Courses Catalogue

Obstetrics And Gynecology I

COURSE CODE: OBG 3104
COURSE CREDIT UNIT: 5
ACADEMIC PROGRAMME: Clinical Medicine and Community Health, Diploma
COLLEGE/SCHOOL/FACULTY: School of Allied Health Sciences
STATUS: Core
PROGRAMME TYPE: Undergraduate

Course Content and Outline

i) Anatomy and physiology of the female reproductive system (2 Hours) ii) Physiological changes of pregnancy (2 Hours) iii) Diagnosis and management of Mothers with the following complications in pregnancy (12 Hours) 
a)      Hyperemeis gravidarum
b)      Pre-Eclapsia/Eclampsia
c)      Hydromnios
d)     Multiple pregnancy
e)      Early rapture  of  membranes
f)       Bleeding in pregnancy
g)      Ectopic
h)      Abortion
i)        Antepartum hemorrhage
j)        Hyadatiform  mole
k)      Medical conditions associated with pregnancy
l)        Sickle cell disease
m)    Malaria
n)      UTI
o)      Heart Diseases
p)      Renal Disease
q)      Tuberculosis
r)       Hypertension
s)       HI/AIDS
t)       Diabetes mellitus

iv) Management of Mother with complications during labor (10 Hours) 
a)      Cord prolapse
b)      Malposition
c)      CPLD
d)     Prolonged labour
e)      Obstructed  labour
f)       Maternal, Foetal Dirtess
g)      Ruptured Uterus.

v) Disorders of the Postnatal care of the mother (5 Hours)
a)      Post-partum hemorrhage
b)      Puerperal sepsis
c)      Deep vein thrombois
d)     Puerperal psychosis
e)      Breast engorgement
f)       Mastitis

 vi) Immediate care of the neonate(2 Hours) 

vii) Operative Obstetric: indications, contra indications, dangers and preparations for the operation (6 Hours)
a)      Episiotomy
b)      Perineal tears
c)      Vacuum extraction
d)     Caesarean section and its complications

viii) Normal labour (10 marks)
a)      Signs and symptoms –first, second and third stages.
b)      Abnormalities of first second and third stages of labor .
c)      Equipment used in labor  and their use
d)     Mechanism in labour.
e)      Care of a mother in labour.
f)       Indications, containdications and techniques of vaginal exams
g)      Recording the progress of labor delivery and weight the body.
i)     Obstetric anatomy and reproductive physiology of female reproductive organs (10 hours)
a)      The menstrual cycle
b)      Sex hormones
c)      Puberty
d)     Menopause
e)      Normal pregnancy
f)       Foetal growth and development
g)      Ante partum management
h)      Normal labour
i)        Delivery and puerperium
j)        Foetal death
k)      Basic pharmacology and pharmacotherapeutics and safety in pregnancy.

ii)   Clinical process (6 hours)
a)      Focused history taking including socio- cultural issues, comprehensive, physical and mental examination, summarized history, recording of clinical data, interpretation of findings case presentation.
b)      Basic diagnostic and technical procedures: Partogram,recording and record keeping, imaging techniques. iii) Obstetric problems (15 Hours)
a)      Multiple gestation
b)      Ectopic pregnancy
c)      Abnormal bleeding
d)     eclampsia, and gestational diabetes
e)      diabetes associated with the puerperium
f)       Lactational problems
g)      Post-partum hemorrhage
h)      Sepsis,
i)        Depression
j)        Ante partum, intrapartum and postpartum disorders of the fetus
k)      Neonatal resuscitation.
l)        Abnormal labour, induction, methods of operative delivery, genital tract trauma, prolapsed and incontinence.

II) Tutorials (20 Hours)
a)      The partogram
b)      Obstetric pharmacology
c)      Obstetric examination
d)     The Maternal health card
e)      The apgar score
f)       Common Obstetric/Gynecological Instruments

Teaching- learning methods
a)        Lectures
b)        Bedside teaching/Demonstrations
c)        Ward rounds/Demonstrations
d)       Tutorials/Group discussions
e)        Case presentations and write-ups
f)         Supervised ward practice
g)        Use of the recommended text and library research by students.

Teaching and Learning Facilities
a)      Whiteboard and markers
b)      LCD Projectors
c)      Patients
d)     Maternal health card
e)      Fetoscope