NEO606 - NEWBORNS FROM HIGH RISK PREGNANCIES
| Course Name | Code | Semester | Theory (hours/week) |
Application (hours/week) |
Credit | ECTS |
|---|---|---|---|---|---|---|
| NEWBORNS FROM HIGH RISK PREGNANCIES | NEO606 | Any Semester/Year | 2 | 2 | 3 | 8 |
| Prequisites | Limited to a quoata of 10 students. | |||||
| Course language | Turkish | |||||
| Course type | Elective | |||||
| Mode of Delivery | Face-to-Face | |||||
| Learning and teaching strategies | Lecture Discussion Question and Answer Observation Drill and Practice Problem Solving | |||||
| Instructor (s) | Murat Yurdakök, Şule Yiğit, H. Tolga Çelik | |||||
| Course objective | The aim of the course is; fetal and neonatal effects of high-risk pregnancies (maternal autoimmune, isoimmune, hypertensive diseases, use of teratogenic substance-drug, substance-alcohol use, non-immune hydrops fetalis, intrauterine-perinatal infections), problems associated with traumatic birth, The aim of the course is to provide the students with current knowledge and experience about diagnosis-treatment approach and management. | |||||
| Learning outcomes |
| |||||
| Course Content | To learn the fetal and neonatal effects of high risk pregnancies (maternal autoimmune, isoimmune, hypertensive diseases, teratogen substance-drug, substance-alcohol use, non-immune hydrops fetalis, intrauterine-perinatal infections). Diagnosis, treatment and management of these babies before, during, and after delivery | |||||
| References | Fanoroff and Martin?s Neonatal-Perinatal Medicine, 11thEdition, Martin RR, Fanaroff AA, Walsh MC. 2020. Elsevier ISBN:9780323567114. Avery?s Diseases of the Newborn, 10th Edition, Gleason CA, Juul SE, Elsevier 2018, ISBN: 9780323401395. Fetal and Neonatal Physiology, 5th Edition, Polin RA, Abman SH, Rowitch DH, Benitz WE, Fox WW, Elsevier, Philadephia, 2017, ISBN:978-0-323-35214-7. Prenatal Pediatri, Yurdakök M, Deren Ö, Yiğit Ş, Özyüncü Ö, Korkmaz A, Güneş Tıp Kitabevleri, Ankara, 2012, ISBN: 978-975-277-425-4. Yurdakök Pediatri (4 Cilt), Yurdakök M, Güneş Tıp Kitabevleri, Ankara, 2017, Cilt 1 ISBN:978-975-277-664-7, Cilt 2 ISBN: 978-975-277-665-4, Cilt 3 ISBN: 978-975-277-666-1, Cilt 4 ISBN: 978-975-277-663-0. Yenidoğan Bakımında Hacettepe Uygulamaları, Yurdakök M, Yiğit Ş, Çelik HT, Güneş Tıp Kitabevleri 2019, Ankara, ISBN: 978-975-277-753-8. Literature related to the subjects will be given to students. | |||||
Course outline weekly
| Weeks | Topics |
|---|---|
| Week 1 | Fetal and neonatal effects of maternal autoimmune-isoimmune and hypertensive diseases -I (Murat Yurdakök) |
| Week 2 | Fetal and neonatal effects of maternal autoimmune-isoimmune and hypertensive diseases -II (Murat Yurdakök) |
| Week 3 | Fetal-neonatal effects of maternal substance-alcohol use (H. Tolga Çelik) |
| Week 4 | Discussion - Case presentations - Clinical practises |
| Week 5 | Discussion - Case presentations - Clinical practises |
| Week 6 | Mid-term exam |
| Week 7 | Multiple pregnancies (prenatal and postnatal approach) (Özgür Deren, Özgür Özyüncü, H. Tolga Çelik) |
| Week 8 | Erythroblastosis Fetalis (prenatal and postnatal approach) (Özgür Deren, Özgür Özyüncü, Murat Yurdakök) |
| Week 9 | Non-immune hydrops fetalis (prenatal and postnatal approach) (Özgür Deren, Özgür Özyüncü, Şule Yiğit) |
| Week 10 | Discussion - Case presentations - Clinical practises |
| Week 11 | Mid-term exam |
| Week 12 | Intrauterine-perinatal infections, diagnosis-treatment and management principles -I (AteÅŸ Kara) |
| Week 13 | Intrauterine-perinatal infections, diagnosis-treatment and management principles -II (AteÅŸ Kara) |
| Week 14 | Problems and treatments related to traumatic birth (H. Tolga Çelik) |
| Week 15 | Discussion - Case presentations - Clinical practises |
| Week 16 | General Exam |
Assesment methods
| Course activities | Number | Percentage |
|---|---|---|
| Attendance | 16 | 20 |
| Laboratory | 0 | 0 |
| Application | 21 | 10 |
| Field activities | 0 | 0 |
| Specific practical training | 0 | 0 |
| Assignments | 0 | 0 |
| Presentation | 0 | 0 |
| Project | 0 | 0 |
| Seminar | 0 | 0 |
| Midterms | 2 | 20 |
| Final exam | 1 | 50 |
| Total | 100 | |
| Percentage of semester activities contributing grade succes | 29 | 50 |
| Percentage of final exam contributing grade succes | 1 | 50 |
| Total | 100 | |
WORKLOAD AND ECTS CALCULATION
| Activities | Number | Duration (hour) | Total Work Load |
|---|---|---|---|
| Course Duration (x14) | 15 | 2 | 30 |
| Laboratory | 0 | 0 | 0 |
| Application | 15 | 2 | 30 |
| Specific practical training | 0 | 0 | 0 |
| Field activities | 15 | 2 | 30 |
| Study Hours Out of Class (Preliminary work, reinforcement, ect) | 15 | 6 | 90 |
| Presentation / Seminar Preparation | 0 | 0 | 0 |
| Project | 0 | 0 | 0 |
| Homework assignment | 0 | 0 | 0 |
| Midterms (Study duration) | 2 | 20 | 40 |
| Final Exam (Study duration) | 1 | 20 | 20 |
| Total Workload | 63 | 52 | 240 |
Matrix Of The Course Learning Outcomes Versus Program Outcomes
| D.9. Key Learning Outcomes | Contrubition level* | ||||
|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | |
