Unit PATHOLOGY DURING PREGNANCY, CHILDBIRTH AND PUERPERIUM

Course
Midwifery
Study-unit Code
50414107
Curriculum
In all curricula
Teacher
Irene Giardina
CFU
7
Course Regulation
Coorte 2019
Offered
2021/22
Type of study-unit
Obbligatorio (Required)
Type of learning activities
Attività formativa integrata

GYNAECOLOGY AND OBSTETRICS

Code 50152503
CFU 3
Teacher Irene Giardina
Teachers
  • Irene Giardina
  • Liliana Burnelli
Hours
  • 30 ore - Irene Giardina
  • 15 ore - Liliana Burnelli
Learning activities Caratterizzante
Area Scienze medico-chirurgiche
Academic discipline MED/40
Type of study-unit Obbligatorio (Required)

MIDWIFERY, NURSING GYNAECOLOGICAL SCIENCES

Code 50518804
CFU 4
Teacher Marica Falini
Teachers
  • Marica Falini
Hours
  • 60 ore - Marica Falini
Learning activities Caratterizzante
Area Scienze ostetriche
Academic discipline MED/47
Type of study-unit Obbligatorio (Required)
Language of instruction Italian
Contents The midwife and pathology
The pathology of pregnancy
The pathology of delivery
The pathology of puerperium
Reference texts 1. Pescetto G., De Cecco L., Pecorari D, Ragni N. Ginecologia e Ostetricia V edizione. Vol 2.Ed. Societa’ editrice Universo, 2000
2. Costantini W., Calistri D. Ostetrica. La patologia in ostetricia e ginecologia. Ed. Piccin, 2013
3. Di Paolo AM.L La professione ostetrica. Ed Editeam, 2009
4. Di Renzo G.C. Ginecologia e Ostetricia. Ed.Verducci Editore, 2006
5. Guana M. et al. La disciplina ostetrica. Ed McGraw-hill, 2006
6. Houd S. Emergenze nel parto, riconoscerle e gestirle in team, Numeri Primi Editore, 2013
7. Nappi C. Ostetricia e Ginecologia. Ed. Idelson-Gnocchi, 2004
8. Pescetto G., De Cecco L., Pecorari D, Ragni N. Manuale di ginecologia e ostetricia. Vol 2.Ed. Societa’ editrice Universo, 2000
9. Ragusa A., Crescini C. Urgenze ed emergenze in sala parto, Ed. Piccin 2015
10. Regalia A., et al. “Pro-muovere il parto, la postura come procedura”, Ed. Carocci Faber, 2005
11.Danti L. "Il periodo espulsivo e dintorni"Ed. Piccin 2017
12. Guidelines and protocols provided by the teacher
Educational objectives To describe and identify the most common clinical situation of pathological pregnancy, delivery and puerperium;To know elements of differential diagnosis concerning midwifery in order to:
- individualise diagnosis and midwifery care;
- define when medical intervention is needed;To know the essential emergency measures to carry out before the doctor comes;To know what concern midwife about care program in teawork;To manage obstetrical emergency both as regards clinical and organizational aspects;
Prerequisites
Teaching methods Taught classes
Laboratory activities: practical tests and simulation of case report.
Other information
Learning verification modality Final exam: oral and practical exam
Extended program 1. The midwife and pathology
2. The midwife and skills
3.Indices, Indicators and Risk Factors
- Infant mortality rate
- Maternal mortality ratio
4. At risk pregnancy:
Anamnestic, obstetrical and concerning the current pregnancy risk factors;
5.Hypertensive disorders in pregnancy
6. Gestational diabetes
7. Preoperative care: elective, urgency and emergency. Pregnant woman care in emergency
8. Pregnancy with abnormal implantation:
- tubal pregnacy
- placenta praevia
9. Placenta accreta
10. Placental Abruption
11. Pregnancy with abnormal duration:
- miscarriage
- preterm delivery
- post-term pregnacy
- induction of labour
12. The operative vaginal delivery
13. Placental, funicular, amniotic fluid, amnio-chorial membranes anomalies
14. The twin pregnancy
15. The pathology of delivery:
- mechanical dystocia
- dynamical dystocia
- fetal dystocia:
Shoulder dystocia
Breech delivery
- prolonged labour
16. The pathology of afterbirth and post-partum
- post partum hemorrhage
- hemorrhage during the puerperium
17. The pathology of puerperium:
- traumatic
Uterine rupture
Uterine inversion
Cervical lacerations
Vaginal, vulvar and perineal lacerations
- infective
18. Communication in emergencies
19. The obstetrical triage
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