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About Study Course

Credit points / ECTS:6 / 9
Course supervisor:Dace Rezeberga , Dace Rezeberga
Study type:Full time
Course level:Master's
Target audience:Medicine
Language:English, Latvian
Branch of science:Clinical Medicine

Objective

To provide students with knowledge about the onset and course of pregnancy, physiology and pathology of labour and puerperium and to teach the skills for application of acquired knowledge in practice.
To provide students with knowledge about physiology and pathology of reproductive system during different periods of woman’s life, main gynecological pathologies – diagnostics, differential diagnostics, principles of treatment, prophylaxis, including prophylaxis of oncological diesases, importance of life style factors on womenš health, knowledge about family planning methods, as well as to teach practical skills to use the obtained knowledge.

Prerequisites

Human anatomy, histology, medical cell biology, embryology, human homeostasis, physiology, medical microbiology, medical genetics, pathology, propedeutics, functional morphology, basics of topographic anatomy, adaptation of functions of the body, internal diseases (cardiology), clinical pharmacology, introduction in surgery, radiology, pathology and morphology of the tumors, medical ethics.

Learning outcomes

Knowledge

The student understands the principles of perinatal care organisation, indicators of quality of care, Latvian legislation of reproductive health, is able to explain anatomy and physiology of the female reproductive system, the process of fertilisation, development of the fetus and placenta, physiology of pregnancy. Knows principles of obtaining reproductive anamnesis and basic methods of the gynecologic examination of women. Can define the basic antenatal care programme, screening of genetic and other diseases, understands the course of normal and pathological pregnancy: spontaneous interruption of pregnancy till 22 weeks of gestation, ectopic pregnancy, trophoblastic disease, normal labour, delivery, physiologic postpartum period, breastfeeding, dystocia during labour and delivery, pre-term and post-term delivery, twin pregnancy, intrauterine growth retardation, fetal antenatal testing, TORCH infections during pregnancy, isoimmunisation during pregnancy, bleeding during pregnancy, delivery and postpartum, birth trauma in mother and newborn, hypertensive disorders during pregnancy, extra-genital pathologies during pregnancy, operative delivery, postpartum septic complications, physiology and pathology of newborns, primary care of newborn and resuscitation. Understands clinical pharmacology of medications used during perinatal care. Knows the regulations and methods of termination of pregnancy till 22 weeks of pregnancy. Understands the role of normal microflora of the genital tract in context of reasons of gynecologic and obstetric pathology: STI, endogen and iatrogenic infection – etiology, diagnostic methods, impact on reproductive health, treatment (also during pregnancy), pelvic inflammatory disease, septic postpartum complications (endometritis, wound infection). Understands the reasons of uterine bleeding: disorders of the menstrual cycle, endometrial precancerous lesions, endometrial cancer, principles of diagnosis and treatment. Understands options of primary and secondary prophylaxis of cervical cancer, pathogenesis and progression of cervical cancer, principles of diagnostics and treatment of cervical cancer. Knows family planning methods and principles of their choice. Understands reasons of female virilization, diagnostics and treatment principles of polycystic ovary syndrome, understands role of estrogens in female body in different periods of woman’s life, pathogenesis of estrogen deficiency and principles of treatment (menopause, hormone replacement therapy). Understands about subspecialties of gynecology – urogynecology, human embryology and reproduction and associated problems – pelvic floor dysfunction, and infertility. Understands main gynecologic operations and manipulations, knows how to prepare the patient, how to manage postoperative period. Understanding about benign and malignant tumors of genitals – uterine myoma, ovarian tumors, reasons of chronic pelvic pain and options of differentiation, endometriosis, primary and secondary dysmenorrhea, premenstrual syndrome.

Skills

Upon completion of the course the student is able to apply the following practical skills:
1. Bimanual pelvic examination;
2. Cervical examination in speculum, obtaining Pap smear;
3. Leopold manoeuvres and fundal height measurement;
4. Newborn resuscitation;
5. Physiological labour management.
6. Usage of WHO contraception eligibility criteria during family planning consultation.

Competence

Obtaining reproductive history. Clinical examination for pregnant women and gynecological patients.Determination of the due date (delivery date).
Understanding the physiological course of childbirth and the principles of childbirth management. Demonstrate manual techniques in physiological delivery and neonatal care. Assess the condition of the fetus - ausculatiom of the fetal heartbeat with a fetal doppler. Student lists and describes the parameters theat have to be assess in newborn after birth, knows how to provide a safe environment for the newborn and understands if any support is needed. Undersatands the evidedence based principles of antenatal care, can recognize the most frequent high risk pregnancies: fetal genetic abnormalities, asymptomatic bacteriuria, gestational diabetes, iron deficiency anemia, hypertensive disorders, abnormal fetal growth, twin pregnancy, TORCH infections et c. Can explain the principles of primary and secondary prevention of cervical cancer, explains how to take cervical cancer screening examinations and interprets the results of cervical cancer screening. Can consult a woman on the choice and application of family planning methods. Can mention the main symptoms of gynecological diseases, the application of differnt examination methods, understands the informativity of examination methods, describes prevention of reprductive tract diseases and main treatment modalities. Understands the principles of drug selection during pregnancy and lactation.

Study course planning

Planning period:Year 2024, Spring semester
Study programmeStudy semesterProgram levelStudy course categoryLecturersSchedule
Medicine, SSNMF8Master’sRequiredKarlīna Elksne, Anna Miskova, Natālija Vedmedovska, Irina Rumjanceva, Ieva Pitkēviča, Katrīna Kalniņa, Olga Boka-Veide, Laura Lūse, Līva Ķīse, Krista Brēmere, Zane Rostoka, Maira Jansone, Svetlana Jagodkina, Natālija Bērza, Laura Rācene, Dace Rezeberga, Lāsma Līdaka, Gunta Lazdāne, Jūlija Tarasova, Violeta Bule, Zane Grabe, Areta Garza, Patricija Bīlande, Ija Lisovaja, Vija Veisa, Māris Arājs, Elīna Sedleniece, Ulrika Ulla Andersone, Gita Jansone-Šantare, Maija Koka
Medicine, MF8Master’sRequiredInāra Miltiņa, Jūlija Tarasova, Nellija Seimuškina, Jurijs Lapidus, Līga Puksta-Gulbe, Areta Garza, Svetlana Jagodkina, Ija Lisovaja, Ulrika Ulla Andersone, Sandra Eihenberga, Ieva Pitkēviča, Gita Jansone-Šantare, Elīna Sedleniece, Beāte Sārta, Zane Grabe, Katrīna Kalniņa, Zane Rostoka, Marta Spodareva-Burjaka, Violeta Bule, Lāsma Līdaka, Arta Bērziņa, Anna Abramova, Ļubova Lapidus, Jekaterīna Isakova, Elīna Voitehoviča, Julija Voronova
Medicine, SSNMFz7Master’sRequiredDace Rezeberga, Jana Žodžika, Areta Garza, Lāsma Līdaka, Olga Plisko, Vija Veisa, Krista Brēmere, Karlīna Elksne, Gunta Lazdāne, Māris Arājs, Ieva Pitkēviča, Svetlana Jagodkina, Laura Lūse, Jurijs Lapidus, Zane Grabe, Irina Rumjanceva, Natālija Vedmedovska, Ija Lisovaja, Katrīna Kalniņa, Laura Rācene, Violeta Bule, Natālija Bērza, Maira Jansone, Līva Ķīse, Maija Koka, Ulrika Ulla Andersone, Gita Jansone-Šantare, Anna Miskova, Zane Rostoka