Bachelor's degree in Obstetrics (to qualify as an obstetrician)

Surgical care in Obstetrics and Gynecology (2015/2016)

Course code
Massimo Piergiuseppe Franchi

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
ANESTESIOLOGIA 1 MED/41-ANAESTHESIOLOGY 2°anno 2°semestre Vittorio Schweiger

Learning outcomes

At the end of the didactic course the student must have clear the concepts of urgency and emergency and be able to recognize and intervene in situations of urgencies and emergencies both obstetric and gynecological. • to describe and recognize the most frequently encountered clinical pictures of gynecological pathology. • know how to manage obstetric emergencies both on a clinical and organizational level; • Know the clinical aspects of the complications of labor, delivery and puerperium. • Know how to diagnose urgency and emergency situations in obstetrics. • Know the differential diagnostic elements applicable by the Obstetrics to define the need for the intervention of the Doctor in the individual clinical cases that have come to his observation; • Knowing how to apply the necessary emergency measures while waiting for the Doctor; • It must also be able to establish a scale of treatment priorities and to have learned the concepts of Triage and management of risk management in Obstetric and Gynecological Urgenze and Sala Parto. • Raise the student's awareness of strategies to increase the skills of all health workers, in order to reduce the negative interference in the emergency response to obstetric and gynecological emergency, both from the organization of hospital departments and from the counseling of individual operators. Prevent, identify, monitor and manage potentially pathological situations that require medical intervention and practice, where necessary, the relevant measures of particular emergency through the use of the means available and of which it is competent. Evaluate the clinical manifestations connected to gynecological and obstetric diseases. To evaluate the clinical manifestations connected to the immediate, intermediate and late physiological puerperium in hospitalization. To evaluate the clinical manifestations connected to the immediate, intermediate and late physiological and pathological puerperium in hospitalization.


Urgencies and emergencies: cultural model according to CRM (Crisis Resource Management) to minimize the risk of error, integrating the training of technical skills (know-how) with non-technical ones (team management, leadership, communication and error prevention) . Clinical risk in urgency and emergency. Obstetrical and gynecological triage and new care management strategies. The D.E.A. : emergency department and acceptance. Triage in obstetrics: the legislation The system of triage organizational tool. Priority codes. Clinical documentation: card, procedures and triage protocols. Professional responsibilities of the triagista midwife. Obstetrical Triage aimed at the priorities that should be established in the execution of a Cesarean Cut: Lucas Classification (J R Soc Med 2000): Obstetric emergencies: Emergency Training Team: basic characteristics of assistance and communication in the emergency and in the Delivery Room. Standardize communication: SBAR Situational Briefing Model. Clinical mnemonics standards to improve clinical communication. Planning and organization of work in the delivery room.The documentation of the obstetric emergency in the medical record. Methods of quality improvement in the obstetric emergency (Quality Improvement Process); the midwife's responsibility Urgent and maternal-fetal emergencies. The prolapse of funicular clinical aspects, diagnosis and management. Dysplasia of the shoulders, clinical aspects, diagnosis and management Urgencies and cardiotocographic emergencies in labor. Dilatant period: clinical significance of non-normal cardiotocographic parameters, Expulsive period: pathological cardiotocographic patterns; Rare CTG patterns correlated with a high hypoxic risk. Criteria for reading and interpretation
The urgencies and surgical emergencies during pregnancy The classifications of TC sec. Lucas Preeclampsia and eclampsia in pregnancy and puerperium Pueperal genital hematoma Gynecological haemorrhagic diseases Sepsis in pregnancy. The state of shock: septic, hypovolaemic Disseminated intravasal coag Maternal thromboembolic disorders.

Assessment methods and criteria

The exam will take place in writing and oral check.

Reference books
Author Title Publisher Year ISBN Note
G Bolis Manuale di Ginecologia e Ostetricia (Edizione 1) EdiSES 2011 9788879599269
Baskett T, Calder A, Arulkumaran Munro Kerr's Operative Obstetrics (Edizione 12) Saunders Ltd 2014 9780702051852

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