Clinical Care in Obstetrics and Gynaecology

Study Course Description

Course Description Statuss:Approved

Course Description Version:3.00

Study Course Accepted:26.01.2023 12:09:51

Study Course Information
Course Code:		MDAK_360		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:		Signe Irša
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)		4	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		8
Classes (count)		12	Class Length (academic hours)		2	Total Contact Hours of Classes		24
Total Contact Hours								32
Study course description
Preliminary Knowledge:
Anatomy, physiology, supervision of a physiological pregnancy.
Objective:
Gaining basic theoretical knowledge and practical skills in obstetrics and gynecology.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Gynaecological examination methods			Lectures		1.00	other
2	Special investigative methods of pregnant women			Classes		1.00	METC
3	Documentation of gynecological and perinatal patients			Classes		1.00	auditorium
4	Methods of gynecological examination			Classes		1.00	METC
5	Examination methods of mammary glands			Classes		1.00	auditorium
6	Preparing the patient for outpatient and inpatient examinations and manipulations			Lectures		1.00	auditorium
7	Outpatient’s preparation for examinations and manipulations			Classes		1.00	auditorium
8	Detection of cervical dilation, classic hand manoeuvres for vaginal delivery			Lectures		1.00	auditorium
9	Physiological pain-relieving techniques during childbirth, childbirth			Classes		1.00	clinical base
10	Physiological pain-relieving techniques during childbirth. Methods of anesthesia in obstetrics, duties of midwife			Lectures		1.00	auditorium
11	Detection of cervical dilation, classic hand manoeuvres for vaginal delivery			Classes		1.00	METC
12	Perineal tears during childbirth. Stitching up a 1st degree perineal tear. Suture removal			Classes		1.00	auditorium
13	Postnatal care, hygiene, safety of newborns after operative childbirth			Classes		1.00	auditorium
14	Postnatal care of newborns			Classes		1.00	clinical base
15	Breastfeeding, positions in early postpartum period			Classes		1.00	auditorium
16	Preparation for unplanned operative birth			Classes		1.00	clinical base
Assessment
Unaided Work:
To study the optional and recommended reading for each specific practical class.
Assessment Criteria:
Timely and successful passing of the independent papers (20%), timely and successful passing of the test (30%), successful passing of the final examination (50%).
Final Examination (Full-Time):		Exam (OSCE)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		As a result of completing the study course students will gain an understanding of investigation of female reproductive system, foetal position in the uterine cavity (Leopold’s manoeuvres), gain understanding of methods of childbirth pain relief, importance of cervical examination in the childbirth process, learn methods for monitoring the wellbeing of a foetus and gain understanding of a midwife’s role in period I, II and III of childbirth, facilitation of neonatal adaptation period and postnatal care, assessment of foetal heart tones, indications, performance and result interpretation of gynaecological examinations, indications of performing additional examinations, interpretation of results, documentation of gynaecological patients and their preparation for inpatient and outpatient examinations and manipulations.
Skills:		As a result of completing the study course students will have learned the specific methods of gynaecological investigation and filling out of documentation, special investigative techniques during pregnancy, classic hand manoeuvres for vaginal delivery. Will be able to use methods for relieving the pain of physiological childbirth, will be able to auscultate foetal heart tones and assess CTG records. Students will know how to facilitate the adaptation period of newborns, how to maintain the hygiene and safety of newborns. Will be able to practically assist in initiating breastfeeding. Will be able to educate patients about specific investigative methods (USG, mammography) and the self-examination method of breasts. Students will have skills in suturing first degree perineal and vaginal tears and suture removal.
Competencies:		Upon successful completion of the study course students will be able assess and apply appropriate clinical procedures, medical devices and other activities to ensure optimal patient care, will be able to analyse situations, argue, logically express and explain their opinion.
Clinical Skills:
No.	Skill					Level
1	Per speculum examination of cervix and vagina after birth.					C1 - High level
2	Acute cesarean section					C1 - High level
3	Administration of Medication using a PVC (System)					B1 - Basic level
4	Administration of Medication using a PVC (Syringe)					B1 - Basic level
5	Administration of Medication using a PVC (Perfusor)					B1 - Basic level
6	Assessing Blood Pressure					B1 - Basic level
7	Assessing Peripheral Pulse					B1 - Basic level
8	Bimanual pelvic (gynaecological) examination					B1 - Basic level
9	Bimanual uterine examination					A - Beginner level
10	Bimanual uterine examination					B1 - Basic level
11	Bimanual uterine examination					B2 - Intermediate level
12	Blood sampling					B1 - Basic level
13	Collecting Blood Sample on Sterility for (Microbiological) Examination					A - Beginner level
