Women and Delivery

A.Y. 2023/2024
9
Max ECTS
135
Overall hours
SSD
MED/38 MED/40 MED/47
Language
Italian
Learning objectives
The student must know the physiology of labor and delivery. The student must be able to control maternal and fetal well-being. The student must be able to autonomously assist the eutocical childbirth and be able to assist the dystocic birth in an Emergency.
Expected learning outcomes
Knowledge and understanding
The student must:
· acquire the physiology of labor and delivery. Check maternal and fetal well-being
Ability to apply knowledge and understanding
· give complete and consistent assistance in different clinical cases
· assist physiological vaginal delivery and know how to recognize the pathology.
Single course

This course can be attended as a single course.

Course syllabus and organization

Sezione: Mantova

Responsible
Prerequisites for admission
Prerequisites for the teaching: HUMAN BODY
Assessment methods and Criteria
Test method
Oral exam
Practice Test
Test typology
Interview with teachers
Simulations
Test evaluation parameters
Ability to discursively organize knowledge; critical reasoning skills on the study carried out; quality of exposition, competence in the use of specialized vocabulary, effectiveness, linearity
Type of test evaluation
In thirtieths (the mark is decided by the Commission made up of the teachers present at the Integrated Course exam)
Method of communication of test results
The grade is reported verbally to the student. Subsequently the vote is recorded on the web in a way that allows the student to accept or reject it
Pediatria generale e specialistica
Course syllabus
Fetal physiology during birth
Definition of physiological newborn
Reabsorption of amniotic fluid
Adrenergic stimulus
Plastic phenomena of childbirth
Physiological neonatal adaptation to extrauterine life
Respiratory adaptation
Cardiovascular adaptation
metabolic adaptation
Thermoregulation of the newborn
Teaching methods
Frontal lessons
Interactive lessons
Teaching Resources
Menghetti E. MANUALE DI NEONATOLOGIA SOCIETÀ EDITRICE UNIVERSO
Ginecologia e ostetricia
Course syllabus
Documented detection of indicators of fetal well-being
Clinical diagnostics
Instrumental diagnostics
Detection and nomenclature of fetal cardiac activity
Reading and interpretation of the traces.
Episiotomy and episiorrhaphy
the paramedian - the mediolateral
Risks or benefits
Technique and execution times of a suture
The suture of the complicated episiotomy
Teaching methods
Frontal lessons
Interactive lessons
Teaching Resources
Danti, di Tommaso, Maffetti, Garfana CARDIOTOCOGRAFIA GUIDA PRATICA PICCIN
Scienze infermieristiche ostetrico-ginecologiche
Course syllabus
Childbirth as a physiological event
Eutocia and dystocia: definitions and concepts
The WHO and childbirth in eutocia
The technocraticization of the birth event
The birth event today
Obstetrical nomenclature regarding childbirth
Labor determinism
The obstetrical diagnosis
The traditional obstetric model
Timing of the midwife visit
Anamnesis
Inspection
Palpation
Auscultation
Exploration
First level diagnostic exams (eco office)

The factors of childbirth
The channel
The pelvis from an obstetric point of view (external and internal pelvimetry - plasticity of the pelvis and movements)
The soft parts
The pelvic floor
The fetus
Relationships between individual fetal parts
Relations of the fetus with the uterus and with the canal
The force
The uterine contraction
Type of contractions according to the time of delivery
Detection and nomenclature of uterine contractile activity
The maternal drive
The force of gravity

The Phenomena of childbirth
Maternal or dynamic phenomena
Fetal maternal or mechanical phenomena
Fetal or plastic phenomena

The first stage of childbirth, passive or latent: the prodromal period
The physical changes
Behavior modifications
The relational aspect
The presence of a person chosen by the woman
The influence of the environment
Duration
Control of BCF and uterine contractions
The support of the midwife

The first active stage
The physical changes
Behavior modifications
The environment and the people present: the importance of intimacy
Duration
The well-being of the woman
Freedom of movement: influence on contractions and fetal well-being
Emotional support for women
The diuresis
The power supply
Vaginal explorations
Control of BCF and uterine contractions
The importance of diagnosis of situation, presentation, position, progression, commitment

