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PRENATAL AND PERINATAL MEDICINE, PAEDIATRICS

Academic year and teacher
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Versione italiana
Academic year
2022/2023
Teacher
PANTALEO GRECO
Credits
6
Didactic period
Primo Semestre

Training objectives

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Modulo: 007245/2 - GINECOLOGIA E OSTETRICIA
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GENERAL AND SPECIAL PAEDIATRICS
The course provides the student with knowledge of the usefulness for framing the fetal-neonatal consequences of the main pathologies of pregnancy and the phenomena involving the state of fetal health. Knowledge of the tools and methods of ascertaining the state of health of the newborn
exposed to the pathologies of the pregnancy treated. The course allows you to acquire clinical and relational skills in order to move on to the diagnostic
and therapeutic and rehabilitative treatment of the pathological and / or at-risk newborn.
GYNAENOCOLOGY AND OBSTETRICS
The course provides the student:
- Relevant knowledge in the identification of risk factors in major diseases of pregnancy and to the phenomena involving the maternal health status - Fetal in the light of scientific evidence and appropriateness of diagnostic and therapeutic approach. Knowing the complexity relationship between a woman and her partner to gender violence. Learn about services and mode of action of other network partners, define actions and functions to be activated and the specific areas of responsibility.
The course allows to acquire:
- Diagnostic skills, clinical and interpersonal skills in order to work together for the care process of the main diseases midwives. Ability to work in teams in different levels of intensity of care.
- The ability to collaborate in taking care of women victims of violence and ability to coordinate the actions that must be provided by the parties and the agencies involved at various levels of intervention in welcoming and taking care of women victims of violence.
OSTETRICO GYNECOLOGICAL SCIENCES
The course provides the student with the ability to use the body of theoretical knowledge of Midwifery , behavioral and operational sciences useful to the pregnant woman recognition of health needs facing the obstetric risk factors and / or affected by the disease in pregnancy by applying methods assistance to pathological pregnancy reaching effective collaborative performance in order to plan, implement and test the paino welfare .
Knowledge capture and collaboration capabilities for the competence of prenatal and perinatal diagnostic methods and in particular to define the risk of the disease in pregnancy and ability to newborn care .

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Modulo: 015485/2 - PEDIATRIA GENERALE E SPECIALISTICA
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GENERAL AND SPECIAL PAEDIATRICS
The course provides the student with knowledge of the usefulness for framing the fetal-neonatal consequences of the main pathologies of pregnancy and the phenomena involving the state of fetal health. Knowledge of the tools and methods of ascertaining the state of health of the newborn
exposed to the pathologies of the pregnancy treated. The course allows you to acquire clinical and relational skills in order to move on to the diagnostic
and therapeutic and rehabilitative treatment of the pathological and / or at-risk newborn.
GYNAENOCOLOGY AND OBSTETRICS
The course provides the student:
- Relevant knowledge in the identification of risk factors in major diseases of pregnancy and to the phenomena involving the maternal health status - Fetal in the light of scientific evidence and appropriateness of diagnostic and therapeutic approach. Knowing the complexity relationship between a woman and her partner to gender violence. Learn about services and mode of action of other network partners, define actions and functions to be activated and the specific areas of responsibility.
The course allows to acquire:
- Diagnostic skills, clinical and interpersonal skills in order to work together for the care process of the main diseases midwives. Ability to work in teams in different levels of intensity of care.
- The ability to collaborate in taking care of women victims of violence and ability to coordinate the actions that must be provided by the parties and the agencies involved at various levels of intervention in welcoming and taking care of women victims of violence.
OSTETRICO GYNECOLOGICAL SCIENCES
The course provides the student with the ability to use the body of theoretical knowledge of Midwifery , behavioral and operational sciences useful to the pregnant woman recognition of health needs facing the obstetric risk factors and / or affected by the disease in pregnancy by applying methods assistance to pathological pregnancy reaching effective collaborative performance in order to plan, implement and test the paino welfare .
Knowledge capture and collaboration capabilities for the competence of prenatal and perinatal diagnostic methods and in particular to define the risk of the disease in pregnancy and ability to newborn care .

