Physiologic Obstetrics starts with the review of the anatomy of the generative organs followed by a thorough study of their embryology and physiology. Particular emphasis is placed on a clear understanding of the neuroendocrinology of menstruation and ovulation. These preliminary discussions will make it easier for the student to develop a working knowledge of the morphologic and functional development of the placenta and fetus to appreciate the mechanisms and maternal adaptation to pregnancy. The student is then guided through the clinical aspects of “normal” obstetrics: the diagnosis of pregnancy, pelvic capacity and fetal position, prenatal care, techniques to evaluate fetal health, physiology, mechanisms and conduct of normal labor and delivery, puerperal care, and care of the newborn infant. The students will be assigned certain hours to observe in the obstetric ward, out-patient department and the delivery room for additional exposure to the basic skills of diagnosis and management of pregnancy.
PATHOLOGIC OBSTETRICS 3B
Pathologic Obstetrics deals with the compromised pregnancy and introduces the students to the common, possibly life-threatening complications of gestation. In particular, the major problems of obstetric hemorrhages, hypertension and infection are discussed extensively with emphasis on prevention, early diagnosis and optimal management. Difficult labor and delivery arising from fetal, uterine and pelvic factors and its management are presented to the student from the point of view of modern and currently accepted teaching and practice. Students are likewise exposed to common medical conditions, how these are affected by and how they affect pregnancy, as well as appropriate diagnosis and management schemes of these conditions at this time. Finally, through audio-visual presentations and clinical ward observations, and actual case presentations, the student is given the opportunity to learn the basic indications and techniques of operative obstetrics such as cesarean section, forceps delivery, and other operative procedures.
Throughout the course, the emphasis is on determining and selecting appropriate diagnostic tools and proven method of management that will likely provide an optimum outcome in spite of the compromised pregnancy.
The subject in Gynecology provides the undergraduate student with an introduction to the various diseases and conditions that may affect the generative organs as essential pre-requisites for understanding the different problems that may affect them. The student is then taught the appropriate manner of conducting history taking and physical examination and of patient counseling. The subject also provides basic knowledge and concepts in common gynecologic disorders, gynecologic oncology, reproductive endocrinology and infertility and family planning.
CLINICAL ROTATIONThis curriculum is designed to enable the clinical clerk to acquire the basic knowledge and to develop the fundamental skills necessary to properly deal with obstetrical and gynecological conditions likely to be met in general practice. They stay in the Department for a period of two months: four weeks in FEU-NRMF Medical Center, one week in CMC, one week in UDMC and two weeks in JRRMMC or RMC. During their rotation, they are taught the proper techniques of delivery, diagnostic procedures and modern management of common obstetrical and gynecological conditions and complications. In addition, the varied supportive and life-saving measures and presence of mind in OB/GYN emergencies are impressed upon them. The clinical clerk is allowed every opportunity for normal deliveries including the performance of episiotomy and episiorrhapy. They are made first assistant in minor OB/GYN operations and second assistant to major ones. They therefore play a direct role in the actual management of patients. In the outpatient, clerks are given the opportunity to participate fully in providing pre and postnatal care, FP counseling, and care of common gynecologic problems. Interactions with patients are conducted under full supervision of clinical staff.
SYLVIA A. CARNERO, M.D.
FIRST ROW: (L-R)
Drs. Mario Bernardino, Ma. Carmen H. Quevedo, Nora Martin, Evelyn P. Palaypayon, Sylvia A. Carnero, Lilia P. Luna, Deane Campo-Cruz, Aida V. San Jose, Lazarito Q. Villamar
SECOND ROW: (L-R)
Drs. Rey H. delos Reyes, Ronaldo R. Santos, Jennifer T. Co, Abigail Elsie DG. Castro, Ma. Socorro M. Solis, Elizabeth A. Reyes, Jessica O. Cruz, Lylah D. Reyes, Viviene Bombita, Benjamin D. Cuenca, Anna Belen I. Alensuela
THIRD ROW: (L-R)
Drs. Ma. Isolda de Jesus, May Alvaro, Karen Magharing, Richelle Perez, Joan Navarra, Cecile Nogoy, Genevieve Magno, Andry Lo, Joseph U. Olivar, Ma. Kathrina Marinas, Ailyn Alvarado