The second stage of childbirth: passive or latent
the transition periods

The second stage of childbirth: active
The environment and the people present
The physical changes
Behavior modifications
Control of BCF and uterine contractions
The period of expulsion
Duration
The push
The posture of the woman
Controlling the BCF and contractions
The disengagement of the fetus
Hands on - Hands off
The function of the perineum during childbirth
How to prevent lacerations
The lacerations of the soft birth canal
The suture of uncomplicated first or second degree laceration
Characteristics of surgical threads and suture techniques
Local anesthesia: drugs, characteristics of pharmaceutical products, execution technique
Continuous, personalized assistance
The importance of support during labor and delivery
The skills of the midwife in assisting labor and delivery as provided for by law
When does the competence of the midwife end?
The writings of the midwife
Flow charts
The Midwifery Graphics (The Cardiff Card)
The childbirth certificate
The birth certificate
Malformed report
The birth register

The third stage of childbirth: the secondment period
How long to wait Placental abruption: detection of uterine and funicular signs
Mode of placental abruption
Passive secondment assistance
Active secondment assistance
Measurement of blood loss
The control of the ovular adnexa

The episiotomy
the paramedian - the mediolateral
Risks or benefits
Technique and execution times of an episiorrhaphy
The sutures of third-degree and fourth-degree perineal damage

The post partum
Duration
The importance of the mother/newborn bond: staying together
The presence of the father
The skin to skin
Early breastfeeding
The emotion of the woman
The well-being of the woman
General condition check:
Vital parameters detection
Check local conditions
State of the external genitalia
Presence of the safety globe
the blood loci
Spontaneous urination
First care of the newborn
Foster the mother/child bond
How to aspirate the upper airways
How to maintain body temperature
Cable clamping
Scoring of Apgar
Identification
Eye and haemorrhagic prophylaxis
Cleaning bathroom
Weight detection
Care of the umbilical stump
Dressing
Clinical evaluation of the newborn
How to protect the newborn mother relationship

birthplaces
Low-risk childbirth
The hospital
The birth house
The domicile

Home birth assistance and in the birth house
Selection protocols
Guidelines
Continuity of midwifery care
Evaluation criteria
The risk
The connection with the hospital units
The responsibility of the midwife

The meetings accompanying the birth
Healthcare figures and those not involved in birth assistance
Criteria for planning a course
Organize and present a course
Choice of environment, times, timetables, number of participants
Formation of a group
The group as container of anxiety
Information part: what topics and why
The body work
Relaxation, breathing, movement
The role of a course leader
The assistance
pregnant midwife
The tools of safety and well-being
importance of good posture
How to foster prenatal bonding
Communication with the baby in the womb
The authorship
Emotional support of the partner
Pain
Attitude and expectations function
Pain reduction techniques
Childbirth
Emotionality of the operators
Postpartum
Couple relationship
Sexuality and contraception
Dating after childbirth
Work on closing the perineum
Teaching methods
Frontal lessons
Interactive lessons
Practice on dummies
Body works
Teaching Resources
Ammaniti M. LA GRAVIDANZA TRA FANTASIA E REALTÀ IL PENSIERO SCIENTIFICO EDITORE
Chamberlain D. I BAMBINI RICORDANO LA NASCITA BONOMI EDITORE
Leboyer F. PER UNA NASCITA SENZA VIOLENZA TASCABILI BOMPIANI
Menghetti E. MANUALE DI NEONATOLOGIA SOCIETÀ EDITRICE UNIVERSO
Parazzini F., Mauri P.A. (2020) IL MANUALE DEI CONCORSI PER OSTETRICA. EDISES
Rank O. IL TRAUMA DELLA NASCITA SUGARCO EDIZIONI
Romito P. LA DEPRESSIONE DOPO IL PARTO IL MULINO
Winnicott W. DALLA PEDIATRIA ALLA PSICOANALISI MARTINELLI
Ginecologia e ostetricia
MED/40 - OBSTETRICS AND GYNAECOLOGY - University credits: 1
Lessons: 15 hours
Professor: Bianchi Annalisa
Pediatria generale e specialistica
MED/38 - PAEDIATRICS - University credits: 1
Lessons: 15 hours
Professor: Malizia Sara
Scienze infermieristiche ostetrico-ginecologiche
MED/47 - MIDWIFERY - University credits: 7
Lessons: 105 hours

