Year 4 Obstetrics & Gynaecology — Junior Clerkship in Reproductive Health

Mount Kenya University Department of Obstetrics and Gynaecology. Six units of twelve weeks, each ending with an end-of-trimester CAT.

Obstetrics I — Diagnosis of pregnancy, early pregnancy disorders, antenatal care

Week 1 Diagnosis of pregnancy — Physical, chemical and radiological.
Week 2 Physiological changes of pregnancy
Week 3 Abnormalities of early pregnancy — Abortion.
Week 4 Gestational trophoblastic disease
Week 5 Preconception care
Week 6 Antenatal care — Models of ANC; FANC.
Week 7 Safe motherhood initiative
Week 8 Birth preparedness and complication readiness
Week 9 Prenatal genetic counselling and screening
Week 10 Discomforts of pregnancy
Week 11 Antenatal assessment of foetal well-being
Week 12 End-of-trimester CAT

Obstetrics II — Labour

Week 1 Normal labour — Review of anatomy: foetal skull and maternal pelvis.
Week 2 Theories on onset of labour
Week 3 Physiology of labour
Week 4 Diagnosis and management of labour
Week 5 Abnormal labour: malpositions
Week 6 Abnormal labour: malpresentations
Week 7 Prolonged and obstructed labour
Week 8 Induction of labour
Week 9 Operative vaginal deliveries — Vacuum and forceps delivery.
Week 10 Caesarean section
Week 11 Perioperative care
Week 12 End-of-trimester CAT

Obstetrics III — Abnormal pregnancy

Week 1 Medical disorders in pregnancy: hypertensive disorders
Week 2 Malaria and anaemia in pregnancy
Week 3 Diabetes in pregnancy
Week 4 HIV in pregnancy
Week 5 UTI in pregnancy
Week 6 Antepartum haemorrhage — Placenta praevia and placental abruption.
Week 7 Preterm labour
Week 8 Premature rupture of membranes and post-term pregnancy
Week 9 Rhesus isoimmunisation
Week 10 Multiple pregnancy
Week 11 Assessment of foetal well-being
Week 12 End-of-trimester CAT

Obstetrics IV — Puerperium

Week 1 Normal puerperium: physiology
Week 2 Management of normal puerperium
Week 3 Complicated puerperium: PPH — uterine atony
Week 4 PPH — retained placenta and genital tract trauma
Week 5 Breast complications
Week 6 Psychiatric disorders in the puerperium
Week 7 Venous thromboembolism and obstetric palsies
Week 8 Lactation: physiology
Week 9 Complications of lactation
Week 10 Targeted postpartum care
Week 11 Maternal audit
Week 12 End-of-trimester CAT

Gynaecology I

Week 1 Evaluation of the gynaecology patient — History, examination, investigations and diagnostic procedures.
Week 2 Review of anatomy and physiology of the reproductive organs — Female and male.
Week 3 Congenital disorders
Week 4 Puberty — Normal and abnormal.
Week 5 Menopause — Normal and abnormal.
Week 6 Menstrual disorders — Dysmenorrhoea, PMS, menorrhagia, DUB.
Week 7 Amenorrhoea
Week 8 Pelvic inflammatory disease
Week 9 Sexually transmitted infections
Week 10 Uterine fibroids
Week 11 Ovarian cysts
Week 12 End-of-trimester CAT

Gynaecology II

Week 1 Endometriosis and adenomyosis
Week 2 Gynaecological oncology: premalignant lesions of the cervix and cervical cancer
Week 3 Premalignant lesions of the endometrium and endometrial cancer
Week 4 Premalignant lesions of the vulva and vulval cancer
Week 5 Gestational trophoblastic diseases
Week 6 Urogynaecology: urinary incontinence — stress, urge, overflow, UTI
Week 7 Pelvic organ prolapse
Week 8 Genital fistulae — VVF and RVF.
Week 9 Infertility — Female and male.
Week 10 Contraception: non-hormonal methods
Week 11 Contraception: hormonal methods
Week 12 End-of-trimester CAT

Compiled by Abongo Davis · Ompath Study · shared for MBChB students at Mount Kenya University and other universities.