Irregular Process of Pregnancy and Childbirth (VO)


Course lecturer:


 Melanie Dohr , BSc
 Barbara Egger , BSc MSc


Dr. med. univ.

 Birgit Hauptmann

Dr. med. univ.

 Hanno Hörmaier
 Tamara Pahr , BA

Course numberB3.06690.30.010
Course codeSSuGebv.
Semester of degree program Semester 3
Mode of delivery Presencecourse
ECTS credits2,5
Language of instruction German

According to European Union Standards for Nursing and Midwifery (Vgl. FH-Heb-AV StF: BGBl. II Nr. 1/2006 (Version 2016)) gynecological and obstetric pathology is a part of the training programme for obtaining evidence of formal qualifications in midwifery. The training program for obtaining evidence of formal qualifications in midwifery also includes knowledge about analgesia, anaesthesia and resuscitation, pathology of gynaecology and obstetrics.
Midwives are trained to recognize the warning signs of abnormality in the mother or infant which necessitate referral to a doctor and assisting the latter where appropriate. Midwives prescribe or advise on examinations necessary for the earliest possible diagnosis of pregnancies at risk, midwives are trained for taking the necessary emergency measures in the doctor's absence in particular the manual removal of the placenta, possibly followed by manual examination of the uterus. Midwives are supposed to care for and to assist mothers during labor and monitor the condition of the fetus in utero by the appropriate clinical and technical measures.

Students will acquire methodological and analytical skills to recognize signs of deviations and pathological courses in mother and child during birth time and to accompany with appropriate measures or to dominate. The graduates are able to explain the basics of evidence-based, process-oriented counseling and support to pregnant women and to implement, promote regular right proportions and support effective measures to promote, maintain and restore health.


Content of this class (epidemiology, significance for mother and child, diagnostics, management, therapeutic measures):
Infection and illness during pregnancy
Comorbidity (diabetes, hyperemesis, preeclampsia, HELLP syndrome, anemia, etc.)
Infections: bacteria, virus, parasitology, prophylaxis
Disturbance in early stage of pregnancy
Bleeding during pregnancy
Intrauterine growth restriction: terminology, etiology, pathophysiology of fetal growth
Screening methods, diagnostics, surveillance and therapy
Termination of pregnancy on medical indication
Pathology of beginning of labor:
Preterm birth: terminology, etiology, pathology of premature labor, cervical insufficiency, abnormalities of the uterus, mode of delivery
Past due date: terminology, etiology, pathology, cervical ripening, methods of inducing
Basic knowledge of diagnostic methods (ultrasound, Doppler, amniocenteses, MRI, microbiological examinations) and therapy
Extended studies on fetal and maternal assessment of health status before and during labor (cardiotocography, electrocardiogram, etc.)
Recognition and evaluation of prolonged labor, disproportions, abnormalities in second stage of labor, dystocia of contractions
Micro blood analysis
Intrapartal resuscitation, recognition of intrapartal asphyxia of the fetus
Management of PROM (premature rupture of membranes)
Induction of labor: indication, methods, complications
Vaginal-assisted birth and cesarean section: indication, technique,management and complications
Irregular processes during 3rd stage of labor
drugs administration in emergency situations, methods of obstetric anesthesia

Gauge, Susan & Henderson, Christine (2010). CTG-Training: Übungsbuch zur sicheren CTG-Interpretation. Stuttgart: Thieme.
Goeschen, Klaus (2003). Kardiotokographie - Praxis (6. Auflage). Stuttgart: Thieme.
Mändle, Christine & Opitz-Kreuter, Sonja (2015). Das Hebammenbuch. Lehrbuch der praktischen Geburtshilfe (6. Auflage). Stuttgart: Schattauer.
Petersen Eiko (2011). Infektionen in Gynäkologie und Geburtshilfe: Lehrbuch und Atlas. Stuttgart: Thieme.
Rath Werner, Gembruch Ulrich & Schmidt, Stefan (2010). Geburtshilfe und Perinatologie: Pränataldiagnostik - Erkrankungen - Entbindung. Stuttgart: Thieme.
Roessner, Albert, Pfeifer, Ulrich & Müller-Hermelink, Hans Konrad (2008). Allgemeine Pathologie und Grundlagen der speziellen Pathologie (11. Auflage). München: Urban & Fischer
Schaefer Christof, Spielmann Horst, Vetter Klaus & Weber-Schöndorfer, Corinna (2011). Arzneimittel in Schwangerschaft und Stillzeit . 8. Auflage. München: Urban & Fischer/Elsevier.
Schneider, Henning, Husslein, Peter & Schneider, Karl-Theo (2016). Die Geburtshilfe (5. Auflage). Berlin/Heidelberg: Springer.
Stiefel, Andrea, Geist, Christine & Harder, Ulrike (2013). Hebammenkunde. Lehrbuch für Schwangerschaft, Geburt, Wochenbett und Beruf (5., überarbeitete und erweiterte Auflage). Stuttgart: Hippokrates.
Uhl, Bernhard (2010). Gynäkologie und Geburtshilfe compact. Stuttgart: Thieme Verlag.