Clinical Placement IV

Study Course Description

Course Description Statuss:Approved

Course Description Version:9.00

Study Course Accepted:01.02.2023 08:51:47

Study Course Information
Course Code:		MDAK_072		LQF level:		Level 6
Credit Points:		10.00		ECTS:		15.00
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)		3	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		6
Classes (count)		22	Class Length (academic hours)		2	Total Contact Hours of Classes		44
Total Contact Hours								50
Study course description
Preliminary Knowledge:
Obstetric emergencies; Primary resuscitation of newborns; 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 physiological obstetrics and work related to the provision of emergency and operative medical care for pregnant women, mothers, woman in postpartum period and newborns.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Labor protection, fire safety, electrical safety, personal protection and personal data protection requirements. Infection control and requirements for hygienic and anti-epidemic treatment in a medical institution. Rules of procedure in a medical institution (place of practice).			Classes		1.00	auditorium
2	Reflection about practice			Classes		2.00	other
3	High-risk childbirth in midwifery practice.			Lectures		1.00	other
4	Discussions on the progress of professional development.			Classes		2.00	other
5	Communication in obstetrics, psychological hygiene at work.			Classes		1.00	other
6	Massive blood loss in childbirth and early postpartum period, basic principles of substitution, action algorithms.			Lectures		1.00	other
7	Fetal homeostasis and adaptation mechanisms in childbirth. Primary resuscitation and support of the newborn at birth in midwifery practice.			Lectures		1.00	other
8	Strengthening clinical skills in simulations.			Classes		16.00	METC
Assessment
Unaided Work:
Completion of the practice diary, independent manipulation training at MITC.
Assessment Criteria:
100% attendance, duly completed and timely submitted documentation in e-studies, four successfully passed tests at MITC and practice defense (makes up 50% of the final grade), assessment of the practice supervisor (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:		The student will be able to manage physiological childbirth and promote equality between a woman and her birth partner, describe the conditions of pregnant women, mothers, weekly babies and newborns, due to which urgent medical consultation and action is required. Will know how to take the necessary emergency in the absence of a doctor.
Skills:		The student will be able to provide appropriate care for a woman and a newborn in physiological childbirth, will promote the involvement of parents in the care of the newborn, will be able to prepare the mother for acute caesarean section, will assist the doctor in performing obstetric surgery also to prepare an instrument table for examination of the cervix and suturing of perineum ruptures, to prepare resuscitation equipment for the newborn.
Competencies:		The student is able to assist and provide assistance in emergency situations in obstetrics, using the acquired knowledge regarding the provision of emergency and emergency medical care to pregnant women, mothers, weekend women and newborns. Will be able to promote equality and involvement of the woman and the partner in the care of the newborn.
Clinical Skills:
No.	Skill					Level
1	Per speculum examination of cervix and vagina after birth.					C1 - High level
2	Administration of Medication by i/v Route using a Syringe with a Needle					B1 - Basic level
3	Administration of Medication using a PVC (Syringe)					B1 - Basic level
4	Asking questions					B2 - Intermediate level
5	Bimanual uterine examination					A - Beginner level
6	Bimanual uterine examination					B1 - Basic level
7	Bimanual uterine examination					B2 - Intermediate level
8	Blood components transfusion - Cryoprecipitate transfusion					A - Beginner level
9	Blood components transfusion - Cryoprecipitate transfusion					B1 - Basic level
10	Blood components transfusion - plasma					A - Beginner level
11	Blood components transfusion - plasma					B1 - Basic level
12	Blood components transfusion - Platelet mass transfusion					A - Beginner level
13	Blood components transfusion - Platelet mass transfusion					B1 - Basic level
14	Blood products transfusions - blood transfusion					A - Beginner level
15	Blood products transfusions - blood transfusion					B1 - Basic level
16	Blood sampling					A - Beginner level
17	Blood sampling					B1 - Basic level
18	Cervical rupture suturing after childbirth					C1 - High level
19	Collecting blood sample with Monovette, using aspiration method					A - Beginner level
20	Collecting blood sample with Monovette, using vacuum method					B1 - Basic level
21	Diagnosing gestational age by bimanual examination					C1 - High level
22	Donning of surgical attire					B1 - Basic level
23	Donning Sterile Gloves					B1 - Basic level
