Midwifery and Obstetrical Nursing for B.Sc. (Nursing)

S.No Topic Learning Objectives
(At the end of the session the student should be able to )
Teaching guidelines Methodology Time
1 TRENDS AND ISUUES IN MIDWIFERY:
Historical perspective and changing trends in midwifery.
Enumerate the various trends and historical aspects in midwifery. To cover midwifery and obstetrical Nursing,
concepts of midwifery and obstetrical nursing,
Trends in midwifery and obstetrical nursing,
Historical perspectives and current trends,
Legal and ethical aspects,
Pre-conception care and preparing for parenthood
Perinatal, morbidity and mortality rates,
National policy and legislation in relation to maternal health and welfare, Maternal, morbidity, mortality and fertility rates, Role of nurse in midwifery and obstetrical care.
1.Interactive session with the students regarding history and changing trends in midwifery.

 

2. Essay writing on legal and ethical aspects and on national policy related to maternal health.

3. Students seminar on role of a nurse in midwifery and obstetrical care.

3 hr.
2 ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE ORGANS:
Anatomy and physiology of female reproductive organ.
Fetal development
genetics
1. Discussthe female reproductive organs, maternal pelvis.
2. Explain thematernal pelvis.
3. Enumerate the fetal development.
4. Comprehendthe Concept of genetics.
To coverthe review of anatomy and physiology of female reproductive system and foetal development Female pelvis-general description of the bones, joints, ligaments, planes of the pelvis diameters of the true pelvis, important landmarks, variations in
pelvis shapes Female organs of reproduction external genital, internal genital organs and their anatomical relations, musculature-blood supply, nerves, lymphatic’s, pelvic cellular tissue,
Pelvic peritoneum.
Physiology of menstrual cycle, Human sexuality
Foetal development, Conception,Fertilization, implantation (embedding of the ovum), development of the embryo andplacenta at term-functions, abnormalities, the foetal sac, amniotic fluid, the umbilical cord
Foetal circulation, foetal skull, bones, sutures and measurements.
Review of genetics.
1.Didactic lecture through Power point projections

2. Group discussion on anatomy and physiology of female reproductive organs.

 

 

3.  Visit to the genetic counseling centre.

4. Seminar on of menstrual cycle.

5. Model presentation on fetal development and fertilization.

 

8 hrs.

 

 

 

3 ANTENATAL PERIOD:
Antenatal care
Normal pregnancy
Physiological changes
1.Discuss the antenatal period.
2.Describe the normal pregnancy
3.Explain the physiological changes during pregnancy
4.Enumerate the diagnosis of pregnancy
5.Explain the screening and assessment of antenatal women
6.Discuss the various adjustment issues related to the pregnancy
To cover Assessment and management of pregnancy(ante-natal)
Normal pregnancy
Physiological changes during pregnancy
Reproductive system
Cardio vascular system
Respiratory system
Urinary system
Gastro intestinal system
Metabolic changes, Skeletal changes, Endocrine system, Psychological changes, Discomforts of pregnancy,Diagnosis of pregnancy Signs
Differential diagnosis
Confirmatory tests
Ante-natal care
Objectives, assessment
History and physical examination, Antenatal examination, Signs of previous child-birth
Relationship of foetus to uterus and, Pelvis lie, attitude, presentation, position,Per vaginal Examination, Screening and assessment for high risk, Risk approach
History and physical examination
Modalities of diagnosis, invasive and non-invasive, ultrasonics, cardiotomography, NST,CST Antenatal preparation
Antenatal counseling
Anteatal exercise
Diet
Substance use
Education for child birth
Husband and families
Preparation for safe confinement
Prevention from radiation Psychosocial cultural aspects of pregnancy
Adjustment to pregnancy
Unwed mother
Single parent
Teen age pregnancy
Sexual violence
Adoption
1.Didactic lecture through Power point projection on assessment and management of pregnancy.

2.Teacher seminar on normal pregnancy and physiological changes during pregnancy.

3.Demonstration on assessment on antenatal women.
4. Model presentation on different terminologies related to the antenatal examination.

