Midwifery

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

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