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Jordan University of Science and Technology Faculty of Nursing Department of Midwifery Semester 2007 Course Information Course Title Midwifery 3 Course Number MW 419 Prerequisites Midwifery 2 (MW 338) Course Website Not applicable Instructor Taroob Al-Lataifeh Office Location N2 L4 Office Phone 23740 Office Hours Thursday: 10-11 am, 11-12 md, 1-2 pm E-mail [email protected] Teaching Assistant Not applicable Course Description This course focuses on the theory and concepts of midwifery management in the care of the women in the postnatal period, newborns and their families. The course moves from simple to complex issues; starting with concepts of normal physiological and psychological adaptation, health promotion and maintenance, and the prevention of illnesses and accidents and then to selected health problems. Focus will also be on the development and the application of knowledge and skills necessary for the midwife in the provision of health care to women during postnatal period, newborns and their families. By utilizing the nursing process, current research findings and integrating the principles of reproductive health and safe motherhood. Text Book Title Myles text book for midwives Author(s) Fraser, D., Cooper, M. Publisher Churchill living stone. Year 2003 Edition 13th ed Not applicable Book Website References Johnson, R., Taylor, W. (2002) Skills for Midwifery Practice 2nd ed. Edinbrugh: Churchill Livingstone. Johnston, P., Flood, K., Spinks, K. (Editors) (2003) The Newborn Child 9th ed. Edinbrugh: Churchill Livingstone. Sinclair, C. (2004) A Midwife's HandBook. Philadelphia: Elsevier. Whaley & Wong (2001). Nursing Care of Infants and Children. St. Louis. Mosby Company. Assessment Policy Assessment Type First Exam Expected Due Date * Weight 25%. Second exam * 25% Final Exam * 40% Quizs * 5% Participation * 5% Course Objectives 1. Weights Critically discuss an in depth knowledge of the normal physiological and 10% psychosocial changes during the postpartum period. Evaluate the importance of the different roles of the midwife in providing 10% care to women during post partum period. 2. 10% 3. Utilize methods of postpartum assessment and diagnosis. 4. Demonestrate the role of midwife in assessing, planning, implementing and 10% evaluating midwifery care in the postpartum period. Identify and manage the physical, psychological, cultural and spiritual 10% needs of the woman during postpartum period and plan care accordingly 6. Demonstrate the roles of midwife in relation to family planning. 10% 5. 7. Analyze the factors influencing maternal and neonatal mortality and morbidity and examine strategies for their reduction. 8. Describe the pathophysiological process of medical conditions which have the potential negative affect on mother and newborn during postpartum period. 10% 9. Identify the principles of care related to complicated conditions during postpartum period 10. Apply the psychosocial interventions required in relation to women\infants in a compromised health status. 11. Evaluate the roles of midwife in relation to post operative care for women who had cesarean section. 12. Recognize the primary roles of the midwife working with newborn babies. 10% 13. Perform an initial and transitional assessment of the newborn babies. 10% 14. Provide the immediate needs of the newborn babies. 10% 15. Apply family-centered process to the care of the newborn and family. 10% 10% 10% 10% 10% Teaching & Learning Methods 1. 2. 3. 4. Lecturing Questioning Group discussion Audio-visual materials Learning Outcomes: Upon successful completion of this course, students will be able to Class Related objectives Reference(s) 1,2   3   4    5     7    8    Review the current evidence for the normal parameters of women's health after child birth. Describe the physiological changes taking place at birth Fraser, D., Cooper, M. (2003) Myles text book for midwives 13th ed Edinburgh: Churchill living stone.\Chapter 33 Explore the role of the midwife in the assessment of women's postpartum health and psychological needs. Discuss the current challenges to the provision of postpartum care in the light of women's experiences and resources. Fraser, D., Cooper, M. (2003) Myles text book for midwives 13th ed Edinburgh: Churchill living stone.\Chapter 33 Consider the psychological issues in midwifery practice, and motherhood as a transitional phase. Recognize the normal emotional changes during puerperium. Illustrate the interface between theory and practice via the use of case scenarios and the identification of key points for best practice. Fraser, D., Cooper, M. (2003) Myles text book for midwives 13th ed Edinburgh: Churchill living stone.\Chapter 35 Give midwives an insight into the teaching of physical skills Provide practical information about exercise relaxation and breathing for the puerperium. Discuss the role of exercise in relieving aches and pain Consider basic back care in postpartum Fraser, D., Cooper, M. (2003) Myles text book for midwives 13th ed Edinburgh: Churchill living stone.\Chapter 15 Consider the role of the midwife in family planning and related issues Review contraceptive methods Explore the provision of family planning services Fraser, D., Cooper, M. (2003) Myles text book for midwives 13th ed Edinburgh: Churchill living stone.