Veidlapa Nr. M-3 (8)
Study Course Description
Management of Pathological Pregnancy
Course Code
DUGK_007
Branch of Science
Clinical medicine
ECTS
3.00
Target Audience
Midwifery; Nursing Science
LQF
Level 6
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Olga Boka-Veide
Structure Unit Manager
Dace Rezeberga
Structural Unit
Department of Obstetrics and Gynaecology
Contacts
Riga, 45 Miera Street, dzgk@rsu.lv, +371 67293837
About Study Course
Objective
To promote the acquisition of knowledge about the aetiology, pathogenesis, symptomatology, diagnosis and differential diagnosis of the main pathologies of pregnancy, to understand the tactics of pregnancy management, the application of examination methods, the impact of pathologies on the course and outcome of pregnancy, to acquire the necessary practical skills for the application of this knowledge.
Preliminary Knowledge
Female anatomy, physiology, genetics, embryology, pathological anatomy, pathological physiology, internal diseases, general surgery, pharmacology, laboratory and functional diagnosis, health care organisation, medical ethics, and normal obstetrics.
Learning Outcomes
Knowledge
1.Can describe basic antenatal care, screening for genetic and other diseases, characterise the course of normal and abnormal pregnancy: spontaneous termination of pregnancy up to 22 weeks of pregnancy, ectopic pregnancy, trophoblastic diseases, post-term pregnancy, intrauterine growth restriction, assessment of foetal condition during pregnancy, TORCH infections in pregnant women, isoimmunisation during pregnancy, bleeding during pregnancy, hypertensive complications during pregnancy, systemic diseases during pregnancy. Explain the clinical pharmacology of drugs used in perinatal care. To identify and describe the indications and methods of termination of pregnancy up to 22 weeks of pregnancy.
Skills
1.As a result of completing the study course, students are able to independently assess deviations from normal course of pregnancy, draw up an examination plan in case of abnormal pregnancy, justify the need and informativeness of examinations, are able to provide advice to a pregnant woman about the impact of pregnancy pathologies on the course of pregnancy, the state of health of the mother and the foetus, are able to explain the choice of drugs commonly used in treatment and the effects on the mother and the foetus. As a result of completing the study course, students have learned and practically know how to apply the following skills: • to collect the reproductive history of a pregnant woman, identify and explain the risk factors of pregnancy; • to determine the period of pregnancy and the correspondence of foetal development to the period of pregnancy; • know how to evaluate the intrauterine state of health of the foetus and identify deviations from the norm; • are able to prescribe and explain the need for examinations and interpret the results for a pregnant woman during antenatal care in the case of a normal and abnormal pregnancy; • know how to prescribe therapy in case of pregnancy pathology; • are able to interpret the results of genetic screening.
Competences
1.As a result of acquiring theoretical and practical knowledge, the student is able to: • perform basic antenatal care; • perform antenatal care in case of pregnancy pathology.
Assessment
Individual work
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Title
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% from total grade
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Grade
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1.
Individual work |
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-
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Preparation for the topic of the respective class, using recommended literature and Internet sources, with subsequent evaluation thereof and practical application in practical classes. Independent acquisition of practical skills as laboratory work under the lecturer’s guidance.
Students should fill out the study course survey questionnaire (for an example, see the video: https://panopto.rsu.lv/Panopto/Pages/Viewer.aspx?id=95582082-00d1-4d94-b033-ae32009e2fac)
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Examination
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Examination |
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-
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The exam is planned as a written analysis of two clinical cases. Twenty-five minutes will be allocated for each task, followed by a discussion with the teacher. The evaluation will be posted based on the written and discussed.
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Study Course Theme Plan
FULL-TIME
Part 1
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Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Hypertensive conditions in obstetrics – gestational hypertension, preeclampsia, eclampsia, chronic hypertension and HELLP syndrome – etiology, pathogenesis, examination, treatment, management.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Systemic diseases and pregnancy – cardiovascular diseases, kidney diseases (including asymptomatic bacteriuria, acute pyelonephritis), anaemia, antiphospholipid syndrome, deep vein thrombosis, pulmonary embolism.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Hypertensive conditions in obstetrics – gestational hypertension, preeclampsia, eclampsia, chronic hypertension and HELLP syndrome – etiology, pathogenesis, examination, treatment, management.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Diseases of the nervous system (epilepsy, headache), depression during pregnancy and postpartum depression.
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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High-risk pregnant woman – identification of risk factors, specifics of pregnancy management. Reproductive history of a pregnant woman. Care algorithms of high-risk pregnant women.
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Anomalies of foetal development, diagnostic possibilities thereof during pregnancy. Ultrasonography for pregnant women. The first and second trimester screening.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Pregnancy and infections (genital tract and TORCH).
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Systemic diseases and pregnancy – diseases of the endocrine system (gestational diabetes, diabetes mellitus, thyroid pathology, obesity), lung diseases (bronchial asthma, tuberculosis, pneumonia).
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Bleeding in the second trimester. Placenta praevia, placental abruption.
Abdominal pain during pregnancy – acute appendicitis, acute cholecystitis, acute pancreatitis.
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Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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Off site
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E-Studies platform
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2
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Topics
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Bleeding in the first trimester. Early miscarriage, reasons, diagnosis, treatment thereof. Ectopic pregnancy. Abortion. Methods of artificial termination of pregnancy, legislation and organisational procedure in Latvia.
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Bleeding in the first trimester. Early miscarriage, reasons, diagnosis, treatment thereof. Ectopic pregnancy. Abortion. Methods of artificial termination of pregnancy, legislation and organisational procedure in Latvia.
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Immune conflict in obstetrics – Rh system, less common types of immune conflict in ABO system, preventive measures, diagnosis and treatment, the role of a midwife.
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Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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Off site
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E-Studies platform
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2
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Topics
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Pregnancy and infections (genital tract and TORCH).
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Intrauterine growth restriction. Assessment of the condition of the foetus during pregnancy. Polyhydramnios, oligohydramnios.
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Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam (Written)
Bibliography
Required Reading
1.
Dzemdniecība. D. Rezebergas redakcijā. Nacionālais apgāds, 2016.
2.
Latvijas ginekologu un dzemdību speciālistu asociācijas vadlīnijas mājas lapā
3.
Lekciju materiāli
Additional Reading
1.
Williams Obstetrics, atkārtoti izdevumi, 2022
2.
www.uptodate.com
Other Information Sources
1.
LR likumdošana
2.
RSU bibliotēkas resursi
3.
www.pubmed.com
4.
emedicine.medscape.com
5.
"SPKC algoritmi - Perinatālā perioda aprūpe"