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Tema 1.

Subiectul: Sistemul de ngrijiri perinatale. Programul Naional de Perinatologie. Sistemul de


supraveghere i monitoring al sntii mamei si copilului.
Data: _____________

COMPETENE I ABILITI:

1. Argumentarea necesitii studierii subiectului.


2. Definirea noiunilor de:obstetric, ginecologie, perinatologie.
3. Relatarea perioadelor de dezvoltare a obstetricii i ginecologiei.
4. Denumirea strategiilor Programului Naional de Perinatologie.
5. Referirea gravidelor pentru asisten perinatal n dependen de severitatea riscului.
6. Explicarea tehnologiilor cost-efective propuse pentru ameliorarea asistenei perinatale.
7. Definirea indicilor sntii reproductive: mortalitatea i morbiditatea matern, infantil,
perinatal, natalitatea, sporul natural.
8. Prezentarea datelor statistice anuale curente ( mortalitatea i morbiditatea matern, infantil,
perinatal, natalitatea, sporul natural).

Desfurarea leciei practice:

1. Argumentai necesitatea studierii subiectului__________________________________


_____________________________________________________________________________
_______________________________________________________________________

2. Definii noiunea de:

a. Obstetric

b. Ginecologie

c. Perinatologie

3. Alegei evenimentul n dezvoltarea disciplinei conform anului propus:

1523 a fost publicat n Germania primul manual de obstetric Der Schwangern


Frauen und Hebamen Rosengarten (cunoscut drept The Rosengarten)
scris de Eucharius Rosslin din Freiburg

n secolul al Prima coal de moae a fost nfiinat n secolul al XVI-lea la Paris


XVI-lea de ctre marele chirurg militar francez Ambroise Par (1510-1590),

1630 A fost inventat Pap test de Aurel Babe folosit pentru detectarea
proceselor precanceroase

1927 Prima maternitate n lume a fost infiinat de ctre Mauriceau n Paris


4. Caracterizai perioadele dezvoltrii obstetricii i ginecologie
_________________________________________________________________
I.Perioada primitiv, _________________________________________________________________
arhaic _________________________________________________________________
_________________________________________________________________
_________________________________________________________________

II. Perioada tiinific iniial __________________________________________________________________


__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

_________________________________________________________________
_________________________________________________________________
III. Perioada de decaden _________________________________________________________________
_________________________________________________________________

_________________________________________________________________
_________________________________________________________________
IV.Perioada de renatere _________________________________________________________________
_________________________________________________________________
______________

_________________________________________________________________
_________________________________________________________________
V. Perioada ncadrrii obstetricii _________________________________________________________________
n domeniul tiinelor medicale _________________________________________________________________
_________________________________________________________________

_________________________________________________________________
_________________________________________________________________
VI. Perioada dezvoltrii _________________________________________________________________
tiinelor obstetricale _________________________________________________________________
i ginecologice _________________________________________________________________

_________________________________________________________________
_________________________________________________________________
VII. Perioada modern _________________________________________________________________
_________________________________________________________________

5. Alegei anul n care a fost nfiinat Catedra de Obstetric i Ginecologie a


Facultii Medicin General din Moldova:

a. 1971

b. 1945

c. 1953

6. Scriei trei doctori habilitai n obstetric i ginecologie, membri corespondeni


a A..R.M din Republica Moldova:
1.
2.
3.
7. Denumii strategiile de implimentare a Programului Perinatal:

8. Caracterizai nivelul I de Asisten Medical Perinatal :

9. Caracterizai nivelul II de Asisten Medical Perinatal :

10. Caracterizai nivelul III de Asisten Medical Perinatal :


11. Referii gravidele cu risc obstetrical la nivelul respectiv de Asisten
Medical Perinatal n urmtoarele situaii propuse:

a. Gravida C., cu termen de sarcin 40 spt. i masa probabil a ftului de 3200 g, la toate
vizitele antenatale s-a prezentat n termen, sarcina a decurs fr particulariti.

b. Luza M., a nscut un copil cu masa - 2350 g cu infecie intrauterin, la termen de


sarcin 36 spt. A fost supravegheat la medicul de familie pe parcursul sarcinii i a
nscut n judeul Ungheni.

c. Gravida B., s-a adresat serviciului de urgen cu debutul contraciilor uterine regulate la
termen de 30 spt. de sarcin. Care este nivelul de acordare a asistenei perinatale n
acest caz?

12. Descriei tehnologiile cost-efective pentru ameliorarea asistenei:

ANTENATALE____________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
___________________________________________________________________________________________

INTRANATALE ____________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________

POSTNATALE____________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________

13. Definii indicii sntii reproductive.

Natalitatea __________________________________________________________________
__________________________________________________________________

__________________________________________________________________
Sporul natural __________________________________________________________________

__________________________________________________________________
Mortalitatea matern ________________________________________________________________

Mortinatalitatea __________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Mortalitatea neonatal __________________________________________________________________
precoce
__________________________________________________________________
Mortalitatea perinatal __________________________________________________________________

Mortalitatea infantil __________________________________________________________________


__________________________________________________________________

Orice lucrtor
medical,
permanent trebuie s-
i pun urmtoarele
ntrebri:

Evaluarea cantitativ a deprinderilor practice realizate


Nr.
DENUMIREA DEPRINDERII PRACTICE CANTITATEA
d/o
1. Referirea gravidelor pentru asisten perinatal n
dependen de severitatea riscului.
2. Definirea indicilor sntii reproductive:
mortalitatea i morbiditatea matern, infantil,
perinatal, natalitatea, sporul natural.
3. Prezentarea datelor statistice anuale curente (
mortalitatea i morbiditatea matern, infantil,
perinatal, natalitatea, sporul natural).

Concluzii:_____________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Semntura profesorului