.. Theme:Theme: Infections during pregnancy, Infections during pregnancy,

sorts and in the postnatal period (specific sorts and in the postnatal period (specific and nonspecific infections). The and nonspecific infections). The screening programscreening program

Structure of educational Structure of educational employmentemployment

1 1 Introduction Introduction 2 2 Theoretical part Theoretical part 3 3 Practical partPractical part - - curationcuration patientspatients - Algorithm of practical skills- Algorithm of practical skills 4 4 Analytical partAnalytical part - A situational problem - A situational problem - Analysis of tests- Analysis of tests

Chronological card of Chronological card of employmentemployment

№№. . Employment stages Employment forms Duration in minutes of 290 mines

11 Parenthesis of the teacher (theme substantiation).

10

22 Homework discussion, and also check of initial knowledge of students (control questions)

Poll, explanation. The appendix 5 30

33 Inspection of the patient in a reception or in a day hospital.

Survey of the patient. 60

44 Improvement of practical skills, work with models, the kliniko-labware, equipment.

Work with the kliniko-labware. 20

5.5. Discussion of a practical part of employment. Interactive game «the Weak link»

Poll, explanation. The appendix 1

60

66 Discussion of a theme of employment, the abstract message, seminar, discussion. Interactive game of “finder"

The abstract message, seminar, discussion. The appendix 2The abstract message, seminar, discussion. The appendix 2

50

77 Work in group. Demonstration of video of cartridges on a theme, analysis of situational problems, computer programs, business games etc.

Demonstration, interactive forms-active, passive.The appendix 3,4

50

The purpose of The purpose of educational employment:educational employment:

To give base knowledge of the infections To give base knowledge of the infections having negative influence on pregnancy and having negative influence on pregnancy and their possible negative influences on mother their possible negative influences on mother and a fruitand a fruit

The student should know:The student should know:

The physiological changes occurring in an organism The physiological changes occurring in an organism of the pregnant womanof the pregnant woman

Criteria of out-patient supervision of pregnant Criteria of out-patient supervision of pregnant womenwomen

Bases of reproductive health and principles of Bases of reproductive health and principles of planning of a familyplanning of a family

Influence of infections on a current of pregnancy Influence of infections on a current of pregnancy and their influence on a fruitand their influence on a fruit

Tactics of conducting pregnant women with an Tactics of conducting pregnant women with an infectioninfection

The student should be The student should be able:able:

To diagnose pregnancy To diagnose pregnancy To define complex tactics of conducting pregnancy in the presence of an To define complex tactics of conducting pregnancy in the presence of an

infectioninfection To carry clinical investigation of pregnant women with use of laboratory To carry clinical investigation of pregnant women with use of laboratory

and tool methods of researchand tool methods of research To interpret results of laboratory and tool methods of researchTo interpret results of laboratory and tool methods of research To make the plan of conducting pregnant women with infectionsTo make the plan of conducting pregnant women with infections To organise supervision of women in out-patient-polyclinic and house To organise supervision of women in out-patient-polyclinic and house

conditions to make out a card of pregnant women.conditions to make out a card of pregnant women.

Intersubject and Intersubject and intrasubject intrasubject communications:communications:

Knowledge is necessary for development of the given Knowledge is necessary for development of the given theme on anatomy, for physiology, histology, theme on anatomy, for physiology, histology, biochemistry, microbiology, and also base knowledge biochemistry, microbiology, and also base knowledge on the obstetrics, got on 4 course, кожвенероологии, on the obstetrics, got on 4 course, кожвенероологии, to pharmacology and clinical pharmacology. to pharmacology and clinical pharmacology. Considering set of factors leading TIOGT, demands Considering set of factors leading TIOGT, demands close interrelation with the subjects set forth above.close interrelation with the subjects set forth above.