14	Collecting Blood Sample on Sterility for (Microbiological) Examination					B1 - Basic level
15	Collecting blood sample with Monovette, using vacuum method					A - Beginner level
16	Collecting blood sample with Monovette, using vacuum method					B1 - Basic level
17	Detecting Respiratory Rate					A - Beginner level
18	Donati suture					A - Beginner level
19	Donati suture					B1 - Basic level
20	Donning and doffing of disposable gloves					B1 - Basic level
21	Donning of surgical attire					B1 - Basic level
22	Donning Sterile Gloves					B1 - Basic level
23	Due date estimation					A - Beginner level
24	Due date estimation					B2 - Intermediate level
25	Ensuring “skin-to-skin” contact with the newborn					C1 - High level
26	Episiorrhaphy after childbirth					C1 - High level
27	Evaluation of fetal heart tones					C1 - High level
28	Evaluation of newborn reflexes					B1 - Basic level
29	Examination technique of breast, as well as supraclaviculal, infraclavicular and axillary lymph nodes					B1 - Basic level
30	Female perineal care					A - Beginner level
31	Female perineal care					B1 - Basic level
32	Fundus uteri identification					B1 - Basic level
33	Fundus uteri identification					B2 - Intermediate level
34	Fundus uteri measurement during pregnancy					C1 - High level
35	High O2 concentration mask placement					A - Beginner level
36	High O2 concentration mask placement					B2 - Intermediate level
37	High O2 concentrations masks					B1 - Basic level
38	Hygienic Hand Disinfection					B1 - Basic level
39	Hygienic Hand Washing					A - Beginner level
40	Indwelling female catheterisation					B1 - Basic level
41	Insertion of Peripheral Venous Catheter					B1 - Basic level
42	Insertion of Peripheral Venous Catheter					B2 - Intermediate level
43	Insertion of vaginal specula and PAP smear performance					B1 - Basic level
44	Instrumentation of cesarean section					C1 - High level
45	Intermittent female catheterisation					A - Beginner level
46	Intermittent female catheterisation					B1 - Basic level
47	Intermittent female catheterisation					B2 - Intermediate level
48	Intradermal suture					B1 - Basic level
49	Intramuscular injection					B1 - Basic level
50	Leopold maneuvers					B1 - Basic level
51	Leopold maneuvers					B2 - Intermediate level
52	Local infiltration anaesthesia					B2 - Intermediate level
53	Measurement of arterial pulse					A - Beginner level
54	Measurement of arterial pulse					C1 - High level
55	Measurement of the arterial pressure					A - Beginner level
56	Newborn primary resuscitation					A - Beginner level
57	Newborn primary resuscitation					B1 - Basic level
58	Pap smear performance (cervix cytology smear)					A - Beginner level
59	Pap smear performance (cervix cytology smear)					B1 - Basic level
60	Pap smear performance (cervix cytology smear)					B2 - Intermediate level
61	Performing and interpretation of fetal CTG.					C1 - High level
62	Performing episiotomy					C1 - High level
63	Physiological labor					B1 - Basic level
64	Physiological labor					B2 - Intermediate level
65	Planes of the pelvis					B2 - Intermediate level
66	Positioning of twins during breastfeeding					C1 - High level
67	Pregnant women’s blood pressure measurements					C1 - High level
68	Prevention of the postpartum haemorrhage (PPH)					B1 - Basic level
69	Prevention of the postpartum haemorrhage (PPH)					B2 - Intermediate level
70	Primary care of the neonate in physiological labor					B1 - Basic level
71	Primary care of the neonate in physiological labor					B2 - Intermediate level
72	Removal of personal protective equipment in case of health-related infections					B1 - Basic level
73	Simple interrupted skin suture					B2 - Intermediate level
74	Surgical Hand Disinfection					B1 - Basic level
75	The cord cutting					B1 - Basic level
76	The cord cutting					B2 - Intermediate level
77	The use of personal protective equipment in case of health-related infections					B1 - Basic level
78	Urine Sampling for Clinical Examination					B1 - Basic level
79	Usage of blood glucose meter					A - Beginner level
80	Usage of blood glucose meter					B2 - Intermediate level
81	Withdrawing Medication from an Ampoule into a Syringe					B1 - Basic level
Bibliography
No.	Reference
Required Reading
1	Dzemdniecība. D.Rezebergas redakcijā, Medicīnas apgāds, 2016
2	Ginekoloģija. I. Vībergas redakcijā. Nacionālais apgāds, Rīga, 2013
3	The Labor Progress Handbook: Early Interventions to Prevent and Treat Dystocia Simkin. Penny; Ancheta, Ruth; and more. John Wiley & Sons, Incorporated, 2017
4	Dudenhausen, Joachim W. Practical Obstetrics. 2014, De Gruyter, Inc.
Additional Reading
1	Chandraharan, E. "Handbook of CTG Interpretation: from Patterns to Physiology". 2017
2	Oxford Handbook of Midwifery / edited by Janet Medforth, Linda Ball, Angela Walker [un vēl 2 redaktori]. 3rd edition. Oxford : Oxford University Press, 2017. 1 tiešsaistes resurss (xviii, 851 lp.) Oxford handbooks in nursing.
3	Johnson, R., Taylor, W. Skills for midwifery practise. Elsevier/Churchill Livingstone, 2006
4	Lewis, L. "Fundamentals of Midwifery: A Textbook for Students". John Wiley & Sons, Incorporated, 2014.
Other Information Sources
1	http://www.medicalaidfilms.org/
2	Latvijas ginekologu un dzemdību speciālistu asociācijas vadlīnijas. Pieejams no: www.ginasoc.lv
3	Making childbirth a positive experience, New WHO guideline on intrapartum care, 2018.