.
Management of Pathological Pregnancy
Study Course Description
Course Description Statuss:Approved
Course Description Version:7.00
Study Course Accepted:06.01.2023 12:33:54
| Study Course Information | |||||||||
| Course Code: | DUGK_007 | LQF level: | Level 6 | ||||||
| Credit Points: | 2.00 | ECTS: | 3.00 | ||||||
| Branch of Science: | Clinical Medicine | Target Audience: | Nursing Science; Midwifery | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Olga Boka-Veide | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Obstetrics and Gynaecology | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 45 Miera Street, dzgk rsu[pnkts]lv, +371 67293837 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 5 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 10 | ||||
| Classes (count) | 11 | Class Length (academic hours) | 2 | Total Contact Hours of Classes | 22 | ||||
| Total Contact Hours | 32 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Female anatomy, physiology, genetics, embryology, pathological anatomy, pathological physiology, internal diseases, general surgery, pharmacology, laboratory and functional diagnosis, health care organisation, medical ethics, and normal obstetrics. | ||||||||
| Objective: | To promote the acquisition of knowledge about the aetiology, pathogenesis, symptomatology, diagnosis and differential diagnosis of the main pathologies of pregnancy, to understand the tactics of pregnancy management, the application of examination methods, the impact of pathologies on the course and outcome of pregnancy, to acquire the necessary practical skills for the application of this knowledge. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | High-risk pregnant woman – identification of risk factors, specifics of pregnancy management. Reproductive history of a pregnant woman. Care algorithms of high-risk pregnant women. | Lectures | 0.50 | E-Studies platform | |||||
| Classes | 1.00 | clinical base | |||||||
| 2 | Anomalies of foetal development, diagnostic possibilities thereof during pregnancy. Ultrasonography for pregnant women. The first and second trimester screening. | Lectures | 0.50 | E-Studies platform | |||||
| Classes | 1.00 | clinical base | |||||||
| 3 | Bleeding in the first trimester. Early miscarriage, reasons, diagnosis, treatment thereof. Ectopic pregnancy. Abortion. Methods of artificial termination of pregnancy, legislation and organisational procedure in Latvia. | Lectures | 1.00 | E-Studies platform | |||||
| Classes | 1.00 | clinical base | |||||||
| 4 | Bleeding in the second trimester. Placenta praevia, placental abruption. Abdominal pain during pregnancy – acute appendicitis, acute cholecystitis, acute pancreatitis. | Classes | 1.00 | clinical base | |||||
| 5 | Systemic diseases and pregnancy – cardiovascular diseases, kidney diseases (including asymptomatic bacteriuria, acute pyelonephritis), anaemia, antiphospholipid syndrome, deep vein thrombosis, pulmonary embolism. | Lectures | 0.50 | clinical base | |||||
| Classes | 1.00 | clinical base | |||||||
| 6 | Systemic diseases and pregnancy – diseases of the endocrine system (gestational diabetes, diabetes mellitus, thyroid pathology, obesity), lung diseases (bronchial asthma, tuberculosis, pneumonia). | Lectures | 0.50 | E-Studies platform | |||||
| Classes | 1.00 | clinical base | |||||||
| 7 | Diseases of the nervous system (epilepsy, headache), depression during pregnancy and postpartum depression. | Classes | 1.00 | clinical base | |||||
| 8 | Hypertensive conditions in obstetrics – gestational hypertension, preeclampsia, eclampsia, chronic hypertension and HELLP syndrome – etiology, pathogenesis, examination, treatment, management. | Lectures | 1.00 | clinical base | |||||
| Classes | 1.00 | clinical base | |||||||
| 9 | Immune conflict in obstetrics – Rh system, less common types of immune conflict in ABO system, preventive measures, diagnosis and treatment, the role of a midwife. | Classes | 1.00 | clinical base | |||||
| 10 | Intrauterine growth restriction. Assessment of the condition of the foetus during pregnancy. Polyhydramnios, oligohydramnios. | Classes | 1.00 | clinical base | |||||
| 11 | Pregnancy and infections (genital tract and TORCH). | Lectures | 1.00 | E-Studies platform | |||||
| Classes | 1.00 | clinical base | |||||||
| Assessment | |||||||||
| Unaided Work: | Preparation for the topic of the respective class, using recommended literature and Internet sources, with subsequent evaluation thereof and practical application in practical classes. Independent acquisition of practical skills as laboratory work under the lecturer’s guidance. Students should fill out the study course survey questionnaire (for an example, see the video: https://panopto.rsu.lv/Panopto/Pages/Viewer.aspx?id=9558208…) | ||||||||
| Assessment Criteria: | Class attendance (30%), multiple-choice test results (30%), final test (40%). | ||||||||
| Final Examination (Full-Time): | Exam (Written) | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | Can describe basic antenatal care, screening for genetic and other diseases, characterise the course of normal and abnormal pregnancy: spontaneous termination of pregnancy up to 22 weeks of pregnancy, ectopic pregnancy, trophoblastic diseases, post-term pregnancy, intrauterine growth restriction, assessment of foetal condition during pregnancy, TORCH infections in pregnant women, isoimmunisation during pregnancy, bleeding during pregnancy, hypertensive complications during pregnancy, systemic diseases during pregnancy. Explain the clinical pharmacology of drugs used in perinatal care. To identify and describe the indications and methods of termination of pregnancy up to 22 weeks of pregnancy. | ||||||||
| Skills: | As a result of completing the study course, students are able to independently assess deviations from normal course of pregnancy, draw up an examination plan in case of abnormal pregnancy, justify the need and informativeness of examinations, are able to provide advice to a pregnant woman about the impact of pregnancy pathologies on the course of pregnancy, the state of health of the mother and the foetus, are able to explain the choice of drugs commonly used in treatment and the effects on the mother and the foetus. As a result of completing the study course, students have learned and practically know how to apply the following skills: • to collect the reproductive history of a pregnant woman, identify and explain the risk factors of pregnancy; • to determine the period of pregnancy and the correspondence of foetal development to the period of pregnancy; • know how to evaluate the intrauterine state of health of the foetus and identify deviations from the norm; • are able to prescribe and explain the need for examinations and interpret the results for a pregnant woman during antenatal care in the case of a normal and abnormal pregnancy; • know how to prescribe therapy in case of pregnancy pathology; • are able to interpret the results of genetic screening. | ||||||||
| Competencies: | As a result of acquiring theoretical and practical knowledge, the student is able to: • perform basic antenatal care; • perform antenatal care in case of pregnancy pathology. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Dzemdniecība. D. Rezebergas redakcijā. Nacionālais apgāds, 2016. | ||||||||
| 2 | Latvijas ginekologu un dzemdību speciālistu asociācijas vadlīnijas mājas lapā | ||||||||
| 3 | Lekciju materiāli | ||||||||
| Additional Reading | |||||||||
| 1 | Williams Obstetrics, atkārtoti izdevumi, 2022 | ||||||||
| 2 | www.uptodate.com | ||||||||
| Other Information Sources | |||||||||
| 1 | LR likumdošana | ||||||||
| 2 | RSU bibliotēkas resursi | ||||||||
| 3 | www.pubmed.com | ||||||||
| 4 | emedicine.medscape.com | ||||||||
| 5 | "SPKC algoritmi - Perinatālā perioda aprūpe" | ||||||||
