Teaching code

4S009750

Teacher

Elisa Campetti

Credits

2

Language

Italian

Scientific Disciplinary Sector (SSD)

MED/47 - MIDWIFERY

Period

1 SEMESTRE PROFESSIONI SANITARIE dal Oct 3, 2022 al Dec 23, 2022.

Lessons timetable Moodle Seminars 0

To show the organization of the course that includes this module, follow this link:  Course organization

Program

> NEWBORN
BIRTH
-Normative references of the midwife in the care of the physiological newborn (DL 2007, DM 740/94, Code of Ethics)
-Definition of the newborn and criteria to define the physiological newborn
-Apgar index: definition, how to perform, interpretation, limits
-Skin-to-skin contact (obstetric care)
-Metabolic adaptation, immune adaptation, thermoregulation
-Cord blood sampling: technique and interpretation
-Identification of the newborn
-Surveillance and assistance to the newborn in the first two hours of life
CARE CARE
-Antorpometric measurements (cranial circ., length, weight)
-Neonatal prophylaxis (ocular with antibiotic eye drops, antihemorrhagic with vitamin K)
-Hygienic care of the newborn (bath, umbilical cord dressing)
ASSISTANCE DURING THE FIRST DAYS OF LIFE
-physiological vital signs of newborns(physiological decline, meconium emission, urine emission, physiological jaundice, sleep-wake rhythm, stump fall)
-Physical examination of the newborn
-Neonatal screening (auditory, visual, metabolic diseases)
-Pain in the newborn, assessment tools and non-pharmacological methods of pain containment
RESIGNATION
-Vitamin D Supplement
-Information for the prevention of SIDS
-Information: avoid shaking movements
-Safe transport of the newborn by car
-Vaccinations
-Read aloud
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> PHYSIOLOGICAL PUERPERIUM
GENERALITY'
- puerperium definition, when it begins, endocrinological processes
- modifications of the maternal organism in the puerperium (uterine involution, lochia, vital parameters)
ASSISTANCE
- help relationship, midwife-woman alliance
- obstetric assistance to the puerpera after vaginal delivery
- obstetric assistance to the mother after caesarean section
- vital parameters and obstetric parameters
-intestinal function and problems (hemorrhoids, constipation, incontinence, ileus)
- urinary/bladder function and problems (urinary retention, incontinence)
-perineal card
- lacerations from childbirth: care and pain of the perineum
-hematoma vs suffusion
-laparotomy wound and dressing
- assessment of pain
- Rh (D) isoimmunization and anti-D prophylaxis
- thromboprophylaxis
- mention of the baby blues
-prevention of postpartum depression: EDPS questionnaire, Whooley questions
- promote post-natal mother-child bonding
RESIGNATION
- lifestyles in the puerperium
- suture treatment (dressing, scar massage...)
- recovery of perineal tone (Kegel exercises)
- sexological counseling (contraception during breastfeeding)

Bibliography

Didactic methods

Lectures, group work, brainstorming, plenary discussions, workshops, practical activities, role playing

Learning assessment procedures

Written exam for the theoretical part (2 open questions) and oral exam on clinical cases

Evaluation criteria

- theoretical knowledge and insights
- ability to apply knowledge
- the autonomy of judgment, i.e. the capacity for critical sense and formulation of judgments
- communication and use of an appropriate language of the obstetric profession

Exam language

Italiano