Teaching University Geomedi LLC

Faculty: Medicine Educational Program and Steps: MD

Undergraduate Program
Syllabus
Name and Gynecology
Status of (clinical compulsory of specialty)
teaching
course
Teaching English
Language
Author/ Professor Zaza Sinauridze e-mail:
Authors zaza.sinauridze@geomedi.edu.ge
Name, Christopfer Iohannes Alfred Wolf MD, PhD e-mail: drchristopherwolf@arcor.de
Surname Associate Professor Elene Asanidze MD PhD e-mail:
Contact elene.asanidze@geomedi.edu.ge
Information
Implementers are given in the program curriculum

Training X
Semester
Number of 7 ECTS credits – 175 hour
Credits and Contact hours – 79 hr
Hours lecture – 19 hr
distribution practicum classes – 57 hr
according to midterm assessment – 1 hr
the student’s final exam – 2 hr
teaching Independent work – 96 hr
hours Individual work / consultation at least 1 hour per needed (at the time specified in the
Consulting timetable)
time
Aims of The The learning course aims to teach students the genesis of gynecological pathologies, the
Training process mechanisms, the optimal treatment tactics based on the etiopathogenesis.
Course

Preconditions Pathology of Reproductive system, general surgery

for
permission
Learning 1. Knowledge and understanding
outcomes Students know:
 Menstrual cycle, oogenesis, ovulation.
 Examination methods of gynecological patient;
 Menstrual cycle disorders;
 Diseases of the genital organs.

2. Ability
Student ia able to:
 Determine the examination methods of gynecological patient;
 Make diff.diagnosis and determine diagnosis based on the physical and
examination results;
 Implement the treatment scheme based on the diagnose results;
 Assist the doctor during the gynecological manipulations.
 Revise and analyze gynecological anamnesis and examination results;
 Have an effective communication with the patient and collect anamnesis;
 Establish the received data, make registration and produce medical history of the
patient.

Responsibility and autonomy

The student can make autonomous decisions and take responsibility for these decisions.
Continuation of studies at a higher level. Respect for patient rights at a professional
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 level..
Field competences:
Student approves the following field competences:
 patient counseling, assessment of clinical cases, appointment of diagnosis,
differential diagnosis, discussion of disease management plan, Assistance in
emergency medical care, Knowledge of subscription to medicines, Conducting
Practical procedures, Effective communication in medical contexts, In clinical
practice, the use of ethical and legal principles, Assessment of psychological and
social aspects of patient's illness, Using evidence-based principles, skills and
knowledge, effective use of information technologies and information in medical
context, Implementation of health promotion activities, involvement in public
health issues, effective work in the health care system, Professionalism.
 Medical deontology and ethical issues;
 Patient rights and respect.

Teaching and learning methods:

- Teaching of communication skills with patient
- Bed-side teaching
- CBL
- Interactive lecture
- Doctor-patient role play
- Mentoring and feedback
- Teaching with respective simulators
- Practice with patients in outpatient and inpatient department
- Teaching of the application of inpatient and outpatient files and electronic
medical records at hospital (clinical setting);

Assessment methods:
- Exam – Oral / MCQ tests
- Role play
- OSCE (standardized / simulated patients)
- Mini-CEX (Mini-Clinical Evaluation Exercise)
- Portfolio/ Log-book.
Content Duration of Clinical Rotation – 20 Days
1st Day-Lecture 1 hr.
Syllabus introduction
Assessment system introduction
General review of discipline
Gynecological patient examination methods, feminine hygiene, periods of a woman's life:
sexual maturing period, reproductive period, menopause. Menstrual - ovarian cycle:
general description, gonadotropic hormones, a woman's genitals hormones, menstrual
cycle disorders: dysfunctional bleeding from the uterus, hypo menstrual syndrome and
amenorrhea, algodysmenorrhea, menometrorrhagia, anovulatory menstrual cycle. (Ed.:
Bickerstaff H., Kenny L.C.- Gynaecology by Ten Teachers. 20th Ed., 2017.1-49p.)

Practicum Classes - 3 hrs.

Gynecological patient examination methods, feminine hygiene, periods of a woman's life:
sexual maturing period, reproductive period, menopause. Menstrual - ovarian cycle:
general description, gonadotropic hormones, a woman's genitals hormones, menstrual
cycle disorders: dysfunctional bleeding from the uterus, hypo menstrual syndrome and
amenorrhea, algodysmenorrhea, menometrorrhagia, anovulatory menstrual cycle.

