Learning objectives
Part 1:
1.To let the students achieve the necessary knowledge in order to make the diagnosis of “low risk” at the moment of the admission.
2.To make the students reflect upon the pregnant's needs at the admission moment and to let them identify the most appropriate responses. To attain the knowledge of the different modalities of verbal and non-verbal communication and to be able to apply them in an effective way.
3.To provide for the knowledge and the comprehension of the patience's admission modalities to put in practice during the training.
Part 2:
1.To provide for the knowledge about the physiology of the labor, the delivery and the post-partum.
Part 3 Achievement of:
1.knowledge and comprehension of the surveillance's modalities of maternal and fetal well-being
2.knowledge of cardiotocography basic elements
3.the ability of reading and interpreting CTG tracks
Prerequisites
Knowledge of the female genital apparatus's basic anatomy.
Course unit content
First lessons are about the acceptance of full-term pregnancy and the elements which identify the “obstetric low-risk” (triage).
The second part of the course faces the basic aspects of birth's physiology, in its clinical and psychological aspects.
The third part is about monitoring the well-being of both the mother and the fetus during the physiological labor; in particular we will refer to the use of intermittent monitoring and to cardiotocography .
Full programme
1.Definition of obstetric risk, obstetric triage, diagnosis of low obstetric risk.
2.The physiological pregnant's acceptance at the hospital
3.The physiological delivery
a. The dynamic phenomena
b. The mechanical phenomena
c. The plastic phenomena
d. The prodromal period
e. The dilatant period
f. The expulsive period
g. The afterbirth
h. The post-partum
4.The surveillance of maternal-fetal well-being
a. Maternal parameters
b. The fetal heartbeat: characteristics
c. Intermittent monitoring
d. Cardiotocography : firts elements
e. Reading exercises of CTG tracks
Bibliography
Pescetto, De Cecco, Pecorari. Ginecologia e ostetricia. SEU, Roma
DELIBERAZIONE DELLA GIUNTA REGIONALE 21 aprile 2008, n. 533 cap. 4
LA SORVEGLIANZA DEL BENESSERE FETALE IN TRAVAGLIO DI PARTO - Linea guida basata su prove di efficacia, CeVEAS 2004
LINEE GUIDA ALLE AZIENDE SANITARIE DELLA REGIONE EMILIA-ROMAGNA PER IL CONTROLLO DEL DOLORE IN TRAVAGLIO DI PARTO Deliberazione n. 1921 del 10 dic. 2007
Venire al mondo, dare alla luce. V. Schmid, 2005 Milano, Urra Apogeo. Link for preview:
http://books.google.it/books?id=kSZeI_Yhs-UC&lpg=PA77&ots=fFG5p0ygKx&dq=cascata%20ormoni%20travaglio%20parto&hl=it&pg=PA112#v=onepage&q=cascata%20ormoni%20travaglio%20parto&f=false
Teaching methods
Frontal lessons, movies vision, group's works, practical training
Assessment methods and criteria
written and oral examination
Other information
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2030 agenda goals for sustainable development
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