Veidlapa Nr. M-3 (8)

Study Course Description

Neonatology I

Main Study Course Information

Course Code

RNO_003

Branch of Science

Clinical medicine; Paediatrics

ECTS

57.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Amanda Smildzere

Residency Speciality

Speciality

Neonatologist

Supervisor of Medical Speciality

Amanda Smildzere

Contacts

About Study Course

Objective

To ensure the acquisition of theoretical knowledge and practical skills in the examination of newborn children of different gestational ages, diagnosis of pathologies, recognition of critical situations and appropriate treatment, synthesising the clinical picture with the results of laboratory, visual and invasive examinations in the diagnostic process. To prepare the specialist doctor for the recognition and treatment of an acute and urgent condition, choosing and applying various technical options according to the patient’s condition and diagnosis – non-invasive ventilation, artificial lung ventilation, high-frequency ventilation, inhaled NO, therapeutic hypothermia, as well as learning to control the condition of these patients using monitoring options of various systems – monitoring of vital functions, aEEG, NIRS. To become skilful in resuscitation and stabilisation of a newborn in the delivery room, as well as in the subsequent newborn period. To form an understanding of the different physiology of newborns with extremely low birth weight and the specifics of care that must be followed to ensure the quality of life of these patients and the dynamic monitoring of these patients in the first years of life, controlling and timely correcting any metabolic and developmental deficits. To learn practical skills – umbilical vein and artery catheterisation, arterial puncture, intubation in newborns, including children with extremely low birth weight, connection to lung ventilation machines, lumbar puncture, puncture of the Ommaya reservoir. To teach ECHO, NSG as part of screening. To acquire the ability to work in a team, individually, involving specialists as necessary.

Learning Outcomes

Knowledge

1.As a result of studies in the specialty of neonatology, one acquires knowledge on the theory of physiology and pathology of the foetus and newborn child, as well as diagnostic, treatment and care measures.

Skills

1.As a result of studies, one is able to assess the state of health of a newborn child, risk factors and potential pathologies, diagnose pathologies, perform examinations and provide treatment, care, analyse the results of treatment and care.

Competences

1.The level of theoretical and practical knowledge will allow to take the neonatologist certification exam to obtain a neonatologist certificate, with further opportunities to practice as a specialist in neonatology, to carry out scientific research work in neonatology in accordance with the regulatory documents of the Republic of Latvia, to continue studies at the doctoral level.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
- Preparation of theoretical information for seminars (MS PowerPoint presentations) - Pedagogical work (pedagogical work with medical students)

Examination

Title	% from total grade	Grade
1. Examination	-	-
Testing of theoretical and practical knowledge (written test, solving situational tasks, resuscitation situation of a newborn child on a dummy).

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
On site	Specialized room

Topics

Fetal development evaluation methods, diagnosing prenatal pathologies

Seminar

Modality	Location
On site	Specialized room

Topics

Biophysical profile determination methods

Seminar

Modality	Location
On site	Specialized room

Topics

Correlation between pathology of placenta and newborn pathology risk

Seminar

Modality	Location
On site	Specialized room

Topics

Identification of gestational age (assessment of physical and neuromuscular maturity)

Seminar

Modality	Location
On site	Specialized room

Topics

The process of adaptation of a healthy newborn.

Seminar

Modality	Location
On site	Specialized room

Topics

Methodology for examination, assessment of a newborn baby

Seminar

Modality	Location
On site	Specialized room

Topics

Asphyxia in labour

Seminar

Modality	Location
On site	-

Topics

Neonatal resuscitation

Seminar

Modality	Location
On site	Specialized room

Topics

S.T.A.B.L.E program

Seminar

Modality	Location
On site	Specialized room

Topics

S.T.A.B.L.E. preogramme II

Seminar

Modality	Location
On site	Specialized room

Topics

Development of hematopoietic system and evaluation of haematological indices depending on gestation age

Seminar

Modality	Location
On site	Specialized room

Topics

Haemolytic disease of the newborn – antenatal diagnosis, postnatal diagnosis, clinical symptoms, prevention, treatment.

Seminar

Modality	Location
On site	Specialized room

Topics

Coagulation system peculiarities in newborns. Differential diagnosis of coagulation disorders. K vitamin deficiency bleeding.

Seminar

Modality	Location
On site	Specialized room

Topics

Polycythaemia – aetiological factors, clinical symptoms, potential risks for newborns.

Seminar

Modality	Location
On site	Specialized room

Topics

Development of the respiratory system, functional indicators. Aetiology, pathogenesis, clinic, diagnosis, treatment of breathing disorders of a child born on time.

