Veidlapa Nr. M-3 (8)
Study Course Description
Physiological Obstetrics
Course Code
MDAK_040
Branch of Science
Clinical medicine; Obstetrics and gynaecology
ECTS
6.00
Target Audience
Midwifery
LQF
Level 6
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Ilze Ansule
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 create awareness about the female reproductive system, the ability to manage a physiological birth and the early postpartum period.
Preliminary Knowledge
Anatomy, physiology, pharmacology and managing of physiological pregnancy.
Learning Outcomes
Knowledge
1.As a result of the completion of the study course, students gain understanding and are able to report on the following: • Foetus head peculiarities; • Hip planes and their sizes; • Progress of physiological delivery; • Delivery biomechanism in frontal and dorsal types of vertex delivery; • Delivery biomechanisms at foetus attitude of deflexion; • Biomechanism of breech position; • The graphic records of the delivery process and assessment possibilities of foetus antenatal state; • Complications caused by ineffective delivery techniques.
Skills
1.As a result of the completion of the study course, students will know how to: • apply the terms used in obstetrics; • specify the foetus posture by pelvic examination; • explain the physiological process of delivery; • illustrate the foetal movement during normal delivery, foetal attitude of deflexion and at breech position; • illustrate graphically the process of delivery and assess foetus posture during delivery; • differentiate between ineffective delivery technique and physiological process; • take labour; • provide care for women and newborn during childbirth; • work with the woman and her birth partner.
Competences
1.As a result of the completion of the study course the students get understanding of physiological and pathological delivery process, know to illustrate graphically the delivery process, know to monitor the frontal and dorsal types of vertex delivery.
Assessment
Individual work
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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.
Individual work |
-
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-
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Get acquainted with the literature sources indicated in e-studies and course description for each specific practical lesson. Independent work and timely preparation, submission and successful completion. Timely and successful passing of the test. Independent training on simulators and mugs.
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.
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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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Students' attendance (100% in classes is required) and active participation in classes will be evaluated (during remote classes, those classes are counted, during which the student is visible on camera and actively participates in the class), timely submitted and successfully evaluated independent works in e-studies, successful and a test passed on time. Students who have submitted independent works in e-studies within the specified deadlines, who have successfully assessed and successfully passed the test/-s, are admitted to pass the final examination (exam). At the end of the study course an exam with theoretical questions and situational tasks. The evaluation of the study course consists of: timely submitted and successfully evaluated independent and test papers in e-studies (50%), final test - exam (50%), receiving at least a passing grade in both sections.
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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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Auditorium
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2
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Topics
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Organisation of maternity care in Latvia. Designations used in obstetrics.
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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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Auditorium
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2
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Topics
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Female genital anatomy and physiology.
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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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Auditorium
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2
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Topics
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Female pelvic bones. Evaluation methods.
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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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Auditorium
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2
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Topics
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Foetus as an object of child delivery. Possibilities of fetal evaluation in labour.
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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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-
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2
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Topics
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Beginning of labor.
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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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Auditorium
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2
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Topics
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Labour periods. Labour I, II, III period management. Signs of placental abruption.
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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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-
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2
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Topics
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Fetal waters.
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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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Auditorium
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2
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Topics
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Biomechanism of delivery in case of frontal type of vertex delivery.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
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|---|---|---|
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On site
|
Auditorium
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2
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Topics
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Biomechanism of delivery in case of frontal type of vertex delivery.
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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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Auditorium
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2
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Topics
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Biomechanics of delivery in the case of the back of the head.
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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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Auditorium
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2
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Topics
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Biomechanics of delivery in the case of the back of the head.
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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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Auditorium
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2
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Topics
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The biomechanism of the anus
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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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Auditorium
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2
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Topics
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Deflections lie down. The couple sleeps in front. Forehead. Face forward. Types of asynclitism.
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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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Auditorium
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2
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Topics
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Deflections lie down. The couple sleeps in front. Forehead. Face forward. Types of asynclitism.
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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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-
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2
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Topics
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The help of the midwife's hands in removing the head and shoulders. Management of the placental period.
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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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-
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2
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Topics
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The help of the midwife's hands in removing the head and shoulders. Management of the placental period.
