Midwifery - Roma Azienda Ospedaliera Sant’Andrea

Activity type

Scienze ostetriche

SSD

MED/47

Year

N/D

Semester

N/D

CFU

2

Hours distribution

16 classroom hours

Lecturers

FRANCESCA SULLI

Activity type

Scienze ostetriche

SSD

MED/47

Year

N/D

Semester

N/D

CFU

2

Hours distribution

16 classroom hours

Lecturers

ROMOLO DI IORIO

Activity type

Scienze ostetriche

SSD

MED/47

Year

N/D

Semester

N/D

CFU

2

Hours distribution

16 classroom hours

Lecturers

SILVIA VENANZI

Activity type

Interdisciplinari e cliniche

SSD

MED/41

Year

N/D

Semester

N/D

CFU

1

Hours distribution

8 classroom hours

Lecturers

MONICA ROCCO

Activity type

Primo soccorso

SSD

MED/38

Year

N/D

Semester

N/D

CFU

1

Hours distribution

8 classroom hours

Lecturers

GIOVANNI DI NARDO

Activity type

Scienze umane e psicopedagogiche

SSD

M-PSI/04

Year

N/D

Semester

N/D

CFU

1

Hours distribution

8 classroom hours

Lecturers

STEFANIA SETTE

Activity type

Scienze ostetriche

SSD

MED/47

Year

N/D

Semester

N/D

CFU

1

Hours distribution

8 classroom hours

Lecturers

LETIZIA RUGGERI

Students will have acquired the theoretical knowledge, practical skills, and interpersonal skills necessary to assist women during labor, childbirth, and the postpartum period, promoting safety, autonomy, and respect for the physiology of the birth process.
At the end of the course, students will be able to:
recognize the stages of labor and normal birth
apply evidence-based care procedures
independently manage maternal-fetal monitoring during normal labor/childbirth
promote women's physical and mental well-being through non-pharmacological pain management techniques
promote bonding and the initiation of breastfeeding immediately after birth.

Prerequisites (not mandatory): knowledge of the anatomy and physiology of the female reproductive system.

Module: MANAGEMENT OF LOW-RISK PREGNANCY
Definition of the "first thousand days," primal health, nurturing care, and presentation of related documents
Definition of risk: clinical risk and pregnancy risk
Midwife-led care standards, definition of low obstetric risk
Definition of the therapeutic relationship
Birth process and supporting legislation, inclusion criteria in the BRO
WHO and UNICEF 10 steps for promoting and supporting breastfeeding
Definition of the midwifery profession and presentation of legislation supporting autonomy in normal pregnancy care, and its evolution
Pregnancy management and care with a woman-centered approach
Definition of continuity of care and presentation of midwife-led care models
Presentation of the essential levels of assistance (LEA) and obstetric record templates for pregnancy care (BRO)
Nutrition during pregnancy
Definition of the midwifery profession and presentation of legislation supporting autonomy in physiological pregnancy care, and its evolution
Biopsychosocial model for managing and caring for pregnancy with a woman-centered approach
Definition of continuity of care and presentation of obstetric-led care models
Presentation of the Essential Levels of Assistance (LEA) and obstetric record templates for pregnancy care (BRO)
Nutrition during pregnancy
Pregnancy calendar and visit scheduling by week
Weight gain during pregnancy in relation to BMI and weeks of gestation
Methods of conducting each obstetric visit: tools, environment, relationship, actions, documents, test prescriptions
Definition of prenatal screening and diagnosis
Ultrasound scans during pregnancy – eco office
The load curve for the diagnosis of diabetes during pregnancy
Measurement of the symphysis fundus
Continuity of care at term and after childbirth
Hospital-community integration
Methods of conducting the visit Midwife:
Counseling and prenatal diagnosis planning


