Emergency Situations in Obstetrics

Study Course Description

Course Description Statuss:Approved

Course Description Version:8.00

Study Course Accepted:02.05.2023 14:33:29

Study Course Information
Course Code:		KPUMTK_009		LQF level:		Level 7
Credit Points:		2.00		ECTS:		3.00
Branch of Science:		Clinical Medicine; Obstetrics and Gynaecology		Target Audience:		Medicine
Study Course Supervisor
Course Supervisor:		Signe Irša
Study Course Implementer
Structural Unit:		Department of Clinical Skills and Medical Technologies
The Head of Structural Unit:
Contacts:		Riga, 26a Anninmuizas boulevard, kpumtkrsu[pnkts]lv, +371 67061579
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		0	Lecture Length (academic hours)		0	Total Contact Hours of Lectures		0
Classes (count)		16	Class Length (academic hours)		2	Total Contact Hours of Classes		32
Total Contact Hours								32
Study course description
Preliminary Knowledge:
Anatomy and physiology of the reproductive system; Physiological obstetrics; Pathological obstetrics.
Objective:
To acquire skills for team work in obstetrics in emergency situations (working together doctors and midwives) ensuring the assessment of the health status of women and newborns and timely diagnosis and treatment of health disorders.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Emergency situations – duties of midwife and obstetrician, non-technical skills			Classes		2.00	METC
2	Structured approach in patient care. Recognition of a severe patient in pregnancy period/ patient in post partum period			Classes		2.00	METC
3	Severe preeclampsia and eclampsia – action in emergency situation			Classes		2.00	METC
4	Sepsis, septic shock – action in emergency situation			Classes		2.00	METC
5	Acute caesarean section – obstetric team action			Classes		2.00	METC
6	Pathological KTG – recognition, tactics, action			Classes		2.00	METC
7	Postpartum hemorrhage – prevention, recognition			Classes		2.00	METC
8	Pathological labour – work in a team			Classes		1.00	METC
9	Test – clinical simulations			Classes		1.00	METC
Assessment
Unaided Work:
Theoretical material for self-study before practical classes.
Assessment Criteria:
All classes must be attended. Students' active participation in classes , timely successful completion of independent and examination papers (50%), successful completion of the final examination (50%) will be assessed.
Final Examination (Full-Time):		Exam
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		As a result of the study course acquisition students gain understanding of the importance of evaluating the birth process, learn the methods of objective monitoring of the well-being of the fetus and pregnant woman, woman in labor and postpartum period and gain an understanding of the role of doctor and midwife in I, II and III indications, performance, interpretation of results, indications for performance of additional examinations, interpretation of results, patient documentation and their preparation for urgent operational action.
Skills:		As a result of mastering the study course, students will have mastered specific examination methods and manipulations in obstetrics in emergency situations and filling in documentation. Will be able to listen to the fetal heartbeat and evaluate the CTG record. Will be able to act in emergency situations in obstetrics.
Competencies:		Students will acquire skills in team work in obstetrics in emergency situations (in collaboration with students; midwives and doctors) and cooperation with the patient and her relatives in the treatment process. As a result of the study course, students will be able to evaluate and apply appropriate clinical manipulations, medical devices and other activities to ensure optimal and safe patient care.
Clinical Skills:
No.	Skill					Level
1	Per speculum examination of cervix and vagina after birth.					C1 - High level
2	Administration of Medication using a PVC (System)					B1 - Basic level
3	Asking questions					B2 - Intermediate level
4	Assessing Blood Pressure					B1 - Basic level
5	Assessing Blood Pressure					B2 - Intermediate level
6	Bimanual pelvic (gynaecological) examination					B1 - Basic level
7	Bimanual uterine examination					A - Beginner level
8	Bimanual uterine examination					B1 - Basic level
9	Blood components transfusion - Cryoprecipitate transfusion					A - Beginner level
10	Blood components transfusion - plasma					A - Beginner level
11	Blood components transfusion - Platelet mass transfusion					A - Beginner level
12	Blood products transfusions - blood transfusion					A - Beginner level