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Modulo: 52562 - SCIENZE INFERMIERISTICHE OSTETRICO-GINECOLOGICHE
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GENERAL AND SPECIAL PAEDIATRICS
The course provides the student with knowledge of the usefulness for framing the fetal-neonatal consequences of the main pathologies of pregnancy and the phenomena involving the state of fetal health. Knowledge of the tools and methods of ascertaining the state of health of the newborn
exposed to the pathologies of the pregnancy treated. The course allows you to acquire clinical and relational skills in order to move on to the diagnostic
and therapeutic and rehabilitative treatment of the pathological and / or at-risk newborn.
GYNAENOCOLOGY AND OBSTETRICS
The course provides the student:
- Relevant knowledge in the identification of risk factors in major diseases of pregnancy and to the phenomena involving the maternal health status - Fetal in the light of scientific evidence and appropriateness of diagnostic and therapeutic approach. Knowing the complexity relationship between a woman and her partner to gender violence. Learn about services and mode of action of other network partners, define actions and functions to be activated and the specific areas of responsibility.
The course allows to acquire:
- Diagnostic skills, clinical and interpersonal skills in order to work together for the care process of the main diseases midwives. Ability to work in teams in different levels of intensity of care.
- The ability to collaborate in taking care of women victims of violence and ability to coordinate the actions that must be provided by the parties and the agencies involved at various levels of intervention in welcoming and taking care of women victims of violence.
OSTETRICO GYNECOLOGICAL SCIENCES
The course provides the student with the ability to use the body of theoretical knowledge of Midwifery , behavioral and operational sciences useful to the pregnant woman recognition of health needs facing the obstetric risk factors and / or affected by the disease in pregnancy by applying methods assistance to pathological pregnancy reaching effective collaborative performance in order to plan, implement and test the paino welfare .
Knowledge capture and collaboration capabilities for the competence of prenatal and perinatal diagnostic methods and in particular to define the risk of the disease in pregnancy and ability to newborn care .

Prerequisites

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Modulo: 007245/2 - GINECOLOGIA E OSTETRICIA
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Knowledge of the physiology of pregnancy

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Modulo: 015485/2 - PEDIATRIA GENERALE E SPECIALISTICA
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Knowledge of the physiology of pregnancy

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Modulo: 52562 - SCIENZE INFERMIERISTICHE OSTETRICO-GINECOLOGICHE
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Knowledge of the physiology of pregnancy

Course programme

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Modulo: 007245/2 - GINECOLOGIA E OSTETRICIA
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GYNAENOCOLOGY AND OBSTETRICS
Abortion and recurrent miscarriage .
Ectopic pregnancy .
The pathology of the trophoblast .
Infections in pregnancy.
Pathology of the placenta (insertion abnormalities , placental abruption
The premature birth .
The prolonged pregnancy .
The maternal-fetal isoimmunization .
The aneuploidy .
The fetal growth retardation .
The twins .
Hypertensive disorders in pregnancy: the preeclampsia .
Diabetes in pregnancy.
Autoimmune diseases in pregnancy
Intrauterine fetal death
Obesity and pregnancy : risk factors and management
care pathway : women victims of violence

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Modulo: 015485/2 - PEDIATRIA GENERALE E SPECIALISTICA
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GENERAL AND SPECIAL PAEDIATRICS
- classification of the neonate/terminology
- physical examination of the newborn, pshysiological phenomena
- definition and characteristics of newborn SGA and LGA; son of a diabetic mother and
- childbirth trauma
- thermoregulation of the newborn
- the late preterm
- pre-perinatal infections (toxo, rubella, CMV, HIV, hepatitis, congenital syphilis...)
- exanthematous diseases in the child and in pregnancy

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Modulo: 52562 - SCIENZE INFERMIERISTICHE OSTETRICO-GINECOLOGICHE
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OSTETRICO GYNECOLOGICAL SCIENCES
concept of urgency and emergency. The Triage and First Aid obstetric and midwifery skills. Transportation assisted maternal and neonatal emergencies: from legislation to implementation of the path- skills midwives in the center Ub and spoke of taking charge of the patient. Analysis of the relevant legislation.
Midwives skills in obstetric care process for major diseases of pregnancy for 3 quarters of the treated pregnant:
- Preterm delivery
- The continued pregnancy
- The fetal growth retardation
- Hypertensive diseases in gravidanza- preeclampsia, eclampsia. The Hellp syndrome
- Diabetes in pregnancy
data collection, detection, diagnosis and treatment of hemorrhagic disease in trimesters of pregnancy, obstetric skills
• References to legislation, criminal, civil and ethical in administering drugs
• Preservation and safety measures in administering drugs
• obstetric skills for the administration of drugs to oral, parenteral, topical
• Preparation and management of intravenous infusion therapy and
• Procedures for placement and management of C.V.C.
• Management and legislative references to blood and blood components
• Legislative references relating to the management and administration of narcotic drugs
References to legislation, criminal, civil and ethical in administering drugs
storage conditions and safety measures in administering drugs
obstetric skills for the administration of drugs to oral, parenteral, topical
Construction and management of intravenous infusion therapy and
Procedures for the positioning and the management of the C.V.C., procedure for measuring the central venous pressure
legislative references relating to the management and administration of narcotic drugs
Knowledge of the care process management of diseases treated in the medical field

