Veidlapa Nr. M-3 (8)
Study Course Description
Management of Postnatal Period
Course Code
MDAK_104
Branch of Science
Clinical medicine; Obstetrics and gynaecology
ECTS
3.00
Target Audience
Nursing Science
LQF
Level 6
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Māra Grieze
Structure Unit Manager
Kristaps Circenis
Structural Unit
Department of Nursing and Obstetric Care
Contacts
Riga, 26a Anninmuizas boulevard, mdak@rsu.lv, +371 67061568
About Study Course
Objective
To provide an understanding of the postpartum period of physiological and pathological pregnancies.
Preliminary Knowledge
Preliminary knowledge in anatomy, physiology, supervision of physiological and pathological pregnancy and physiological obstetrics.
Learning Outcomes
Knowledge
1.Upon successful completion of the study course students will gain an understanding of and will be able to tell about the anatomical, physiological, clinical changes in the postpartum period, about maternity care in the postpartum period.
Skills
1.As a result of completing the study course students will be able to use medical terminology of the postpartum period. Will use the obtained knowledge to identify abnormal postpartum conditions and educate pregnant women and women during the first week after labour about the postpartum period.
Competences
1.Upon successful completion of the course students will be able to ensure optimal postpartum care to women during the first week after labour. Will know how to assess results of clinical investigation, will be able to analyse clinical postnatal situations, argue, logically express and explain their opinion.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
To study the optional and recommended reading for each specific practical class. Students prepare a report or presentation on one of the proposed topics.
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||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
Theoretical knowledge of students during lectures and classes, participation in classes, tests and presentations.
Examination methods: short tests, preparation of reports and presentations.
Final examination of the study course.
|
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Postpartum period after vaginal and operative childbirth. Genital involution, lochia, healing of tears, sutures. Peculiarities of perineal wound care after a third degree perineal tear
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Secondary bleeding in the postpartum period. Indications for red blood cell transfusion (indications for transfusion depending on blood loss, indications for transfusion depending on haemoglobin concentration), relative contraindications. Adverse reactions to transfusion (acute, delayed)
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Use of blood components, transfusion technology. Red blood cells, fresh frozen plasma, platelets, cryoprecipitate
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Use of blood components, transfusion technology. Red blood cells, fresh frozen plasma, platelets, cryoprecipitate
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Endometritis (aetiology, pathogenesis, risk factors, diagnosis, differential diagnosis, treatment)
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Urinary retention, tactics. Urinary incontinence. Investigations and treatment methods (urodynamic tests, biofeedback). Hygiene, nutrition, physical activities (pelvic floor muscle strengthening)
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Urinary retention, tactics. Urinary incontinence. Investigations and treatment methods (urodynamic tests, biofeedback). Hygiene, nutrition, physical activities (pelvic floor muscle strengthening)
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Septic postpartum diseases. Superficial varicose veins, thrombophlebitis. Deep vein thrombosis. Haemorrhoids after childbirth
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Septic postpartum diseases. Superficial varicose veins, thrombophlebitis. Deep vein thrombosis. Haemorrhoids after childbirth
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Urinary tract infections
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Genital prolapse in postpartum period (aetiology, pathogenesis, risk factors, diagnosis, differential diagnosis, treatment)
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Genital prolapse in postpartum period (aetiology, pathogenesis, risk factors, diagnosis, differential diagnosis, treatment)
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Pelvic ring injury during childbirth, supervision of postpartum period
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Investigative techniques in postpartum period – blood count, its interpretation, CRP, blood coagulation parameters
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Investigative techniques in postpartum period – blood count, its interpretation, CRP, blood coagulation parameters
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Antenatal, intranatal foetal death. Social and psychological support in the event of perinatal loss. Grief, mourning in the event of losing a child or of an illness
|
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam
Bibliography
Required Reading
1.
Dzemdniecība. D. Rezebergas redakcijā, 2016.
2.
Latvijas ginekologu un dzemdību speciālistu asociācijas vadlīnijas mājas lapā. Pieejams no: www.ginasoc.lv
3.
Klīnisko analīžu rokasgrāmata. Rīga, 2018. - 399 lpp.
4.
Ūdris I. Viss par kāju vēnām. Rīga, 2010. - 80 lpp. (akceptējams izdevums)
5.
Lekciju materiāls.
Additional Reading
1.
Cunningham, F., Leveno, K., Dashe, J., Hoffman, B., Spong, C., & Casey, B. (2022). Williams Obstetrics (Twenty Sixth ed., McGraw-Hill's AccessMedicine). New York, N.Y: McGraw-Hill Education LLC.
2.
RSU bibliotēkas resursi
Other Information Sources
1.
www.pubmed.com