Introdaction to the Clinic structure and hygiene rules.

2rd Day-Lecture 1 hr.
Neuroendocrine syndromes in gynecology: ovarian polycystic, hyperprolactinemia
syndrome, adrenogenital syndrome, premenstrual syndrome, post castration syndrome,

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resistant ovary syndrome, Sheehan syndrome, climacteric syndrome– their clinic,
diagnostics and treatment principles. (Berek J.S. - Berek and Novak`s gynecology. 15th
ed., 2012. 1772-1791, 1798-1825p.)

Practicum Classes - 3 hrs.

Oral presentation of the studied material; demonstration of practical skills.
Neuroendocrine syndromes in gynecology: ovarian polycystic, hyperprolactinemia
syndrome, adrenogenital syndrome, premenstrual syndrome, post castration syndrome,
resistant ovary syndrome, Sheehan syndrome, climacteric syndrome– their clinic,
diagnostics and treatment principles.

3th Day-Lecture 1 hr.

Female genital organs inflammation diseases: inflammation types - non-specific and
specific, acute and chronic, their diagnostics and treatment principles, vulvovaginitis,
bartholinitis, leukoplakia, pointed condyloma, cervical erosion, endometritis, cervical
supplements inflammation processes, parametritis, pelvioperitonitis. gonorrhea, syphilis,
tuberculosis, trichomoniasis, chlamydiasis, mycoplasmosis, listeriosis, viral diseases.
(Berek J.S. - Berek and Novak`s gynecology. 15th ed., 2012. 1014-1021p.) (Ed.:
Bickerstaff H., Kenny L.C.- Gynaecology by Ten Teachers. 20th Ed., 2017. 121-133p.)

Practicum Classes - 3 hrs.

Oral presentation of the studied material; demonstration of practical skills.
Female genital organs inflammation diseases: inflammation types - non-specific and
specific, acute and chronic, their diagnostics and treatment principles, vulvovaginitis,
bartholinitis, leukoplakia, pointed condyloma, cervical erosion, endometritis, cervical
supplements inflammation processes, parametritis, pelvioperitonitis. gonorrhea, syphilis,
tuberculosis, trichomoniasis, chlamydiasis, mycoplasmosis, listeriosis, viral diseases.
4 Day-Lecture 1 hr.
Congenital abnormalities of sexual development. True and false hermaproditism, Muller
aplazia and dysplasia, Gonadal dysgenesis, vagina and hymen membranes atresia -
clinic, diagnostics, treatment methods. (Berek J.S. - Berek and Novak`s gynecology. 15th
ed., 2012.455-471p.)

Practicum Classes-4 hrs.

Oral presentation of the studied material; demonstration of practical skills.
Congenital abnormalities of sexual development. True and false hermaproditism, Muller
aplazia and dysplasia, Gonadal dysgenesis, vagina and hymen membranes atresia -
clinic, diagnostics, treatment methods.
5th Day-Lecture 1 hr.
Malformations of female genital organs location: Lowering and prolapsed of vagina and
cervical, clinic, diagnostics, treatment principles. Endometriosis, genital and extragenital
endometriosis, etiology, pathogenesis theories, clinic, differential diagnostics, causes of
infertility in endometriosis, treatment methods and prophylaxis. (Berek J.S. - Berek and
Novak`s gynecology. 15th ed., 2012.869-908p.) (Ed.: Bickerstaff H., Kenny L.C.-
Gynaecology by Ten Teachers. 20th Ed., 2017. 169-180p.)

Practicum Classes - 3 hrs.

Oral presentation of the studied material; demonstration of practical skills.
Malformations of female genital organs location: Lowering and prolapsed of vagina and
cervical, clinic, diagnostics, treatment principles. Endometriosis, genital and extragenital
endometriosis, etiology, pathogenesis theories, clinic, differential diagnostics, causes of
infertility in endometriosis, treatment methods and prophylaxis.
6th Day-Lecture 1 hr.
Infertile marriage: women infertility, endocrine and tube infertility, male infertility,
immunologic factors of infertility, examination and treatment methods of infertile
couples, artificial insemination, extracorporeal fertilization, ovarian hyperstimulation
syndrome. implantation of the embryo, surrogacy. (Berek J.S. - Berek and Novak`s

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gynecology. 15th ed., 2012.1905-1983p.)