Didactic methods

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Modulo: 007245/2 - GINECOLOGIA E OSTETRICIA
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Lectures, analysis of clinic cases , educational workshops

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Modulo: 015485/2 - PEDIATRIA GENERALE E SPECIALISTICA
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Lectures, analysis of clinic cases , educational workshops

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Modulo: 52562 - SCIENZE INFERMIERISTICHE OSTETRICO-GINECOLOGICHE
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Lectures, analysis of clinic cases , educational workshops

Learning assessment procedures

GENERAL AND SPECIAL PAEDIATRICS
The test is oral. 2 questions are formulated by the teacher that investigate in a sequential and hierarchical manner:
1. the knowledge of the subject; 2. The skills of clinical connection between the various topics that are related and the ability to carry out the assistance intervention in the team.
The test is considered passed if the student correctly answers the questions posed by the teacher.
The test is considered insufficient if the student does not answer the 1st question relating to the knowledge considered a barrier for the continuation of the test.
The property of language, the ability to create theoretical-practical correlations functional to obstetric skills are indicators of evaluation.
If the test is considered unsatisfactory by the teacher because the student has not fully complied with all the required indicators, even though he has passed the first question, the teacher asks a third question in order to consider the test completely passed.
The vote of 30/30.
To grant honors, the teacher proposes a third question. the student must fully answer the test correctly and have also taken the third question proposed.
Duration of the test: 30/40 minutes.
GYNAENOCOLOGY AND OBSTETRICS
The exam is oral . They are formulated by the teacher 2 questions that go to investigate sequential and hierarchical manner :
2. The topic proposed knowledge and theoretical integrations . 2. The clinical skills link between the various topics that are related to the capacity of intervention and welfare realization of competence in obstetric team
The test is passed if the student responds correctly to the questions posed by the teacher .
The test is considered insufficient if the student does not answer the first question concerning the knowledge considered barrier to the continuation of the trial.
Evaluation indicators are the property of language, the ability to create teoricche correlations and theoretical functional practices to midwives skills .
OSTETRICO GYNECOLOGICAL SCIENCES
The learning occurs during the course is oral and the test lasts about 45 minutes.
The questions posed to the student are around 6:
- 3 questions are to investigate the knowledge, application skills in clinical settings (both procedural and regulatory) and the scope of clinical reasoning in relation to the transverse part of the program (management of drugs and routes of administration, management of drugs, management blood components, management of venous catheterization procedures.
This part of the program is the barrier for the continuation of trial.
- 3 questions are to investigate the knowledge, application skills in clinical settings (both procedural and regulatory) and the scope of the preventive clinical reasoning, diagnosis and therapy of competence in relation to obstetric care process from the pathologies of pregnancy treated and setting operating.
The test is passed if the student correctly answers all the questions that have a value from 0 (not exceeded) 1 point (outdated).
the student logs on to the next question only if the previous is outdated in the case of no response the test is insufficient.
Also subject to verification of the correct language properties, the student's ability to correlate the arguments put forward in the discussion
The value is expressed in 30esimi
THE FINAL GRADE IS A WEIGHTED AVERAGE OF THE MARKS OBTAINED IN EACH TESTS.

