Unit ASSISTANCE AT BIRTH, PUERPERIUM, THE INFANT AND NEONATOLOGY

NEONATOLOGY

Code	50514002
CFU	2
Teacher	Stefania Troiani
Teachers	Stefania Troiani
Hours	30 ore - Stefania Troiani
Learning activities	Caratterizzante
Area	Scienze medico-chirurgiche
Academic discipline	MED/38
Type of study-unit	Obbligatorio (Required)

MIDWIFERY, NURSING AND GYNAECOLOGICAL SCIENCES - MODULE 1

Code	50464004
CFU	4
Teacher	Simona Freddio
Teachers	Simona Freddio
Hours	60 ore - Simona Freddio
Learning activities	Caratterizzante
Area	Scienze ostetriche
Academic discipline	MED/47
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian Language
Contents	THE ATTENDANCE PROCESS TO PHYSIOLOGICAL SUFFERING THE PROCESS OF ATTENDANCE IN THE SEVERAL PERIODS OF THE DELIVERY Certifications of competency for the Midwife Predisposition of the suffering/delivery unit Professional models in the birth path of obstetric health community care and organizational models of activation of the service network
Reference texts	Oxorn – Foote: Il parto – Ed. Piccin M. Odent – Ecologia della nascita – Ed. Red J. Balaskas: Manuale di sala parto - L’altra medicina 46 - Ed. Red J. Balaskas, Y. Gordon: Manuale del parto in acqua - L’altra medicina 46 - Ed. Red
Educational objectives	The student must acquire acquaintances and comprehension abilities in regard to the diagnosis, the attendance at delivery and the role, the functions and the activities own by the obstetrician autonomously and in collaboration with the specialist doctor.
Prerequisites
Teaching methods	Face-to-face Practical training Role Playing DVD projections
Other information	PROFESSIONAL LABORATORY
Learning verification modality	Oral exam
Extended program	THE ATTENDANCE PROCESS TO PHYSIOLOGICAL SUFFERING: Acceptance of the pregnant, data collection, Diagnosis of suffering, Survey of the needs of the parturient, the fetus and the couple. PHASE OF PLANNING - REALIZATION Professional models in the birth path of obstetric health community care and organizational models of activation of the service network Predisposition of the suffering/delivery unit. The BRO functional areas THE PROCESS OF ATTENDANCE IN THE SEVERAL PERIODS OF THE DELIVERY The history of childbirth The prodromal phase, the expanding phase, the expulsive phase, the afterbirth. Cervical maturation: the Bishop score. Episiotomy: risks - benefits First cures to the newborn. Humanization of the birth: places of delivery, centrality of women during the delivery, active delivery, delivery in water. No-pharmacological methods of pain containment Certifications of competency for the Midwife.

