Emergency Situations in Obstetrics
Study Course Implementer
Riga, 26a Anninmuizas boulevard, aurk@rsu.lv, +371 67061579
About Study Course
Objective
To acquire skills for team work in obstetrics in emergency situations (working together doctors and midwives) ensuring the assessment of the health status of women and newborns and timely diagnosis and treatment of health disorders.
Preliminary Knowledge
Anatomy and physiology of the reproductive system; Physiological obstetrics; Pathological obstetrics.
Learning Outcomes
Knowledge
1.As a result of the study course acquisition students gain understanding of the importance of evaluating the birth process, learn the methods of objective monitoring of the well-being of the fetus and pregnant woman, woman in labor and postpartum period and gain an understanding of the role of doctor and midwife in I, II and III indications, performance, interpretation of results, indications for performance of additional examinations, interpretation of results, patient documentation and their preparation for urgent operational action.
Skills
1.As a result of mastering the study course, students will have mastered specific examination methods and manipulations in obstetrics in emergency situations and filling in documentation. Will be able to listen to the fetal heartbeat and evaluate the CTG record. Will be able to act in emergency situations in obstetrics.
Competences
1.Students will acquire skills in team work in obstetrics in emergency situations (in collaboration with students; midwives and doctors) and cooperation with the patient and her relatives in the treatment process. As a result of the study course, students will be able to evaluate and apply appropriate clinical manipulations, medical devices and other activities to ensure optimal and safe patient care.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
Theoretical material for self-study before practical classes.
|
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
All classes must be attended. Students' active participation in classes , timely successful completion of independent and examination papers (50%), successful completion of the final examination (50%) will be assessed.
|
||
Study Course Theme Plan
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Emergency situations – duties of midwife and obstetrician, non-technical skills
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Emergency situations – duties of midwife and obstetrician, non-technical skills
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Structured approach in patient care. Recognition of a severe patient in pregnancy period/ patient in post partum period
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Structured approach in patient care. Recognition of a severe patient in pregnancy period/ patient in post partum period
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Severe preeclampsia and eclampsia – action in emergency situation
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Severe preeclampsia and eclampsia – action in emergency situation
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Sepsis, septic shock – action in emergency situation
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Sepsis, septic shock – action in emergency situation
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Acute caesarean section – obstetric team action
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Acute caesarean section – obstetric team action
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Pathological KTG – recognition, tactics, action
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Pathological KTG – recognition, tactics, action
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Postpartum hemorrhage – prevention, recognition
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Postpartum hemorrhage – prevention, recognition
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Pathological labour – work in a team
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Test – clinical simulations
|
Bibliography
Required Reading
Dudenhausen, J., Grab, D., Obladen, M., Pschyrembel, W., & Travis, S. (2014). Practical Obstetrics. De Gruyter.
Troiano, N., Baird, S., & Witcher, P. (2018). High-Risk & Critical Care: Obstetrics. Wolters Kluwer.
Chandraharan Edwin"Handbook of CTG Interpretation: From Patterns to Physiology". (2017). Cambridge University Press.
WHO recommendations (2016). “Standards for improving quality of maternal and newborn care in health facilities”.
Additional Reading
Sentilhes, L., Sénat, M. V., Boulogne, A. I., Deneux-Tharaux, C., et.al. (2016). Shoulder dystocia: guidelines for clinical practice from the French College of Gynecologists and Obstetricians (CNGOF). European journal of obstetrics, gynecology, and reproductive biology, 203, 156–161.
"Midwifery Practice: Critical Illness, Complications And Emergencies Case Book". (2012). Raynor M., Marshall J. McGraw-Hill Education.
Maternal Newborn Nursing Care Plans / edited by Carol J. Green, Graceland University School of Nursing, Independence, Missouri. (2016). 3rd edition. Burlington, MA : Jones & Bartlett Learning. ix, 472 lpp.
Snow S., Taylor K., Carpenter J. (2016). "Rapid Midwifery". John Wiley & Sons, Incorporated.
NHS, Pre eclampsia, Eclampsia and Severe Hypertension. (2014). C.Biswas. Cons Obstetrician. May. V4