Department of Midwifery

New concepts and phenomena, surgeries and emergencies in midwifery (midwifery 2) [labor, postpartum, health, and family planning]

Title: New concepts and phenomena, surgeries and emergencies in midwifery (midwifery 2) [labor, postpartum, health, and family planning]

  Prerequisite: Midwifery (1)

Duration: 51 hours

Type of Course: Theory

Target group: Midwifery students (MSc)

Setting: School of nursing and midwifery of Mashhad

Professors: Farzaneh Jafarnejad, Nahid Golmakani, Nourani, Masoumeh Kordi (This email address is being protected from spambots. You need JavaScript enabled to view it.)

 

General Goal:

Providing learning opportunities to acquire sufficient knowledge about labor physiological processes, maternity monitoring and management during different stages of labor, and controlling midwifery emergencies, abnormal labors, complications of postpartum period, and different contraceptive methods

Behavioral Goals:

At the end of the program, students are expected to:

1.     Express the physiological and biochemical processes of childbirth.

2.     Analyze the physiology of different stages of natural labor.

3.     Explain episiotomy and injuries during labor.

4.     Explain immediate maternal and neonatal cares in postpartum period.

5.     Explain the examination of the placenta and fetal membranes and their abnormalities.

6.     Explain anatomic and physiologic changes and postpartum cares.

7.     Compare different methods of anesthesia in labor.

8.     Express different types of medications used in labor, and their congenital, fetal, and neonatal complications.

9.     Explain premature birth.

10.  Explain premature rupture of membranes (PROM).

11.  Describe prolonged pregnancy.

12.  Explain fetal development disorders during pregnancy.

13.  Explain blood incompatibility of fetus and mother during pregnancy.

14.  Mention the causes of fetal distress in different stages of pregnancy.

15.   Describe evaluation methods of fetal health in labor.

16.  Elaborate on generalities of dystocia and world health organization (WHO) partograph.

17.  Compare different disorders in uterine contraction forces.

18.   Elaborate on different types of presentations, status, abnormal growth, and shoulder dystocia of fetus.

19.  Compare different types of pelvic stenosis.

20.  Explain different disorders of pelvic soft tissue disorders.

21.  Explain clinical chart of midwifery emergencies and main procedures when dealing with such situations.

22.  Explain postpartum period complications (bleeding, infection, thrombosis and embolism, and mental behaviors and complications).

23.  Explain general principles of C-section.

24.  Compare assisted delivery (forceps and vacuum).

25.  Explain different male and female contraceptives.

26.  Explain about the role of midwives in advancing the goals of family planning and health.

Content and Its Order of Presentation:

Session

Date

Title

Professors

Teaching Methods

1st

9/21/2010

Providing students with course plan, physiology of uterine contractions, theories and mechanisms of labor initiation (part I)

Kordi

PowerPoint- question and answer

2nd

9/28/2010

physiology of uterine contractions, theories and mechanisms of labor initiation (part II)

Kordi

PowerPoint- group discussion

3rd

10/3/2010

Premature birth

Golmakani

PowerPoint- question and answer

4th

10/5/2010

Premature rupture of membranes- prolonged pregnancy

Golmakani

PowerPoint- question and answer

5th

10/10/2010

Episiotomy, labor injuries, immediate maternal and neonatal cares in postpartum (maternal and neonatal general status up to 2 hours after labor)

Golmakani

Article presentation in the form of journal club, review of items, and  exam

6th

10/12/2010

Anatomic and physiologic changes and postpartum period cares – maternal mental and psychological complications after childbirth

Jafarnejad

PowerPoint- question and answer

7th

10/17/2010

Fetal development disorders

Golmakani

PowerPoint- question and answer

8th

10/24/2010

Blood incompatibility of mother and fetus during pregnancy

Golmakani

Conference

9th

10/26/2010

Fetal distress and evaluation of fetal health during childbirth

Kordi

Conference

10th

10/31/2010

Generalities of dystocia and labor partograph

Kordi

PowerPoint- question and answer

11th

11/2/2010

Dystocia, disruption in uterine contraction forces, and shoulder dystocia

Kordi

PowerPoint- question and answer

12th

11/7/2010

Dystocia with fetal origin, emphasis on demonstration of breech delivery

Golmakani

Article presentation, review of materials, exam

13th

11/9/2010

Pelvic dystocia and soft tissue disorder

Jafarnejad

Article presentation in the form of journal club, review of materials, and exam

14th

11/14/2010

Vacuum and comparison of its complications with forceps- vaginal birth after C-section

