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College of Medicine
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Department of Obstetrics and Gynecology
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Education
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Third-Year Clerkship
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Obstetrics Rotation
Obstetrics Rotation
Students will participate in the obstetrics rotation at both Nebraska Medicine and Methodist Women's Hospital labor and delivery inpatient services, which includes work rounds, teaching rounds, admissions, following laboring patients, and participating in deliveries and postpartum care.
During the clerkship, topics will include:
Normal Obstetrics:
- Preconception counseling
- Diagnosis of pregnancy
- Physiology and maternal adaptation of pregnancy
- Antepartum care including prenatal diagnosis
- Labor and delivery including induction of labor
- Obstetric analgesia and anesthesia
- The puerperium
- Postpartum care and lactation
- Counseling on male circumcision
Abnormal Obstetrics
- Bleeding in pregnancy - second and third trimester
- Fetal death in utero
- Dystocia
- Breech
- Cesarean birth and vaginal birth after cesarean birth
- Hypertensive disorders in pregnancy - preeclampsia
- Isoimmunization
- Multiple gestation
- Intrauterine growth restriction
- Premature rupture of membranes
- Preterm labor
- Postpartum hemorrhage
- Puerperal fever
- Medical and surgical complications of pregnancy: anemia, cardiac disease, diabetes, pyelonephritis,
Knowledge and Skills Expectations:
By the end of the Obstetrics rotation, students will be expected to competently:
- Obtain, present, and document a relevant history of patients being evaluated or admitted; examinations will be done with the supervising resident/faculty.
- Interpret and document fetal heart rate monitoring strips.
- Assess and document the labor course in patients.
- Understand the normal hospital course for the patient after a vaginal delivery and operative cesarean delivery.