Physiological Pregnancy Management

Study Course Description

Course Description Statuss:Approved

Course Description Version:6.00

Study Course Accepted:19.08.2021 13:42:46

Study Course Information
Course Code:		MDAK_039		LQF level:		Level 6
Credit Points:		2.00		ECTS:		3.00
Branch of Science:		Clinical Medicine; Obstetrics and Gynaecology		Target Audience:		Midwifery
Study Course Supervisor
Course Supervisor:		Māra Grieze
Study Course Implementer
Structural Unit:		Department of Nursing and Obstetric Care
The Head of Structural Unit:
Contacts:		Riga, 26a Anninmuizas boulevard, mdakrsu[pnkts]lv, +371 67061568
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		1	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		2
Classes (count)		15	Class Length (academic hours)		2	Total Contact Hours of Classes		30
Total Contact Hours								32
Study course description
Preliminary Knowledge:
Preliminary knowledge of anatomy, physiology, pathological physiology and pharmacology is required.
Objective:
To promote the knowledge and practical skills, competencies in the management of physiological pregnancy.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Provision of antenatal care in midwifery practice, individual approach following the basic principles of holistic care. History in short.			Lectures		1.00	auditorium
2	Female sexual and reproductive health, menstrual cycle. Mortality of the mothers and perinatal mortality.			Classes		1.00	auditorium
3	Embryology (cell division and development of blastocyst, early stages of development of the human embryo, fetal membranes, chorion and amnion).			Classes		1.00	auditorium
4	Early signs of pregnancy, ralationships in women's family. Factors that affect negatively the process of pregnancy and foetal development – infections, medications, nicotine, alcohol, etc.			Classes		1.00	METC
5	Physiological changes during pregnancy.			Classes		1.00	auditorium
6	Laboratory examinations. Diagnostics of pregnancy. Anamnesis and gynecology physical examination. Factors that affect the process of pregnancy.			Classes		1.00	auditorium
7	Combined I trimester screening – withers folds measurement and biochemical markers.			Classes		1.00	auditorium
8	Combined II and III trimester screening – withers folds measurement and biochemical markers.			Classes		1.00	auditorium
10	Gravidogram. Principles for writing a sick leave. Determining the risk group and basic principles of further action. Screening for perinatal infections.			Classes		1.00	auditorium
12	Iron deficiency and iron deficiency anemia.			Classes		1.00	auditorium
13	Cooperation with a woman, a woman and her partner, family.			Classes		1.00	auditorium
14	Fetal and neonatal ABO izoimunization. Newborn hemolytic disease. Gestational diabetes.			Classes		1.00	auditorium
15	Fetal monitoring options during pregnancy.			Classes		1.00	auditorium
16	Psychological aspects of pregnant women's health care process. Secure electronic information sources. Preparing for childbirth.			Classes		1.00	auditorium
17	US usage during pregnancy. Fetal Doppler investigation.			Classes		1.00	auditorium
18	Abortion and termination of pregnancy, care of a woman and work with relatives.			Classes		1.00	auditorium
Assessment
Unaided Work:
Acquaint yourself with the recommended literature sources for each lesson. Successful preparation of independent work according to the requirements in e-studies, and a presentation.
Assessment Criteria:
Students' attendance will be assessed (classes require 100% attendance) and active participation in classes, independent works in e-studies will be submitted and successfully assessed in time, the test will be successfully passed. Students who have submitted independent works in e-studies within the specified deadlines, who have successfully assessed and successfully passed the test, are admitted to pass the final examination (exam). At the end of the study course – an exam with theoretical questions and situational tasks. The evaluation of the study course consists of: timely submitted and successfully evaluated independent work in e-studies (20%), successfully passed the test (30%), final examination – exam (50%).
Final Examination (Full-Time):		Exam
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		As a result of the completion of study course the students are able to report on the main quality indices of the antenatal care, have gained understanding on the pregnancy process and fetus development, are able to describe normal pregnancy process, characterize the physiological changes in the process of pregnancy, know the identification of risk factors, significance of perinatal diagnostics and invasive methods of diagnostics, are able to explain the US importance in monitoring of physiological pregnancy, and understand the role of midwife in the management of physiological pregnancy.
Skills:		As a result of the completion of study course, the students will be able to diagnose the pregnancy practically, to refer a pregnant woman to medical tests and explain the test results during the antenatal care and in case of physiological pregnancy, to make surveillance of physiological pregnancy (the care of pregnant women according to regulations of Cabinet of Ministers), to be able to identify risk factors in order to promote the quality of maternal and child's health.
Competencies:		The students are capable to carry out the basic antenatal care – to diagnose pregnancy practically, refer to the required tests, ensure optimal management of pregnancy, to refer to the necessary clinical procedures.
Clinical Skills:
No.	Skill					Level
1	Assessing Blood Pressure					B2 - Intermediate level
2	Assessing Peripheral Pulse					B1 - Basic level
3	Bimanual uterine examination					B1 - Basic level
4	Blood sampling					A - Beginner level
5	Detecting Respiratory Rate					B1 - Basic level
6	Donning and doffing of disposable gloves					B1 - Basic level
7	Due date estimation					B1 - Basic level
8	Examination technique of breast, as well as supraclaviculal, infraclavicular and axillary lymph nodes					B2 - Intermediate level
9	Fundus uteri identification					B1 - Basic level
10	Hygienic Hand Disinfection					B1 - Basic level
11	Hygienic Hand Washing					B2 - Intermediate level
12	Insertion of vaginal specula and PAP smear performance					A - Beginner level
13	Leopold maneuvers					B1 - Basic level
14	Pap smear performance (cervix cytology smear)					B1 - Basic level
15	Structured history taking					A - Beginner level
16	Urine Sampling for Clinical Examination					A - Beginner level
17	Usage of blood glucose meter					A - Beginner level
Bibliography
No.	Reference
Required Reading
1	Dzemdniecība, D. Rezebergas redakcijā, 2016.
2	Lewis L. "Fundamentals of Midwifery : A Textbook for Students". John Wiley & Sons, Incorporated, 2015
3	Davis E. "Heart and hands". Berkeley, 2012. (akceptējams izdevums)
4	Maternal Newborn Nursing Care Plans / edited by Carol J. Green, PhD, CNS, RN, CNE, Professor, Graceland University School of Nursing, Independence, Missouri. Third edition. Burlington, MA : Jones & Bartlett Learning, [2016] ix, 472 lpp. (brošēts).
5	Landon. (2021). Gabbe's Obstetrics: Normal and Problem Pregnancies. Elsevier.
Additional Reading
1	OBE, Peate, Ian ,Professor, & Hamilton, C. (2014). The Student's Guide to Becoming a Midwife (2nd ed.). Hoboken: Wiley.
2	Latvijas ginekologu un dzemdību speciālistu asociācijas vadlīnijas mājas lapā
3	Raynor M., England C. "Psychology for Midwives". McGraw-Hill Education, 2010.
4	M.Pilmane, Gerts Horsts Šūmahers. „Medicīniskā embrioloģija”. RSU, 2006.
5	Snow S., Taylor K., Carpenter J. "Rapid midwifery". John Wiley & Sons, Incorporated, 2016.
Other Information Sources
1	WHO recommendations on antenatal care for a positive pregnancy experience (2018)
2	http://www.medicalaidfilms.org/
3	Standards of Care for Women’s Health in Europe (2014)