COURSE PLANSRI SHANMUGHA COLLEGE OF NURSING FOR WOMEN PULLIPALAYAM, SANKARI, SALEM -637 304. IV YEAR B.SC NURSING COURSE PLAN MIDWIFERY AND OBSTETRICAL NURSING Subject Class > IVB.Sc Nursing Total No.Of Hours : 120 hours Teaching Method Teaching Aids MIDWIFERY AND OBSTETRICAL NURSING Lecturer, Panel Discussion and Demonstration in lab setting and practice session. Black Board, OHP, and LCD COURSE DESCRIPTION: This Course Will Help the Students Acquire Knowledge and Develop Proficiency in Caring for Patients With ward In Various Health Care Settings, NO OF TEACHING | AUDIO | VENUE | REFERENCES eo TEACHING | METHODS | VISUAL UNIT CONTENT HOURS AIDS 7 to midwifery and obs 5 Lecturer Cum | Black | Class room | Reeder & Martin troduction to concepts of midwifery and obstetrical Discussion board = Maternity Nursing Nursing, Trends in midwifery and obstetrical nursing Lippincott Historical perspectives and current trends Legal and ethical aspects Preconception care and preparing for parenthoodty and fertility rates Perinatal, morbidity and mare fj view oF anatomy and physi : = tee to | reproductive syncs and fe 10} iectarer Gum f Black | Crass room] Danas opaice| z Discussion board NCBA Female organs of reproduction - external genetalia, internal genital organs and their anatomical relations, musculature — blood- supply, nerves lymphaties, pelvic cellular tissue, pe > Physiology > y > Foetal development > implantation (embedding of the ovum), development of the embryo and placenta at term — functions, sae, amniotic fluid, > — Foctal circulation, foetal skull, bones, sutures and me: > Review of Genetics ‘Assessment and management of pregnancy (ante- 10 Lecturer Cum | Black natal) Discussion board + Normal pregnancy 2008, Elsevier + Physiological changes during pregnaney. | + Reproductive system + Cardio vascular system + Respiratory system+ Urinary system’ Gastro intestinal system + Metabolic changes + Skeletal changes + Skin changes + Endocrine system + Psychological changes + Discomforts of pregnancy Differential diagnosis + Confirmatory tests + Ante-natal care C Objectives + Assessment = History and physical examination = Antenatal Examination Signs of previous child-birth Relationship of foetus to uterus and pel Attitude, Presentation, Position ~ Per vaginal examination, + Screening and assessment for high risk; + Risk approach istory and Physical Examination sof diagnosis; Invasive & Non-Invasive, ultrasonics, card iotomography, NST, CST * Antenatal preparation ~ Antenatal counseling ~ Antenatal exercises Q Diet ~ Substance use - Education for child-birth - Husband and families - Preparation for safe-confinement - Prevention from radiation + Psycho-social and cultural aspects of pregnancy Lie,—— ment 10 pregnancy fe pregnancy jolence + Adoption WV | Assessment and management of Intra-natal periods 15 Lecturer + Physiology of labour, mechanism of labour Discussion + Management of labour. First stage ~ Signs and symptoms of onset of labour; normal and abnormal - Duration - Preparation of: + Labour room + Woman - 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 new born - Neonatal resuscitation: initial steps and subsequent resuscitation - Care of umbilical cord - Immediate assessment including screening for ‘Cum Black board Glass room Myle’s Textbook for Midwives, 2008, Elsevier congenital anomalies~Tdentitication - Bonding ~ Initiate feeding Screening and tran: i oF the neonate “Portation + Third stage + Signs and s, + Duration’ 7 Method of placental expulsion ~ Management; Principles and techniques 7 Examination of the placenta + Examination of perineum + Maintaining records and reports + Fourth Stage ymptoms; normal and abnormal Myle’s Textbook Assessment and management of women during Post natal period * Normal puerperium; 