General Goal:

Acquiring knowledge and skills in physiology of reproduction, pregnancy, diagnosis and cares during pregnancy and fetal development and growth

Learning Behavioral Goals (Part I):

At the end of the program, students must be able to:

1-       Comprehensively be familiarized with pregnancy, childbirth, and midwifery, and discuss the goals of midwifery science, and the role and tasks of midwives.

2-       Define critical statistics suggested by national center for health statistics (NCHS) and centers for disease control and prevention (CDC).

3-       Name internal and external reproduction organs and explain their main functions.

4-        Describe the formation, discrimination and determining factors in gonads discrimination.

5-       Express the developmental stages of initial follicle in fetal period, after birth and in puberty.

6-        Elaborate on initial changes of follicle in each ovarian cycle, events of follicular phase, ovulation and luteal.

7-       Explain performances of estrogen and progesterone in adjusting the hormones of endometria.

8-       Name the main phases of endometria cycle and analyze chains of events in each phase.

9-        Elaborate on clinical complications of menstruation.

10-   Analyze vaginal and cervical cycles.

11-   Name various types of ovarian hormone secretion, and elaborate on biosynthesis, metabolism, transfusion, and their disposal.

12-   Analyze the effects of ovarian hormone secretion on human body.

13-   Explain gonadotropin-releasing hormone (GnRH) and controlling factors for its pulses.

14-   Express the major brain centers of reproductive system and brain function in ovulation.

15-   Express actibin, inhibin, and semi-insulin development factors in adjusting menstruation cycle.

16-   Explain the events of the first, second, and third weeks of placenta and fetal development.

17-   Describe sperm transfusion and its empowering process.

18-   Explain placenta structure, and analyze placenta blood circulation.

19-   Explain biosynthesis of steroid hormones and maternal and fetal effective factors for synthesis of steroid in placenta.

20-   Express chemical characteristics, biosynthesis, the location of synthesis, and metabolic activities of protein hormones of placenta.

21-   Explain the role, performance, and physiology of fetal adrenalin in steroid genes.

22-   Analyze changes of different fetal systems, time sequences, liver developments, and roles of surfactants in development.

23-   Explain the method of determining sex at birth (gender of gonad, chromosomes and phenotypes) in the fetus.

Learning Behavioral Goals (Part II):

24-   Explain the physiologic changes of maternal systematic and reproductive organs during pregnancy (ovary, uterus, uterine tubes, cervix, vagina, breast, skin, metabolic, blood, cardiovascular, respiratory, urinate, digestive, endocrine, musculoskeletal, eyes, and mental systems).

25-   Explain pregnancy detection with regard to pregnancy signs and laboratory detection methods.

26-   Demonstrate false and true pelvis, pelvic plates and pelvimetry, types of pelvis, clinical assessment of pelvic plates including pelvic inlet, midpelvis, and pelvic outlet, para clinical methods of pelvic assessments on moulage.

27-   Demonstrate different types of fetal position, presentation, and status with moulage and pictures based on abdominal and vaginal examinations.

28-   Express the methods of determining the gestational age.

29-    Explain admission, filing process and necessary assessments at the first and following visits.

30-   Explain health during pregnancy (exercising, bathing, traveling, occupation, intercourse, defecation, care of breast, abdomen, teeth, immunization, smoke, caffeine, and medications).

31-   Elaborate on common pregnancy problems (e.g., nausea, vomiting, leg cramps, varix, hemorrhoid, excessive salivation, leucorrhea, headaches and tiredness, and heartburn) and their treatments.

32-   Explain proper nutrition in proportion to maternal needs during pregnancy and assessment methods of maternal nutrition.

33-   Define high-risk and risky pregnancy and elaborate on methods to recognize high-risk pregnancies.

34-   Elaborate on risk factors of pregnancy.

Content and Its Order of Presentation: (Part I)

 

Content and Its Order of Presentation (Part II):

 

Teaching Methods:

In line with the mentioned behavioral goals, teaching methods include programmed lecture, role-playing, question and answer and simulated patient.

Responsibilities of Students:

Active participation in:

·         Question-answer

·         Discussion

·         Presentation of work unit

Assessments of Students:

20% Developmental assessment

10% Active and regular presence in class

20% Oral mid-term exam, directly observed procedural skills (DOPS) of students

50% Final exam as multiple choice questions (MCQ)

References:

1. Berek js. “Berek & Novak's Gynecology” .14^th Ed. Philadelphia: Lippincott Williams & Wilkins; 2007

2. Speroffl, Gla RH, Kase NG. “Clinical Gynecologic Endocrinology and Infertility’’ .14^th Ed. Philadelphia: Lippincott Williams & Wilkins; 2007

3. Gary cunningham, Kenneth J, leveno StevenL Bloom et al. “Williams Obstetrics”. Volume 1&2, 23^rd Ed., 2010