“Approved”

on methodological meeting

of Department of Obstetrics and Gynecology

with course of Infant and Adolescent Gynecology

“___”______________________ 201_ year

protocol #

T.a.the Head of the department

Professor

________________ O.A. Andriyets

Methodological instruction

for practical lesson

“Pregnancy and labor with extragenital diseases”

Module 4: Obstetrics and gynecology

Context module 9: Pathology of pregnancy, labor and puerperium

Subject: Obstetrics and Gynecology

6^th year of studying

2^nd medical faculty

Number of academic hours – 6

Methodological instruction developed by:

ass.prof. Andriy Berbets

Chernivtsi – 2010

1. Actuality of theme

Pregnancy is often complicated by extragenital pathology. Some of extragenital diseases are less clinically relevant but often they can be dangerous both for mother and fetus. Approximately 60% of pregnant women have different types of extragenital pathology. Student needs to be familiar with the most frequent types of extragenital diseases in pregnant wome, approaches to treatment and obstetrical tactics.

For the last decades intensity of researches of features of extragenital diseases increases for pregnant. Considerable successes are now attained in development of obstetric cardiology, nephrology, endocrinology. The tactic/pl of conduct of pregnancy and labor changed. More frequent began to allow pregnancy at many forms and variants of diseases, which were before considered contra-indicated for a genesial function.

Pathology of the cardiovascular system occupies 1^st place among reasons of maternal death rate from extragenital pathology. Very high percent of complications during pregnancy, in labor and in a puerperium, the disease of kidneys, endocrine pathology (10 - 26% abortion, 14-35% oligotrophy of fetus, removing layer by layer of placenta), give. At the same time experience testifies that timely exposure these вадів pathologies for pregnant, assiduous treatment with the repeated hospitalization during pregnancy, correct conduct of labor and puerperium enable acutely to reduce lethality and amount of complications at pregnancy, encumbered with cardiovascular diseases and diseases of kidneys.

2.Purpose of studying :

A student must know:

1. Diagnostics of diseases of the cardiovascular system

2. Diagnostics of disease of the respiratory system, blood of CNS, liver and gall-bladder.

3. Shows are for the pre-schedule breaking of pregnancy at this pathology

4. Features of flow and conduct of pregnancy are at the diseases of the cardiovascular system, blood.

5. Prophylaxis of complications of the diseases of the cardiovascular system, respiratory system related to the presence, to blood.

6. Features of corresponding pathology

7. Diagnostics of disease of kidneys, endocrine pathology

8. Features of flow and conduct of pregnancy are at the diseases of kidneys, endocrine pathology

Student should be able:

1. To diagnose illnesses of the cardiovascular system during pregnancy.

2. To give a conclusion about possibility of maturing of pregnancy or necessity of her pre-schedule breaking.

3. To develop the plan of conduct of pregnancy at the diseases of the cardiovascular system.

4. To develop the plan of conduct of pregnancy at the diseases of blood, breathing organs, CNS

5. To give recommendations in a puerperium at presence of diseases cardiac - vascular system.

6. To diagnose pathology of kidneys, endocrine pathology during pregnancy.

7. To give a conclusion about possibility of maturing of pregnancy or necessity of her pre-schedule breaking.

8. To lay down the plan of conduct of pregnancy at the diseases of endocrine pathology.

9. To lay down the plan of conduct of pregnancy at the diseases of kidneys

10. To appoint treatment at the diseases of kidneys during pregnancy

Practical skills:

• To lay down the plan of conduct of labor at the diseases of the cardiovascular system, at a diabetes mellitus, diseases of the respiratory system, liver and gall-bladder

• To lay down the plan of conduct of labor at the diseases of kidneys

• To appoint treatment at the diseases of kidneys during pregnancy

• To estimate clinical and laboratory indexes at extragenital diseases