Obstetrical History: Practice Case – Intrapartum Care, Labour and Delivery Triage
Activity
Clinical Skills Sessions
To discuss and to practice the components of the Obstetrical history as it pertains to Intrapartum Care. To apply key terminology appropriately in intrapartum care, including: Diagnosis and stages of labour, including differentiating term from preterm labour. Diagnosis of rupture of membranes (ROM), including differentiating spontaneous rupture of membranes (SROM), prelabour rupture of membranes (PROM) and preterm prelabour rupture of membranes (PPROM). Practice taking a focused history in an intrapartum care setting, with a focus on four essential triage visit questions (Contractions/labour; Fluid/rupture of membranes; Bleeding; and Fetal Movements). Demonstrate use of gender-inclusive perinatal language (e.g. parental leave, birthing parent, chest-feeding). Practice navigating key challenges in delivery of intrapartum care in rural and remote settings, including recognizing limitations of scope of practice to inform shared decision-making. Pro-Comp Connection – Indigenous Health and Prenatal / Intrapartum Care

Curriculum Block

Medical Foundation 3 / Part 3 / Reproduction and Pregnancy / Week 3
- Indicates most relevant

Assessments

Objectives Structured Clinical Examination
End-Unit Clinical Skills Assessment

Tags

AFMC Entrustable Professional Activities
1. Obtain a history and perform a physical examination adapted to the patient’s clinical situation
Curriculum Block
Medical Foundation 3 Part 3 Reproduction and Pregnancy Week 3
Curriculum Week
Part 3 Week 11
Discipline
Indigenous Health Obstetrics and Gynecology
General MCC Objectives
Physical Examination
Longitudinal Discipline
Indigenous Health Priority Groups
MCC Presentations
Intrapartum and Postpartum Care
McMaster Professional Competency
Clinical Skills
McMaster Program Competencies
1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 3.1 Solicit and respond to feedback from peers, teachers, supervisors, patients, families, and members of health care teams regarding one’s knowledge, skills, attitudes and professional behaviours 3.2 Integrate feedback, external measures of performance and reflective practices to identify strengths, deficiencies, and limits in one’s knowledge, skills, attitudes and professional behaviours 3.3 Set learning and improvement goals 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds
MeSH
Fetal Membranes, Premature Rupture [C13.703.420.339] Indigenous Canadians [M01.270.968.500.600.375] Indigenous Canadians [M01.270.968.500.600.375] Labor Onset [G08.686.784.769.326.500] Labor Stage, First [G08.686.785.760.769.326.500.080] Labor Stage, Second [G08.686.785.760.769.326.500.090] Labor Stage, Third [G08.686.785.760.769.326.500.110] Labor, Obstetric [G08.686.784.769.326] Obstetric Labor Complications [C13.703.420]