\Chapter 36 List the purposes of the routine examination of the newborn babies. Describe the systemic examination of the baby including the neurological assessment. Identify the conditions for which the screening tests are used for newborn babies. Johnston, P., Flood, K., Spinks, K. (Editors) (2003) The Newborn Child 9th ed. Edinburgh: Churchill Livingstone.\ Chapter 5 9      10     11,12    Discuss ways to maintain the newborn body temperature. List factors that affect parenting ability. Identify factors reducing the infection of the newborn baby. Describe the assessment of alimentary and renal system functions. Discuss the care of the umbilicus. Johnston, P., Flood, K., Spinks, K. (Editors) (2003) The Newborn Child 9th ed. Edinburgh: Churchill Livingstone.\ Chapter 6 List the benefits of breast-feeding. Identify the conditions in which the baby should not breast-feed. Discuss the alternative of breast-feeding. List common problems related to feeding. Johnston, P., Flood, K., Spinks, K. (Editors) (2003) The Newborn Child 9th ed. Edinburgh: Churchill Livingstone.\ Chapter 7 Discuss the role of midwifery care in the detection and management of postpartum morbidity Review best practice in the management of problems associated with trauma and pathology arising from childbirth Review the role of the midwife where post partum health is complicated by an instrumental or operative birth Fraser, D., Cooper, M. (2003) Myles text book for midwives 13th ed Edinburgh: Churchill living stone.\Chapter 34  14   15          Differentiate between normal and psychopathological Fraser, D., Cooper, changes in childbearing M. (2003) Myles text Examine the contribution of childbirth to the book for midwives development of mental illness 13th ed Edinburgh: living Assess the safety of psychotropic medication in the Churchill stone.\Chapter 35 context of breast feeding Recognize the normal growth parameters of the newborn, including weight, height, and head circumference. Describe methods of assessing newborn growth using the growth charts. Identify the most common disorders of intrauterine growth, which includes the followings: Low birth weight babies Light for dates infant (LFD) Post-term infant Heavy for dates infant. List factors which may cause light for dates infant. Compare infants born for diabetic mothers to infants born for healthy mothers. Johnston, P., Flood, K., Spinks, K. (Editors) (2003) The Newborn Child 9th ed. Edinburgh: Churchill Livingstone.\ Chapter 4 16   List the hazards to infants of diabetic mothers. Discuss the management of neonatal hypoglycemia.  Describe changes that occur with the first breath in the human life. Describe changes in the circulatory and respiratory system. Define perinatal asphyxia. List the predisposing causes of asphyxia before labour and during labour. Recognize the fetus asphyxia. Discuss the most advanced methods of resuscitation of the newborn baby. List the equipment required for neonatal resuscitation. Describe the care of the neonate after resuscitation. Describe normal breathing of the newborn. Identify the causes of neonatal respiratory distress including: Atelectasis Pneumothorax The meconium aspiration syndrome Persistant metabolic acidosis Transient neonatal tachypnea Congenital laryngeal stridor. Johnston, P., Flood, K., Spinks, K. (Editors) (2003) The Newborn Child 9th ed. Edinburgh: Churchill Livingstone.\ Chapter 3 Discuss the assessment of the gestational age using Ballard’s method. Discuss the effects of prematurity on the neonate’s body systems. Describe the initial care of the preterm baby in the delivery room. Identify the nutritional needs, methods of feeding of the preterm baby. List the common disorders related to preterm birth Johnston, P., Flood, K., Spinks, K. (Editors) (2003) The Newborn Child 9th ed. Edinburgh: Churchill Livingstone.\ Chapter 8 Help parents to prepare for the birth of the baby Understand the parental reaction to the birth of a sick or malformed infant Discuss methods of breaking the bad news to the parents Helping parents after a perinatal death Johnston, P., Flood, K., Spinks, K. (Editors) (2003) The Newborn Child 9th ed. Edinburgh: Churchill Livingstone.\ Chapter 14                17      18     Useful Resources Fraser, D., Cooper, M. (2003) Myles text book for midwives 13th ed Edinburgh: Churchill living stone. Johnson, R., Taylor, W. (2002) Skills for Midwifery Practice 2nd ed. Edinbrugh: Churchill Livingstone. Johnston, P., Flood, K., Spinks, K. (Editors) (2003) The Newborn Child 9th ed. Edinbrugh: Churchill Livingstone. Sinclair, C. (2004) A Midwife's HandBook. Philadelphia: Elsevier. Whaley & Wong (2001). Nursing Care of Infants and Children. St. Louis. Mosby Company. Course Content Class Topics Chapter in Text (handouts) Introduction, Physiology in the puerperium 33 2 Physiology in the puerperium 33 3 Midwifery care in the puerperium 33 The psychology of child birth 35 5 Post natal exercises 15 6 First exam * 7 Family planning 36 8 Clinical assessment of the Newborn baby 5 9 Essential care of the Newborn 6 10 Neonatal feeding 7 11 Physical problems and complications in the puerperium 34 12 Physical problems and complications in the puerperium 34 13 Second exam * 14 Psychopathology of childbirth 35 15 Growth and its disorders 4 16 Resuscitation and respiratory problems of the newborn 3 17 Preterm Infants 8 18 Helping the parents 1 4 14 Additional Notes