Sezione: Milano

Responsible
Prerequisites for admission
Prerequisites for the teaching: HUMAN BODY
Assessment methods and Criteria
Test method
Oral exam
Practice Test
Test typology
Interview with teachers
Simulations
Test evaluation parameters
Ability to discursively organize knowledge; critical reasoning skills on the study carried out; quality of exposition, competence in the use of specialized vocabulary, effectiveness, linearity
Type of test evaluation
In thirtieths (the mark is decided by the Commission made up of the teachers present at the Integrated Course exam)
Method of communication of test results
The grade is reported verbally to the student. Subsequently the vote is recorded on the web in a way that allows the student to accept or reject it
Pediatria generale e specialistica
Course syllabus
Fetal physiology during birth
Definition of physiological newborn
Reabsorption of amniotic fluid
Adrenergic stimulus
Plastic phenomena of childbirth
Physiological neonatal adaptation to extrauterine life
Respiratory adaptation
Cardiovascular adaptation
metabolic adaptation
Thermoregulation of the newborn
Teaching methods
Frontal lessons
Interactive lessons
Teaching Resources
Menghetti E. MANUALE DI NEONATOLOGIA SOCIETÀ EDITRICE UNIVERSO
Ginecologia e ostetricia
Course syllabus
Documented detection of indicators of fetal well-being
Clinical diagnostics
Instrumental diagnostics
Detection and nomenclature of fetal cardiac activity
Reading and interpretation of the traces.
Episiotomy and episiorrhaphy
the paramedian - the mediolateral
Risks or benefits
Technique and execution times of a suture
The suture of the complicated episiotomy
Teaching methods
Frontal lessons
Interactive lessons
Teaching Resources
Danti, di Tommaso, Maffetti, Garfana CARDIOTOCOGRAFIA GUIDA PRATICA PICCIN
Scienze infermieristiche ostetrico-ginecologiche
Course syllabus
Childbirth as a physiological event
Eutocia and dystocia: definitions and concepts
The WHO and childbirth in eutocia
The technocraticization of the birth event
The birth event today
Obstetrical nomenclature regarding childbirth
Labor determinism
The obstetrical diagnosis
The traditional obstetric model
Timing of the midwife visit
Anamnesis
Inspection
Palpation
Auscultation
Exploration
First level diagnostic exams (eco office)

The factors of childbirth
The channel
The pelvis from an obstetric point of view (external and internal pelvimetry - plasticity of the pelvis and movements)
The soft parts
The pelvic floor
The fetus
Relationships between individual fetal parts
Relations of the fetus with the uterus and with the canal
The force
The uterine contraction
Type of contractions according to the time of delivery
Detection and nomenclature of uterine contractile activity
The maternal drive
The force of gravity

The Phenomena of childbirth
Maternal or dynamic phenomena
Fetal maternal or mechanical phenomena
Fetal or plastic phenomena

The first stage of childbirth, passive or latent: the prodromal period
The physical changes
Behavior modifications
The relational aspect
The presence of a person chosen by the woman
The influence of the environment
Duration
Control of BCF and uterine contractions
The support of the midwife

The first active stage
The physical changes
Behavior modifications
The environment and the people present: the importance of intimacy
Duration
The well-being of the woman
Freedom of movement: influence on contractions and fetal well-being
Emotional support for women
The diuresis
The power supply
Vaginal explorations
Control of BCF and uterine contractions
The importance of diagnosis of situation, presentation, position, progression, commitment

