Clinical Care in Obstetrics and Gynaecology

Study Course Description

Course Description Statuss:Approved

Course Description Version:8.00

Study Course Accepted:09.11.2022 15:53:20

Study Course Information
Course Code:		MDAK_068		LQF level:		Level 6
Credit Points:		4.00		ECTS:		6.00
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)		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
Full-Time - Semester No.2
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:
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	auditorium
				Classes		1.00	auditorium
2	Special investigative methods of pregnant women			Lectures		1.00	auditorium
				Classes		2.00	clinical base
3	Documentation of gynecological and perinatal patients			Lectures		2.00	auditorium
				Classes		1.00	auditorium
4	Methods of gynecological examination			Classes		2.00	METC
5	Examination methods of mammary glands			Lectures		1.00	auditorium
				Classes		1.00	auditorium
6	Patient preparation for outpatient and inpatient examinations and manipulations			Lectures		1.00	auditorium
				Classes		1.00	auditorium
7	Outpatient’s preparation for examinations and manipulations			Classes		1.00	auditorium
8	Inpatient’s preparation for examinations and manipulations			Classes		1.00	auditorium
9	Detection of cervical dilation, classic hand manoeuvres for vaginal delivery			Lectures		1.00	auditorium
				Classes		1.00	auditorium
10	Physiological pain-relieving techniques during childbirth, childbirth			Classes		1.00	clinical base
11	Physiological pain-relieving techniques during childbirth. Methods of anesthesia in obstetrics, duties of midwife			Lectures		1.00	auditorium
				Classes		2.00	auditorium
12	Detection of cervical dilation, classic hand manoeuvres for vaginal delivery			Classes		1.00	METC
13	Perineal tears during childbirth. Stitching up a 1st degree perineal tear. Suture removal			Classes		1.00	auditorium
14	Amniotomy			Lectures		1.00	auditorium
				Classes		1.00	METC
15	Postnatal care, hygiene, safety of newborns after operative childbirth			Classes		1.00	auditorium
16	Postnatal care of newborns			Lectures		1.00	auditorium
				Classes		2.00	clinical base
17	Breastfeeding, positions in early postpartum period			Classes		1.00	auditorium
18	Preparation for unplanned operative birth			Classes		1.00	METC
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
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	Administration of Medication using a PVC (Syringe)					B1 - Basic level
2	Administration of Medication using a PVC (Perfusor)					B1 - Basic level
3	Bimanual pelvic (gynaecological) examination					B1 - Basic level
4	Bimanual uterine examination					A - Beginner level
5	Bimanual uterine examination					B1 - Basic level
6	Blood sampling					B1 - Basic level
7	Detecting Respiratory Rate					A - Beginner level
8	Donati suture					B1 - Basic level
9	Donning of surgical attire					B1 - Basic level
10	Donning Sterile Gloves					B1 - Basic level
11	Due date estimation					A - Beginner level
12	Due date estimation					B2 - Intermediate level
13	Evaluation of newborn reflexes					B1 - Basic level
14	Examination technique of breast, as well as supraclaviculal, infraclavicular and axillary lymph nodes					B1 - Basic level
15	Female perineal care					A - Beginner level
16	Female perineal care					B1 - Basic level
17	Fundus uteri identification					B2 - Intermediate level
18	High O2 concentration mask placement					A - Beginner level
19	Hygienic Hand Disinfection					B1 - Basic level
20	Hygienic Hand Washing					A - Beginner level
21	Indwelling female catheterisation					B1 - Basic level
22	Insertion of Peripheral Venous Catheter					B1 - Basic level
23	Insertion of vaginal specula and PAP smear performance					B1 - Basic level
24	Intermittent female catheterisation					B1 - Basic level
25	Intradermal suture					B1 - Basic level
26	Intramuscular injection					B1 - Basic level
27	Leopold maneuvers					B1 - Basic level
28	Measurement of arterial pulse					A - Beginner level
29	Measurement of arterial pulse					C1 - High level
30	Measurement of the arterial pressure					A - Beginner level
31	Newborn primary resuscitation					B1 - Basic level
32	Pap smear performance (cervix cytology smear)					A - Beginner level
33	Pap smear performance (cervix cytology smear)					B1 - Basic level
34	Pap smear performance (cervix cytology smear)					B2 - Intermediate level
35	Physiological labor					B2 - Intermediate level
36	Prevention of the postpartum haemorrhage (PPH)					B1 - Basic level
37	Primary care of the neonate in physiological labor					B1 - Basic level
38	Removal of personal protective equipment in case of health-related infections					B1 - Basic level
39	The cord cutting					B1 - Basic level
40	The use of personal protective equipment in case of health-related infections					B1 - Basic level
41	Urine Sampling for Clinical Examination					B1 - Basic level
42	Usage of blood glucose meter					A - Beginner level
43	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, 2006
3	The Labor Progress Handbook: Early Interventions to Prevent and Treat Dystocia Simkin, Penny; Ancheta, Ruth; and more John Wiley & Sons, Incorporated 2017 Available: http://site.ebrary.com/lib/rsub
4	Dudenhausen, Joachim W. Practical Obstetrics. 2014, De Gruyter, Inc. Available from: http://site.ebrary.com/lib/rsub
Additional Reading
1	Chandraharan E. "Handbook of CTG Interpretation: from Patterns to Physiology", 2017
2	Medforth J., Battersby S., Evans M. Oxford handbook of midwifery. Oxford University Press, 2006
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. Available: http://site.ebrary.com/lib/rsub
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.