24	Donning Sterile Gloves					B2 - Intermediate level
25	Encouraging					B2 - Intermediate level
26	Ensuring “skin-to-skin” contact with the newborn					C1 - High level
27	Evaluation of fetal heart tones					C1 - High level
28	Evaluation of newborn reflexes					B1 - Basic level
29	Female perineal care					A - Beginner level
30	Female perineal care					B1 - Basic level
31	Fundus uteri measurement during pregnancy					C1 - High level
32	High O2 concentration mask placement					B1 - Basic level
33	High O2 concentration mask placement					B2 - Intermediate level
34	Hygienic Hand Washing					B1 - Basic level
35	Hygienic Hand Washing					B2 - Intermediate level
36	Indwelling female catheterisation					A - Beginner level
37	Indwelling female catheterisation					B1 - Basic level
38	Indwelling female catheterisation					B2 - Intermediate level
39	Insertion of Peripheral Venous Catheter					A - Beginner level
40	Insertion of Peripheral Venous Catheter					B1 - Basic level
41	Insertion of Peripheral Venous Catheter					B2 - Intermediate level
42	Intermittent female catheterisation					B1 - Basic level
43	Intermittent female catheterisation					B2 - Intermediate level
44	Intracutaneous injection					B1 - Basic level
45	Intracutaneous injection					B2 - Intermediate level
46	Intradermal suture					A - Beginner level
47	Intradermal suture					B1 - Basic level
48	Intramuscular injection					A - Beginner level
49	Intramuscular injection					B1 - Basic level
50	Intramuscular injection					B2 - Intermediate level
51	Intravenous Infusion of Medications with a Butterfly Needle					A - Beginner level
52	Management of physiological first labor					C1 - High level
53	Management of physiological second labor					C1 - High level
54	Manual revision of uterine cavity postpartum					C1 - High level
55	Measurement of arterial pulse					C1 - High level
56	Microlax Enema					B1 - Basic level
57	Newborn primary resuscitation					A - Beginner level
58	Newborn primary resuscitation					B1 - Basic level
59	Pap smear performance (cervix cytology smear)					A - Beginner level
60	Pap smear performance (cervix cytology smear)					B1 - Basic level
61	Performing and interpretation of fetal CTG.					C1 - High level
62	Performing swab test of cervical microbiological material					C1 - High level
63	Performing vaginal smear test					C1 - High level
64	Perineum rupture suturing after childbirth					C1 - High level
65	Physiological labor					A - Beginner level
66	Physiological labor					B1 - Basic level
67	Physiological labor					B2 - Intermediate level
68	Primary care of the neonate in physiological labor					A - Beginner level
69	Primary care of the neonate in physiological labor					B1 - Basic level
70	Primary care of the neonate in physiological labor					B2 - Intermediate level
71	Primary treatment of wounds					A - Beginner level
72	Primary treatment of wounds					B1 - Basic level
73	Removal of cervical cytology material with a brush					C1 - High level
74	Structured history taking					A - Beginner level
75	Subcutaneous injection					A - Beginner level
76	The cord cutting					A - Beginner level
77	Withdrawing Medication from a Vial into a Syringe					A - Beginner level
78	Withdrawing Medication from a Vial into a Syringe					B1 - Basic level
79	Women’s examination per speculum					C1 - High level
80	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	Managing Obstetric Emergencies and Trauma. Revised 3th Edition. Cambridge University Press, 2018.
5	Wyllie, J., Bruinenberg, J., Roehr, C. C., Rüdiger, M., Trevisanuto, D., & Urlesberger, B. (2015). European Resuscitation Council Guidelines for Resuscitation 2015: Section 7. Resuscitation and support of transition of babies at birth. Resuscitation, 95, 249–263.
6	Raynor M., Marshall J. Midwifery Practice: Critical Illness, Complications and Emergencies Case Book. Open University Press, 2012. (akceptējams izdevums)
7	Dzemdniecība / D. Rezebergas redakcijā, Medicīnas apgāds, Rīga, 2016.
Additional Reading
1	Joachim W. Dudenhausen. Practical Obstetrics. De Gruyter, 2014.
2	Chapman, V., & Charles, C. (2018). The Midwife's Labour and Birth Handbook. Newark: John Wiley & Sons, Incorporated.
3	Elizabeth Davis. Heart & Hands: A Midwife's Guide to Pregnancy and Birth. 5th Edition. Ten Speed Press, 2012.
4	Sue Barker. Midwives’ Emotional Care of Women becoming Mothers. Cambridge Scholars Publishing, 2011.
5	Bonnie U. Birth Emergency Skills Training: Manual four Out-of-Hospital Midwives. Gruenberg. Birth Muse Press, 2008.
6	Women's Health Psychology. Edited by Mary V. Spiers, Pamela A. Geller and Jacqueline D. Kloss. John Wiley & Sons, Inc., 2013.
7	Wyllie, J., Perlman, J. M., Kattwinkel, J., Wyckoff, M. H., Aziz, K., Guinsburg, R., Kim, H. S., Liley, H. G., Mildenhall, L., Simon, W. M., Szyld, E., Tamura, M., Velaphi, S., & Neonatal Resuscitation Chapter Collaborators (2015). Part 7: Neonatal resuscitation: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Resuscitation, 95, e169–e201.
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/