Clinical Placement III

Study Course Description

Course Description Statuss:Approved

Course Description Version:8.00

Study Course Accepted:01.02.2023 08:49:51

Study Course Information
Course Code:		MDAK_071		LQF level:		Level 6
Credit Points:		6.00		ECTS:		9.00
Branch of Science:		Clinical Medicine; Health Care		Target Audience:		Midwifery
Study Course Supervisor
Course Supervisor:		Ilze Ansule
Study Course Implementer
Structural Unit:		Department of Nursing and Obstetric Care
The Head of Structural Unit:
Contacts:		Riga, 26a Anniņmuižas boulevard, mdakrsu[pnkts]lv, +371 67061568
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		1	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		2
Classes (count)		12	Class Length (academic hours)		2	Total Contact Hours of Classes		24
Total Contact Hours								26
Study course description
Preliminary Knowledge:
Pathological and operative obstetrics; Medical emergency; Anesthesiology and resuscitation in obstetrics; Physiological childbirth and postnatal care (Postpartum management); The care process in midwifery practice; Clinical pharmacology and obstetric care; Clinical care in obstetrics and gynecology; Management of physiological pregnancies; Newborn feeding and lactation; Interpersonal communication in healthcare; General care; Infection control in care; Propaedeutics; Basics of clinical care.
Objective:
To prepare students for work in health care in physiological and pathological obstetrics.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Assessment of woman’s and newborn’s physical condition, diagnostics of health disorders, prescribing the necessary treatment and implementing various measures for stabilizing their condition.			Lectures		1.00	auditorium
2	Provision of proper and safe medication.			Classes		8.00	METC
3	Practice reflection			Classes		2.00	other
4	Discussions on the progress of professional development			Classes		2.00	other
Assessment
Unaided Work:
Completion the diary of practice.
Assessment Criteria:
100% attendance, duly completed and timely submitted documentation in e-studies, two successfully passed tests in MITC and internship defense (makes up 50% of the final grade), assessment of the internship manager (makes up 50% of the final grade). Students' 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 class activities).
Final Examination (Full-Time):		Defence (Placement)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		Student will be to take and manage physiological births, able to describe the possible complications during pregnancy, childbirth and postpartum period, will know how to treat them. Student is able to evaluate the newborn, to provide "skin to skin" contact, promotes parental participation in newborn care. outline the possible complications of newborns and the actions to be taken to prevent them.
Skills:		Student will be able to collect the relevant information and provide the performance of laboratory tests to be carried out under doctor’s supervision and the most appropriate treatment to prevent complications, will be able to inform patients about the pharmacological potency of each medication, instructions of its use, provide psycho-emotional support to women and their family in the event of complications. Along with a gynecologist/obstetrician composes a complex childbirth management and care plan, by informing the woman in labour and involving her in decision-making.
Competencies:		Using the acquired knowledge about the process of a pathological pregnancy and childbirth, student is able to differentiate between physiological - guide it - and pathological childbirth process, analyse the obtained medical examination data.
Clinical Skills:
No.	Skill					Level
1	Per speculum examination of cervix and vagina after birth.					C1 - High level
2	Asking questions					B2 - Intermediate level
3	Assessing Blood Pressure					A - Beginner level
4	Blood components transfusion - Cryoprecipitate transfusion					A - Beginner level
