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Obstetric Physiology and Pregnancy - mod. OBSTETRIC SPECIAL NURSING: MIDWIFERY CARE IN LABOUR AND DELIVERY
ROSANNA DE SERIO

Seat Medicina e Chirurgia
A.A. 2013-2014
Credits 5
Hours 60
Period 1^ semestre
Language ENG
U-gov code MT04-11-11 MT212

Learning outcomes

The student must know the evolution of childbirth as an event bio-psycho-social and emotional of the woman life and of the baby,  couple and family life; the process of midwife care of the normal delivery.

Program

Physiology of childbirth:  introduction of basic concepts. Birth as a social event: from culture of medicalization of childbirth towards humanization of birth.

Delivery as biological event: factors affecting labor (birth canal; fetus; expulsive-power). Mechanics of labor and delivery (dynamic, mechanical and plastic phenomena). Stages of spontaneous vertex delivery (first stage or cervical effacement and dilatation stage; second stage or expulsion stage; third stage or placental stage).

Midwifery care intrapartum: receiving and taking charge of the pregnant woman. Midwifery diagnosis, diagnosis of active labor. Physical and emotional changes of woman in labor; emotional processing during childbirth; women’s freedom of choice. Biological rhythms and physiological timing of labor; monitoring of maternal and fetal well-being during labor. Pain and its functions; non-pharmacologic approaches to management  of labor pain.

Midwifery care during vaginal birth: delivery assistance manoeuvres during the second and the third stage of labor. Episiotomy (techniques and indications). Alternative delivery modes. Cord blood collection.

Midwifery care in post-partum period: clinical observation and local examination of the mother. Mother-Baby dyad. Early breastfeeding.

Care in normal birth: guideline.

Caesarean section: guideline.

Labor unit and delivery suite: structure, materials, instruments, human resources, IPD, characteristics and structural requirements.

Midwifery and nursing care during pre-intra-post operative period in woman undergoing caesarean section.

Management of delivery assessment tools: partograph, protocols assistance, birth certificate laws (birth certificate, registers of births, time limit of birth registration).

Development of the examination

Written and/or oral examination.

Recommended reading

·         G. Pescetto, L. De Cecco, D. Pecorari, N. Ragni “Ginecologia e Ostetricia”, IV Edizione, Società editrice Universo, Roma.

·         M. Guana et al “La Disciplina Ostetrica. Teoria, Pratica ed Organizzazione della Professione”, II Edizione, The Mc Graw-Hill Companies.

·         Material provided by the teacher.

Courses

• Ostetricia