Practicum Classes - 3 hrs.

Oral presentation of the studied material; demonstration of practical skills.
Infertile marriage: women infertility, endocrine and tube infertility, male infertility,
immunologic factors of infertility, examination and treatment methods of infertile
couples, artificial insemination, extracorporeal fertilization, ovarian hyperstimulation
syndrome, implantation of the embryo, surrogacy.
7 Day-Lecture 1 hr.
Gynecology of children and adolescent, sexual development periods, of sexual maturity,
early and late sexual maturity (causes, examination and treatment methods ),
diagnostics and treatment peculiarities of inflammatory, dishormonal, cancerous
processes and development anomalies in children and adolescents. (Berek J.S. - Berek
and Novak`s gynecology. 15th ed., 2012. 681-703p.)
Practicum Classes - 3 hrs.
Oral presentation of the studied material; demonstration of practical skills.
Gynecology of children and adolescent, sexual development periods, of sexual maturity,
early and late sexual maturity (causes, examination and treatment methods ),
diagnostics and treatment peculiarities of inflammatory, dishormonal, cancerous
processes and development anomalies in children and adolescents.
8th Day-Lecture 1 hr.
Emergency care in gynecology: the acute abdomen in gynecology, graviditas
extrauterina, etiology, clinical forms, diagnostics, organization of medical care,
treatment, ovarian apoplexy, bleeding from the uterus, ovary cyst, peritonitis -
diagnostics and treatment principles. (Ed.: Bickerstaff H., Kenny L.C.- Gynaecology by
Ten Teachers. 20th Ed., 2017. 193-201p.)

Practicum Classes - 3 hrs.

Oral presentation of the studied material; demonstration of practical skills.
Emergency care in gynecology: the acute abdomen in gynecology, graviditas
extrauterina, etiology, clinical forms, diagnostics, organization of medical care,
treatment, ovarian apoplexy, bleeding from the uterus, ovary cyst, peritonitis -
diagnostics and treatment principles.
9th Day-Lecture 1 hr.
Operations in Gynecology: Operations on cervical ovarian part, operations in cases of
lowered and prolapsed genital organsare, operations uterus and its supplements,
operations in case of genital anomalies, laparoscopic operations: indications and
techniques of surgery, preoperative and postoperative periods, and their management.
Genital hole-tubes, pelvic cavity neighboring organs pathologies, complications of
gynecologic operations and postoperation periods. (Ed.: Bickerstaff H., Kenny L.C.-
Gynaecology by Ten Teachers. 20th Ed., 2017. 229-247p.)

Practicum Classes - 3 hrs.

Oral presentation of the studied material; demonstration of practical skills.
Operations in Gynecology: Operations on cervical ovarian part, operations in cases of
lowered and prolapsed genital organsare, operations uterus and its supplements,
operations in case of genital anomalies, laparoscopic operations: indications and
techniques of surgery, preoperative and postoperative periods, and their management.
Genital hole-tubes, pelvic cavity neighboring organs pathologies, complications of
gynecologic operations and postoperation periods.
10th Day-Lecture 1 hr.
11th Day-Lecture 1 hr.

Family planning, contraception: Types - natural, barrier, uterine contraception, hormonal,

surgical, postcoital contraception, their selection methods, advantages, complications,
contraception for women in different periods of life: adolescent contraception,
contraception and lactating women, contraception in women over 35. (Berek J.S. - Berek

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and Novak`s gynecology. 15th ed., 2012. 342-404p.)

