APPLIED OBSTETRICAL CARE

Degree course: 
Corso di First cycle degree in Midwifery
Academic year when starting the degree: 
2020/2021
Year: 
1
Academic year in which the course will be held: 
2020/2021
Course type: 
Compulsory subjects, characteristic of the class
Seat of the course: 
Varese - Università degli Studi dell'Insubria
Credits: 
2
Period: 
First Semester
Standard lectures hours: 
30
Detail of lecture’s hours: 
Lesson (30 hours)
Requirements: 

There are no scientific prerequisites other than those required for access to the course of study.

The exam is carried out orally.
An intermediate written test is provided, carried out halfway through the number of hours scheduled for teaching, with open-ended and closed-ended questions, with an evaluation expressed out of thirty. The marks obtained in the intermediate tests weigh half of the final mark for those modules.
The minimum evaluation of the writings to be able to access the oral exam is 18/30.

Will be evaluated:
the accuracy and completeness of the content of the answers
the degree of depth of the topic
ability to use appropriate terminology

Assessment: 
Voto Finale

Teaching is a fundamental cornerstone for building the skills of the future professional graduate in Midwifery as it aims to provide the student with:
application of basic obstetric care procedures;
implementation of the obstetric care process based on the use of Midwifery Management

know and apply the obstetric care process according to Midwifery Management, paying particular attention to the obstetric assessment phase;
describe and apply the basic obstetric care procedures;
apply the assistance procedures that are intended to ensure the safety of the user and operator in the care environment

Hand hygiene
Types of washing, indications and techniques according to WHO 2009 guidelines
Patient mobilization:
Principles of mobility and body mechanics
Health education of healthcare workers
Factors affecting movement
Fall prevention: Conley ladder
Procedures for patient mobilization:
-Position of the patient in the bed
-First lift and assistance in walking
- Aids necessary for patient transfer procedures
- Bed-wheelchair transfer
- Bed-stretcher transfer
Midwifery management: the obstetric care process
Obstetric assessment: physical examination
Assessment according to Gordon
Assessment by Head-Foot Model
The vital signs
Body temperature:
- Physiology and alterations
- Method of detection
Arterial pulse:
-Physiology, characteristics and alterations
- Method of detection
Blood pressure:
-Physiology of cardiocirculatory function and alterations
- Method of detection
Breath frequency
- Physiology of respiration
- Method of detection
6) Personal hygiene
-Function and characteristics of the skin
- Principles for carrying out hygiene
-Procedures for general and special hygiene: total hygiene, perineal, foot bath, oral cavity hygiene, eye and hair hygiene
7) Urinary elimination
- Physiology of the urinary system
-Promoting spontaneous urination
- Bladder catheterization: indications, procedures
8) Intestinal elimination
- Physiology of the gastro-intestinal system
-Promotion of intestinal elimination
9) Diagnostic and laboratory tests:
Responsibility of the operator
Urine diagnostic tests
Stool diagnostic tests
Blood diagnostics
ECG

Ruth Craven, Costance Hirnle, Sharon Jensen. (2013-Fifth edition) Fundamental principles of Nursing, Ambrosiana Publishing House.
• Sironi, C. & Baccin, G. (2006) Procedures for nursing care, Masson.
• D.U. Silverthorn. Physiology an integrated approach. Ambrosiana publishing house.
• Protocols, Guidelines, Assistance Pathways, General Operating Instructions - ASST dei Sette Laghi

The teaching will be delivered through lectures with the use of slides, images, diagrams and schemes.
Some videos will be shown to better understand some procedures.
The material presented is made available to students on the e-learning platform.
To promote self-assessment, tests with closed and open questions will be proposed which will not be assessed but which will be discussed and deepened in the classroom.
The practical exercises associated with the course aim to apply the theoretical notions acquired on basic obstetric care procedures in the field

For appointments or requests for information, the teacher can be contacted by e-mail at: silvia.vavassori@uninsubria.it

Professors

VAVASSORI SILVIA