THEME: Physiological labor. The tactics of GPs.Urgent help with physiological delivery.

The structure of lesson 1. Introduction 2. The theoretical part 3. The practical part - Supervision of pregnancy - The algorithm practical skills 4. The analytical part of - Case study - Test solution

Flow chart classes № Stage of classForms of classDuration 1The opening word of the teacher15 2 The discussion on practical training, new teaching technologies (discussion), phantoms, models, slides, audio and video cassettes, the definition of the initial level of student The survey, discussion (Annex number 1 - discussion) 45 3 The assimilation of the practical skills of students by teachers (Curation thematic patient) The history of the disease Giving students a task to perform the practical part of training. Dacha explanations and notes for the task. Self Supervision. / In the absence of women in labor - work on models and phantoms (see the practical application of skills in the tutorial) History of deliveries, clinical and case studies / work with clinical laboratory instruments, dummy 50 Break30 5 Analysis of the results of laboratory and instrumental studies taken from patients. Differential diagnosis, treatment plan and rehabilitation. Writing prescriptions, etc. Working with clinical and laboratory findings. History of deliveries Fixing and discussion of the theoretical knowledge and the results of practical work. Evaluation of knowledge on the basis of the goal classes. Summing up. Discussion, oral questioning, testing of practical skills. (Decision of the case studies, tests) 40 7 The conclusion of the teacher in this lesson, each student's score on a 100-point scale, with the announcement set for the next session (see by rotation) Information, questions for self-study 20 Total: 290

The purpose of the training session: in-depth knowledge and skills in the management of pregnant women and women in labor at physiological delivery in primary care and at home. Developing the ability to assess, analyze the situation, choosing tactics, diagnosis, and emergency care during the labor, rational transport under physiological childbirth and the postpartum period at the primary level.

Learning outcomes GPs should be aware of: know the mechanism of labor. The generic way, and the fruit as an object of birth Biomechanism birthing positions of flexion of the fetus

Learning outcomes GPs should be able to: Determine the period of delivery Provide emergency care, depending on the stage of labor. Methods of protection of the perineum at birth of the fetus. Active management of III stage of labor. Assess the condition of the fetus Produce the first toilet newborn. Develop criteria for the period and method of transporting women in labor and childbirth

Interdisciplinary communication and Intra The teaching of this subject is based on the knowledge of students of anatomy, topographic anatomy, basic obstetrics passed a 4th year, and a further study of them in where needed knowledge to develop the method of delivery in pregnant women. The results obtained in the course of training knowledge will be used in traversing emergency other clinical disciplines, as well as in the further study of such topics as their "Postpartum", "threatening the fetus" and other disciplines.

Control questions: 1. What is labor? 2. What are the harbingers of birth? 3. Diagnosis and management of preliminary period. 4. What is the biomechanics of labor? 5. Diagnosis and management of I stage of labor. 6. How is the opening of the uterine mouth? 7. Diagnosis and management of II stage of labor. 8. Duties of a doctor in the 2nd stage of labor. 9. Diagnosis and management of III stage of labor, active management of III stage of labor. 10. Transporting women in labor, depending on the stage of labor.