Family planning, contraception: Types - natural, barrier, uterine contraception, hormonal,

surgical, postcoital contraception, their selection methods, advantages, complications,
contraception for women in different periods of life: adolescent contraception,
contraception and lactating women, contraception in women over 35.
Practicum Classes - 3 hrs.
Oral presentation of the studied material; demonstration of practical skills.
Family planning, contraception: Types - natural, barrier, uterine contraception, hormonal,
surgical, postcoital contraception, their selection methods, advantages, complications,
contraception for women in different periods of life: adolescent contraception,
contraception and lactating women, contraception in women over 35.
12 Day-Lecture 1 hr.
Female genital benign diseases: an outer genital tumors: vulval fibroma, vulval lipoma,
angioma lymphangioma, elephantiasis, diagnostics and treatment. Vaginal cancers:
vaginal cyst, myoma and fibroma, vaginal papilomas, diagnostics and treatment. (Berek
J.S. - Berek and Novak`s gynecology. 15th ed., 2012. 659-681p.)
Practicum Classes - 3 hrs.
Oral presentation of the studied material; demonstration of practical skills.
Female genital benign diseases: an outer genital tumors: vulval fibroma, vulval lipoma,
angioma lymphangioma, elephantiasis, diagnostics and treatment. Vaginal cancers:
vaginal cyst, myoma and fibroma, vaginal papilomas, diagnostics and treatment.
13th Day-Lecture 1 hr.
Cervical diseases: genuine erosion, condylomas, diagnostics and treatment. (Berek J.S.
- Berek and Novak`s gynecology. 15th ed., 2012. 2195-2235p.)
Practicum Classes - 3 hrs.

Oral presentation of the studied material; demonstration of practical skills.

Cervical diseases: genuine erosion, condylomas, diagnostics and treatment.
14 Day-Lecture 1 hr.
Diseases of the uterine body, uterine myoma - fibroma (leiomyoma), endometrial
hyperplasia, diagnostics, treatment. (Berek J.S. - Berek and Novak`s gynecology. 15th
ed., 2012. 740-767, 869-931p.)
Practicum Classes - 3 hrs.
Oral presentation of the studied material; demonstration of practical skills.
Diseases of the uterine body, uterine myoma - fibroma (leiomyoma), endometrial
hyperplasia, diagnostics, treatment.
15th Day-Lecture 1 hr.
Ovarian cancers; serious cystadenoma, papilloma, adenofibroma, mucinous
cystadenoma, endometrial adenoma and cystadenoma, mesonepfroyd adenofibroma,
dysgerminoma, teratoma benign, dermoid cyst, simple cyst, paraovarian cyst, superficial
epithel cysta, diagnostics, treatment. (Ed.: Bickerstaff H., Kenny L.C.- Gynaecology by
Ten Teachers. 20th Ed., 2017. 193-203p.)
Practicum Classes - 3 hrs.
Oral presentation of the studied material; demonstration of practical skills.
Ovarian cancers; serious cystadenoma, papilloma, adenofibroma, mucinous
cystadenoma, endometrial adenoma and cystadenoma, mesonepfroyd adenofibroma,
dysgerminoma, teratoma benign, dermoid cyst, simple cyst, paraovarian cyst, superficial
epithel cysta, diagnostics, treatment.
16th Day-Lecture 1 hr.
Trophoblastic diseases: hydatid (simple proliferative) –diagnostics, treatment. (Ed.:
Bickerstaff H., Kenny L.C.- Gynaecology by Ten Teachers. 20th Ed., 2017. 59-67 p.)
Practicum Classes - 3 hrs.
Oral presentation of the studied material; demonstration of practical skills.
Trophoblastic diseases: hydatid (simple proliferative) –diagnostics, treatment.
177h Day-Lecture 1 hr.
Female genital background and pre-cancerous diseases. The outer genitals: hiperplasia,

