Maternal Fetal Medicine
Semester 8th ()
Hours Teaching 0 hours, Laboratory 0 hours, Tutorial 0 hours , Clinical Training 25 hours (per week)
Teachers
Description
Students are taught the fundamental principles of ultrasonography and get familiar with the use of ultrasound machines. They observe the fetus and its environment. They assess the stage of pregnancy, fetal weight and health status. They study the integrity of fetal tissues and vital organs and infer possible genetic anomalies and congenital abnormalities. They check the appearance and function of placenta and umbilical cord and calculate the perfusion and oxygenation of fetus during both pregnancy and labor.
Fetal genetic disorders (chromosomal, metabolic, multifactorial), methods of personal testing and screening and prenatal diagnosis as well as prenatal invasive diagnostic methods are taught. Students will be able to give simple genetic advice and instructions.
The effect of several factors which can harmfully affect the fetus during pregnancy such as medicines, serums and vaccines, radiations, addictive substances and several other harmful factors is taught. Students learn their appropriation and precautions for the fetus.
The pathology of pregnancy is taught. The most common and serious diseases of pregnant women affecting directly fetal health are thoroughly analyzed. Students learn to observe and treat mother and fetus simultaneously, to promote their health and preserve their life.
Finally, students are informed of the latest progress on the potentials for therapeutic intervention on fetus during pregnancy and familiarize with the most specialized methods and techniques concerning fetal intrauterine therapy.
Curriculum includes the following unities:
ULTRASONOGRAPHY IN OBSTETRICS (10 hours)
- Ultrasound Imaging in Obstetrics
- Physics of ultrasound-Machinery-Sections
- Fetal Biometry
- Systematic ultrasound imaging
- Basic principles of Doppler
- Supervision of fetus during labor
- Acid-base homeostasis, FHR (NST, OCT), Biophysical profile
HIGH-RISK PREGNANCY – PATHOLOGY OF PREGNANCY (8 hours)
- Twin – Multiple pregnancy
- Hypertensive disease of pregnancy
- Intrauterine growth restriction
- Diabetes Mellitus
- Rhesus Sensitization
- Premature rupture of membranes-Preterm labor
- Infections during pregnancy
PRENATAL EXAMINATION AND DIAGNOSIS (3 hours)
- Epidemiology
- Screening of genetic diseases
- Cystic fibrosis, Sickle-cell anaemia, Tay-Sachs disease, Thalassaemia
- Chromosomal disorders
- Trisomy 21 (Down’s syndrome), Trisomy 18 (Edward’s syndrome), Trisomy 13 (Patau’s syndrome), Sex Chromosome Abnormalities (Turner’s, Klinefelter’s)
- Congenital anomalies of fetus
- Neural tube defects, Heart defects, Potter’s syndrome
- renatal Diagnostic Interventions
- Amnioparacentesis
- Trophoblast biopsy
- Percutaneous umbilical cord blood sampling
- Obstetric Ultrasound
- First and second trimester screening
- Jugular foramen ultrasound
- Α-test and Integrated A-Test
- Biochemical indices
- Ultrasonic indices
PRENATAL CARE (2 hours)
- Teratology
- Medicines
- Serums and Vaccines
- Addictive substances
- Radiations
- Harmful factors concerning domestic and working environment
FETAL THERAPIES (2 hours)
- Medications administered to mother, targeting fetus
- Fetal interventions (Transfusions, Injections, Therapeutic abortion, Multifetal pregnancy reduction, Shunts, Fetal surgery)
- Transplantations of embryonic cells, tissues and organs
- Cloning-Gene Therapy
- Eugenics: Negative (reduction) Eugenics, Positive (addition) Eugenics