The results at the end of training
The total volume of training hours
(credits) 90 hours (2credits)
Practical traning 30 hours
Student’s independent work
the teacher controlled 30 hours
Independent work of the student 30 hours
The course V
The semester IХ - Х
The form of control exam
Almaty, 2013.
The work program is compiled by MD Kaliyeva L.K., is discussed and approved at the meeting of the Department of Obstetrics and Gynecology№ 2.
Protocol №______, «_____»___________________2013.
Head of the department. Obstetrics and Gynecology № 2,
MD Kaliyeva LK
1. General:
1.1. Name of UniversityKazakh National Medical University S.D.Asfendiarov
1.2. Department: Obstetrics &Gynecology №2
1.3. Discipline& its code:Obstetrics &Gynecology, AG-4303
1.4. Speciality:«051301 – General medicine»
1.5. The volume of hours / credits90 hours
1.6. Course and semester:5-th course, IХ-Х semester
Information on teachers
| № | ФИО | долж-ность | ученая степень | приоритетные научные интересы | место нахождения кафедры | Телефон |
| 1. | Калиева Лира Каббасовна | зав. кафе-дрой | д.м.н. | Оперативное акушерство и гинекология, вопросы бесплодия, фтизиогинекология | Богенбай Батыра, 492 Роддом №1 | 292-69-91 lira_kali@mail.ru |
| 2. | Нугманова Маруа Искаковна | доц., завуч | к.м.н. | Онкогинекология, оперативное акушерство и гинекология | Розыбакиева, 74, Ж\к №1 | 292-69-91 |
| 3. | Дусумбаева Любовь Шыктыбаевна | доц. | к.м.н. | Гнойно-септические заболевания в гинекологии | Казыбек Би БСНП | 235-87-55 |
| 4. | Бищекова Балзира Нагашибаевна | доц. | к.м.н. | Акушерство и гинекология, гинекология детей и подростков | Богенбай Батыра, 492 Роддом №1 | 292-69-91 |
| 5. | Максутова Дина Жусуповна | доц. | д.м.н. | Современные методы лечения миомы матки | Казыбек Би БСНП | 235-87-55 |
| 6. | Еспаева Раушан Нуркадыровна | асс. | к.м.н. | Акушерские кровотечения. | Джандосова,2 ЦГКБ | 230-59-12 |
| 7. | Шукенова Эльвира Камшыбековна | асс. | - | Ведение родов при узком тазе у женщин, УЗИ в акушерстве | Богенбай Батыра, 492 Роддом №1 | 292-69-91 |
| 8. | Сагандыкова Нургуль Молдакасымовна | асс. | - | Задержка внутриутробного развития плода | Богенбай Батыра, 492 | 292-69-91 |
| 9. | Оспанова Сауле Турсынгалиевна | асс. | - | Практическое акушерство и гинекология | Джандосова,2 ЦГКП | 274-83-75 |
1.8. Contact information:
Location of the Department:Bogenbai batyr str. 492. Phone:2926991; 3179201
1.9. The rules of discipline:Consistent and focus the learning process. Requirement of teachers to students is based on general principles of training in medical school:
1. Mandatory, regular attendance of workshops, in the absence of the lesson for a good reason, such as illness, you should submit the approval of the dean's office to perfect the missed classes.
2. Do not be late for class.
3. Regularly and hard carry out tasks, to participate actively in the learning process.
4. Students should come to the practical training in special clothes: pure white gown, clean hood, removable shoes without heels.
5. Students must be approved for use in hospitals.
6. Students must comply with sanitary and epidemiological conditions in the hospital.
7. Students should be respectful to teachers, medical staff and other clinic students.
8. Students should openly discuss conflicts in the groups with the head teacher or head of department.
The Program.
Introduction.
In recent years we have seen an increase in the frequency of intrauterine infections and increasing its role in perinatal mortality. A risk group of intrauterine fetal infection is pregnant women with obstetric pathology, women who have had acute respiratory infections and other infections during pregnancy, women who have pockets of chronic infections, especially in the urogenital area.
Now it is proved that infectious diseases of the mother during pregnancy can adversely affect the fetus, causing his death in utero or miscarriage. The disease can be detected at birth, shortly after birth, or it may go undetected for months or years after birth.
Viral infections play a significant role in causing the pathology of the fetus. Viral infection can lead to the development of various pathological processes in the egg, embryo, fetus and adult.
The virus, chlamydia and genital mycoplasmas are the most common causes of infectious diseases urogenital adults, as well as common diseases of infants and young children.
The poblem in modern infectious disease is associated infections. It is shown that the combination of a variety of infections can increase virulence of each pathogen. Then the diagnosis is complicated and it is necessary to use many modern serological virological and immunological methods.
2.2. The purpose of the elective course:
• Formation of students’ knowledge about:
ü the effect on the fetus maternal acute and chronic infectious diseases
ü practical skills of history-taking
ü objective methods of general and gynecological research
ü using of additional methods, the interpretation of their results
• Formation the technique of taking bioassay for the detection of sexually transmitted infections.