Module: PHYSIOLOGY OF LABOR AND DELIVERY
PHYSIOLOGY OF LABOR AND CHILDBIRTH
Definition
Stages of Labor/Delivery
Diagnosis of Labor
Birth factors (force, birth canal, floaters)
Uterine contraction: physiology and pathophysiology
Soft canal: lower uterine segment, cervix
Bony canal: upper, middle, lower straits, pelvic axis
External and internal pelvimetry: conjugate
Floaters: fetal landmarks
Parturition phenomena (dynamic phenomena, plastic phenomena, mechanical phenomena)
Dynamic phenomena: expansion of the uterine wall, cervical effacement and dilation, bursa formation and rupture of the membranes, distension of the vagina, perineum, and vulva
Plastic phenomena: intrinsic and extrinsic relationships
Attitude, situation, presentation (variety), position of the floaters
Mechanical phenomena
Partograph

BIRTH ACCOMPANIMENT
theories in developmental psychology
the emotional meanings to be parents
parenting
the neonatal period and the first years of children's life
the attachment
the child self-regulation and temperament
the social support for child care

OBSTETRIC AND GYNECOLOGICAL ANESTHESIA AND ANALGESIA
Labor analgesia
Cesarean section anesthesia
Emergency and obstetric-neonatal resuscitation

PHYSIOLOGICAL NEWBORN CARE
Anatomy and pathophysiology of the newborn and mechanisms of adaptation to extrauterine life
Auxometric measurements and neonatal prophylaxis
General concepts regarding the physical examination of the newborn and common neonatal events
Characteristics of breast milk and its importance for health, on breast milk substitutes, on the clinical management of infant feeding problems
General principles and methods for performing newborn screening
Management of jaundice and skills related to performing competency tests
Glycemic homeostasis in full-term and mildly preterm newborns
Prevention and treatment of hypoglycemia

ASSISTANCE TO PHYSIOLOGICAL CHILDBIRTH
Practical skills and interpersonal abilities for caring for women during labor and normal birth
Promoting safety, autonomy, and respect for the physiology of the birth process
The stages of labor and normal birth
Evidence-based care procedures
Maternal-fetal monitoring during normal birth
Women's psychophysical well-being through non-pharmacological pain management techniques
Managing obstetric emergencies
Promoting bonding and initiating breastfeeding immediately after birth.

PHYSIOLOGICAL PUERPERIUM CARE
Physiology and clinical aspects of the postpartum period
The postpartum care process
The role of the midwife

LOW-RISK PREGNANCY CARE
Definition of the "first thousand days," primal health, nurturing care, and presentation of related documents
Definition of risk: clinical risk and pregnancy risk
Midwife-led care standards, definition of low obstetric risk
Definition of the therapeutic relationship
Birth process and supporting legislation, inclusion criteria in the BRO
WHO and UNICEF 10 steps for promoting and supporting breastfeeding
Definition of the midwifery profession and presentation of legislation supporting autonomy in normal pregnancy care, and its evolution
Pregnancy management and care with a woman-centered approach
Definition of continuity of care and presentation of midwife-led care models
Presentation of the essential levels of assistance (LEA) and obstetric record templates for pregnancy care (BRO)
Nutrition during pregnancy
Definition of the midwifery profession and presentation of legislation supporting autonomy in physiological pregnancy care, and its evolution
Biopsychosocial model for managing and caring for pregnancy with a woman-centered approach
Definition of continuity of care and presentation of obstetric-led care models
Presentation of the Essential Levels of Assistance (LEA) and obstetric record templates for pregnancy care (BRO)
Nutrition during pregnancy
Pregnancy calendar and visit scheduling by week
Weight gain during pregnancy in relation to BMI and weeks of gestation
Methods of conducting each obstetric visit: tools, environment, relationship, actions, documents, test prescriptions
Definition of prenatal screening and diagnosis
Ultrasound scans during pregnancy – eco office
The load curve for the diagnosis of diabetes during pregnancy
Measurement of the symphysis fundus
Continuity of care at term and after childbirth
Hospital-community integration
Methods of conducting the visit Midwife:
Counseling and prenatal diagnosis planning



Module: MANAGEMENT OF NORMAL DELIVERY
Practical skills and interpersonal abilities for caring for women during labor and normal birth
Promoting safety, autonomy, and respect for the physiology of the birth process
The stages of labor and normal birth
Evidence-based care procedures
Maternal-fetal monitoring during normal birth
Women's psychophysical well-being through non-pharmacological pain management techniques
Managing obstetric emergencies
Promoting bonding and initiating breastfeeding immediately after birth.