13	Blood sampling					A - Beginner level
14	Blood sampling					B1 - Basic level
15	Breast physical examination					A - Beginner level
16	Detecting Respiratory Rate					B1 - Basic level
17	Discrepancies					B2 - Intermediate level
18	Donning of surgical attire					B1 - Basic level
19	Donning Sterile Gloves					B1 - Basic level
20	Due date estimation					B1 - Basic level
21	Encouraging					B2 - Intermediate level
22	Ensuring “skin-to-skin” contact with the newborn					C1 - High level
23	Evaluation of fetal heart tones					C1 - High level
24	Evaluation of newborn reflexes					B1 - Basic level
25	Examination technique of breast, as well as supraclaviculal, infraclavicular and axillary lymph nodes					B1 - Basic level
26	Female perineal care					B1 - Basic level
27	Fundus uteri identification					A - Beginner level
28	Fundus uteri identification					B1 - Basic level
29	Fundus uteri measurement during pregnancy					C1 - High level
30	High O2 concentrations masks					B1 - Basic level
31	Hygienic Hand Disinfection					B1 - Basic level
32	Hygienic Hand Washing					B1 - Basic level
33	Indwelling female catheterisation					B1 - Basic level
34	Insertion of Peripheral Venous Catheter					B2 - Intermediate level
35	Installation of the face mask					C1 - High level
36	Instrumental revision of uterine cavity postpartum					C1 - High level
37	Intermittent female catheterisation					B1 - Basic level
38	Leopold maneuvers					B1 - Basic level
39	Local infiltration anaesthesia					B1 - Basic level
40	Management of physiological first labor					C1 - High level
41	Management of physiological second labor					C1 - High level
42	Monitoring					A - Beginner level
43	Newborn primary resuscitation					A - Beginner level
44	Percussion and palpation of bladder					A - Beginner level
45	Performing and interpretation of fetal CTG.					C1 - High level
46	Planes of the pelvis					B2 - Intermediate level
47	Pregnant women’s blood pressure measurements					C1 - High level
48	Prevention of the postpartum haemorrhage (PPH)					A - Beginner level
49	Prevention of the postpartum haemorrhage (PPH)					B1 - Basic level
50	Primary care of the neonate in physiological labor					B1 - Basic level
51	Removal of personal protective equipment in case of health-related infections					B1 - Basic level
52	Structured history taking					A - Beginner level
53	Surgical Hand Disinfection					B1 - Basic level
54	Taking an Axillar Temperature, using a Digital Thermometer					B1 - Basic level
55	The cord cutting					A - Beginner level
56	The cord cutting					B1 - Basic level
57	The cord cutting					B2 - Intermediate level
58	The use of personal protective equipment in case of health-related infections					B1 - Basic level
59	Urine Sampling for Clinical Examination					B1 - Basic level
60	Usage of blood glucose meter					A - Beginner level
61	Women’s examination per speculum					C1 - High level
62	Women’s rectovaginal examination					C1 - High level
Bibliography
No.	Reference
Required Reading
1	Dudenhausen, J., Grab, D., Obladen, M., Pschyrembel, W., & Travis, S. (2014). Practical Obstetrics. De Gruyter.
2	Troiano, N., Baird, S., & Witcher, P. (2018). High-Risk & Critical Care: Obstetrics. Wolters Kluwer.
3	Chandraharan Edwin"Handbook of CTG Interpretation: From Patterns to Physiology". (2017). Cambridge University Press.
4	WHO recommendations (2016). “Standards for improving quality of maternal and newborn care in health facilities”.
5	RCOG, Guidelines
Additional Reading
1	Sentilhes, L., Sénat, M. V., Boulogne, A. I., Deneux-Tharaux, C., et.al. (2016). Shoulder dystocia: guidelines for clinical practice from the French College of Gynecologists and Obstetricians (CNGOF). European journal of obstetrics, gynecology, and reproductive biology, 203, 156–161.
2	"Midwifery Practice: Critical Illness, Complications And Emergencies Case Book". (2012). Raynor M., Marshall J. McGraw-Hill Education.
3	Maternal Newborn Nursing Care Plans / edited by Carol J. Green, Graceland University School of Nursing, Independence, Missouri. (2016). 3rd edition. Burlington, MA : Jones & Bartlett Learning. ix, 472 lpp.
4	Snow S., Taylor K., Carpenter J. (2016). "Rapid Midwifery". John Wiley & Sons, Incorporated.
5	NHS, Pre eclampsia, Eclampsia and Severe Hypertension. (2014). C.Biswas. Cons Obstetrician. May. V4
Other Information Sources
1	WHO recommendations (2018). “Intrapartum care for a positive childbirth experience”.
2	www.medicalaidfilms.org
3	http://www.who.int/topics/midwifery/en/
4	http://www.doctoralmidwiferysociety.org/