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OBGY713 Pregnancy Care in the Community

Content and rationale of antenatal and postnatal visits, relevant anatomy and physiology of pregnancy, hypertension in pregnancy, medical disorders of pregnancy, bleeding in pregnancy, thrombophilias in pregnancy, malpresentations late in pregnancy, obstetric trauma, episiotomy, breast feeding, common disorders of the puerperium, well baby check, common neonatal disorders to include jaundice, respiratory distress, seizures, infection, intracranial bleeding, hypothermia.

OBGY 713 covers antenatal, birthing and postnatal care, including the care of pregnant women with chronic medical conditions. It also covers the care of the newborn, including common neonatal disorders, well baby checks and immunisation.

Paper title Pregnancy Care in the Community
Paper code OBGY713
Subject Obstetrics and Medical Gynaecology
EFTS 0.15
Points 15 points
Teaching period(s) 1st Non standard period (30 March 2021 - 8 June 2021), 2nd Non standard period (24 August 2021 - 21 October 2021)
Domestic Tuition Fees (NZD) $1,733.40
International Tuition Fees (NZD) $6,404.40

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Restriction
OBGX 713
Limited to
PGCertWHlth, PGDipOMG
Notes
(i) This paper is designed for the continuing professional education of health professionals involved in the provision of women's health care, and is also a compulsory paper for the Postgraduate Diploma in Obstetrics and Medical Gynaecology. (ii) Limited to 30 students per semester. (iii) For more information: www.otago.ac.nz/womens-health-postg
Eligibility
Recommended for general practitioners (GPs) and GP registrars and sexual health physicians, and those doctors considering a future in sexual and reproductive health, general practice, obstetrics and gynaecology, paediatrics or emergency medicine. Suitable for midwives, practice nurses, family planning and public health nurses.

Enrolments for this paper are limited and require departmental permission. View more information about limitations of enrolment.
Contact

Amanda Phillips: Women's and Children's Health Distance Learning Co-ordinator
Email wch.distancelearning@otago.ac.nz
Tel: Ask Otago 0800 808 098

Teaching staff

Convenor: Dr Celia Devenish
Teaching Staff : Dr Celia Devenish, Dr Jane McDonald, Dr Jo Gullam, Dr Judy Ormandy, Dr Su Chandru

Paper Structure
One of four distance-taught papers that are offered as part of Postgraduate Certificate in Women's Health (PGCertWHlth) and Postgraduate Diploma in Obstetrics and Medical Gynaecology (PGDipOMG) programmes
Teaching Arrangements

Consists of six 2-hour Tuesday evening audioconferences on Zoom conducted fortnightly over twelve weeks

N1: Tuesday, 30 March - Tuesday, 8 June 2021
Examination: Wednesday, 9 June 2021, delivered online

N2: Tuesday, 24 August - Thursday, 21 October 2021
Examination: Wednesday, 10 November 2021, delivered online

Textbooks

There is no single textbook for this paper. Readings will be provided for students to access via the Library, with additional readings and other multimedia material provided via Moodle.

Graduate Attributes Emphasised
Interdisciplinary perspective, Lifelong learning, Scholarship, Communication.
View more information about Otago's graduate attributes.
Learning Outcomes

Pregnancy Care in the Community

  • Undertake risk assessment of pregnant women and arrange appropriate specialist referral
  • Facilitate referral for an appropriate model of antenatal care in alignment with MOH guidelines— midwife, hospital clinic, private specialist,
  • Explain the dos and don’ts of pregnancy including the use of radiological examinations, surgery for unrelated issues, immunisations, and travel
  • Outline how to safely prescribe in pregnancy and breast-feeding
  • Describe how to identify and refer fetal growth restriction
  • Recognise significant findings in first trimester scanning which will require referral
  • Be able to:
  • Sympathetically accept complaints from patients and staff about the service
  • Recognise inappropriate staff and patient attitudes
  • Respect the privacy of patients and seek ways to ensure this
  • Coordinate consultation and investigation at clinics

Obstetric Emergencies

  • Recognise and detail the causes of obstetric collapse.
  • Detail the causes and management of non-obstetric collapse.
  • Recognise, manage and prevent fetal cord prolapse.
  • Recognise and manage shoulder dystocia.
  • Manage massive obstetric haemorrhage.
  • Recognise and manage severe pre-eclampsia and eclampsia.

Common Disorders in Pregnancy

  • Describe and assess the exposure risk of pregnant women to common childhood illnesses, including varicella, rubella, and parvovirus.
  • Assess and manage infectious diseases in pregnancy including: HIV, and Hepatitis B and C.
  • Assess and manage a pregnant woman at risk from venous thromboembolism.
  • Describe the management of a pregnant woman with BMI>40.
  • Assess and manage a pregnant woman with diabetes, hypertension, a history of urinary tract infections, epilepsy, asthma, thyroid disorders, heart disease, connective tissue disorders, and/or a history of a mental health disorder.

Birth Matters

  • Describe and assess the exposure risk of pregnant women to common childhood illnesses, including varicella, rubella, and parvovirus.
  • Assess and manage infectious diseases in pregnancy including: HIV, and Hepatitis B and C.
  • Assess and manage a pregnant woman at risk from venous thromboembolism.
  • Describe the management of a pregnant woman with BMI>40.
  • Assess and manage a pregnant woman with diabetes, hypertension, a history of urinary tract infections, epilepsy, asthma, thyroid disorders, heart disease, connective tissue disorders, and/or a history of a mental health disorder.

Maternal Wellbeing and Lactation

  • Describe care of wounds of the perineum in the post-partum period.
  • Describe the normal process of uterine involution and the characteristics of lochia.
  • Discuss management of severe puerperal sepsis.
  • Describe postnatal depression, predisposing factors, diagnosis (including differentiating this from “baby blues”), and initial management.
  • Describe the advantages and disadvantages of different methods of feeding the baby.
  • Diagnose and describe management of breast engorgement, sore nipples, and breast infection.
  • Outline the basic physiology of lactation and apply this knowledge to promote or suppress lactation.

Maternal Mental Health and Well-being

  • Identify health promotion
  • Critically appraise evidence based screening and assessment
  • Outline interventions including case management, transition planning and referrals
  • Evaluate access to respite care and specialist inpatient care for mothers and babies
  • Recommend consultation and liaison services within the health system and with other agencies.
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Timetable

1st Non standard period (30 March 2021 - 8 June 2021)

Location
Dunedin
Teaching method
This paper is taught through Distance Learning
Learning management system
Moodle

2nd Non standard period (24 August 2021 - 21 October 2021)

Location
Dunedin
Teaching method
This paper is taught through Distance Learning
Learning management system
Moodle