Module: MANAGEMENT OF NORMAL PUERPERIUM
Labor analgesia
Cesarean section anesthesia
Emergency and obstetric-neonatal resuscitation


Module: PHYSIOLOGY OF THE NEWBORN INFANT
Anatomy and pathophysiology of the newborn and mechanisms of adaptation to extrauterine life
Auxometric measurements and neonatal prophylaxis
General concepts regarding the physical examination of the newborn and common neonatal events
Characteristics of breast milk and its importance for health, on breast milk substitutes, on the clinical management of infant feeding problems
General principles and methods for performing newborn screening
Management of jaundice and skills related to performing competency tests
Glycemic homeostasis in full-term and mildly preterm newborns
Prevention and treatment of hypoglycemia


Module: ANTENATAL EDUCATION FOR CHILDBIRTH-PARENTHOOD
The course is aimed to support each parent during the transition to parenting in order to promote the child's wellbeing.
In the first part of the course (the first two weeks - 4 hours), the contents regard parenting, attachment, theories in developmental psychology, the construction of first relationships. In the last weeks (4 hours) the contents regard child temperament and social support for his/her care.
The topics that will be examined in the course are the following:
- theories in developmental psychology;
- the emotional meanings to be parents;
- parenting;
- the neonatal period and the first years of children's life;
- the attachment;
- the child self-regulation and temperament;
- the social support for child care.



Module: OBSTETRIC AND GYNECOLOGIC ANESTHESIA AND ANALGESIA
Physiology and clinical aspects of the postpartum period
The postpartum care process
The role of the midwife

Module: MANAGEMENT OF LOW-RISK PREGNANCY
N/D
Module: PHYSIOLOGY OF LABOR AND DELIVERY
N/D
Module: MANAGEMENT OF NORMAL DELIVERY
World Health Organization. WHO recommendations: Intrapartum care for a positive childbirth experience. Geneva, 2018


Module: MANAGEMENT OF NORMAL PUERPERIUM
N/D
Module: PHYSIOLOGY OF THE NEWBORN INFANT
N/D
Module: ANTENATAL EDUCATION FOR CHILDBIRTH-PARENTHOOD
Readings and slides will be available on the course's e-learning page (please email stefania.sette@uniroma1.it to receive the password).




Module: OBSTETRIC AND GYNECOLOGIC ANESTHESIA AND ANALGESIA
N/D

Module: MANAGEMENT OF LOW-RISK PREGNANCY
World Health Organization. WHO recommendations: Intrapartum care for a positive childbirth experience. Geneva, 2018


Module: PHYSIOLOGY OF LABOR AND DELIVERY
World Health Organization. WHO Labour Care Guide: User’s Manual. Geneva, 2020

World Health Organization. WHO recommendations: Intrapartum care for a positive childbirth experience. Geneva, 2018



Module: MANAGEMENT OF NORMAL DELIVERY
N/D
Module: MANAGEMENT OF NORMAL PUERPERIUM
N/D
Module: PHYSIOLOGY OF THE NEWBORN INFANT
N/D
Module: ANTENATAL EDUCATION FOR CHILDBIRTH-PARENTHOOD
N/D
Module: OBSTETRIC AND GYNECOLOGIC ANESTHESIA AND ANALGESIA
N/D

frontal teaching with the aid of Power Point presentations

To be admitted to the final exam, students must complete the required attendance for the entire course.
Distance participation is not permitted or countable.
Attendance is recorded exclusively through a signature register provided by the instructor.

Ongoing assessment of the various modules: written exam (multiple-choice quiz) or oral exam
Final oral assessment

What are the stages of labor/birth?

