Midwifery - Roma Azienda Ospedaliera Sant’Andrea

Activity type

Scienze ostetriche

SSD

MED/47

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

8 classroom hours

Lecturers

ROMOLO DI IORIO

Activity type

Interdisciplinari e cliniche

SSD

MED/40

Year

2nd year

Semester

1st semester

CFU

2

Hours distribution

16 classroom hours

Lecturers

ROMOLO DI IORIO

Activity type

Scienze medico - chirurgiche

SSD

MED/17

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

8 classroom hours

Lecturers

ROMOLO DI IORIO

Activity type

Scienze biomediche

SSD

MED/03

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

8 classroom hours

Lecturers

SIMONA PETRUCCI

Activity type

Scienze medico - chirurgiche

SSD

BIO/14

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

8 classroom hours

Lecturers

STEFANIA MACCARI

Activity type

Interdisciplinari e cliniche

SSD

MED/40

Year

2nd year

Semester

1st semester

CFU

2

Hours distribution

16 classroom hours

Lecturers

ISABELLA FABIETTI

Activity type

Interdisciplinari e cliniche

SSD

MED/11

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

8 classroom hours

Lecturers

GIULIANO TOCCI

The student will have acquired the theoretical knowledge and practical skills required for obstetric care in high-risk pregnancies, monitoring methods for pregnancy and labor/delivery, prenatal diagnostic techniques, genetic procedures in maternal-fetal medicine, and knowledge of the main drugs used in obstetrics and gynecology. Furthermore, the student will have gained knowledge regarding the screening and management of high-risk pregnancies and of women with cardiovascular conditions during pregnancy.

Knowledge of obstetric anatomy and physiology, the physiology of labor and childbirth, and the general principles of genetics and pharmacology.

HIGH-RISK PREGNANCY

miscarriage: definition, classification, causes
recurrent pregnancy loss
nausea and vomiting in pregnancy, hyperemesis gravidarum
preterm birth: definition, pathophysiology, risk factors, diagnosis, treatment
prematurity: fetal and neonatal outcomes, stimulation of fetal lung maturity, prevention of fetal neurological injury
cervical incompetence and cervical cerclage
twin pregnancy: maternal, fetal, and obstetric risks
diabetes in pregnancy
hypertension in pregnancy
intrahepatic cholestasis of pregnancy
placental abnormalities: placenta previa and placenta accreta
premature rupture of membranes (PROM) at term and preterm
oligohydramnios
polyhydramnios
post-term pregnancy
induction of labor


MONITORING OF PREGNANCY, LABOR, AND DELIVERY

obstetric examination
physiology of uterine contractions
abnormalities of uterine contractile activity: uterine hypertonus and hyperkinesia
pathophysiology of fetal cardiac activity: baroreceptors, chemoreceptors, sympathetic and parasympathetic nervous systems
ontogeny of fetal activity/rest periods
mean FHR and baseline: definition, pathophysiology, and clinical significance
FHR accelerations: definition, pathophysiology, and clinical significance
variable, early, and late FHR decelerations: definition, pathophysiology, and clinical significance
classification of CTG tracings: national and international guidelines
clinical management of abnormal CTG patterns
cardiotocography clinic
ancillary methods for assessing fetal well-being during labor: pulse oximetry, fetal ECG, fetal scalp sampling, Clark test
intermittent FHR auscultation (indications, limitations, advantages and disadvantages, methodology)
antepartum cardiotocography: non-stress test
fetal movement counting
first, second, and third-trimester obstetric ultrasound: timing, indications, objectives
ultrasound assessment of cervical length in pregnancy (indications, predictive value)
ultrasound assessment of amniotic fluid volume: amniotic fluid index, deepest vertical pocket
ultrasound in the delivery room
maternal and fetal Doppler velocimetry (indications)
fetal magnetic resonance imaging (MRI)


PRENATAL DIAGNOSIS

Prenatal diagnosis: introduction to its significance and use
First-trimester screening: aneuploidies, malformations, and preeclampsia
Second-trimester screening, diagnosis of fetal malformations, and management pathway
Third-trimester screening
Fetal surgery


INFECTIOUS DISEASES AND PREGNANCY

Infectious diseases and pregnancy: role of the placenta, infected vs. affected fetus, embryo-fetal, congenital, and neonatal infection
Rubella (overview, fetal and neonatal effects, diagnosis, therapy, prevention, screening in pregnancy)
Toxoplasmosis (overview, fetal and neonatal effects, diagnosis, therapy, prevention, screening in pregnancy)
Cytomegalovirus (overview, primary and secondary infection, fetal and neonatal effects, diagnosis, therapy, prevention, screening in pregnancy)
Herpes virus (overview, HSV-1 and HSV-2, fetal and neonatal effects, diagnosis, therapy, mode of delivery, screening in pregnancy)
Varicella (overview, primary infection and reactivation, fetal and neonatal effects, diagnosis, therapy, mode of delivery, screening in pregnancy)
Parvovirus B19 (overview, fetal and neonatal effects)
Listeriosis (overview, fetal and neonatal effects, diagnosis, prevention in pregnancy)
Hepatitis A (overview, fetal-neonatal, maternal, and obstetric effects, screening in pregnancy)
Hepatitis B (overview, mother-to-fetus transmission, therapy, mode of delivery, screening in pregnancy)
Hepatitis C (overview, mother-to-fetus transmission, therapy, mode of delivery, screening in pregnancy)
HIV (overview, mother-to-fetus transmission, therapy, mode of delivery, screening in pregnancy)
Chagas disease (screening in pregnancy)
Prevention of neonatal Group B Streptococcus infection

