Clinical practice (1st year)
Scientific Disciplinary Sector (SSD)
MED/47 - MIDWIFERY
1° ANNO 2° SEMESTRE dal Mar 1, 2021 al Apr 26, 2021.
The course aims to provide the cultural bases necessary to guarantee assistance to pregnant women in physiological labor, to the healthy newborn and to the mother child couple during the puerperium. The birth path will be examined considering its evolution, the physiology of labor and birth, starting from the causes and triggering of labor, going through the peculiar characteristics of uterine dynamics, mechanics and the role of the fetus in the event. The physiopathology of the local, general and endocrinological phenomena of the puerperium will then be examined. Through the analysis of the various moments of labor-birth-puerperium, and taking into consideration the data collected, the student will be guided to understand the relevant information and to interpret it. The student will be guided to understand the assistance needs expressed by the woman and to encourage her empowerment, so as to provide personalized assistance centered on the needs of women, in the light of evidence-based medicine, guidelines and WHO recommendations and OMS Unicef. The contents of this course are linked to those of “Neonatal, pediatric and breastfeeding assistance”, and are based on Obstetrics and Midwifery knowledge acquired during the first year of the course. The teaching is preparatory to all the educational activities of the second semester of the second and third years; it is also preparatory to the training in the obstetric area (pregnancy and puerperium), neonatal (neonatal section), ambulatory obstetrics (pregnancy clinic and puerperium, consultation center-territorial district).
ASSISTANCE AND SURVEILLANCE IN THE PHYSIOLOGICAL / NORMAL / LOW-RISK birth: Pre-labor period (latent phase). Definition. Diagnosis. Times. Causal factors of the beginning of labor. Model of woman centered assistance: the needs and interventions of obstetric assistance, based on EBM and guidelines and recommendations OMS and OMS Unicef. Documentation: data collection, clinical and obstetric records; the CEDAP. Pain in labor Physiology and meaning. Management and methods of pharmacological and non containment; emotional support in labor. First stage or dilating period Definition. Diagnosis. Times. Obstetric care needs and interventions. Vaginal exploration. Spontaneous rupture of membranes and amnioresses. The positions. Monitoring of maternal and fetal wellbeing. Documentation: medical record, midwife and partogram. Second stage or expulsive period Definition of transition period and expulsive period. Diagnosis. Times. Obstetric care needs and interventions. Vaginal exploration. The positions. Monitoring of maternal and fetal wellbeing. Perineum assistance (hands on hands-off) and expulsion (pushing mode) of the fetus. An episiotomy. Physiological newborn care. The timing of bead clamping. Fetal blood sampling (acid-base balance, the haemogroup, stem cell donation, etc.). The compilation of health records, birth registration and birth certificates, CEDAP. Third stage or period of the secondary definition. Diagnosis. Times. Obstetric care needs and interventions. Control of fetal appendages. Diagnosis and management of membrane and / or placental retention. Control and management of trauma of the birth canal. Early postpartum hemorrhage (outline): definition, causes, treatment, emergency management
|Pairman S., Pincombe J, Thorogood C, Tracy S.
||Midwifery, Preparation for practice 3ed.
||Churchill Livingstone - elsevier