V. Organizational structure of lesson:

Organizational moments-2%;

Topic motivation -3%;

Checking the initial level of knowledge -20%;

Independent work of students under supervision of a lecturer -35%;

Checking the final level of knowledge -20%;

The rating of students` knowledge -15%;

Lecturer`s summary/conclusion, home task-5%.

VI. Methodical support:

The place of practical training: classroom, delivery room, compartment of pregnant pathology, children’s compartment.

Visual aids: tables, model of pelvis, centimeter tape, case studies.

Case studies for the assessment of the final level of knowledge

1. A pregnant woman at 40 weeks gestational age was admitted to the obstetrics department. Complaints on the rhythmical abdominal pain and the pain in the small of the back which occurs each 6-7 minutes and lasts 30-40 seconds. On internal obstetric examination it is noted that the uterine neck is effaced, 7 cm dilated, head presenting. During the examination there was discharge of transparent amniotic fluid.

• What is the period of delivery?

In the active phase of the 1^st period of delivery

• How to characterize the amniotic fluid discharge?

Timely

2. In the lying-in woman on examination with the 4^th Leopold method there is noted that occiput part of the head is not palpable above the small pelvis inlet and the facial part is above by two fingers. By means of abdominal palpation the determined height of head standing is 2/5.

• What is the degree of head engagement?

With its large segment in the pelvic inlet

3. Living full-term boy was born: pink body skin, cyanotic extremities, moves actively, cries loudly, heartbeat is 136 b.p.m.

• What is the Apgar score of the newborn?

8 points

Test questions for the assessment of final level of knowledge

1. 5 minutes after fetal birth the womb of the lying-in woman deflected to the right and the uterine fundus is determined 3 cm above the umbilicus. There is noted moderate bloody vaginal discharge.

• Which sign of placenta separation is being observed?

1. Schreder

2. Kustner-Chukalov

3. Alfeld

4. Dovzhenko

2. On internal obstetric examination there is noted that the lower head vertex is at the level of the interspinal line.

• What is the degree of head engagement?

1. With its large segment in the pelvic inlet

2. With its small segment in the pelvic inlet

3. The head in the pelvic cavity

4. The head in the plane of the pelvic outlet

3. On internal obstetric examination there is noted that the head is presenting, in the front, closer to the pubic the smaller fontanel is palpable, the saggital suture is in the right oblique dimension, cranial bones moderately cover each other.

• What is the degree of head configuration?

5. Second

6. Third

7. First

Zero

The recommended literature:

L. B. Ventskivska Obstetrics/-K.: “Medicine”, 2008.

Appoved at the chair meeting from “___” _____________________ 200__ year,

minutes № ___ .

Revised at the chair meeting from “___” _____________________ 200__year,

minutes № ___ .