Clinical Care in Obstetrics and Gynaecology
Study Course Implementer
Riga, 26a Anninmuizas boulevard, mdak@rsu.lv, +371 67061568
About Study Course
Objective
Preliminary Knowledge
Learning Outcomes
Knowledge
1.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
1.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.
Competences
1.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.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
To study the optional and recommended reading for each specific practical class.
|
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
Timely and successful passing of the independent papers (20%), timely and successful passing of the test (30%), successful passing of the final examination (50%).
|
||
Study Course Theme Plan
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Outpatient’s preparation for examinations and manipulations
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Physiological pain-relieving techniques during childbirth. Methods of anesthesia in obstetrics, duties of midwife
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Detection of cervical dilation, classic hand manoeuvres for vaginal delivery
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Physiological pain-relieving techniques during childbirth, childbirth
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Special investigative methods of pregnant women
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Perineal tears during childbirth. Stitching up a 1st degree perineal tear. Suture removal
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Postnatal care, hygiene, safety of newborns after operative childbirth
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Documentation of gynecological and perinatal patients
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Gynaecological examination methods
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Preparing the patient for outpatient and inpatient examinations and manipulations
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Breastfeeding, positions in early postpartum period
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Preparation for unplanned operative birth
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Examination methods of mammary glands
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Postnatal care of newborns
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Detection of cervical dilation, classic hand manoeuvres for vaginal delivery
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Methods of gynecological examination
|
Bibliography
Required Reading
Dzemdniecība. D.Rezebergas redakcijā, Medicīnas apgāds, 2016
Ginekoloģija. I. Vībergas redakcijā. Nacionālais apgāds, Rīga, 2013
The Labor Progress Handbook: Early Interventions to Prevent and Treat Dystocia Simkin. Penny; Ancheta, Ruth; and more. John Wiley & Sons, Incorporated, 2017
Dudenhausen, Joachim W. Practical Obstetrics. 2014, De Gruyter, Inc.
Additional Reading
Chandraharan, E. "Handbook of CTG Interpretation: from Patterns to Physiology". 2017
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.
Johnson, R., Taylor, W. Skills for midwifery practise. Elsevier/Churchill Livingstone, 2006
Lewis, L. "Fundamentals of Midwifery: A Textbook for Students". John Wiley & Sons, Incorporated, 2014.
Other Information Sources
Latvijas ginekologu un dzemdību speciālistu asociācijas vadlīnijas. Pieejams no: www.ginasoc.lv