The second stage of childbirth: passive or latent
the transition periods

The second stage of childbirth: active
The environment and the people present
The physical changes
Behavior modifications
Control of BCF and uterine contractions
The period of expulsion
Duration
The push
The posture of the woman
Controlling the BCF and contractions
The disengagement of the fetus
Hands on - Hands off
The function of the perineum during childbirth
How to prevent lacerations
The lacerations of the soft birth canal
The suture of uncomplicated first or second degree laceration
Characteristics of surgical threads and suture techniques
Local anesthesia: drugs, characteristics of pharmaceutical products, execution technique
Continuous, personalized assistance
The importance of support during labor and delivery
The skills of the midwife in assisting labor and delivery as provided for by law
When does the competence of the midwife end?
The writings of the midwife
Flow charts
The Midwifery Graphics (The Cardiff Card)
The childbirth certificate
The birth certificate
Malformed report
The birth register

The third stage of childbirth: the secondment period
How long to wait Placental abruption: detection of uterine and funicular signs
Mode of placental abruption
Passive secondment assistance
Active secondment assistance
Measurement of blood loss
The control of the ovular adnexa

The episiotomy
the paramedian - the mediolateral
Risks or benefits
Technique and execution times of an episiorrhaphy
The sutures of third-degree and fourth-degree perineal damage

The post partum
Duration
The importance of the mother/newborn bond: staying together
The presence of the father
The skin to skin
Early breastfeeding
The emotion of the woman
The well-being of the woman
General condition check:
Vital parameters detection
Check local conditions
State of the external genitalia
Presence of the safety globe
the blood loci
Spontaneous urination
First care of the newborn
Foster the mother/child bond
How to aspirate the upper airways
How to maintain body temperature
Cable clamping
Scoring of Apgar
Identification
Eye and haemorrhagic prophylaxis
Cleaning bathroom
Weight detection
Care of the umbilical stump
Dressing
Clinical evaluation of the newborn
How to protect the newborn mother relationship

birthplaces
Low-risk childbirth
The hospital
The birth house
The domicile

Home birth assistance and in the birth house
Selection protocols
Guidelines
Continuity of midwifery care
Evaluation criteria
The risk
The connection with the hospital units
The responsibility of the midwife

The meetings accompanying the birth
Healthcare figures and those not involved in birth assistance
Criteria for planning a course
Organize and present a course
Choice of environment, times, timetables, number of participants
Formation of a group
The group as container of anxiety
Information part: what topics and why
The body work
Relaxation, breathing, movement
The role of a course leader
The assistance
pregnant midwife
The tools of safety and well-being
importance of good posture
How to foster prenatal bonding
Communication with the baby in the womb
The authorship
Emotional support of the partner
Pain
Attitude and expectations function
Pain reduction techniques
Childbirth
Emotionality of the operators
Postpartum
Couple relationship
Sexuality and contraception
Dating after childbirth
Work on closing the perineum
Teaching methods
Frontal lessons
Interactive lessons
Practice on dummies
Body works
Teaching Resources
Ammaniti M. LA GRAVIDANZA TRA FANTASIA E REALTÀ IL PENSIERO SCIENTIFICO EDITORE
Chamberlain D. I BAMBINI RICORDANO LA NASCITA BONOMI EDITORE
Leboyer F. PER UNA NASCITA SENZA VIOLENZA TASCABILI BOMPIANI
Menghetti E. MANUALE DI NEONATOLOGIA SOCIETÀ EDITRICE UNIVERSO
Parazzini F., Mauri P.A. (2020) IL MANUALE DEI CONCORSI PER OSTETRICA. EDISES
Rank O. IL TRAUMA DELLA NASCITA SUGARCO EDIZIONI
Romito P. LA DEPRESSIONE DOPO IL PARTO IL MULINO
Winnicott W. DALLA PEDIATRIA ALLA PSICOANALISI MARTINELLI
Ginecologia e ostetricia
MED/40 - OBSTETRICS AND GYNAECOLOGY - University credits: 1
Lessons: 15 hours
Pediatria generale e specialistica
MED/38 - PAEDIATRICS - University credits: 1
Lessons: 15 hours
Scienze infermieristiche ostetrico-ginecologiche
MED/47 - MIDWIFERY - University credits: 7
Lessons: 105 hours