Module: MONITORING OF PREGNANCY LABOR AND DELIVERY
“Treatise on the Science and Art of Midwifery Practice” (Trattato di Scienza ed Arte della Professionalità Ostetrica), Vol. 1–5, W. Costantini, Piccin Editore, 2023
Istituto Superiore di Sanità (Italian National Institute of Health). National Guideline System. Guideline No. 20: Physiological Pregnancy. November 2010
Istituto Superiore di Sanità (Italian National Institute of Health). National Guideline System. Guideline No. 20: Physiological Pregnancy. Part I Revision, 2023
SIGO, AOGOI, AGUI Guidelines: “Cardiotocographic Monitoring During Labor,” 2018
Italian Society of Obstetric and Gynecologic Ultrasound (SIEOG). SIEOG Guidelines, 2015
Italian Society of Obstetric and Gynecologic Ultrasound (SIEOG). SIEOG Guidelines, 2021


Module: HIGH-RISK PREGNANCY
SIGO Guidelines: “Management of Preterm Birth” (2020 Revision)
SIGO, AOGOI, and AGUI Guidelines: “Induction of Labor” (2022)
AIPE Guidelines: “Hypertensive Disorders in Pregnancy” (2020)


Module: INFECTUOS DISEASES IN PREGNANCY
*Treatise on the Science and Art of Midwifery Practice* (Vol. 1–5), W. Costantini, Piccin Editore, 2023
Istituto Superiore di Sanità. National Guideline System. Guideline No. 20: Physiological Pregnancy. November 2010
Istituto Superiore di Sanità. National Guideline System. Guideline No. 20: Physiological Pregnancy. Revision (Part I), 2023


Module: CARDIOVASCULAR DISEASES AND PREGNANCY
N/D
Module: PHARMACOLOGY IN OBSTETRICS AND GYNECOLOGY
N/D
Module: PRENATAL DIAGNOSIS
N/D
Module: CLINICAL GENETICS IN MATERNAL-FETAL MEDICINE
N/D

Module: MONITORING OF PREGNANCY LABOR AND DELIVERY
N/D
Module: HIGH-RISK PREGNANCY
N/D
Module: INFECTUOS DISEASES IN PREGNANCY
N/D
Module: CARDIOVASCULAR DISEASES AND PREGNANCY
N/D
Module: PHARMACOLOGY IN OBSTETRICS AND GYNECOLOGY
N/D
Module: PRENATAL DIAGNOSIS
N/D
Module: CLINICAL GENETICS IN MATERNAL-FETAL MEDICINE
N/D

Classes are held in person using an integrated approach that combines lectures with interactive sessions, supported by multimedia presentations and case simulations.
During the lecture segments, the instructor introduces and organizes key content using PowerPoint presentations and encourages structured note-taking. Interactive sections foster applied reasoning through guided questions, brief small-group discussions, and plenary feedback, accompanied by short formative assessments. The use of presentations ensures clarity, logical flow, and access to study materials; simulations based on clinical-organizational scenarios allow participants to practice decision-making and risk management in a safe environment, followed by a structured debriefing. Critical reading of articles (journal club) develops skills in using evidence: selecting sources, synthesizing findings, conducting a basic methodological evaluation, and applying insights to practice or organizational settings.

Mandatory attendance. At least 80% attendance. Sign-in sheet.

Assessment is integrated: within the same examination session, the student completes all assessments pertaining to the individual modules and must pass each with at least a satisfactory result. In-term tests or exemptions may be scheduled and contribute to the overall evaluation. The final grade is expressed on a 30-point scale, as an integration of the module results (pass ≥ 18/30); honors are awarded upon a unanimous decision. Admission to the exam is contingent upon in-person attendance of not less than 80%) of the total course hours. Reasonable accommodations, as well as compensatory tools and dispensations for students with disabilities and/or specific learning disorders (SLD), are ensured in accordance with applicable regulations.

Definition of preeclampsia
Pharmacological treatment of threatened preterm labor
Treatment of eclamptic seizures
Induction of fetal lung maturity
Classification of emergency/urgent Cesarean sections
Infectious disease screening during pregnancy
Prenatal screening tests

• HIGH-RISK
  PREGNANCY


• MONITORING
  OF PREGNANCY, LABOR, AND DELIVERY


• PRENATAL DIAGNOSIs


• INFECTIOUS
  DISEASES AND PREGNANCY


• CARDIOVASCULAR
  DISEASES IN PREGNANCY


• PHARMACOLOGY
  IN OBSTETRICS AND GYNECOLOGY


• CLINICAL
  GENETICS IN MATERNAL-FETAL MEDICINE