5. Posting in antenatal OPDs.

6. Postings in Diagnostic centres.

7. Seminar on psychosocial and cultural aspects of pregnancy.

8 hrs

 

 

 

 

4 INTRANATAL WOMEN:
First stage of labor
Second stage of labor
Third stage of labor
Fourth stage of labor
1. Describe the physiology and stages of labour.
2. Describe the management of women during intranatal period.
3. Discuss the Assessment and management of intranatal period
4. Describe physiology of labour mechanism of  labour management of labour.
To coverSigns and symptoms of onset of labour; normal and abnormal, Duration
Preparation of labour room women,Assessment and observation of women in labour; partogram-maternal and
foetal monitoring, Active management of labour, induction of labour, Pain relief and comfort in labour
Second stage
Signs and symptoms, normal and abnormal
Duration, Conduct of delivery; principles and techniques, Episiotomy (only if required)
Receiving the newborn
Neonatal resuscitation initial steps and subsequent resuscitation
Care of umbilical cord
Immediate assessment including screening for congenital anomalies
Identification, Bonding
Initiate feeding, Screening and transportation of the neonate
Third stage
Signs and symptoms; normal and abnormal
Duration, Method of placental expulsion
Management; principles and techniques
Examination of the placenta, Examination of perineum Maintaining records, and reports
Fourth stage
1.Didactic lecture through Power point projections.

2. Demonstration on assessment and management of intranatal women.

2. Simulation teaching on conduction of delivery.

3. Demonstration on neonatal resuscitation.

4. Clinical teaching on partograph.

5. Clinical posting and demonstration on management of third stage of labor.

6. Report writing.

12 hrs
5. PUERPERIUM: 1. Describe the physiology of puerperium.
2. Describe the management of women during postnatal period.
To cover the Assessment and management of women during postnatal period, Normal purperium physiology, Duration Postnatal assessment and management,Promoting physical and emotional well-being, Lactation management,Immunization, Family dynamics after child-birth
,Family welfare services; methods, counseling
,Follow-up, Records and reports
1.Didactic lecture through Power point projections.

2.   Clinical posting demonstration on assessment and management of postnatal women.

3. Visits to family welfare departments.

5 hrs
6. NORMAL NEONATES: 1.Describe the assessment and management of normal neonate. Assessment and management of normal neonates, Normal Neonate; Physiological adaptation, Initial and daily assessment, Essential newborn care; thermal control, Breast feeding, prevention of
Infections, Immunization
minor disorders of newborn and its management, Levels of  neonatal care (level I,II,&III) At primary, secondary and tertiary levels, Maintenance of reports and records.
1.Didactic lecture through Power point projections.

2. Students seminars on essential new born care.

3. Clinical posting and demonstrations on different level of neonatal care.

4. Report writing on neonatal care.

6 hrs
7. HIGH RISK PREGNANCY: 1.Describe the Identification and management of women with high risk pregnancy. To cover High-risk pregnancy-assessment and management, Screening and assessment,Ultrasonics,cardiotomography, NST, CST, non-invasive and invasive, Newer modalities of diagnosis high- risk approach, Levels of care; primary, secondary and tertiary levels, Disorders of pregnancy, Hyper-emesis gravidarum, bleeding in early pregnancy, abortion, ectopic, Pregnancy, vesicular mole, Antepartum haemorrhage Uterine abnormality and displacement Diseases
complicating pregnancy
Medical and surgical conditions, Infections, RTI (STD), UTI, HIV,TORCH, Gynaecological diseases complicating pregnancy
Pregnancy induced hypertension and diabetes, hydramnios
Rh incompatibility
Mental disorders
Adolescent pregnancy, Elderly prime and grand multipara, Multiple pregnancy, Abnormalities of placenta and cord
Intra-uterine growth-retardation, Nursing management of mothers with high-risk pregnancy
Maintenance of records and report.
1.Didactic lecture through Power point projections.

