Midwifery - Roma Azienda Ospedaliera Sant’Andrea

Activity type

Interdisciplinari e cliniche

SSD

MED/40

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

8 classroom hours

Lecturers

PAOLA BIANCHI

Activity type

Interdisciplinari e cliniche

SSD

MED/40

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

8 classroom hours

Lecturers

ANGELA MUSELLA

Activity type

Interdisciplinari e cliniche

SSD

MED/40

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

8 classroom hours

Lecturers

ANDREA GIANNINI

Activity type

Scienze medico - chirurgiche

SSD

MED/18

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

8 classroom hours

Lecturers

PAOLO AURELLO

Activity type

Interdisciplinari e cliniche

SSD

MED/40

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

8 classroom hours

Lecturers

FILIPPO BELLATI

Activity type

Prevenzione servizi sanitari e radioprotezione

SSD

MED/36

Year

2nd year

Semester

2nd semester

CFU

2

Hours distribution

16 classroom hours

Lecturers

GABRIELA CAPRIOTTI

Activity type

Interdisciplinari e cliniche

SSD

MED/40

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

8 classroom hours

Lecturers

ANDREA GIANNINI

By the end of the integrated course, the student must have acquired knowledge of the main topics covered in the individual modules: general surgery; diagnostic imaging and nuclear medicine in gynecology; gynecological endocrinology; gynecological infections and sexually transmitted diseases; gynecological oncology; benign gynecological conditions; and medically assisted reproduction.

Students should be familiar with the fundamentals of the pathophysiology of the woman and the newborn.

Module: GYNECOLOGICAL ENDOCRINOLOGY
PMOS (Polyendocrine Metabolic Ovarian Syndrome)
Menstrual cycle disorders
Amenorrhea, classification
The menopausal transition


Module: GYNECOLOGICAL INFECTION AND SEXUAL-TRASMITTED DISEASES
Sexually Transmitted Diseases (causes, risk factors, diagnostic assessment, management, prevention)
HPV (screening, prevention)
Vulvovaginitis
Vaginosis


Module: BENIGN DISEASES IN GYNECOLOGY
Anatomy and physiology of the female reproductive system.
Gynecological history taking, physical examination, and diagnostic approaches in gynecology.
Abnormal uterine bleeding and menstrual disorders.
Benign gynecological diseases:
uterine fibroids;
endometriosis and adenomyosis;
benign ovarian cysts and adnexal masses;
endometrial and cervical polyps;
pelvic inflammatory disease and common gynecological infections.
Contraception and contraceptive counseling.
Infertility: diagnostic work-up and principles of management.
Menopause and menopausal hormone therapy.
Lower genital tract diseases:
Human Papillomavirus (HPV) infection;
cervical cancer screening;
cervical cytology, HPV-DNA testing, and colposcopy;
cervical intraepithelial lesions and their management.


Module: ASSISTED REPRODUCTION TECHNOLOGY
Malignant diseases of the digestive system. Thyroid cancer. Breast cancer. Sarcomas.


Module: ONCOLOGICAL GYNECOLOGY
Gynecological cancer screening. Ovarian cancer, endometrial cancer, cervical cancer.


Module: RADIOLOGY AND NUCLEAR MEDICINE IN GYNECOLOGY
General Concepts of Radiation
Types of radiation: ionizing and non-ionizing radiation
Sources of radiation
Biological effects of radiation
Basic principles of radiation protection (Justification, Optimization/ALARA, Dose Limitation)
Breast Ultrasound
Principles of ultrasound imaging
Indications and clinical applications
Advantages and limitations
Role in breast cancer diagnosis and interventional procedures
Mammography
Principles of mammographic imaging
Screening and diagnostic mammography
Clinical indications
Advantages, limitations, and radiation dose considerations
Digital Breast Tomosynthesis
Principles of tomosynthesis
Clinical applications
Advantages over conventional mammography
Limitations and current indications
Magnetic Resonance Imaging (MRI) of the Breast
Principles of MRI
Contrast-enhanced breast MRI
Clinical indications
Advantages and limitations
Role in breast cancer diagnosis, staging, and follow-up
The Role of Nuclear Medicine in Breast Oncology
Principles of molecular imaging
PET/CT in breast cancer
Sentinel lymph node mapping
Assessment of treatment response
Emerging applications of nuclear medicine in precision oncology



