LUIGI SCHIAVO | CLINICAL AND INSTRUMENTAL DIAGNOSTICS IN OBSTETRICS

cod. 1012400006

CLINICAL AND INSTRUMENTAL DIAGNOSTICS IN OBSTETRICS

	1012400006
	DEPARTMENT OF MEDICINE, SURGERY AND DENTISTRY "SALERNITANA MEDICAL SCHOOL"
	EQF6
	MIDWIFERY
	2024/2025

PERCORSO STUDY PATHWAY IN COMMON IN OBSTETRICS

	OBBLIGATORIO
	YEAR OF COURSE 1
	YEAR OF DIDACTIC SYSTEM 2013
	SPRING SEMESTER

TEACHING UNITS

	SSD	CFU	HOURS	ACTIVITY	TYPE OF ACTIVITY
1	DIAGNOSTICA CLINICA E STRUMENTALE IN OSTETRICIA - MOD. SCIENZE INFERMIERISTICHE OSTETRICO-GINECOLOGICHE
	MED/47	3	36	LESSONS	COMPULSORY SUBJECTS, CHARACTERISTIC OF THE CLASS
2	DIAGNOSTICA CLINICA E STRUMENTALE IN OSTETRICIA - MOD. SCIENZE TECNICHE DIETETICHE
	MED/49	1	12	LESSONS	COMPULSORY SUBJECTS, CHARACTERISTIC OF THE CLASS
3	DIAGNOSTICA CLINICA E STRUMENTALE IN OSTETRICIA - MOD. GINECOLOGIA E OSTETRICIA
	MED/40	2	24	LESSONS	COMPULSORY SUBJECTS, CHARACTERISTIC OF THE CLASS
4	DIAGNOSTICA CLINICA E STRUMENTALE IN OSTETRICIA - MOD. GENETICA MEDICA
	MED/03	1	12	LESSONS	BASIC COMPULSORY SUBJECTS

PROFESSORS

	LUIGI SCHIAVO2 T Curriculum
	ROSA ORO1 Curriculum
	-43

	Objectives
	LEARNING OBJECTIVES The purpose of this course is for students to acquire: •The fundamentals of medical genetics and major genetic disorders. •The basics of counseling activities in the context of prenatal diagnosis. •Knowledge of correct lifestyles to promote women’s health, focusing on nutrition during pregnancy, breastfeeding, and the first year of the baby's life. •The methods of clinical and instrumental diagnostics (basic ultrasound, office ultrasound, and cardiotocography), and laboratory diagnostics. Additionally, the course aims to develop students' communication skills to interact with women and couples and their competence in using clinical, instrumental, and laboratory diagnostics to identify low-risk pregnancies and monitor pregnancies at different stages of gestation. Knowledge and Understanding: By the end of the course, students will know and understand: •The principles and methods applicable to prenatal and postnatal diagnostics, as well as the basics of counseling. •Knowledge in human anatomy, the pathophysiology of the reproductive system, and its endocrine and metabolic regulation throughout the stages of a woman’s life, aimed at building the specific competencies required for a midwife working in the European Union. •The principles, values, theories, and models of Midwifery, obstetric semiotics for assessing health status, and the planning, management, and evaluation of obstetric and gynecological care. •Identifying health determinants, risk factors, and prevention strategies to promote and support the health of women, pregnant women, childbirth, postpartum women, and newborns. •Adequate knowledge of counseling activities and establishing positive relationships with women and couples, including foreign populations. Ability to Apply Knowledge and Understanding: By the end of the course, students will be able to: •Identify psycho-physical problems and needs and interpret individual requests for help from women in various socio-health settings. •Identify optimal procedures to plan and support long-term health education interventions, especially in reproductive health. •Identify the socio-health needs of pregnant women and provide educational support to remove conflicting situations in cases of substance abuse, poverty, or disability. •Plan and participate in birth preparation and parenting pathways. Autonomy of Judgment: •Gradually acquire autonomy in managing and implementing diagnostic-therapeutic procedures concerning the health of women, newborns, and couples, working within healthcare teams and across different care intensity levels. Communication Skills: By the end of the course, students must: •Use teaching and learning principles to provide specific information or educational interventions directed at individuals, families, groups, and other professionals (e.g., support staff, obstetrics students, nursing students) using clear and structured communication. Learning Skills: By the end of the course, students must: •Be able to continuously self-assess their educational needs related to the nature and complexity of the problems to be addressed and the strategies to manage.

