Obstetrics and Gynecology Education

 

Obstetrics, more than any other field of medicine, combines clinical skills, diagnosis, medical mangement, emergency management, procedures, and operations . The delivery of a baby to the world and its parents is perhaps the greatest event in health care, and students are priviledged to share this time filled with excitement, anxiety, and pain.

 

The nature of the obstetric history and physical exam requires maturity, sensitvity, and confidence from students. The following cannot teach this, but provides background information for students to build upon.

 

 

  • anatomy &
    physiology
  • pregnancy

  • obs/gyne
    investigations
  • obstetrical
    complications
  • gyne conditions &
    diseases
  • obs/gyne
    treatments
  • test
    yourself

Normal Anatomy and Physiology

normal vaginal discharge

 

Pregnancy Care

pregnancy planning

 

prenatal care

labour and delivery

 

postnatal care

 

 

 

Obstetrics and Gynecology Investigations

 

 

 

Obstetrical Complications

 

The mortality rate in Canada is ~ 5 in 100,000, or 0.005%. In some places in the developing world, mortality rate is close to 1%, in large part due to post-partum hemorrhage.

Gynecological Conditions and Diseases

Abnormal bleeding

 

Infections

  • Candida
  • bartholinitis/bartholin gland abscess
  • toxic shock syndrome

Vulvar complaints

Hormonal

  • premenstrual syndrome
  • precocious puberty

 

Breast conditions and disease

 

Neoplastic diseases

Other

 

Obstetrics and Gynecology Treatments

oral contraceptive pill

IUD

 

tocolyti

dilatation and curretage (D & C)

endometrial ablation

hysterectomy

LEEP

 

 

 

 

 

Test Yourself

 

history and physical exam

  • a 35 year-old woman presents to the ED with a two day history of vaginal bleeding. Her LMP was 8 weeks ago. answer
  • a 28 year-old woman arrives for her first pre-natal visit. What do you ask and examine? answer