment (including combined therapy
with drug and operation, or pure drug medication) of endometriosis
according to its pathologic changes;
(4) Prevention of endometriosis;
(5) Clinical manifestation, diagnosis and treatment of adenomyosis.
Teaching methods: Lectures
Chapter 21. Dysfunctional Uterine Bleeding (1.5 class hour)
Objective and requirements:
(1) Know about the etiology of dysfunctional uterine bleeding and its
pathogenesis;
(2) Master clinical classification, manifestation and characteristics of
dysfunctional uterine bleeding;
(3) Master diagnosis, differential diagnosis and treatment principles of
dysfunctional uterine bleeding;
(4) Master clinical characteristics and principles of treatment of anovulation type
of dysfunctional uterine bleeding.
Teaching contents:
(1) Etiology, mechanism and treatment of dysfunctional uterine bleeding;
(2) Pathologic changes, clinical manifestation and lab examinations of
dysfunctional uterine bleeding, especially for its two subtypes ovulation type
and anovulation type;
(3) Making correct diagnosis according to history, physical examination and lab
exam;
(4) Differential diagnosis with systemic hematological diseases, gynecologic
tumors and other disease;
(5) Principles of treatment: hormonal therapy and exogenous hormones, adjust
periods of menstruation, induced ovulation.
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Teaching methods: Lectures
Chapter 22. Amenorrhea (1.5 class hour)
Objective and requirements:
(1) Know about the different causes of amenorrhea;
(2) Be familiar with the steps of diagnosis and the methods of differential
diagnosis;
(3) Be familiar with the lab examination of amenorrhea and principles of
treatment.
Teaching contents:
(1) Etiology of different types of amenorrhea;
(2) Diagnosis and differential diagnosis, especially for the unique diagnostic
process;
(3) Lab examinations connecting with amenorrhea: biopsy of endometrium,
functional evaluation of ovary, functional evaluation of pituitary (including
sexual hormone test, ultrasonography, laparoscopy and CT scan);
(4) Treatment principles of different types of amenorrhea.
Teaching methods: Lectures
Chapter 23. Infertility (3 class hours)
Objective and requirements:
(1) Be familiar with the etiology of infertility;
(2) Know about the examine procedures of infertility;
(3) Know about the treatment of infertility.
Teaching contents:
(1) Main etiology of infertility: dysfunction of endocrine system, salpingitis,
immunologic infertility;
(2) Examine methods of infertility: function of ovary, hydrotubation, HSG,
antibodies, hysteroscopy and laparoscopy, et al;
(3) Main treatments of infertility: promoting ovulation, salpingoplasty,
immunosuppressant.
(4) Assisted reproductive technologies.
Teaching methods: Lectures
Chapter 24. Family Planning (3 class hours)
Objective and requirements:
(1) Know about the significance of family planning;
(2) Be familiar with the available methods of contraception (including drugs,
intrauterine devices and condom ) and their advantages and disadvantages in
clinical uses;
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(3) Be familiar with the associated mechanism of contraception(contraceptive
pill and IUD);
(4) Know about the indication, contradiction and complication of sterilization;
(5) Know about the indication, contradiction and complication of induced
abortion;
(6) Be familiar with the selection of contraceptive methods.
Teaching contents:
(1) Significance of family planning;
(2) Available methods of contraception, mainly concerning about intrauterine
devices;
(3) Mechanism, indication, contradiction, complication and the treatment of
intrauterine devices;
(4) Mechanism, classification of hormonal contraception, especially for
short-effect drugs;
(5) Indication, contraindication, complication and prevention of sterilization
(6) Indication, contraindication, complication and prevention of induced abortion
Teaching methods: Lectures
Guideline for students on probation
Anatomy and physiology of the Female Reproductive System
Objective and requirements:
Strengthen the learning in classroom by clinical seeing and study
Teaching contents and methods:
(1) Anatomy: study in the clinics, including outpatient clinics, operation, model
and CD records;
(2) Physiology: study in the clinics:
 Review the teaching contents, especially for the regulating mechanism of
menstrual cycle
 Study the relationship of basal body temperature, endometrium, cytology of
cervix, mature index and cervical mucous with periods of menstruation
Diagnosis of Pregnancy
Objective and requirements:
Master the clinical symptom, physical signs and assisted diagnostic methods of
early, middle, late stage of pregnancy.