2.3. The learning problems:
· To acquaint the student with the clinical features, diagnosis of acute and chronic respiratory diseases in pregnancy, therapeutic tactics
· To acquaint the student with the clinical features, diagnosis and treatment of acute and chronic infections of the genitourinary system in pregnant women
· To acquaint the student with genital diseases caused by adenovirus, enterovirus, papovaviruses, hepatitis, HIV
· To show the role of viral, chlamydial infections in causing pathology of pregnancy and newborns, the role in the birth of healthy children
· To acquaint the student with the epidemiology, etiology, pathogenesis, laboratory diagnosis, clinical manifestations and treatment of sexually transmitted infections
· The show features a hidden carriers of sexually transmitted infections, methods of detection, treatment, and prevention of hidden forms of STIs.
· To demonstrate the technique of taking a bioassay for the detection of sexually transmitted infections
· To acquaint the student with the basic clinical protocols and orders of the MoH RK in obstetrics and neonatology
· To acquaint the student with the legal framework of health care for women during pregnancy and after childbirth.
The results at the end of training.
The student must be generated knowledge about:
· specifics of acute and chronic infections during pregnancy, testing and treatment in different stages of pregnancy
· specifics of manifestation and treatment of acute and chronic infections of the genitourinary system during pregnancy
· the epidemiology, etiology, pathogenesis of infections transmitted through sexual contact. The role of these infections in the pathology of pregnancy and child
· the features of inter-species relationships STI
· the basic protocols and orders MoH RK in obstetrics and neonatology
· the regulatory framework of health care for women during pregnancy and after childbirth
The student acquires skills:
· a survey of women with certain infectious diseases during pregnancy
· carry out the necessary research to verify the diagnosis
· planning treatment of infections during pregnancy
· prevent transmission to the fetus and newborn
· conversation with a patient with a particular infection
· taking a bioassay for the detection of pathogen
· registration forms in the direction of the laboratory
2.5 Prerequisites:Departments of: Microbiology, Communication skills - 2, Epidemiology, General immunology, Obstetrics and Gynecology №1.
Postrequisites: Departments of: Postgraduate training for AFP, Pediatrics, Obstetrics and Gynecology.
2.6 Brief contents:Students will lean different methods of diagnosis various infections during pregnancy and management of pregnant women
.7. Thematic plan of practical training and Student’s independent work the teacher controlled (SIWTC)
| № | Тopic | The form of practical training | Duration (hours) |
| The form of SIWTC | |||
| 1. | Acute and chronic respiratory diseases and pregnancy. The effect on the fetus. Algorithm for the diagnosis and management of pregnant women. | Testing. The survey and discussion. | |
| Curation of patients | |||
| 2. | Features of acute and chronic diseases of the urinary tract in pregnancy. Complications of pregnancy and the postpartum period. Algorithm for diagnosis, treatment, prevention. The value of the hidden bacteriuria in pregnancy. | Testing. The survey and discussion. | |
| Curation of patients | |||
| 3. | Genital herpes infection. Cytomegalovirus infection. Diagnostic algorithm, the management of pregnant women. | Case study. The survey and discussion. | |
| Supervision of patients. Interpretation of the results of laboratory tests. | |||
| 4. | Some oncogenic viral infections. HIV. Algorithm for the diagnosis and management of pregnant women. | The survey and discussion. The decision of situational problems. | |
| Bioassay taking skills from the cervical canal, urethra for PCR. | |||
| 5. | Chlamydial urogenital infection. Extragenital chlamydial disease. Mycoplasma infection. | The survey and discussion. | |
| Case study | |||
| 6. | Viral hepatitis (A, B, C, D, E). Algorithm for the diagnosis and management of pregnant women | The survey and discussion. | |
| Case study | |||
| 7. | Zootrop infections a) toxoplasmosis b) brucellosis b) Listeria Algorithm for the diagnosis and management of pregnant women | Testing. The solution case studies | |
| Analysis of the history of the disease. | |||
| 8. | Bacterial vaginosis. Fungal infections. Algorithm for the diagnosis and management of pregnant women. | The survey and discussion. | |
| Curation of patient | |||
| Common | Practical training | 30 hours | |
| SIWTC | 30 hous |
2.7 Тhe tematical plan of Students’ independent worky (SIW)
| № | Topic | The form of the work | Duration (hours) |
| 1. | Review of the medical history of pregnant suffering from pulmonary tuberculosis | Presentation | |
| 2. | Review of the case of viral pneumonia in pregnant | Presentation | |
| 3. | The emergence and spread of genital herpes and chlamydia urogenital infections | Abstract | |
| 4. | Current treatment regimens of patients with chronic inflammatory diseases of the urinary tract caused by mixed chlamydia-ureaplasma -herpetic infection. | Presentation | |
| 5. | Measures to prevent the spread of sexually transmitted infections. | Presentation | |
| 6. | Annexes A, B, C, D, E of the Protocol MOH "Observation of physiological pregnancy" (Basic clinical protocols and orders of the MoH PK in obstetrics and neonatologii.-C29-45). | Presentation | |
| 7. | Orders MoH PK on viral hepatitis, tuberculosis, HIV \ AIDS, "Rules of organization of inpatient care in health care organizations to protect the health of mother and child" | Presentation review of the data orders | |
| 8. | Algorithm for screening for intrauterine infection in the perinatal period. | Abstract | |
| 9. | Lymphogranuloma venereum | Abstract | |
| 10. | German measles. Etiology pathogenesis. Clinic. Diagnosis. Impact on the course of pregnancy, the fetus. | Abstract | |
| 11. | Common | 30 hours |