Module: MANAGEMENT OF LOW-RISK PREGNANCY

• Definition of the “first thousand days”, primal health, nurturing care and presentation of the related documents; Definition of risk - clinical risk and risk in pregnancy through group work; Standards of care led by obstetricians; Definition of low obstetric risk; Definition of the therapeutic relationship; Birth process and supporting legislation; Criteria for inclusion in the BRO and risk assessment forms; Presentation and discussion of the 10 WHO and UNICEF steps for the promotion and support of breastfeeding.
  • Books: World Health Organization. WHO
    
    recommendations: Intrapartum care for a positive childbirth experience. Geneva,
    
    2018


• Definition of the midwifery profession and presentation of legislation supporting autonomy in physiological pregnancy care, and its evolution; Definition and construction, in a group work, of the bio-psycho-social model for pregnancy management and care with a woman-centered approach; Definition of continuity of care and presentation of obstetric-led care models; Presentation of the LEA and models of obstetric records for pregnancy care; Nutrition during pregnancy, presentation of clinical cases.
  • Books: World Health Organization. WHO
    
    recommendations: Intrapartum care for a positive childbirth experience. Geneva,
    
    2018


• Pregnancy calendar and visit scheduling in relation to the weeks of pregnancy Weight gain during pregnancy in relation to BMI and weeks of gestation Methods of conducting a single obstetric visit: tools, environment, relationship, actions, documents, test prescription Definition of screening and prenatal diagnosis Ultrasound scans during pregnancy – eco office


• The load curve for the diagnosis of diabetes during pregnancy, measurement of the symphysis, continuity of care at the end of pregnancy and after childbirth, hospital-territory integration, role playing: methods of conducting the obstetric visit: clinical cases, tools, environment, relationship, actions, documents, test prescriptions, the students (in pairs) simulate an obstetric visit, starting from the risk assessment up to the prescription of tests, counseling and planning of prenatal diagnosis, examples of hospital-territory continuity.

• Definition
  Stages of Labor/Delivery
  Diagnosis of Labor
  Birth factors (force, birth canal, floaters)


• Uterine contraction: physiology and pathophysiology


• Soft canal: lower uterine segment, cervix
  Bony canal: upper, middle, lower straits, pelvic axis
  External and internal pelvimetry: conjugate


• Floaters: fetal landmarks
  Parturition phenomena (dynamic phenomena, plastic phenomena, mechanical phenomena)


• Dynamic phenomena: expansion of the uterine wall, cervical effacement and dilation, bursa formation and rupture of the membranes, distension of the vagina, perineum, and vulva


• Plastic phenomena: intrinsic and extrinsic relationships
  Attitude, situation, presentation (variety), position of the floaters


• Mechanical phenomena


• Partograph
  • Books: World Health Organization. WHO Labour Care Guide: User’s Manual. Geneva, 2020World Health Organization. WHO recommendations: Intrapartum care for a positive childbirth experience. Geneva, 2018 

• The module aims to provide students with the theorical knowledge, pratical skills, and interpersonal skills necessary to assist women during labor an normal birth, promoting safety, autonomy, and respect for the physiology of the birth process. Upon completion of the module, students will be able to: - Recognize the stages of labor and normal birth.- Apply evidence- based care procedures.- Independently manage maternal fetal monitoring during normal birth- Promote women's psychological and physical well- being trough non - pharmacological pain management techniques.- Collaborate as a part of a team in managing obstetric emergencies.- Promote bonding anche initiation of breastfeeding immediately after birth

• Labor analgesia


• Cesarean section anesthesia


• Emergency and obstetric-neonatal resuscitation

• Anatomy and pathophysiology of the newborn and mechanisms of adaptation to extrauterine life


• Auxometric measurements and neonatal prophylaxisGeneral concepts regarding the physical examination of the newborn and common neonatal events


• characteristics of breast milk and its importance for health, on breast milk substitutes, on the clinical management of infant feeding problems


• General principles and methods for performing newborn screeningManagement of jaundice and skills related to performing competency testsGlycemic homeostasis in full-term and mildly preterm newbornsPrevention and treatment of hypoglycemia

• In the first part of the course (4 hours), the contents regard parenting, attachment, the construction of first relationships. 
  • Books: Readings and slides will be available on the course's e-learning page 


• In the last 4 hours, the contents regard child temperament and social support for his/her care.
  • Books: Readings and slides will be available on the course's e-learning page 

• The students, after understanding the physiology and clinical aspects of the puerperium, will be able to analyze the care process during the puerperium, the role of the midwife, and the establishment of a supportive relationship with the postpartum woman, applying scientific problem-solving to address her needs.
  • Books: “WHO recommendations: intrapartum care for a positive childbirth experience”