OBSTETRICS -GYNECOLOGY

2021-2022
COURSE OUTLINE : 1ST SEMESTER

References: Williams  OBSTETRICS 25th Ed CUNNINGHAM et al

                       COMPREHENSIVE GYNECOLOGY-7th Ed. LOBO et al.

** 1st Bimonthly **
(Dr. Virginia Villegas)

I. Overview – Definition of terms

II. ANATOMY -Female Reproductive System- Review

A. Anterior abdominal wall (Fig 2-1)
                       -skin, subcutaneous layer, fascia
                       -blood supply
                       -innervation  (Fig 2-2)
B. External Generative Organs (Fig 2-3)
                      -  Vulva (draw and label each part, locate, describe each structure)
                      - Vagina and hymen (Fig 2-4)
                      - Perineum (Fig 2-5), (Fig 2-8)   
C. Internal Generative Organs (Fig 2-9)
                      - Uterus
                      - Cervix
                      - Ligaments
D. Pelvic blood supply (Fig 2-12)
E. Pelvic lymphatic
F. Pelvic innervation
G. Ovaries
H. Fallopian tubes
I. Lower urinary tract structures
J. Musculoskeletal pelvic Anatomy
- Joints
                      - Bones
-Planes and diameters of the pelvis
                      - Shapes

III. Congenital genito-urinary abnormalities 

Embryology
Urinary system
               Genital tract
               Gonads
               External genitalia 
               Mullerian abnormalities
                Uterine Flexion
IV. Endocrinology (Fig. 5)
           Ovarian cycle
           Endometrial cycle 
           Menstruation  
           Decidua

V. Embryogenesis and fetal development (Fig. 7-2)

          Implantation – early trophoblast (Fig 5-7)
          Fertilization 
          Blastocyst
          Implantation 
          Gestational Age - LMP, PMP
          Fetal imaging (Fig-6)
          Physical exam-bimanual pelvic/abdominal
 
VI. Placental Abnormalities
          Trophoblast formation (Fig 8-9)
          Placental growth and maturation-circulation
          Placental hormones-
- HCG (fig. 18)
- HPL       
- Progesterone 
- Estrogen 
- Adrenal glands-placental interaction 

(Dr. Marbee Torrizo)     

                               
  VII. Amnion        
  VIII. Umbilical cord
  IX. Genetics
             Teratogens (table 8-4)
             Teratogenic agents -fetotoxic agents
             Fetal growth disorders

   X. Maternal Physiology

   XI. Preconceptual Counseling
   XII. Prenatal Care
   XIII. Immunization
 
** 2nd Bimonthly **
 (Dr. Virginia Villegas)

I.  Physiology of Labor 
             Normal Labor 
             Conduct/ Mechanism of Labor
             Vaginal Delivery 
             Abnormal Labor 
             Breech
             Induction of  Labor 
 II. Operative Vaginal Delivery
 III. Cesarean Delivery 
 IV. Peripartal Hysterectomy 
 V. PRIOR Cesarean delivery

(Dr. Bretta Lucion) 

 VI. Puerperium/ Complications

 VII. Family Planning 
 VIII. OB Analgesia/ Anesthesia
  IX. Urinary Complications 
  X. Cardiovascular OB complications 
  XI. Pulmonary Ob complications 
  XII. Thyroid complications