Veidlapa Nr. M-3 (8)
Study Course Description

Clinical Care in Obstetrics and Gynaecology

Main Study Course Information

Course Code
MDAK_360
Branch of Science
Clinical medicine; Obstetrics and gynaecology
ECTS
3.00
Target Audience
Midwifery
LQF
Level 6
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of Nursing and Obstetric Care
Contacts

Riga, 26a Anninmuizas boulevard, mdak@rsu.lv, +371 67061568

About Study Course

Objective

Gaining basic theoretical knowledge and practical skills in obstetrics and gynecology.

Preliminary Knowledge

Anatomy, physiology, supervision of a physiological pregnancy.

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

FULL-TIME
Part 1
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Outpatient’s preparation for examinations and manipulations
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Physiological pain-relieving techniques during childbirth. Methods of anesthesia in obstetrics, duties of midwife
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Detection of cervical dilation, classic hand manoeuvres for vaginal delivery
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Physiological pain-relieving techniques during childbirth, childbirth
  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Special investigative methods of pregnant women
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Perineal tears during childbirth. Stitching up a 1st degree perineal tear. Suture removal
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Postnatal care, hygiene, safety of newborns after operative childbirth
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Documentation of gynecological and perinatal patients
  1. Lecture

Modality
Location
Contact hours
On site
Other
2

Topics

Gynaecological examination methods
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Preparing the patient for outpatient and inpatient examinations and manipulations
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Breastfeeding, positions in early postpartum period
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Preparation for unplanned operative birth
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Examination methods of mammary glands
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Postnatal care of newborns
  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Detection of cervical dilation, classic hand manoeuvres for vaginal delivery
  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Methods of gynecological examination
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam (OSCE)

Bibliography

Required Reading

1.

Dzemdniecība. D.Rezebergas redakcijā, Medicīnas apgāds, 2016

2.

Ginekoloģija. I. Vībergas redakcijā. Nacionālais apgāds, Rīga, 2013

3.

The Labor Progress Handbook: Early Interventions to Prevent and Treat Dystocia Simkin. Penny; Ancheta, Ruth; and more. John Wiley & Sons, Incorporated, 2017

4.

Dudenhausen, Joachim W. Practical Obstetrics. 2014, De Gruyter, Inc.

Additional Reading

1.

Chandraharan, E. "Handbook of CTG Interpretation: from Patterns to Physiology". 2017

2.

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.

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.

Other Information Sources

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.