Control questions:Control questions: Whether there is an effective method of treatment of a syphilis?Whether there is an effective method of treatment of a syphilis? Whether isolation of mother from associates or from its child in the presence of a Whether isolation of mother from associates or from its child in the presence of a

gonorrhoea, CMV infections is obligatory?gonorrhoea, CMV infections is obligatory? Whether there is an authentic and inexpensive method of diagnostics chlamidy Whether there is an authentic and inexpensive method of diagnostics chlamidy

infections?infections? Whether there is an effective method of treatment bacterial vaginosis?Whether there is an effective method of treatment bacterial vaginosis? Whether there is an effective strategy of preventive maintenance/decrease of Whether there is an effective strategy of preventive maintenance/decrease of

harmful influence of the Streptococcus of group In on pregnancy or transfers to the harmful influence of the Streptococcus of group In on pregnancy or transfers to the newborn? Whether it is accessible?newborn? Whether it is accessible?

List the infections influencing a current of pregnancyList the infections influencing a current of pregnancy Order the infections which are not influencing a current of pregnancy and the Order the infections which are not influencing a current of pregnancy and the

newbornnewborn What methods of diagnostics use for verification of a specific infection?What methods of diagnostics use for verification of a specific infection? At what infections joint stay of mother and the child is counter-indicative?At what infections joint stay of mother and the child is counter-indicative? Whether isolation of mother from associates or from its child is obligatory at Whether isolation of mother from associates or from its child is obligatory at

RUBELLA?RUBELLA?

The literature:The literature: The order № 425 MH RUzThe order № 425 MH RUz Murray W. Enkin et al, A guide to effective care in pregnancy and childbirth, 3-rd ed, 2000Murray W. Enkin et al, A guide to effective care in pregnancy and childbirth, 3-rd ed, 2000 James Chin. An official report of American Public Health Association. Control of James Chin. An official report of American Public Health Association. Control of

Communicable Disease Manual. 17Communicable Disease Manual. 17thth Edition. 2000 Edition. 2000 WHO Euro. Essential Antenatal, Perinatal and Postpartum Care. WHO Euro. Essential Antenatal, Perinatal and Postpartum Care. ССopenhagen, 2002openhagen, 2002 Sexually transmitted diseases treatment guidelines 2002. Centers for Disease Control and Sexually transmitted diseases treatment guidelines 2002. Centers for Disease Control and

Prevention. MMWR Recomm Rep. 2002;51 (RR-6):1-78Prevention. MMWR Recomm Rep. 2002;51 (RR-6):1-78 Screening for Gonorrhea: Recommendation Statement: U.S. Preventive Services Task Force. Screening for Gonorrhea: Recommendation Statement: U.S. Preventive Services Task Force.

Fam Med. 2005;3(3):263-2Fam Med. 2005;3(3):263-2 WHO. Pregnancy, Childbirth, Postpartum and Newborn Care: A guide for essential practice. WHO. Pregnancy, Childbirth, Postpartum and Newborn Care: A guide for essential practice.

Geneva, 2006. Geneva, 2006. Scottish Intercollegiate Guidelines Network. Management of genital Chlamydia trachomatis Scottish Intercollegiate Guidelines Network. Management of genital Chlamydia trachomatis

infection. A national clinical guideline. Edinburgh (Scotland): Scottish Intercollegiate Guidelines infection. A national clinical guideline. Edinburgh (Scotland): Scottish Intercollegiate Guidelines Network (SIGN); 2000 Mar. 26 p. (SIGN publication; no. 42).Network (SIGN); 2000 Mar. 26 p. (SIGN publication; no. 42).

Antenatal care: routine care for the healthy pregnant woman. Clinical Guideline. National Antenatal care: routine care for the healthy pregnant woman. Clinical Guideline. National Collaborating Centre for Women’s and Children’s Health. RCOG Press, October 2003Collaborating Centre for Women’s and Children’s Health. RCOG Press, October 2003

M Riduan Joesoef and George Schmid. Bacterial Vaginosis. Clin Evid 2005;13:1–3.M Riduan Joesoef and George Schmid. Bacterial Vaginosis. Clin Evid 2005;13:1–3.