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 sclerotic and mixed dystrophy, condillomas, nevus, Bowen and Padget diseases,
dysplasia, symptomatology, treatment. (Berek J.S. - Berek and Novak`s gynecology. 15th
ed., 2012. 23-34 p.)
Practicum Classes - 3 hrs.
Oral presentation of the studied material; demonstration of practical skills.
Female genital background and pre-cancerous diseases. The outer genitals: hiperplasia,
sclerotic and mixed dystrophy, condillomas, nevus, Bowen and Padget diseases,
dysplasia, symptomatology, treatment. Cervical: pseudo erosion, erosion ectropion,
deformation, genuine erosion, retention cyst, leukoplakia, erythroplakia, polyps,
endometriosis, dysplasia, Uterus body: hyperplastic endometrial glands, endometrial
polyposis, atypical hyperplasia, diagnostics, treatment. Ovaries: average serious,
mucinosal, endometrial cancers.
18th Day-Lecture 1 hr. Cervical: pseudo erosion, erosion ectropion, deformation,
genuine erosion, retention cyst, leukoplakia, erythroplakia, polyps, endometriosis,
dysplasia, Uterus body: hyperplastic endometrial glands, endometrial polyposis, atypical
hyperplasia, diagnostics, treatment. Ovaries: average serious, mucinosal, endometrial
cancers. (Ed.: Bickerstaff H., Kenny L.C.- Gynaecology by Ten Teachers. 20th Ed., 2017.
169-177p.)
Practicum Classes - 3 hrs.
Oral presentation of the studied material; demonstration of practical skills.
Cervical: pseudo erosion, erosion ectropion, deformation, genuine erosion, retention
cyst, leukoplakia, erythroplakia, polyps, endometriosis, dysplasia, Uterus body:
hyperplastic endometrial glands, endometrial polyposis, atypical hyperplasia,
diagnostics, treatment. Ovaries: average serious, mucinosal, endometrial cancers.
19th Day-Lecture 1 hr.
Trophoblastic disease: invasive hydatid diagnostics, treatment, female genital malignant
diseases. (Berek J.S. - Berek and Novak`s gynecology. 15th ed., 2012. 2475-2488p.)
Practicum Classes - 3 hrs.
Oral presentation of the studied material; demonstration of practical skills.
Trophoblastic disease: invasive hydatid diagnostics,treatment, female genital malignant
diseases.
20th Day-Lecture 1 hr.
Breast glands diseases: benign formations, cancer: early detection, treatment.
Prognosis. (Berek J.S. - Berek and Novak`s gynecology. 15th ed., 2012. 1123-1162p.)

Practicum Classes - 3 hrs.

Oral presentation of the studied material; demonstration of practical skills.
Breast glands diseases: benign formations, cancer: early detection, treatment.
Prognosis.
24 day - final exam - 2 hours.

Teaching The main form of course teaching is: lecture, practical classes in clinic and in simulation
Format clinic.

Teaching/ Lectures are held in interactive mode. Practical classes are held in clinic as clinical
Learning rotation, where students have a group discussion of the lecture material, understanding
methods the material. Observation of patients, sypmtomatic diagnostics, differential diagnostics,
development of clinical skills / presentation. Formation of communication skills with
patients, collection of anamnesis. Development of correct treatment scheme.
Discussion of situational tasks.
The students supervise a patient independently during at least one hour. They performs
the following activities: obtain the case history, register the data, conduct the physical
examination: palpation, percussion, auscultation, assist the doctor in vein puncture,
catheterization, blood transfusion. Assess the instrumental examination data, assist
during surgical operations.
The students’ term evaluation methods are: oral presentation of the material,
demonstration of practical skills , quiz, midterm assessment.
The students’ term evaluation methods are: oral presentation of the material,
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 demonstration of practical skills, which conveys physical examination, development of
analyses and reporting skills (reading and interpretation of examination results, make
diff. diagnosis and diagnose), students self-assessment, midterm assessment.
During independent work students are working on given course materials, it contains
understanding and analysis. . Student is trained in a simulation clinic, on the simulators.
Material and * Auditory, projector, computer, clinic, library.
technical During clinical rotation, in order to improve practical knowledge and skills competence
resources for for students, minimum 3 sessions will be held at the university simulation clinic within
the necessity the frames of academic course, where the clinical/practical skills respective to the field
of training will be implemented at the base of simulated phantoms.
course
Assessment Evaluation system produces:
criteria a) 5 types of positive assessments:
a.a) (A) excellent-91%-100%
a.b) (B) very good-81-90%
a.c) (C) good-71-80%
a.d) (D) satisfactory-61-70%
a.e) (E) acceptable -51-60%

b) 2 types of negative assessments:

b.a) (FX) couldn’t pass- 41-50%-Which means that more work is needed. The student
can enroll in independent work and is given the right of an additional test.
b.b) (F) Fail-Less than 40% Work carried out by the student is not enough and the
student must retake the subject.
The assessment of a student shall be held by 100 grade point system that is composed
of: 60 grade points for midterm assessments, 40 grade points for the final exam.