| 1. Gaining up-to-date knowledge and experience regarding fetal and neonatal effects of high-risk pregnancies (maternal auto-immune, iso-immune and hypertensive diseases; teratogenic substance-drug or substance-alcohol use, non-immune hydrops fetalis, intrauterine-perinatal infections); problems about traumatic delivery and also diagnosis, treatment and management of these babies before, during and after delivery. | X | ||||
| 2. Gaining up-to-date knowledge and experience regarding development, maturation, surfactant metabolism of lungs, respiratory physiology in newborns, respiratory evaluation - follow-up, diagnostic approach to respiratory distress, ethiopathogenesis and advanced treatments of severe respiratory diseases of the newborn (respiratory distress syndrome, bronchopulmonary dysplasia, important congenital anomalies of the respiratory system), mechanical ventilation support in newborns | X | ||||
| 3. Gaining up-to-date knowledge and experience regarding hemodynamic evaluation and follow-up of newborns, cardiotonic drugs, diagnosis, ethiopathogenesis, management and advanced treatments of severe circulatory system diseases (congenital heart diseases, patent ductus arteriosus, arrhythmias, pulmonary hypertension), preoperative and postoperative care in congenital cardiac disaeses, ECMO treatment. | X | ||||
| 4. Gaining up-to-date knowledge and experience regarding prevention of central nervous system damage in newborns, central nervous system monitoring, ethiopathogenesis and advanced treatments of severe diseases of the central nervous system (perinatal hypoxic ischemic injury, hypoxic ischemic encephalopathy, bilirubin encephalopathy, kern icterus, intraventricular-intracranial hemorrhage, white matter injury, periventricular leukomalacia, congenital malformations of the central nervous system, neonatal convulsions, apnea), hypotonia, neuromuscular diseases, retinopathy of prematurity, diagnosis, treatment and management of pain in newborns, identification of newborns with neurological-developmental high-risk and their follow-up. | X | ||||
| 5. Gaining up-to-date knowledge and experience regarding development of immune system in newborns, immunization of premature newborns, neonatal infections, sepsis, necrotizing enterocolitis, probiotic use in newborns. | X | ||||
| 6. Gaining up-to-date knowledge and experience regarding fluid, electrolyte, acid-base balance disorders in newborns, acute kidney injury, disorders of coagulation system (bleeding and thrombosis), hypoglycemia, hereditary metabolic diseases, disorders of calcium-phosphorus metabolism, diagnosis, treatment and management of osteopenia of prematurity | X | ||||
| 7. Gaining up-to-date knowledge and experience regarding current, new and candidate treatment methods in neonatal diseases (mesenchymal stem cell, cellular-regenerative treatment methods), acute and enzyme / new drug treatments given to rare hereditary diseases (genetic, neurologic, metabolic etc) in neonatal period, renal replacement therapies, ECMO therapy, preoperative end postoperative care in newborn?s surgical diseases. Gains up-to-date knowledge and experience regarding medical and technical equipment used in the field of neonatology and uses computer and information technologies effectively. | X | ||||
| 8. Learning ethical principles and problems related to perinatal-neonatal period and clinical research, ethics of scientific publications, legislation and legal regulations related to clinical research, their importance for the individual and society and to give genetic advice, obeys ethical principles. As an individual, behaves appropriately to laws, regulations and legislation regarding duty rights and responsibilities and also to professional code of ethics. | X | ||||
| 9. Acquires theoretical and practical knowledge required by the field of neonatology, offers short- and long-term solutions to problems, obtains up-to-date and evidence-based scientific knowledge, follows current international literature, produces research hypothesis by combining it with scientific curiosity. Learns clinical and experimental scientific research planning; project writing, execution, finalization; scientific presentation methods; article writing methods; scientific article evaluation and basic concepts and skills related to research and publication statistics. Analyzes the results of the research with statistical methods, documents the evidence-based reports and presents them in national / international scientific fields. | X | ||||
| 10. Presentations, discussions and questions the themes related to neonatal diseases, and also his / her theoretical knowledge and opinions about applications independently or as a team manner in national and international scientific environments, defends the results within the framework of scientific evidence and ethical principles. Is sensitive and responsible for the problems related to health care and health policies concerning baby-child-mother-family and community health within the scope of Neonatology. Produces short- and long-term solutions to problems in individual and social context. Knows the importance of team work in the field of neonatology, works as a leader and / or team member, conducts research. | X | ||||
*1 Lowest, 2 Low, 3 Average, 4 High, 5 Highest