Clinical Placement II

Study Course Description

Course Description Statuss:Approved

Course Description Version:9.00

Study Course Accepted:02.05.2023 16:01:34

Study Course Information
Course Code:		MDAK_070		LQF level:		Level 6
Credit Points:		8.00		ECTS:		12.00
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)		0	Lecture Length (academic hours)		0	Total Contact Hours of Lectures		0
Classes (count)		11	Class Length (academic hours)		2	Total Contact Hours of Classes		22
Total Contact Hours								22
Study course description
Preliminary Knowledge:
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, Anatomy, Physiology.
Objective:
To prepare students for work in health care in physiological obstetrics.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Development of a childbirth care plan. Participation of women in labour in preparation of the plan and decision-making. Positions facilitating physiological childbirth and physiological pain relief methods.			Classes		1.00	placement location
2	Facilitation of newborn’s adaptation period. Necessity for pharmacological pain relief methods, their side effects.			Classes		8.00	METC
3	Practice reflection			Classes		2.00	other
Assessment
Unaided Work:
Completion of the placement diary.
Assessment Criteria:
100% attendance, duly completed and delivered documentation in e-studies, two successfully passed tests at MITC (makes up 25% of the final grade), participation in the supervision of the internship, defense of the internship (makes up 25% of the final grade), evaluation of the internship supervisor (makes up 50% of the final grade).
Final Examination (Full-Time):		Defence (Placement)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		As a result of completing the study course students gain in-depth understanding of the reasons and symptoms of commencement of labour, will be able to specify the gestational age, facilitate childbirth, outline natural relief methods of childbirth pain, analyse cardiograms, describe the process of physiological childbirth and postnatal period. Upon successful completion of the study course students will be able to describe the functional condition of newborns according to Apgar test and outline the physiology and proper technique of breastfeeding.
Skills:		Student will be able to carry out specific examination of women in labour and women during the first week after labour, prepare a care and management plan of physiological childbirth, document all activities performed during childbirth, promote participation of women in labour in preparation of the plan and decision-making, manage and assist physiological childbirth at head first position, assess the physiological processes of early postpartum period, assess the functional condition of newborns according to Apgar scale, will be able to perform accurate enteral and parenteral administration of the prescribed medication and provide intravenous access with a needle and peripheral venous catheter, as well as help the new parents initiate breastfeeding.
Competencies:		By using the acquired knowledge of physiological childbirth process and postpartum period, students are able to assess the obtained data, explain the process of childbirth and postpartum period, understand the importance of education of women in labour and women during the first week after labour during childbirth and postpartum period, have competence and understanding of specific investigative techniques in obstetrics (vaginal investigation, cardiotocography, etc.), use their knowledge to educate women in labour, women in labour, women during the first week after labour and their family members about childbirth, postpartum period and breastfeeding.
Clinical Skills:
No.	Skill					Level
1	Per speculum examination of cervix and vagina after birth.					C1 - High level
2	Administration of Medication using a CVC (Syringe)					B1 - Basic level
3	Administration of Medication using a PVC (Syringe)					B1 - Basic level
4	Administration of Medication using a PVC (Perfusor)					B1 - Basic level
5	Antenatal care planning according Republic of Latvia program					C1 - High level
6	Asking questions					B2 - Intermediate level
7	Assessing Blood Pressure					B2 - Intermediate level
8	Bed making and changing of bed linen					B1 - Basic level
9	Bimanual pelvic (gynaecological) examination					B1 - Basic level
10	Blood sampling					B1 - Basic level
11	Discrepancies					B2 - Intermediate level
12	Donati suture					A - Beginner level
13	Donning Sterile Gloves					B1 - Basic level
14	Due date estimation					B2 - Intermediate level
15	Encouraging					B2 - Intermediate level
16	Ensuring “skin-to-skin” contact with the newborn					C1 - High level
17	Evaluation of fetal heart tones					C1 - High level
18	Evaluation of newborn reflexes					B1 - Basic level
19	Female perineal care					A - Beginner level
20	Female perineal care					B1 - Basic level
21	Fundus uteri identification					B1 - Basic level
22	Fundus uteri identification					B2 - Intermediate level
23	Fundus uteri measurement during pregnancy					C1 - High level
24	Hygienic Hand Disinfection					B1 - Basic level
25	Hypertonic Enema					B1 - Basic level
26	Indwelling female catheterisation					B2 - Intermediate level
27	Installation of the face mask					C1 - High level
28	Intermittent female catheterisation					B2 - Intermediate level
29	Management of physiological first labor					C1 - High level
30	Management of physiological second labor					C1 - High level
31	Microlax Enema					A - Beginner level
32	Microlax Enema					B1 - Basic level
33	Newborn primary resuscitation					A - Beginner level
34	Newborn primary resuscitation					B1 - Basic level
35	Patient bed bathing					A - Beginner level
36	Performing and interpretation of fetal CTG.					C1 - High level
37	Performing vaginal smear test					C1 - High level
38	Physiological labor					A - Beginner level
39	Physiological labor					B1 - Basic level
40	Physiological labor					B2 - Intermediate level
41	Positioning of twins during breastfeeding					C1 - High level
42	Pregnant women’s blood pressure measurements					C1 - High level
43	Primary care of the neonate in physiological labor					A - Beginner level
44	Primary care of the neonate in physiological labor					B1 - Basic level
45	Primary care of the neonate in physiological labor					B2 - Intermediate level
46	Reproductive history of obstetric patient					C1 - High level
47	Self-help; Self-care					B2 - Intermediate level
48	Structured history taking					A - Beginner level
49	Usage of blood glucose meter					A - Beginner level
50	Vaginal rupture suturing after childbirth					C1 - High level
51	Withdrawing Medication from a Vial into a Syringe					B1 - Basic level
52	Withdrawing Medication from an Ampoule into a Syringe					B1 - Basic level
53	Women’s bimanual examination					C1 - High level
54	Women’s examination per speculum					C1 - High level
55	Women’s rectal examination					C1 - High level
56	Women’s rectovaginal examination					C1 - High level
Bibliography
No.	Reference
Required Reading
1	Good Practice and Malpractice in Labor and Delivery / by Di Renzo GC, Berghella V, Malvasi A. Edra S.p.A., 2019.
2	Skills for Midwifery practise / 4th Edition / by Johnson R, Taylor W. 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	Heart & Hands: A Midwife's Guide to Pregnancy and Birth / by Elizabeth Davis. 5th Edition. Ten Speed Press, 2012. (akceptējams izdevums)
Additional Reading
1	Practical Obstetrics / by Joachim W. Dudenhausen. 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	Rapid Midwifery / by Snow S, Taylor K, Carpenter J. John Wiley & Sons, Ltd., 2016.
4	Chapman, V., & Charles, C. (2018). The Midwife's Labour and Birth Handbook. Newark: John Wiley & Sons, Incorporated.
5	Midwives’ Emotional Care of Women becoming Mothers / by Sue Barker. Cambridge Scholars Publishing, 2011.
6	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. https://apps.who.int/iris/bitstream/handle/10665/260178/978…
2	Ministru kabineta noteikumi Nr.611 ''Dzemdību palīdzības nodrošināšanas kārtība” https://likumi.lv/ta/id/140695-dzemdibu-palidzibas-nodrosin…
3	http://www.medicalaidfilms.org/
4	Newborn resuscitation and support of transition of infants at birth Guidelines