Nursing and Midwifery Sciences REPLICA S. CAMILLO

The course leads students to reconstruct the evolution of the midwifery profession and to critically interpret the Code of Ethics and professional regulation, linking ethical principles and legal frameworks to real-world care settings. Building on this foundation, students delineate and apply the scope of midwifery practice, classify low- and high-risk obstetric scenarios, and make informed decisions aligned with different levels of complexity. They then examine the rationale of the “Percorso Bro” and the organization of first- and second-level services within a hub-and-spoke model, analyzing how such configurations support perinatal care management and integration of STAM/STEN transport systems, including activation criteria and continuity-of-care pathways; community clinics (Consultori) are addressed as strategic territorial nodes for prevention, care coordination and the childbirth pathway. Moving to Midwifery Management, students use problem-solving tools to set priorities, allocate resources and reduce unwarranted variation, while critically comparing obstetric care models (one-to-one, midwifery partnership, first- and second-level case management) and justifying their adoption according to context, risk and women’s preferences. Students then design and appraise obstetric clinical pathways (PDTA) as governance devices aimed at measurable outcomes; accordingly, the National Outcomes Programme (PNE) is used to select and interpret relevant indicators (process, outcome, safety) and to compare settings and levels of care. The module also addresses Female Genital Mutilation (classification, epidemiology, professional recommendations) to foster culturally competent clinical and organizational responses, and explores the regulation and implementation of Law 194/1978, balancing rights, safeguards and service organization. By the end, students produce care plans and micro-organizational protocols that integrate regulation, outcome indicators and models of care, providing reasoned justifications and embedding monitoring and continuous improvement mechanisms.

Guana, M., Cappadona, R., Di Paolo, A. M., Pellegrini, M. G., Piga, M. D., & Vicario, M. (2011). La disciplina ostetrica (2ª ed.). Milano: McGraw-Hill Education. ISBN 9788838636943.