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Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Test (Semester)
Part 2
-
Class/Seminar
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Modality
|
Location
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Contact hours
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|---|---|---|
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On site
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Auditorium
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2
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Topics
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Women's care in physiological childbirth. Possible involvement / cooperation of the labour partner. Family care after the loss of a child.
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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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Auditorium
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2
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Topics
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Protection of the perineum during childbirth. Maternal ruptures. Episiotomy. Tear stitching.
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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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Auditorium
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2
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Topics
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Evaluation of the course of labour. Current WHO guidelines. Historical view;Friedman and Zhang labour curves.
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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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Auditorium
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2
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Topics
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Non-pharmacological methods of labor analgesia. Labour postures. Water - labour..
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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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Auditorium
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2
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Topics
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Conduction of placental period. History of labour - basic principles of documentation.
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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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Auditorium
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2
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Topics
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CTG record.
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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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|---|---|---|
|
On site
|
Auditorium
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2
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Topics
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Evaluation of CTG.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
-
|
2
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Topics
|
Physiological birth (clinical situations and simulation).
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Physiological birth (clinical situations and simulation).
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
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Fetal waters. Opening of the amniotic sac, possible complications. Fracture of the amniotic sac during pregnancy.
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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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Auditorium
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2
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Topics
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Uterine dystocia, shoulder dystocia, fetal and maternal pelvic disproportion. (clinical situations and simulations)
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-
Class/Seminar
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Modality
|
Location
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Contact hours
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|---|---|---|
|
On site
|
-
|
2
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Topics
|
Preparation for operative labour, assistance, women and family care in their process. (situation tasks and simulation)
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-
Class/Seminar
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Modality
|
Location
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Contact hours
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|---|---|---|
|
On site
|
Auditorium
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2
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Topics
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Assessment of health status and birth management tactics in cases of women's health disorders. Birth induction.
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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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|---|---|---|
|
On site
|
-
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2
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Topics
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Pharmacological methods of analgesia in obstetrics.
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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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Auditorium
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2
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Topics
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Healthy newborn. The Apgar score. Newborn transition period. Assessment of state of the newborn. Newborn primary resuscitation.
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-
Class/Seminar
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Modality
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Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
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2
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Topics
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Stress during childbirth; work with yourself, the woman, her partner and colleagues. Psychological hygiene in childbirth and ethics at midwife's work.
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Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam
Bibliography
Required Reading
1.
Dzemdniecība. D. Rezebergas redakcijā, 2016.
2.
Strengthening quality midwifery education for Universal Health Coverage 2030: Framework for action
3.
Simkin, Penny, et al. The Labor Progress Handbook: Early Interventions to Prevent and Treat Dystocia. John Wiley & Sons, Incorporated, 2017.
4.
Snow S., Taylor K., Carpenter J. "Rapid midwifery". John Wiley & Sons, Incorporated, 2016.
5.
Edwin Chandraharan. "Handbook of CTG Interpretation : from Patterns to Physiology". 2017.
6.
Dudenhausen, Joachim W. Practical Obstetrics. 2014, De Gruyter, Inc.
7.
WHO labour care guide: user’s manual
8.
PVO dzemdību aprūpes vadlīnijas Lietotāja rokasgrāmata, Šo tulkojumu nav izveidojusi Pasaules Veselības organizācija (PVO). PVO nav atbildīgs par šī tulkojuma saturu vai precizitāti. Oriģinālizdevums angļu valodā ir saistošais un autentiskais izdevums.
Additional Reading
1.
Lewis L. "Fundamentals of Midwifery : A Textbook for Students". John Wiley & Sons, Incorporated, 2015.
2.
Davis E. "Heart and hands". Berkeley, 2012.
3.
Raynor M. Marshall J. "Midwifery Practice : Critical Illness, Complications And Emergencies Case Book". McGraw-Hill Education, 2012
4.
Maternal Newborn Nursing Care Plans / edited by Carol J. Green. 3rd edition. Burlington, MA : Jones & Bartlett Learning, 2016. ix, 472 lpp.
Other Information Sources
1.
WHO recommendations: intrapartum care for a positive childbirth experience. 2018
2.
Medical Aid Films
3.
Standards of Care for Women’s Health in Europe. 2014
4.
WHO "Trends in maternal mortality 2000 to 2023"