LEARNING OBJECTIVES
The purpose of this course is for students to acquire:
•The fundamentals of medical genetics and major genetic disorders.
•The basics of counseling activities in the context of prenatal diagnosis.
•Knowledge of correct lifestyles to promote women’s health, focusing on nutrition during pregnancy, breastfeeding, and the first year of the baby's life.
•The methods of clinical and instrumental diagnostics (basic ultrasound, office ultrasound, and cardiotocography), and laboratory diagnostics.
Additionally, the course aims to develop students' communication skills to interact with women and couples and their competence in using clinical, instrumental, and laboratory diagnostics to identify low-risk pregnancies and monitor pregnancies at different stages of gestation.
Knowledge and Understanding:
By the end of the course, students will know and understand:
•The principles and methods applicable to prenatal and postnatal diagnostics, as well as the basics of counseling.
•Knowledge in human anatomy, the pathophysiology of the reproductive system, and its endocrine and metabolic regulation throughout the stages of a woman’s life, aimed at building the specific competencies required for a midwife working in the European Union.
•The principles, values, theories, and models of Midwifery, obstetric semiotics for assessing health status, and the planning, management, and evaluation of obstetric and gynecological care.
•Identifying health determinants, risk factors, and prevention strategies to promote and support the health of women, pregnant women, childbirth, postpartum women, and newborns.
•Adequate knowledge of counseling activities and establishing positive relationships with women and couples, including foreign populations.
Ability to Apply Knowledge and Understanding:
By the end of the course, students will be able to:
•Identify psycho-physical problems and needs and interpret individual requests for help from women in various socio-health settings.
•Identify optimal procedures to plan and support long-term health education interventions, especially in reproductive health.
•Identify the socio-health needs of pregnant women and provide educational support to remove conflicting situations in cases of substance abuse, poverty, or disability.
•Plan and participate in birth preparation and parenting pathways.
Autonomy of Judgment:
•Gradually acquire autonomy in managing and implementing diagnostic-therapeutic procedures concerning the health of women, newborns, and couples, working within healthcare teams and across different care intensity levels.
Communication Skills:
By the end of the course, students must:
•Use teaching and learning principles to provide specific information or educational interventions directed at individuals, families, groups, and other professionals (e.g., support staff, obstetrics students, nursing students) using clear and structured communication.
Learning Skills:
By the end of the course, students must:
•Be able to continuously self-assess their educational needs related to the nature and complexity of the problems to be addressed and the strategies to manage.

	Prerequisites
	The following courses are prerequisites for this course: 1.Reproductive Process and Evolution of Physiological Pregnancy 2.General Pathology and Microbiology 3.Basic Anatomy and Physiology