5	Blood components transfusion - plasma					A - Beginner level
6	Blood components transfusion - Platelet mass transfusion					B1 - Basic level
7	Blood sampling					B1 - Basic level
8	Due date estimation					A - Beginner level
9	Due date estimation					B1 - Basic level
10	Due date estimation					B2 - Intermediate level
11	Encouraging					B2 - Intermediate level
12	Ensuring “skin-to-skin” contact with the newborn					C1 - High level
13	Female perineal care					A - Beginner level
14	Fundus uteri measurement during pregnancy					C1 - High level
15	Indwelling female catheterisation					A - Beginner level
16	Indwelling female catheterisation					B1 - Basic level
17	Indwelling female catheterisation					B2 - Intermediate level
18	Intermittent female catheterisation					A - Beginner level
19	Intermittent female catheterisation					B1 - Basic level
20	Intermittent female catheterisation					B2 - Intermediate level
21	Intradermal suture					A - Beginner level
22	Intradermal suture					B1 - Basic level
23	Intramuscular injection					A - Beginner level
24	Intramuscular injection					B1 - Basic level
25	Intramuscular injection					B2 - Intermediate level
26	Measurement of arterial pulse					A - Beginner level
27	Measurement of arterial pulse					C1 - High level
28	Newborn primary resuscitation					A - Beginner level
29	Newborn primary resuscitation					B1 - Basic level
30	Performing swab test of cervical microbiological material					C1 - High level
31	Pregnant women’s blood pressure measurements					C1 - High level
32	Primary care of the neonate in physiological labor					B1 - Basic level
33	Primary care of the neonate in physiological labor					B2 - Intermediate level
34	Primary treatment of wounds					A - Beginner level
35	Primary treatment of wounds					B1 - Basic level
36	Removal of cervical cytology material with a brush					C1 - High level
37	The use of personal protective equipment in case of health-related infections					A - Beginner level
38	The use of personal protective equipment in case of health-related infections					B1 - Basic level
39	Women’s examination per speculum					C1 - High level
40	Women’s rectal examination					C1 - High level
41	Women’s rectovaginal examination					C1 - High level
Bibliography
No.	Reference
Required Reading
1	Di Renzo, G. C., Berghella, V., Malvasi, A. Good Practice and Malpractice in Labor and Delivery. Edra S.p.A., 2019.
2	Johnson, R., Taylor, W. Skills for Midwifery practise. 4th Edition. Elsevier Ltd., 2016.
3	Handbook of CTG Interpretation: From Patterns to Physiology. Edited by Edwin Chandraharan. Cambridge University Press, 2017.
4	Dzemdniecība. D. Rezebergas redakcijā. Medicīnas apgāds, Rīga, 2016.
5	Snow, S., Taylor, K., Carpenter, J. Rapid Midwifery. John Wiley & Sons, Ltd., 2016.
6	Raynor M., Marshall, J. Midwifery Practice: Critical Illness, Complications and Emergencies Case Book. Open University Press, 2012. (akceptējams izdevums)
Additional Reading
1	Dudenhausen, Joachim W. Practical Obstetrics. De Gruyter, 2014.
2	Viljamsa dzemdniecība : 17., 18., 20., 30. nodaļas tulkojums latviešu valodā / [F. Gary Cunningham ... [u.c.] ; medicīniskais redaktors Dina Ceple ; tulks Gunita Mežule]. 23. izd. Rīga : Ģimenes veselības centrs "Stārķa ligzda", 2013
3	Chapman, V., & Charles, C. (2018). The Midwife's Labour and Birth Handbook. Newark: John Wiley & Sons, Incorporated.
4	Davis, Elizabeth. Heart & Hands: A Midwife's Guide to Pregnancy and Birth. 5th Edition. Ten Speed Press, 2012.
5	Barker, S. Midwives’ Emotional Care of Women becoming Mothers. Cambridge Scholars Publishing, 2011.
6	Gruenberg, Bonnie U. Birth Emergency Skills Training: Manual four Out-of-Hospital Midwives. Birth Muse Press, 2008.
7	Women's Health Psychology. Edited by Mary V. Spiers, Pamela A. Geller and Jacqueline D. Kloss. John Wiley & Sons, Inc., 2013.
Other Information Sources
1	WHO recommendations: Intrapartum care for a positive childbirth experience. WHO, 2018.
2	MK noteikumi Nr.611 ''Dzemdību palīdzības nodrošināšanas kārtība”
3	http://www.medicalaidfilms.org/