MIDWIFERY, NURSING AND GYNAECOLOGICAL SCIENCES-MODULE 2

Code	50464104
CFU	4
Teacher	Maria Valentina Bartolucci
Teachers	Maria Valentina Bartolucci
Hours	60 ore - Maria Valentina Bartolucci
Learning activities	Caratterizzante
Area	Scienze ostetriche
Academic discipline	MED/47
Type of study-unit	Obbligatorio (Required)
Language of instruction	italian
Contents	notions of physiology of the puerperium • obstetric care for physiological puerperium • notions of physiology, anatomy and biology of breastfeeding • obstetric care for breastfeeding and related problems • notions of assistance to the newborn baby at birth and in the first month of life (up to three years of life) • obstetric care in parenting support • notions of bonding, handling in relation to neonatal massage
Reference texts	1. M. Guana, R. Cappadona, A.M. Di Paolo; M.G. Pellegrini, M.D. Piga, M. Vicario - La disciplina ostetrica – 2^ Ed. McGraw-Hill 2. A. Valle, S. Bottino, V. Meregalli, A. Zanini – Manuale di sala parto – 2^Edi- Ermes 3.S. Nappi –Ostetricia e Ginecologia- Ed. Idelson Gnocchi 4. WHO-UNICEF- Allattamento al seno: corso pratico di counselling- Ginevra,1993 5. A.Marchi- Midwifery: arte ostetrica ritrovata- Edizione Cantagalli 6. Ladewing-London-Davidson –Assistenza alla Maternità – Ed. Piccin 7. Di Paolo- La professione Ostetrica- EDITEAM,2009 8. Savage King F- Allattamento al seno: come aiutare le madri – AMREF 1992 9.Schmid – Fois – Contin- Onorare la madre- Il puerperio e l’esogestazione- Quaderni di D&D- Scuola elementale di arte ostetrica srl – 2006 Ed SEAO 10.Schmid – Fois – Contin- Perineo e dintorni- Quaderni di D&D- Scuola elementale di arte ostetrica srl – 2006 Ed SEAO 11. Catanzani- Lavoro e allatto- Bonomi Editore,2012 12. Schmid- Apprendere la maternità- URRA Editore,2010 Lo Studente può avvalersi della consultazione di altri testi attinenti al programma presso la Biblioteca del Corso di laurea in Ostetricia
Educational objectives	students in the Graduate Degree in Obstetrics must be provided with adequate preparation in the basic disciplines, such as to allow them both the best understanding of the most relevant elements, also in relation to gender, which are the basis of physiological and pathological processes to what is its preventive, therapeutic and rehabilitation intervention, and its maximum integration with other professions. • The student must have acquired the necessary knowledge for the autonomous assistance to the physiological birth as well as the knowledge related to the pathophysiology and assistance of the puerperium. It must deepen, for the part of competence, the methods of prevention and rehabilitation of perineal damage and techniques related to the first treatment of the newborn. It must be able to correctly fill in the documentation relating to the area of ¿¿interest (in particular the partogram); must finally know the provisions in force concerning certification of childbirth assistance
Prerequisites	notions of physiology of human reproduction notions of anatomy notions of biology notions of basic nursing techniques
Teaching methods	frontal lessons group work (role play, discussion of clinical cases ...) viewing and commenting on movies activities in an educational laboratory
Other information
Learning verification modality	oral interview with practical demonstrations in the educational laboratory
Extended program	PUERPERIUM - Regulatory framework for obstetric care in puerperium - Local phenomena - General phenomena - The psychic and psychological aspect - The puerperium as an Esogestazione PUERPERIO ASSISTANCE - Objectives of obstetric care - Specific assistance interventions: • Uterine involution • Locations • Temperature, pulse, breathing • Evaluation of diuresis • Directives for the control of bladder function • Care of the perineum • Episorographic and suture evaluation • Hemorrhoids • Lower limbs • Supply • Rest and sleep • uterine bites • Sexological counseling • Early discharge after childbirth • Home obstetric care • Sexual activity and contraception (contraceptive methods indicated in puerperium - The obstetric bag • The pelvic floor: • Anatomy • Pelvic floor health balance • Guidelines concerning aspects of prevention and treatment of perineum dysfunctions • The perineum in puerperium • Exercises for the pelvic floor in puerperium - Obstetric visit to six weeks from birth - The medical record of the puerperium FEEDING TIME - Current legislation in the field of breastfeeding - The 10 steps of breastfeeding WHO / UNICEF - The "More parents" project - Benefits of breastfeeding - Anatomy of the mammary gland - Breast observation - Lactation physiology - Characteristics of human milk • colostrum • transition milk • definitive or mature milk - Practical rules for breastfeeding - Breastcrawl and skin to skin: the first breastfeed - Breast feeding positions - Duration of the feeding - Frequency of feedings: controlled method, free method or "On request" - Evaluation of the feed according to the WHO / UNICEF model - Hygiene and breast cleansing - Early Breastfeeding Problems: - Breast congestion - Block of duct galattoforo - Mastite - Breast abscess - Nipple problems - Ragadi - Breast rejection - Breastfeeding in special situations: multiple birth, Cesarean cut, cleft and cleft palate, Down syndrome, preterm and low weight babies - Mixed feeding: complementary / alternating - Artificial feeding - Practical rules for artificial feeding - Presidi and aids for the administration of milk - Reasons for using breast milk substitutes (WHO 2009) - International Code for the marketing of breast milk substitutes - Breast milk extraction and conservation techniques - Manual squeezing - Breast massage - Counseling with the nursing woman - The feeding of the mother who breastfeeds - Breastfeeding and work - Parenting support THE NEWBORN - The physiological infant, assessment at birth - Reflections of the newborn - The neonatal island - First care of the newborn - Hygiene of the newborn and dressing of the umbilical abutment - Common navel disorders - The cry of the newborn - Physiological jaundice THE NEWBORN MASSAGE - Bonding and rebonding concepts - Benefits of massage - Baby massage: exercises and sequences