Seminar

Modality	Location
On site	Specialized room

Topics

Aetiology, pathogenesis, clinic, diagnosis of breathing disorders of a premature child. Surfactant. Guidelines on the Management of Respiratory Distress Syndrome (European Consensus 2019)

Seminar

Modality	Location
On site	Specialized room

Topics

Invasive manipulations in neonatology – umbilical vein catheterisation, umbilical artery catheterisation, lumbar puncture (LP), puncture of the Ommaya reservoir, pleural puncture, peripherally inserted central catheter (PICC).

Seminar

Modality	Location
On site	Specialized room

Topics

Invasive manipulations in neonatology – airways management in children of different gestational ages, tracheal intubation.

Seminar

Modality	Location
On site	Specialized room

Topics

Ultrasound examinations role in diagnostic process of congenital and accuired pathologies in newborns

Seminar

Modality	Location
On site	Specialized room

Topics

Radiological examination of newborns. Application of different contrast agents. Use of contrast catheters.

Seminar

Modality	Location
On site	Specialized room

Topics

Developmental abnormalities of the nervous system, neuromuscular pathologies in the neonatal period. Birth injury.

Seminar

Modality	Location
On site	Specialized room

Topics

Non-traumatic cerebral haemorrhage

Seminar

Modality	Location
On site	Specialized room

Topics

Perinatal infections I- TORCH

Seminar

Modality	Location
On site	Specialized room

Topics

Perinatal infections II

Seminar

Modality	Location
On site	Specialized room

Topics

Early onset neonatal sepsis. Ethyology, antenatal risk factors, symptoms, diagnosis, management. Recommendations of EOS, Latvian Neonatal Society, 2022.

Seminar

Modality	Location
On site	Specialized room

Topics

Late-onset neonatal sepsis – aetiology, routes of infection, clinical symptoms, principles of diagnosis and treatment.

Seminar

Modality	Location
On site	Specialized room

Topics

Enteral feeding of high-risk newborns, specifics of metabolism. Clinical pathway – care of babies with extremely low and very low birth weight – starting enteral feeding (Centre for Disease Prevention and Control)

Seminar

Modality	Location
On site	Specialized room

Topics

Breastfeeding. Significance of human milk in the development of newborns microbiome. Human milk. The composition of human milk.

Seminar

Modality	Location
On site	Specialized room

Topics

Diagnostics of congenital genetic pathologies. Most frequent genetic syndromes in population.

Seminar

Modality	Location
On site	Specialized room

Topics

Parenteral nutrition for premature and high-risk babies.

Seminar

Modality	Location
On site	Specialized room

Topics

The effects of different medications (as indicated and misused) and other substances such as drugs and alcohol on the foetus and newborn. Assessment of abstinence.

Seminar

Modality	Location
-	-

Topics

Necrotising enterocolitis – risk factors, clinical symptoms, diagnosis, treatment options, postoperative short-term and long-term complications.

Seminar

Modality	Location
-	-

Topics

Patent ductus arteriosus in preterm babies – risk groups, clinical symptoms, types of therapy.

Total ECTS (Creditpoints):

57.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

Fanaroff and Martin's Neonatal-Perinatal Medicine. 2-Volume Set, 11th Edition, 05/2019

Avery’s Diseses of the Newborn. 10th ed, H.W.Taeusch, R.A.Ballard, W.B. Saunders Company, 01/2018

Klaus and Fanaroff's Care of the High-Risk Neonate. 7th Edition, Avory A.Fanaroff & Jonathan M Fanaroff, 10/2019

Neonatology, T.L.Gomella, Fabien Eyal. Fayez Bany-Mohammed. 8th Edition, 2020., USA

Physical Assessment of the Newborn. A Comprehensive Approach to the Art of Physical Examination - Revised 25th Anniversary. 6th Edition, November, 2019

Manual of Neonatal Respiratory Care. 4th Edition, 2017

Assisted Ventilation of the Neonate. 7th Edition, Goldsmith, Karotkin, Martin Keszler & Gautham Suresh & Jay P. Goldsmith, 03/2022

Neonatal Cardiology, by Michael Artman, Lynn Mahony, David F. Teitel, June/2016

Neonatal Cerebral Investigation. Janet M Rennie, Cornelia F.Hagmann, Nicola J. Robertson. December, 2009, Cambridge Univerity Press

Additional Reading

Pediatric Nutrition Handbook. 15th Edition. R.E.Kleinman Editior. USA, 2020

Smith's Recognizable Patterns of Human Malformation. 8th Edition, K.L.Jones by W.B.Saunders Company, 07/2021

Other Information Sources

Pediatric & Neonatal DosageHandbook, by Lexicomp. 27th Edition, 09/2020

Neonatal Formulary: Drug Use in Pregnancy and the First Year of Life. Sean Ainsworth. March, 2020. Oxford University Press.