Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 24/25.P.1.00

Description Period: 2024./25 academic year pavasara semestris

Study Course Accepted: -

Study Course Description

Assessment of Foetal Well-being

Main Study Course Information

Course Code
MDAK_359
Branch of Science
Clinical medicine
ECTS
3.00
Target Audience
Midwifery
LQF
Level 6
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Signe Irša
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 knowledge about fetal physiology, hypoxic birth stress, fetal adaptation and compensation mechanisms under hypoxic stress conditions. To provide knowledge about the methods of assessing the well-being of the fetus and to develop the skills of applying these methods, to create an understanding of the intrauterine resuscitation of the fetus. To improve knowledge about pregnancy and childbirth risk factors affecting the well-being of the fetus.

Preliminary Knowledge

In human anatomy and physiology, embryology, development and course of physiological pregnancy and childbirth.

Learning Outcomes

Knowledge

1.Students are familiar with the physiology of the fetus - blood circulation, gas and substance exchange, circulation and heartbeat regulation mechanisms, understand the compensatory mechanisms of the fetus for adaptation in conditions of hypoxic stress. Focuses on types of fetal hypoxia, pathophysiology of their development. Knows the methods of assessing the well-being of the fetus during pregnancy and childbirth, understands the indications for their application, analyzes the obtained data, predicts changes in the development of the well-being of the fetus in connection with the clinical picture of pregnancy and childbirth. Knows measures to improve the well-being of the fetus - intrauterine resuscitation. Knows the risk factors of pregnancy and childbirth, which affect the well-being of the fetus and relates them to the obtained fetal assessment data. Understands the limitations of fetal well-being assessment methods.

Skills

1.The methods of auscultation and electronic evaluation of the fetal heartbeat (cardiotocography, STAN) are applied, the obtained results are analyzed in relation to the clinical picture during pregnancy and childbirth. Recognize the types of hypoxia and signs of development in the cardiotocogram and/or STAN record, perform measures to improve the well-being of the fetus (intrauterine resuscitation). Students are able to work in a team in the process of obstetric care, performing fetal well-being assessment and measures to improve fetal oxygenation.

Competences

1.Students are able to independently assess the well-being of the fetus, determine the type and development of hypoxia, determine the ability of the fetus to compensate for hypoxic birth stress, and choose appropriate measures to improve fetal oxygenation.

Assessment

Individual work

Title
% from total grade
Grade
1.
Individual work
-
-
Independent work - students prepare and present material on the given topic in groups and individually, use the latest literature and research. Multiple answer test - Test on fetal physiology, adaptation mechanisms, types of hypoxia. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.

Examination

Title
% from total grade
Grade
1.
Examination
-
-
Independent work - Evaluation in a 10-point system, makes up 20% of the total result. Multiple choice test - The test is passed if the number of correct answers is at least 75%. The test gives 30% of the total mark. The exam makes up 50% of the total assessment: Cardiotocogram analysis

Study Course Theme Plan

FULL-TIME
Part 1

  1. Fetal physiology

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2

  1. Assessment of fetal well-being

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2
2.
Class/Seminar
On site
Auditorium
4

  1. Fetal hypoxia during childbirth

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2
2.
Class/Seminar
On site
Auditorium
4

  1. Mechanisms of fetal adaptation to hypoxic environment

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2
2.
Class/Seminar
On site
Auditorium
4

  1. The effect of pregnancy and childbirth on the well-being of the fetus

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Auditorium
4

  1. Intrauterine resuscitation

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2
2.
Class/Seminar
On site
Auditorium
4

  1. Team work in ensuring the well-being of the fetus during childbirth.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
-
4
Total ECTS (Creditpoints):
3.00
Contact hours:
34 Academic Hours
Final Examination:
Exam (Oral)

Bibliography

Required Reading

1.

Dzemdniecība. D. Rezebergas redakcijā, 2016.

2.

Handbook of CTG Interpretation: From Patterns to Physiology. Editor: Edwin Chandraharan, 2017.

3.

Ayres-de-Campos, D., & Arulkumaran, S. FIGO consensus guidelines on intrapartum fetal monitoring: Introduction. International Journal of Gynecology and Obstetrics, 2015. 131(1), 3-4.

Additional Reading

1.

Fetal heart rate monitoring – principles and intepretation of cardiotocography anaesthesia tutorial of the week 294. 23rd ed. September, 2013.

2.

Care of healthy women and their babies during childbirth NICE clinical guideline. 55 Issued: September, 2007.

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