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 15 Lecturer Discussion Cum Black board Class room for Midwives, 2008, Elsevier Myie’s Textbook ‘Assessment and management of normal neonates Normal Neonate; - Physiological adaptation, -Initial & Daily assessment - Essential newborn care; Thermal 10 Lecturer Discussion Cum Black board Class room for Midwives, 2008, Elsevier~ Breast feeding, preventi; + Preventi i Immunizena ion of infections = Ultrasonics Discussion board NST, CST, non-invasive & invesive + Newer modalities of diagnosis” + High-risk approach * Levels of care; primary, : Sone aenmay. Secondary and tertiary levels ~ Hyper-emesis gravidarum, bleeding in early pregnancy, abortion, ectopic ~ Pregnancy, vesicular mole, ~ Ante-partum haemorrage. + Uterine abnormality and displacement, + Diseases complicating pregnancy - Medical and surgical conditions - Infections, RTI (STD), UTI, HIV, TORCH ‘Dutta — Obstetrics Class room 20 Lecturer Cum | Black “ cardiotomography, Gynaecological diseases complicating pregnancy ~ Pregnancy induced hypertension .& diabetes, Toxemia of pregnancy, hydramnios, Rh incompatibility u Mental disorders + Adoiscent pregnancy, Elderly primi and grand multipara + Multiple pregnancy + Abnormalities of placenta & cord + Intra-uterine growth-retardation = + Nursing management of mothers with high-risk‘pregnancy * Maintenance of Records and Report Abnormal Labour> + Disorders in oben SSesSment and imanagomenr > CPD and contracted pelvis ~ Malpositions and malpresentations ~ Premature labour, Precipitate labour, py ~ Complications of ¢ injuries to birth canal * Obstetrical emerg. ~ Presentation and disorders of uterine actions - rolonged labour rd stage: + Obstetrical procedures and operations; ~ Induction of labour, forceps, vacuum version, manual Femoval of placenta, cesarean section, destructive operations * Nursing management of women undergoing Obstetrical operations and procedures 15 Lecturer Discussion | _—__—Curn | Black board Class room Myle’s Textbook for Midwives, 2008, Elsevier \ Abnormalities during Postnatal Periods Assessment and management of woman with postnatal complications ; Puerperal infections, breast engorgement & infections, thrombo-Embolic disorders, post- partum haemorrage, Eclampsia and subinvolution, Psychological complications: - Post partum Blues ~ Post partum Depression - Post partum Psychosis Lecturer Discussion Cum Black board Class room Myle’s Textbook for Midwives, 2008, Elsevier Assessment and management of 10n of, Protocols ng Management of Low birth weight bet ~ Infections "babies 7 Respiratory problems ~ bacmolytie dicordae eonates in the neonatal in tensive care | 2 Monitoring of hi | 7 Feeding of high | + Organization a igh risk neonates Fisk neonates "nd management of neonatal intensive renttol in neonatal intensive care units | ° Maintenance of reports and records Dunia ~ Obstetrics ‘Class room | Pharmaco-therapeutics in obstetrics = Lecturer Cum Elec \NCBA. i ‘6, action, contra indication and side Discussion boar labour & puerperium, administration of drug diuretics, tocolytic | Analgesics and anesthet | obstetrics. | Effects of maternal medication on foetus an: neonate ae OS om 10 Lecturer Cum | Black _| Class ro moan “| Family Welfare Programme : ee pee Population trends and problems in India iscus: Concepts, aims, importance and history of family elfare es = . National Population: dynamics, policy and education ional family welfare programme; RCH, ICDS,MCH. Safe motherhood Organi ; at national, state, fon, spacing, temporary and Permanent, Emergency contraception ly welfare research in contraception + Role of a nurse in family welfare programme * Training / Supervision / Collaboration with other functionaries in community like ANMs. LHVs, Anganwadi workers, TBAS (Traditional birth attendant - Dai)