2. Teacher seminar on High-risk pregnancy-assessment and management.

3. Clinical posting and High-risk pregnancy-assessment and management

4. Report writing on neonatal care.

10 hrs
8. ABNORMAL LABOUR: 1.Describe management of abnormal labour and Obstetrical emergencies To cover abnormal labour-assessment and management, Disorders in labour, CPD and contracted pelvis, Malpositions and malpresentations, Premature labour, disorders of uterine actions-precipitate labour, Prolonged labour
Complications of third stage: injuries to birth canal, Obstetrical emergencies and their Management;Presentation and prolapse of cord, vasa praevia, amniotic fluid embolism,rupture of the uterus, shoulder dystocia, obstetrical shock, Obstetrical procedures and operations, Induction of labour, forceps, vacuum version, manual removal of placenta,caesarean section, destructive operations, Nursing management of women undergoing obstetrical operations and procedures.
1.Didactic lecture through Power point projections.

2. Teacher seminar on abnormal labor, CPD and Contracted pelvis.

3. Clinical posting and management on complications on third stage and injuries to birth canal.

4. Seminars on Obstetrical emergencies.

5. OT postings for the Cesarean section and destructive operations.

10 hrs.
9. POSTNATAL COMPLICATIONS: Describe the management of postnatal complications. Abnormalities during postnatal Periods
Assessment and management of women with postnatal complications, Puerperal infections, UTI, thrombo- Embolic disorders, post-partum haemorrhage,
Eclampsia and subinvulations, Psychologicalcomplications,Postpartum blues, Post partumdepression Post partumpsychosis
1.Didactic lectures on power point projections on postnatal complications. 4 hrs
10. HIGH RISK NEONATES: Identify the high risk neonates and their nursing management Assessment and management of high risk newborn, Admission of neonates in the neonatal intensive care units protocols, Nursing management of:Low birth weight babies
Infections, Respiratory problems, Hemolytic disorders, Birth injuriesMalformations, Monitoring high risk neonates, Feeding of high risk neonates, Organisation and management of neonatal intensive care units
Infection control in neonatal intensive care units maintenance of reportsand records
1.Didactic lecture through Power point projections.

2. Teacher seminar on High-risk neonates -assessment and management.

3. Clinical posting and demonstration on  high-risk neonates-assessment and management

4. Report writing on high risk neonatal care.

10 hrs.
11. PHARMACOTHERAPEUTICS IN OBSTETRICS: Describe indication dosage, action, side effects and nurses responsibilities in the administration of drugs used for mothers. Pharmaco-therapeutics in obstetrics, Indication, dosage, action, contraindication and side effects of drugs,Effect of drugs on pregnancy, labour and puerperium
Nursing responsibilities in the administration of drugs in obstetrics Oxytocin,antihypertensives, diuretics, tocolyticagents ,anticonvulsants;Analgesics and anesthesics in obstetric,Effects of maternal medication on foetus and neonate
1.Teacher seminar on different drugs used in obstetrics. 4 hrs.
12. FAMILY WELFARE: 1.Appreciate the importance of family welfare programme.
2.Describe the methods of contraception and role of nurse in family welfare programme.
Family welfare programme
Population’ trends and problem in India
Concepts, aims, importance and history of family welfare programme
National population: dynamics, policy and education ‘
National family welfare programme; RCH, ICDS, MCH, safe motherhood
Organization and administration; at national, state, district, block and
village levels
Methods of contraception; spacing, temporary and permanent, Emergency
contraception
Infertility and its management,Counselling for family welfare
Latest research in contraception
Maintenance of vital statistics
Role of national international and voluntary organizations
Role of nurse in family welfare programme
Training/supervision/collaboration with other functionaries in community like
ANMs, LHVs, Anganwadi workers, TBAs (Traditional birth Assistants)
1.Interactive session with the students regarding population trends.

2. Debate on problems in India.

3. Essay writing on Concepts, aims, importance and history of family welfare programme.

4.Field visits on organization and administration at different levels.

5.Student seminars on contraceptive methods.

6.Field visits with different community workers.

 

 

10 hrs.