Reference texts

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Modulo: 007245/2 - GINECOLOGIA E OSTETRICIA
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GENERAL AND SPECIAL PAEDIATRICS
- slides provided by the teacher
- Cloherty’s e Stark’s Manual of Neonatal Care 8 ª ed. Eric C. Eichenwald, Anne R. Hansen, Camilia R Martin, Ann R. Stark.
GYNAENOCOLOGY AND OBSTETRICS
Di Renzo “Trattato di Ginecologia e ostetricia” Verduci Ed. 2009
The new England Journal of Medicine Hyperglycemia and Adverse Pregnancy Outcomes May 8, 2008
The new England Journal A Multicenter, Randomized Trial¿of Treatment for Mild Gestational Diabetes n engl j med 361;14 nejm.org october 1, 2009
The NEW ENGLAND JOURNAL of MEDICINE How Early Should Obesity Prevention Start? december 5, 2013
Gruppo multidisciplinare¿“Malattie infettive in ostetricia-ginecologia e neonatologia” Percorsi diagnostico-assistenziali¿in Ostetricia-Ginecologia e Neonatologia “TOXOPLASMA GONDII” Aprile 2012
Gruppo multidisciplinare¿“Malattie infettive in ostetricia-ginecologia e neonatologia” Percorsi diagnostico-assistenziali¿in Ostetricia-Ginecologia e Neonatologia CITOMEGALOVIRUS Aprile 2012
Autoimmunity Reviews¿- Interaction of pregnancy and autoimmune rheumatic disease -2 December 2011
Linee guida AUGUI “Gestione del parto pretermine” 2014
RER 2013 Linee d’indirizzo regionali per l’accoglienza di donne vittime della violenza
SALUTER Maltrattamento e abuso sul minore. Raccomandazioni per la valutazione clinica e medico-legale 2013
RER induzione del travaglio di parto rvisione e raccomandazioni, 2013
Sitografia:
http://www.preeclampsia.it/linee-guida-aipe
http://www.salute.gov.it/imgs/c_17_pubblicazioni_1390_allegato.pdf
OSTETRICO GYNECOLOGICAL SCIENCES
Guana M. et al., La disciplina ostetrica. McGraw-Hill (2011)
Rizzo M., Terapia endovenosa guida teorica e pratica McGraw – Hill 1999; 1- 64.
Craven R.F., Hirnle C.J., Principi fondamentali dell’assistenza infermieristica 2004; 610 – 635.
Procedura aziendale kcl(cloruro di potassio
Raccomandazione ministeriale n 5/2008decreto legilativo 6 e 9/2007
Procedura aziendale(p-001-uomeu data 21/09/2006)

Art. 4-vicies ter, comma 2, lett. a), legge 21.2.2006, n.49
2. Art. 4-vicies ter, comma 9, legge 21.2.2006, n. 49 (art.38, comma 1, DPR 309/90).
3. “Ogni acquisto o cessione… di sostanze e di medicinali… è iscritto in un registro speciale nel quale, senza alcuna lacuna, abrasione o aggiunta… è tenuto in evidenza il movimento di entrata e uscita” (art. 60, comma 1, DPR 309/90).
DM 3.8.2001.
Ministero della Salute circolare n. 800. UCS/AG1/3622 del 26.6.2001.
Legge 8 febbraio 2001, n. 12.
Art. 8, lett. c) del testo Coordinato del DL 18.09.2001,n. 347 e legge di conv. 16.11.2001, n. 405.
Circ. Min. Sal. n. 800. UCS/AG1/7990 del 4.11.2003.18. Art. 4-vicies ter, comma 13, legge 21.2.2006, n. 49 (art.43, comma 7-8, DPR 309/90)
Material provided by the teacher

------------------------------------------------------------
Modulo: 015485/2 - PEDIATRIA GENERALE E SPECIALISTICA
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GENERAL AND SPECIAL PAEDIATRICS
- slides provided by the teacher
- Cloherty's e Stark's Manual of Neonatal Care 8 ª ed. Eric C. Eichenwald, Anne R. Hansen, Camilia R Martin, Ann R. Stark.

------------------------------------------------------------
Modulo: 52562 - SCIENZE INFERMIERISTICHE OSTETRICO-GINECOLOGICHE
------------------------------------------------------------
OSTETRICO GYNECOLOGICAL SCIENCES
Guana M. et al., La disciplina ostetrica. McGraw-Hill (2011)
Rizzo M., Terapia endovenosa guida teorica e pratica McGraw - Hill 1999; 1- 64.
Craven R.F., Hirnle C.J., Principi fondamentali dell'assistenza infermieristica 2004; 610 - 635.
Procedura aziendale kcl(cloruro di potassio
Raccomandazione ministeriale n 5/2008decreto legilativo 6 e 9/2007
Procedura aziendale(p-001-uomeu data 21/09/2006)
Art. 4-vicies ter, comma 2, lett. a), legge 21.2.2006, n.49
2. Art. 4-vicies ter, comma 9, legge 21.2.2006, n. 49 (art.38, comma 1, DPR 309/90).
3. “Ogni acquisto o cessione… di sostanze e di medicinali… è iscritto in un registro speciale nel quale, senza alcuna lacuna, abrasione o aggiunta… è tenuto in evidenza il movimento di entrata e uscita” (art. 60, comma 1, DPR 309/90).
DM 3.8.2001.
Ministero della Salute circolare n. 800. UCS/AG1/3622 del 26.6.2001.
Legge 8 febbraio 2001, n. 12.
Art. 8, lett. c) del testo Coordinato del DL 18.09.2001,n. 347 e legge di conv. 16.11.2001, n. 405.
Circ. Min. Sal. n. 800. UCS/AG1/7990 del 4.11.2003.18. Art. 4-vicies ter, comma 13, legge 21.2.2006, n. 49 (art.43, comma 7-8, DPR 309/90)
Material provided by the teacher