	Contents
	The course is divided into four modules: •Obstetric and Gynecological Nursing Sciences •Dietetic Sciences •Gynecology and Obstetrics •Medical Genetics Obstetric and Gynecological Nursing Sciences (MED/47, 3 ECTS, 36 hours) •The Obstetric Profession: Overview of Italian regulations (1 hour) •Structure of the midwife care plan: phases, objectives, and applications (1 hour) •The role of the midwife in low-risk, high-risk, and pathological pregnancy diagnosis (2 hours) •Midwife counseling during preconception, prenatal, and perinatal periods: communication of results and decisions (2 hours) •Hematochemical tests during preconception and perinatal periods: result interpretation (2 hours) •Pregnancy hygiene: smoking, drugs, sexual activity, personal hygiene, and physical activity (2 hours) •Correct lifestyle in pregnancy: nutrition, epigenetics, microbiome. Guidelines and recommendations for couples (2 hours) •Psychology of pregnancy and relational aspects of parenthood (1 hour) •Beta-HCG: differential diagnosis in the first trimester (1 hour) •Pregnancy agenda: the prenatal clinic. Birth path: continuity of care from the clinic to the hospital (4 hours) •Prenatal diagnosis: screening tests and ultrasound (1 hour) •Office ultrasound in the trimesters: competence of the midwife (1 hour) •Diagnostic tests: amniocentesis, chorionic villus sampling, and prenatal safe. Fetal well-being assessment (4 hours) Medical Genetics (MED/03, 1 ECTS, 12 hours) •Mutations, rare variants, and polymorphisms. Karyotyping and chromosome classification (3 hours) •Monogenic inheritance: Mendelian laws, autosomal dominant, recessive, and X-linked inheritance (3 hours) •Multifactorial inheritance: quantitative traits, threshold effects, multifactorial diseases (3 hours) •Genetic testing classification and applications. Genetic counseling (3 hours) Gynecology and Obstetrics (MED/40, 2 ECTS, 24 hours) •Blood tests and diagnostic imaging in the preconception phase (2 hours) •Pregnancy diagnosis: presumptive, probable, and positive signs •First trimester ultrasound: gestational sac, yolk sac, fetal heartbeat assessment •Second trimester ultrasound: fetal growth assessment •Third trimester ultrasound: fetal well-being elements: amniotic fluid, Doppler velocimetry, placental location •Prenatal screening for chromosomal abnormalities: nuchal translucency, Duo-test, Tri-test, chorionic villus sampling, amniocentesis, Cordocentesis, Prenatal Safe. •Fetal morphological ultrasound and biophysical profile •Cardiotocography: fetal heart rate and contraction monitoring (2 hours) Dietetic Technical Sciences (MED/49, 1 ECTS, 12 hours) •Nutrients: classification, physiological role, and recommended intake levels (2 hours) •Body composition and energy expenditure: BMI limits, body composition, and basal metabolism (2 hours) •Obesity and food intake regulation: causes, comorbidities, and classification (2 hours) •Digestion: phases, nutrient absorption, and roles of digestive organs (2 hours) •Nutrition in pregnancy and breastfeeding: weight gain and nutritional needs (2 hours) •Dietetic advice for pregnant women with diabetes, hypertension, phenylketonuria, and breastfeeding (2 hours)