Teaching contents:
(1) Clinical manifestation and assisted diagnostic methods of early stage of
pregnancy, know about how to calculate the time of pregnancy (last
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menstruation period, early pregnant reaction, pregnancy diagnosis,
(2)
(3)
(4)
(5)
ultrasound examination, fetal movement);
Clinical manifestation and assisted diagnostic methods of middle and late
stages of pregnancy; fetus development and mature status, fetus weight
estimation, surveillance of fetus in uterus and function of placenta during late
pregnancy;
Judge the kinds of fetal labor means, fetal presentation, fetal orientation and
their clinical significance;
Bony marks, measurement and their clinical significance in extra pelvic
measurement;
Methods of four maneuvers of Leopold.
Teaching methods: Participating obstetric clinics and small lecture
Normal puerperium
Objective and requirements:
Know about the definition and systemic changes during period of puerperium
Teaching contents:
(1) Definition of period of puerperium;
(2) Anatomic and physiologic changes during the puerperium, especially for
productive system and breast;
(3) Clinical manifestation of normal puerperium;
(4) Benefits of breastfeeding.
Teaching methods: Study in clinics and ward, also including small lecture
Puerperal infection
Objective and requirements:
(1) Know about the etiology and classification of puerperal infection;
(2) Be familiar with clinical manifestation, diagnosis and preventive measures.
Teaching contents :
(1) Main septic factors and bacteria inducing puerperal infection;
(2) Clinical symptom and physical sign on the basis of pathologic changes;
(3) Prevention and treatment of puerperal infection.
Teaching methods: Small lecture and clinical study
Medical history and physical examination for gynecologic patients
Objective and requirements:
Making primary diagnosis according to compatible analysis of medical history
and physical examination
Teaching contents:
(1) Contents and characteristic of medical history of gynecologic patient;
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(2) Physical examination: including whole body exam, abdominal exam and
pelvic exam, conjunct with medical history to make primary diagnosis and
differential diagnosis;
(3) Common and essential lab test and other assisted examinations and making
treatment plan;
Teaching methods: Small lecture and clinical study
Chronic vulvar dystrophy and vulvar itching
Objective and requirements:
(1) Know about the etiology, pathology, diagnosis and treatment of lichen
sclerosis and squamous cell hyperplasia;
(2) Know about the pathology, clinical manifestation and treatment of vulvitis;
(3) Know about the etiology, clinical manifestation and treatment of vulvar
itching
Teaching contents:
(1) All kinds of vulvar skin diseases: lichen sclerosis of vulva, squamous cell
hyperplasia of vulva and other diseases;
(2) Clinical characteristics and treatment of three kinds of lichen sclerosis of
vulva according to the pathologic changes;
(3) Clinical manifestation of vulvitis, doing biopsy before treatment and
eliminate the malignant possibility;
(4) Diagnosis of vulvar intraepithelial neoplasia relies on pathology, as for the
treatment, including pure vulvectomy or drug therapy under closely
observation;
(5) The causes of vulvar itching include local and systemic aspects, the treatment
is mainly to eradicate the causes of the disease and also treat the symptom.
Teaching methods: Small lecture and clinical study
Female health care
Objective and requirements:
Know about the importance of female health care and the working field.
Teaching contents:
(1) The important significance of female health care;
(2) The working field includes female sanitation in different stages, family
planning, prevention of female diseases and provocation of hygienic
knowledge;
(3) The responsibility and significance of three levels of women and children
health care network.
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Teaching methods: Small lecture to know about the women healthy organizations in
factory, community, countryside and on basement level.
Vaginal cytology
Objective and requirements:
Know about the methods and significance of cervical exfoliated cytology and
vaginal cytology.
Teaching contents:
(1) The function of vaginal cytology in diagnosis and postoperative follow-up
for patients with gynecologic cancer;
(2) Using the knowledge of vaginal cytology to make diagnosis for gynecologic
endocrinal diseases;
Teaching methods: Small lecture and clinical study
Clinical case discussion
1. Gynecologic case
2. Obstetric case
3. Reproductive endocrine or family planning case
Stereo Records
1. Physical general and specific examinations in gynecologic department
2. Anatomy of female reproductive system, normal labor and cesarean section
3. Family planning
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