Obstetrics and Gynaecology

Study Course Description

Course Description Statuss:Approved

Course Description Version:6.00

Study Course Accepted:16.11.2022 11:05:10

Study Course Information
Course Code:		LF_314		LQF level:		Level 5
Credit Points:		2.00		ECTS:		3.00
Branch of Science:		Clinical Medicine; Obstetrics and Gynaecology		Target Audience:		Medicine
Study Course Supervisor
Course Supervisor:		Inga Krēvica-Rozenberga
Study Course Implementer
Structural Unit:		RSU Liepāja Branch
The Head of Structural Unit:
Contacts:		Liepaja, Riņķu Street 24/26, lfrsu[pnkts]lv, +371 63442118, +371 63442119, +371 63484632
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		5	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		10
Classes (count)		11	Class Length (academic hours)		2	Total Contact Hours of Classes		22
Total Contact Hours								32
Study course description
Preliminary Knowledge:
In anatomy, physiology and pathological physiology, pharmacology, communication and ethics.
Objective:
To develop the understanding of and gain knowledge about the care of pregnant women and women in labour, pathologies of pregnancy and childbirth, gynaecological diseases.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Physical, mental and social health of women. Legal aspects in perinatal protection, protection of women and mothers.			Lectures		1.00	auditorium
2	Anatomy and physiology of female genital system. Menstrual cycle. Periods of woman’s life, contraception.			Lectures		1.00	auditorium
3	Menstrual cycle disorders. Genital tract infections. Endometriosis. Gynaecological traumatism. The main gynaecological diseases of adolescents.			Lectures		1.00	auditorium
				Classes		1.00	auditorium
4	Genital prolapse, abnormal foetal lie Genital and mammary precancerous diseases, malignant tumours in gynaecology.			Lectures		1.00	auditorium
				Classes		1.00	auditorium
5	Physiology of pregnancy. Physiologic labour.			Classes		2.00	auditorium
6	Pathology during early pregnancy. Toxicosis of pregnant women. Bleeding during pregnancy and antenatal bleeding. Extragenital diseases and pregnancy. Serological incompatibility of the mother and the foetus. Multifetal pregnancy.			Lectures		1.00	auditorium
				Classes		2.00	auditorium
7	Critical conditions in obstetrics. Instrumental vaginal delivery. Caesarean section. Postpartum complications.			Classes		2.00	auditorium
8	Abnormal foetal lie, labour anomalies.			Classes		2.00	auditorium
9	Preterm birth. Infertility.			Classes		1.00	auditorium
Assessment
Unaided Work:
Preparation for the topic of the respective class, using recommended literature and Internet sources, with subsequent evaluation thereof and practical application in practical classes. Independent acquisition of practical skills under the guidance of the lecturer.
Assessment Criteria:
Class attendance – 20%, multiple-choice test results – 10% and practical skills tests – 20%. At the end of the course, an exam consisting of theoretical questions and a test of practical skills on a model – 50%
Final Examination (Full-Time):		Exam (Oral)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		After completing the study course, the student is able to describe the anatomy of the female genital organs; understand the menstrual cycle and hormonal regulation; is able to name contraceptive methods; has developed an understanding of conception, the course of foetal development, is able to explain the physiological and pathological course of childbirth; understands the main principles of obstetric assistance in case of abnormal childbirth; is able to perform differential diagnosis in case of acute conditions in gynaecology; understands operative gynaecology, the main gynaecological diseases in children and adolescents, care.
Skills:		As a result of completing the study course, the student learns and practically knows how to: describe the anatomy and physiology of the female genital organs; explain to a woman the physiology of the menstrual cycle; describe the physiology of conception and foetal development; demonstrate the biomechanisms of childbirth on a model; assess pathology during pregnancy, solve problems in various clinical situations – during pregnancy, childbirth, postpartum period in case of gynaecological diseases; can explain the need for examinations, interpret the obtained results, prescribe examinations, evaluate precancerous diseases, benign and malignant tumours.
Competencies:		Students know how to assess the progress of physiological and pathological childbirth, are practically able to assist in childbirth in the case of occipital anterior and posterior position, diagnose pathology in early pregnancy, critically evaluate emergency conditions and provide the necessary care (ensure primary resuscitation). Able to provide care to a gynaecological patient, pregnant woman, woman giving birth during various clinical procedures, knows how to organise medical documentation.
Clinical Skills:
No.	Skill					Level
1	Bimanual uterine examination					B1 - Basic level
2	Due date estimation					A - Beginner level
3	Due date estimation					B1 - Basic level
4	Due date estimation					B2 - Intermediate level
5	Leopold maneuvers					A - Beginner level
6	Leopold maneuvers					B1 - Basic level
7	Leopold maneuvers					B2 - Intermediate level
8	Physiological labor					A - Beginner level
9	Physiological labor					B2 - Intermediate level
10	Prevention of the postpartum haemorrhage (PPH)					A - Beginner level
11	Prevention of the postpartum haemorrhage (PPH)					B1 - Basic level
12	Prevention of the postpartum haemorrhage (PPH)					B2 - Intermediate level
13	Primary care of the neonate in physiological labor					A - Beginner level
14	Primary care of the neonate in physiological labor					B1 - Basic level
15	Primary care of the neonate in physiological labor					B2 - Intermediate level
16	The cord cutting					A - Beginner level
17	The cord cutting					B1 - Basic level
18	The cord cutting					B2 - Intermediate level
Bibliography
No.	Reference
Required Reading
1	Andrējeva, S., Auziņa, I., Eihenberga, S. Dzemdniecība. Rīga, Daces Rezenbergas redakcijā, 2016.
2	Auziņa, I., Andrējeva, S., Baidekalna, I., Baltiņa, D., Barkāne, E. Ginekoloģija. SIA Medicīnas apgāds, Rīga, 2013.
3	Auziņa, I. Bērnu un pusaudžu ginekoloģija. Apgāds “Rasa ABC”, SIA, 2004. (akceptējams izdevums)
4	Viljams, V. B. Viljamsa DZEMDNIECĪBA. Tulkojums latviešu valodā. Ģimenes veselības centrs „Stārķa ligzda”, Rīga, 2013.
5	Markovs, J. Cilvēka embrioloģijas pamati. Literārā brālība, Rīga, 2006. (akceptējams izdevums)
Additional Reading
1	Stables, D., Rankin, J. Physiology in Childbearing with Anatomy. Elsevier, 2010.
2	Eraser, Diane M., Cooper, Margaret A. Myles Textbook for midwives. Elsevier, 2009.
3	Mantle, I., Haslam, J., Barton, S., Cardozo, L. Physiotherapy in Obstetrics and Gynaecology. Butterworth Heinemann, 2004.
4	Lowdermilk, D. L., Perry, S. E., Cashion, K. Maternity & women's health care. Elsevier Mosby, 2012.
5	Ļevkovs, Ļ., Lejiņš, V. Neauglības ārstēšanas iespējas. Nordik, 2001.
Other Information Sources
1	Latvijas ginekologu un dzemdību speciālistu asociācijas vadlīnijas