Contents

The course is divided into four modules:
•Obstetric and Gynecological Nursing Sciences
•Dietetic Sciences
•Gynecology and Obstetrics
•Medical Genetics
Obstetric and Gynecological Nursing Sciences (MED/47, 3 ECTS, 36 hours)
•The Obstetric Profession: Overview of Italian regulations (1 hour)
•Structure of the midwife care plan: phases, objectives, and applications (1 hour)
•The role of the midwife in low-risk, high-risk, and pathological pregnancy diagnosis (2 hours)
•Midwife counseling during preconception, prenatal, and perinatal periods: communication of results and decisions (2 hours)
•Hematochemical tests during preconception and perinatal periods: result interpretation (2 hours)
•Pregnancy hygiene: smoking, drugs, sexual activity, personal hygiene, and physical activity (2 hours)
•Correct lifestyle in pregnancy: nutrition, epigenetics, microbiome. Guidelines and recommendations for couples (2 hours)
•Psychology of pregnancy and relational aspects of parenthood (1 hour)
•Beta-HCG: differential diagnosis in the first trimester (1 hour)
•Pregnancy agenda: the prenatal clinic. Birth path: continuity of care from the clinic to the hospital (4 hours)
•Prenatal diagnosis: screening tests and ultrasound (1 hour)
•Office ultrasound in the trimesters: competence of the midwife (1 hour)
•Diagnostic tests: amniocentesis, chorionic villus sampling, and prenatal safe. Fetal well-being assessment (4 hours)
Medical Genetics (MED/03, 1 ECTS, 12 hours)
•Mutations, rare variants, and polymorphisms. Karyotyping and chromosome classification (3 hours)
•Monogenic inheritance: Mendelian laws, autosomal dominant, recessive, and X-linked inheritance (3 hours)
•Multifactorial inheritance: quantitative traits, threshold effects, multifactorial diseases (3 hours)
•Genetic testing classification and applications. Genetic counseling (3 hours)
Gynecology and Obstetrics (MED/40, 2 ECTS, 24 hours)
•Blood tests and diagnostic imaging in the preconception phase (2 hours)
•Pregnancy diagnosis: presumptive, probable, and positive signs
•First trimester ultrasound: gestational sac, yolk sac, fetal heartbeat assessment
•Second trimester ultrasound: fetal growth assessment
•Third trimester ultrasound: fetal well-being elements: amniotic fluid, Doppler velocimetry, placental location
•Prenatal screening for chromosomal abnormalities: nuchal translucency, Duo-test, Tri-test, chorionic villus sampling, amniocentesis, Cordocentesis, Prenatal Safe.
•Fetal morphological ultrasound and biophysical profile
•Cardiotocography: fetal heart rate and contraction monitoring (2 hours)
Dietetic Technical Sciences (MED/49, 1 ECTS, 12 hours)
•Nutrients: classification, physiological role, and recommended intake levels (2 hours)
•Body composition and energy expenditure: BMI limits, body composition, and basal metabolism (2 hours)
•Obesity and food intake regulation: causes, comorbidities, and classification (2 hours)
•Digestion: phases, nutrient absorption, and roles of digestive organs (2 hours)
•Nutrition in pregnancy and breastfeeding: weight gain and nutritional needs (2 hours)
•Dietetic advice for pregnant women with diabetes, hypertension, phenylketonuria, and breastfeeding (2 hours)

	Teaching Methods
	Teaching Methods The course includes lectures and practical exercises with multimedia support (images, animations, videos) and in-class exercises. Attendance is mandatory, and students must attend at least 75% of the lectures to access the exam. Attendance will be monitored with easycourse software

	Verification of learning
	Each module will be assessed through an oral exam lasting about 10 minutes, where students will discuss a clinical case presented by the instructor. The exam will test theoretical knowledge and its application in designing healthcare activities to identify women’s psycho-physical needs and select optimal diagnostic procedures for pregnancy monitoring, particularly regarding genetic, nutritional, and feeding disorders.The final grade is derived from the weighted average of the individual modules. A distinction is awarded to students who achieve the highest grade in all modules and demonstrate interdisciplinary thinking.

Verification of learning

Each module will be assessed through an oral exam lasting about 10 minutes, where students will discuss a clinical case presented by the instructor. The exam will test theoretical knowledge and its application in designing healthcare activities to identify women’s psycho-physical needs and select optimal diagnostic procedures for pregnancy monitoring, particularly regarding genetic, nutritional, and feeding disorders.The final grade is derived from the weighted average of the individual modules.
A distinction is awarded to students who achieve the highest grade in all modules and demonstrate interdisciplinary thinking.

	Texts
	Lecture notes and slides Williams Ostetricia Piccin 2018 T. GHI et al., Cardiotocografia, Piccin 2023 Costantini, Trattando di Ostetricia, Piccin Antonozzi, Gulletta. Medicina di laboratorio - logica e patologia clinica. Piccin

	More Information
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BETA VERSION Data source ESSE3 [Ultima Sincronizzazione: 2025-01-27]

LUIGI SCHIAVO | CLINICAL AND INSTRUMENTAL DIAGNOSTICS IN OBSTETRICS