Assessment of Foetal Well-being

Study Course Description

Course Description Statuss:Approved

Course Description Version:5.00

Study Course Accepted:09.05.2024 15:51:48

Study Course Information
Course Code:		MDAK_359		LQF level:		Level 6
Credit Points:		2.00		ECTS:		3.00
Branch of Science:		Clinical Medicine		Target Audience:		Midwifery
Study Course Supervisor
Course Supervisor:		Signe Irša
Study Course Implementer
Structural Unit:		Department of Nursing and Obstetric Care
The Head of Structural Unit:
Contacts:		Riga, 26a Anninmuizas boulevard, mdakrsu[pnkts]lv, +371 67061568
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		5	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		10
Classes (count)		6	Class Length (academic hours)		4	Total Contact Hours of Classes		24
Total Contact Hours								34
Study course description
Preliminary Knowledge:
In human anatomy and physiology, embryology, development and course of physiological pregnancy and childbirth.
Objective:
To provide knowledge about fetal physiology, hypoxic birth stress, fetal adaptation and compensation mechanisms under hypoxic stress conditions. To provide knowledge about the methods of assessing the well-being of the fetus and to develop the skills of applying these methods, to create an understanding of the intrauterine resuscitation of the fetus. To improve knowledge about pregnancy and childbirth risk factors affecting the well-being of the fetus.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Fetal physiology			Lectures		1.00	auditorium
2	Assessment of fetal well-being			Lectures		1.00	auditorium
				Classes		1.00	auditorium
3	Fetal hypoxia during childbirth			Lectures		1.00	auditorium
				Classes		1.00	auditorium
4	Mechanisms of fetal adaptation to hypoxic environment			Lectures		1.00	auditorium
				Classes		1.00	auditorium
5	The effect of pregnancy and childbirth on the well-being of the fetus			Classes		1.00	auditorium
6	Intrauterine resuscitation			Lectures		1.00	auditorium
				Classes		1.00	auditorium
7	Team work in ensuring the well-being of the fetus during childbirth.			Classes		1.00	METC
Assessment
Unaided Work:
Independent work - students prepare and present material on the given topic in groups and individually, use the latest literature and research. Multiple answer test - Test on fetal physiology, adaptation mechanisms, types of hypoxia. 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.
Assessment Criteria:
Independent work - Evaluation in a 10-point system, makes up 20% of the total result. Multiple choice test - The test is passed if the number of correct answers is at least 75%. The test gives 30% of the total mark. The exam makes up 50% of the total assessment: Cardiotocogram analysis
Final Examination (Full-Time):		Exam (Oral)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		Students are familiar with the physiology of the fetus - blood circulation, gas and substance exchange, circulation and heartbeat regulation mechanisms, understand the compensatory mechanisms of the fetus for adaptation in conditions of hypoxic stress. Focuses on types of fetal hypoxia, pathophysiology of their development. Knows the methods of assessing the well-being of the fetus during pregnancy and childbirth, understands the indications for their application, analyzes the obtained data, predicts changes in the development of the well-being of the fetus in connection with the clinical picture of pregnancy and childbirth. Knows measures to improve the well-being of the fetus - intrauterine resuscitation. Knows the risk factors of pregnancy and childbirth, which affect the well-being of the fetus and relates them to the obtained fetal assessment data. Understands the limitations of fetal well-being assessment methods.
Skills:		The methods of auscultation and electronic evaluation of the fetal heartbeat (cardiotocography, STAN) are applied, the obtained results are analyzed in relation to the clinical picture during pregnancy and childbirth. Recognize the types of hypoxia and signs of development in the cardiotocogram and/or STAN record, perform measures to improve the well-being of the fetus (intrauterine resuscitation). Students are able to work in a team in the process of obstetric care, performing fetal well-being assessment and measures to improve fetal oxygenation.
Competencies:		Students are able to independently assess the well-being of the fetus, determine the type and development of hypoxia, determine the ability of the fetus to compensate for hypoxic birth stress, and choose appropriate measures to improve fetal oxygenation.
Clinical Skills:
No.	Skill					Level
1	Administration of Medication using a PVC (System)					B1 - Basic level
2	Leopold maneuvers					B1 - Basic level
3	Oxigen therapy					B1 - Basic level
Bibliography
No.	Reference
Required Reading
1	Dzemdniecība. D. Rezebergas redakcijā, 2016.
2	Handbook of CTG Interpretation: From Patterns to Physiology. Editor: Edwin Chandraharan, 2017.
3	Ayres-de-Campos, D., & Arulkumaran, S. FIGO consensus guidelines on intrapartum fetal monitoring: Introduction. International Journal of Gynecology and Obstetrics, 2015. 131(1), 3-4.
Additional Reading
1	Fetal heart rate monitoring – principles and intepretation of cardiotocography anaesthesia tutorial of the week 294. 23rd ed. September, 2013.
2	Care of healthy women and their babies during childbirth NICE clinical guideline. 55 Issued: September, 2007.