 The mid-term grade points shall be earned by the following assessment methods:
 The mid-term grade points shall be earned by the following assessment methods:
 Oral presentation of the material – each student’s theoretical knowledge is
assessed by 16 points per semester, in total 16 points;
 Presentation of practical skills: Practical skills are acquired via dealing with
patients under the course leader’s supervision. It takes at least one hour of
practical course each day and accounts for 25 hours, 4 times-totally 20 points:
Collection of patient’s anamnesis, physical examination and data registration – 1 point.
Reading of the results of instrumental examination and interpretation – 1 point.
Reading of the results of laboratory examination – 1 point.
Differential diagnostics and determination of diagnosis– 1 point.
Development of treatment plan – 1point
Assist doctor during gynecologic manipulation process-- 3 points:
3 points - very good
2 points - good
1 point - satisfactory
0 points - bad
Student's self-assessment: Student assesses his own learning knowledge with 0-1
points
1 point - The student is satisfied with his own knowledge
0 points - The student is dissatisfied with his own knowledge

Midterm exam is assessed by 20 points, minimum competency score – 10 points;

midterm exam is held in complex manner:
1) Test-based part, including clinical-case based MCQ questions – assessed by 10
points, minimum competency barrier – 5 points;
2) Mini-CEX exam – held at clinical department, assessed by 10 points, minimum
competency barrier – 5 points;
(see the attached Mini-CEX formative assessment checklist).
The student that cannot pass the minimum competency barrier, will not be
allowed to sit the final exam.

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 The minimum grade point for the positive intermediate assessment is 30 points (the
student is allowed to sit final exam only if they have collected minimum 30 points from
intermediate assessment).
 Final exam is assessed with 40 points; it is held in complex manner, including: 1) test
format exam, including tests based on clinical cases, is held in exam center – assessed
by 20 points; 2) OSCE – is held in clinical simulation center, The students give exam in
OSCE stations, constructed accordingly with the module topics with respective number
of stations, with 4 minutes given to each station. OSCE exam total max score is 20
points.
 The number of stations and respectively, the shared value of points for each
station will be individually defined for each clinical rotation.
Note: Several procedures (e.g. ABP measurement, basic first aid, catheterization, ECG
recording technique etc.) must be implemented by all graduates at its full range (min.
Competence score is 100%).

Minimum competence score for admission to final exam is 30 points from

intermediate assessments of clinical rotation (out of 40, term activities +
midterm exam). Therefore, in order for the student to be allowed to sit the final exam,
the intermediate assessment score of the module must be minimum 30 points (out of
60).

The test part of final exam will be held immediately after completion of clinical
rotation, with 1-day interval, and the OSCE part of final exam will be held at
the end of the semester, within the dates of final exams period, defined by the
academic semester frames.
Minimum grade for passing final exam is 21 points (out of 40). Minimum grade
for passing the test part of final exam is 11 points (out of 20) and 10 points (out of 20)
for OSCE part of final exam.
In case of failing the final exam: if the sum of intermediate assessment and final exam
points is between 41-50, then the student is given one chance to retake a final exam. If
the student could not pass the minimal competence score in test part of the final exam,
they will retake the test part only of Fx exam. If the student could not pass the minimum
competence score in OSCE part of final exam, they will retake the OSCE part of the exam
only. In case if the sum of intermediate assessments and final exam points is 40 or less,
then the student must retake the whole module from new.
The student can retake the second chance exam in the same semester (20 th -21st week),
not earlier than 5 days following the initial final exam date.

Basic 1.Berek & Novak's gynecology. Publication: Philadelphia : Wolters Kluwer Health/Lippincott
literature Williams & Wilkins, 2012 .
2.Gynaecology by Ten Teachers, 20th Ed, 2017.
3. Gynaecology by Ten Teachers, 19th Ed, 2011.
Complementa ELbooks:
ry literature 1. Mires G. and oth.- Core clinical cases in obstetrics and gynaecology. 3th ed., Hodder Arnold
2011.
2. Collins S., Arulkumaran S. and oth. - Oxford handbook of obstetrics and gynaecology. 3th
ed., Oxford University Press 2013.
3. Bottomley C.,Rumer J.-100 cases in obstetrics and gynaecology. Hodder Arnold. 2008.
4. Obstetrics and gynecology : Publication: NY : Kaplan medical, 2016
Collins S., Arulkumaran S. and oth.- Oxford handbook of obstetrics and gynaecology. 3nd rd.,
Oxford University Press 2013.
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