Module: GENERAL SURGERY
Review of the anatomy and physiology of the female and male reproductive systems.
Physiology of ovulation, fertilization, and embryo implantation.
Definition, epidemiology, and impact of infertility.
Main causes of female and male infertility.
Diagnostic evaluation of the infertile couple:
medical history;
assessment of ovarian reserve;
ovulation monitoring;
tubal patency assessment;
semen analysis;
laboratory and genetic investigations.
Principles of Assisted Reproductive Technology (ART):
first-level techniques;
second-level techniques;
third-level techniques.
Controlled ovarian stimulation and ultrasound/hormonal monitoring.
Oocyte retrieval, semen preparation, in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), and embryo transfer.
Cryopreservation of gametes, embryos, and ovarian tissue.
Fertility preservation in oncology patients and in women at risk of premature ovarian insufficiency.
Complications of ART:
ovarian hyperstimulation syndrome (OHSS);
multiple pregnancy;
ectopic pregnancy;
procedure-related complications.
Legal, ethical, and organizational aspects of ART in Italy.
Counseling and psychological support for infertile couples.
The role of the midwife in the ART pathway:
patient education;
couple counseling;
assistance during procedures;
clinical monitoring;
continuity of care;
multidisciplinary teamwork.

Module: GYNECOLOGICAL ENDOCRINOLOGY
The instructor will provide the study material.


Module: GYNECOLOGICAL INFECTION AND SEXUAL-TRASMITTED DISEASES
Teaching materials produced by the instructor (e.g., slides).


Module: BENIGN DISEASES IN GYNECOLOGY
Teaching materials will include lecture slides, supplemented by national and international guidelines, scientific articles, and educational resources available through major scientific and bibliographic databases (e.g., PubMed, scientific society guidelines, and other relevant reference databases).


Module: ASSISTED REPRODUCTION TECHNOLOGY
Surgery by Dionigi
Seventh Edition
Edra Publishing


Module: ONCOLOGICAL GYNECOLOGY
The study material will be provided by the instructor.


Module: RADIOLOGY AND NUCLEAR MEDICINE IN GYNECOLOGY
Text provided by the lecturer


Module: GENERAL SURGERY
Teaching materials will include lecture slides, supplemented by national and international guidelines, scientific articles, and educational resources available through major scientific and bibliographic databases (e.g., PubMed, scientific society guidelines, and other relevant reference databases).

Module: GYNECOLOGICAL ENDOCRINOLOGY
N/D
Module: GYNECOLOGICAL INFECTION AND SEXUAL-TRASMITTED DISEASES
N/D
Module: BENIGN DISEASES IN GYNECOLOGY
N/D
Module: ASSISTED REPRODUCTION TECHNOLOGY
N/D
Module: ONCOLOGICAL GYNECOLOGY
N/D
Module: RADIOLOGY AND NUCLEAR MEDICINE IN GYNECOLOGY
N/D
Module: GENERAL SURGERY
N/D

Attendance at lectures is mandatory.

Attendance at lectures is mandatory.

Each individual teacher, in consultation with the students, will determine the format of the exam.

Classification of amenorrhea
MRI in gynecology

Module: GYNECOLOGICAL ENDOCRINOLOGY



Module: GYNECOLOGICAL INFECTION AND SEXUAL-TRASMITTED DISEASES



Module: BENIGN DISEASES IN GYNECOLOGY



Module: ASSISTED REPRODUCTION TECHNOLOGY



Module: ONCOLOGICAL GYNECOLOGY

• da definire