WebGyn5yr

Medical Gynaecology for 5th years

• Home
• Assessment
  For all cohorts
  
• Antenatal care
  Introduction
  
  Objectives
  
  Readings
  
  Aims of Antenatal Care
  
  • Pregnancy care plans
    How does the New Zealand Maternity system work?
    
    How do we develop a care plan for pregnancy?
    
  • The booking visit
    The Booking Visit & the Obstetric History
    
    What will be done at the Booking Visit?
    
    History
    
    Examination
    
    Investigations
    
    What else should be discussed at the booking visit?
    
    Folic acid and iodine 
    
    Pregnancy weight gain 
    
    Other pregnancy testing  
    
    Diet and exercise 
    
    Activity- The Booking Card
    
  • Screening tests
  • Vaccinations
  • Subsequent antenatal visits
    Activity- Preeclampsia screening at the antenatal visit
    
  • Common pregnancy symptoms
  • Lifestyle advice
  • Summary
• Antenatal risk selection
  Objectives
  
  Readings
  
  • Smoking
    ACTIVITY - Smoking in pregnancy
    
    The risks due to smoking are reversed by stopping smoking
    
    Smoking cessation
    
  • Drugs and alcohol
    Activity- Don't Know? Don't Drink
    
  • Family violence
  • Obesity
    Labour and delivery: BMI > 30
    
    These risks can be decreased if the woman can limit weight increase in pregnancy!
    
  • Medical conditions
  • Previous Caesarean section
    Activity- VBAC discussion
    
  • Diabetes
  • SGA
    ACTIVITY - which baby may be SGA?
    
    So if a woman is at high risk of SGA, what is the plan?
    
  • Pre-eclampsia
  • Stillbirth
  • Spontaneous Preterm Birth
  • Summary
• Preeclampsia and hypertension in pregnancy
  Readings
  
  • Pathophysiology of preeclampsia
  • Fetal complications of preeclampsia
  • Summary
• Cervical and breast screening
  • Ethnic disparities
  • Cervical screening
  • HPV vaccination
  • BreastScreen Aotearoa ( BSA )
  • Genetic cancer syndromes
  • Summary
• Labour and birth
  • Preparation for Labour
  • Stages of Labour
  • Progress in Labour
  • Measuring Progress
  • Slow Progress
  • Fetal Monitoring
  • Summary and Quiz
• Newborn history taking and examination
  Objectives. To be able to:
  
  Readings
  
  • Activity
  • Examination of the baby
  • When to examine a baby
    The Blue Card
    
    General examination points
    
    Detailed examination points
    
  • Summary
• Menstrual disorders
  Bleeding problems-causes and management
  
  What is normal menstruation?
  
  Objectives
  
  Readings
  
  • Case preparation
  • Hannah
  • Case preparation
  • Marjorie
    Case study - Marjorie
    
    Readings
    
  • Summary
• Concepts in contraception
  Resources: Useful book and website
  
  Objectives
  
  Readings
  
  • Terms
  • Legal issues
    Activity: Becoming familiar with legislation
    
    Video
    
  • Fertility awareness
  • Methods available in New Zealand
  • Summary
• Oral hormonal contraception
  • Case Preparation
  • Pill Choice
  • Diane
  • Postpartum
  • Summary
• Injectable, implantable, and intrauterine contraception
  Objectives
  
  Readings
  
  • Depo Provera
    Case Study: Margaret
    
  • IUDs and IUS
    Reading
    
    The copper IUD as a postcoital method
    
    Case study: Sophia
    
  • Jadelle
  • Summary
• Barrier, emergency, and permanent methods of contraception
  • Barrier methods
  • Emergency methods
  • Permanent methods
  • Summary
• Termination of Pregnancy
  • Legal issues
  • Methods of TOP
  • Summary
• Postnatal care
  • Recovery after birth
  • Breastfeeding and lactation
  • Mental health
  • Contraception
  • Summary
• MBChB Portal