Golmakani

Conference

15th

11/16/2010

Fetal placenta and  membranes disorders, umbilical cord prolapse, amniotic fluids embolism

Jafarnejad

Article presentation in the form of journal club, review of materials, and exam

16th

11/21/2010

Postpartum bleeding (uterine hypotonia, rupture, and inversion)

Jafarnejad

PowerPoint- question and answer

17th

11/23/2010

Postpartum infections (Genital, urinary, and breast infections and septic shock)

Jafarnejad

PowerPoint- question and answer

18th

11/28/2010

Natural and barrier methods, IUD, surgical procedures of family planning in men and women

Nourani

PowerPoint- question and answer

19th

11/30/2010

Pharmacological procedures of family planning

Nourani

Team member teaching design (TMTD)

20th

12/5/2010

Maternal and neonatal blood transfusion cases

Jafarnejad

 

 

 

 

 

Article presentation in form of journal club, review of materials, and exam

21st

12/7/2010

Non-pharmacological pain relief methods in labor

Jafarnejad, Kordi, and Golmakani

Article presentation in form of journal club, review of materials, and exam

22nd

12/12/2010

Anesthesia in midwifery

Physician

-

23rd

12/14/2010

Anesthesia in midwifery

Physician

-

24th

12/19/2010

Role of midwives, family, and health clinics in advancing and performing the goals of family planning and health

Jafarnejad

Conference

25th

Exam   Jafarnejad-Kordi-Golmakani

 

Teaching Methods:

Education and training in this course is student-centered and based on lectures, question-answer, group discussion, and conference presentation by students. The course plan is in the form of team member teaching design, teamwork, journal club, and article.

Responsibilities of Students:

·         Regular presence in class and avoidance of unjustified absence

·         Pre-studying based on the predetermined subjects and references

·         Active participation in answering questions raised during class discussions

·         Providing and presenting assigned tasks in due time

Assessments of Students:

10% Active attendance in class and presenting articles

10% Mid-term exams

20% Developmental assessment

20% Presenting conference and journal club

40% Final exam

Mid-term and final exams will be taken in form of multiple-choice (MCQ) and modified essay questions (MEQ).

References:

1.     Cunningham, Macdond,”William’s Obstetrics”, 23rd Ed, Appletone & Lange, 2010.

2.     Decherney, Pernol, “Current Obstetric & Gynecologic Diagnosis & Treatment”, 9th Ed. Appleton & Lange Co, 2008

3.     Ronald S. Gibbs, David N. Danforth, Beth Y Karlan, Arthur F Haney. “Danforth` S Obstetrics & Gynecology”. 10th Ed. Lippincott co., 2008

4.     Varney, H; [et al]. "Varney`s Midwifery.” 4th Ed. Boston: Jones and Bartlet pub, 2004.  5- Gabbe: Obstetrics 5th ed., 2007 Churchill Livingstone

5.     James: “High-Risk Pregnancy”, 3rd. ed. - 2005 - Saunders, “An Imprint of Elsevier Complimentary Access!”

6.     Smith: “Netter's Obstetrics and Gynecology”, 2nd Ed. - 2008 - Saunders, “An Imprint of Elsevier Complimentary Access!”

7.     Creasy: “Creasy and Resnik's Maternal-Fetal Medicine”, 6th Ed. - 2008 - Saunders, “An Imprint of Elsevier Complimentary”

8.     Strauss: Yen & Jaffe's Reproductive Endocrinology, 6th Ed. - 2009 - Saunders, “An Imprint of Elsevier Complimentary Access!”

9.     Marc A. Fritz, Leon Speroff, “Clinical Gynecologic Endocrinology and Fertility”. Translated by: Ghazi Jahani Bahram. Tehran: Golban Press, 2010

10.  Jonathan Burke, “Novak's Gynecology”. Translated by: Valadan Mehrnaz, Omid Goran Orimi, Ramin Rafiee. Tehran: Nasl-e-Farda Press, 2007

 

Guidelines to Provide Conferences

Contact the relevant professor to provide and set conferences and collect the related materials.  A copy of conference with correct punctuation and references should be delivered to the professor at least a week before the presentation.

 

Guidelines to Provide Articles

Each related article in the course will be presented by one student. Presence of essential clues in articles will lead to the provision of more articles.

In order to approve the article, students should contact a relevant professor and send the English prescription of the article to professor at least a week before its presentation. At the end of the term, a compact disk containing the presented articles and conferences, and at least ten standard questions from each article, will be provided for the professor.