Midwifery 2 - Jordan University of Science and Technology



Jordan University of Science and Technology

Faculty of Nursing

Department of Midwifery

Spring 2007

|Course Information |

|Course Title |Midwifery 2 (Theory) |

|Course Number |MW 336 |

|Prerequisites |MW 333 |

|Course Website |Not applicable |

|Instructors |Ms. Shurouq Hawamdeh, RM, Msc |

|Office Location |N2-L4 |

|Office Phone |23740 |

|Office Hours |11-12 Thursday |

| |1-2 Thursday |

| |2-3 Thursday |

|E-mail |shurouq@just.edu.jo |

|Teaching Assistant |None |

|Course Description |

|This course will introduce the students to the labor and delivery process and the immediate postpartum period. Essential factors of labor, |

|stages and mechanisms of labor, delivery techniques and procedures such as episiotomy and suctioning techniques will be discussed. Emphasis |

|will be placed on common labor complications, preterm labor, post-term labor, breech and shoulder presentation deliveries, prolapsed cord, |

|fits, DIC, CTG traces, immediate postpartum hemorrhage, record keeping and appropriate documentation techniques. By utilizing the nursing |

|process, current research findings and integrating the principles of reproductive health and safe motherhood, the student will be able to |

|recognize the needs of both low-risk and high-risk women during the intrapartum period. |

| |

|Text Book |

|Title |Myles text book for midwives |

|Author(s) |Fraser (D) and cooper (M) |

|Publisher |Churchill living stone |

|Year |2003 |

|Edition |14th Edition |

|Book Website |- |

| |Henderson (C) and Jones (K) (1997): Essential Midwifery Philadelphia. |

|References | |

| |Johnson (R) Taylor (W) (2002): Skills for Midwifery Practice 3th ed Churchil living stone. |

| | |

| |Ann (L) and Perecival (P) (2000): The new midwifery: science and sensitivity in practice 2th ed Churchill |

| |living stone. |

| | |

|Assessment Policy |

|Assessment Type |Expected Due Date: |Weight |

|First Exam |- |25% |

|Second Exam |- |25% |

|Final Exam |- |40% |

|Assignments |Group presentation |10% |

|Course Objectives |Weights |

|Understand the importance of the different roles of the midwife in providing care to women during both normal vaginal |10% |

|delivery and cesarean section delivery. | |

|Explain methods of intrapartum assessment and diagnosis. |10% |

|Discuss the role of midwife is assessing, planning, implementing and evaluating midwifery care in the labor and delivery |10% |

|room. | |

|Discuss the physical, psychological, cultural and spiritual needs of the woman during labor and delivery and plan care |10% |

|accordingly. | |

|Critically discuss pertinent professional ethical and legal issues relating to intrapartum care. |10% |

|Analyze the factors influencing maternal and neonatal mortality and morbidity and examine strategies for their reduction. |10% |

|Describe the pathophysiological process of pre-existing medical conditions which have the potential to complicate labor and|10% |

|delivery. | |

|Explain the principles of care related to complicated childbearing. |10% |

|Discuss the psycholosocial interventions required in relation to women\infants in a compromised health status. |10% |

|Discuss the pharmacological effects of medication on a woman\ infant in a compromised health status. |10% |

|Teaching & Learning Methods |

|Lecturing |

|Audio-visual materials |

|Group presentation |

| |

|Learning Outcomes: Upon successful completion of this course, students will be able to |

|Unit Related | |Reference(s) |

|Objective(s) | | |

|1 |Encourage midwife to consider the onset and diagnosis of labor, and how it can be recognized |Chapter 4 : section 24 and|

| |by both the woman and the midwife. |Handouts |

| |Describe some of the physical changes taking place as labor progress. | |

| |Reflect on interventions and timing of care in order to optimize the well-being of the woman | |

| |and her baby during the course of labor. | |

| |Describe the process of monitoring. Both the progress of labor and the condition of the mother| |

| |and fetus. | |

| |Discuss the physiology of pain with particular reference to the causes of pain in labor. | |

| |Describe the pharmacological and non pharmacological strategies of pain relief. | |

| | | |

|2 |Consider the nature of the transitional and second stage phases of labor. |Chapter 4: section 27 and |

| |Describe the usual sequence of events during these stages. |Handouts |

| |Discuss the care of the mother and her partner. | |

| |Consider the various techniques used for caesarean, forceps and ventouse birth, and the skills| |

| |required by the midwife to improve the experience of assisted childbirth, for the mother and | |

| |her partner. | |

| |Review the indications for induction of labor and various methods used. | |

| |Describe how uterine dysfunction may result in a prolonged labor or one that is precipitate. | |

| | | |

|3 |Describe the normal physiological mechanism of placental separation and descent together with |Chapter 4: section 28 and |

| |factors that facilitate homeostasis. |Handouts |

| |Consider the types and use of uterotonics drugs in third stage management and the relevance of| |

| |timing of clamping of the umbilical cord. | |

| |Describe the risk factors most commonly associated with PPh and discuss the current management| |

| |strategies for both prophylaxis and treatment of it. | |

| |Discuss the midwife’s care of the mother during the immediately after expulsion of the | |

| |placenta and membranes. | |

| |Explore the role of midwife in the assessment of women’s postpartum health and physiological | |

| |needs. | |

| |Review the current evidence for the normal parameters of women’s health after childbirth. | |

| |Discuss the current challenges to the provision of postpartum care in the light of women’s | |

| |experiences. | |

| |Describe the physiological changes taking place at birth. | |

| |Discuss the care of the baby during and immediately after birth. | |

| |Identify factors to be considered when the baby fails to establish respiration at birth and | |

| |describe the principles of neonatal resuscitation. | |

|4 | |Chapter 4: |

| |Describe emergency situations including placenta praevia, cord prolapse and shoulder dystocia,|Sections 30 and 32. |

| |with discussion on possible causes and action to be taken. | |

| |Describe the rare conditions of uterine rupture and acute inversion, neither of which need | |

| |occur with good management. | |

| |Recommended strongly the practicing of procedures for basic resuscitation on a regular basis. | |

| |Outline the causes of abnormal positions and presentations. | |

| |Describe the possible outcomes of mal-position and mal-presentation | |

|Useful Resources |

| |

|Fraser (D) and cooper (M) (2003): Myles text book for midwives 14th ed |

|Edinburgh Churchill living stone. |

| |

|Henderson (C) and Jones (K) (1997): Essential Midwifery Philadelphia. |

| |

|Johnson (R) Taylor (W) (2002): Skills for Midwifery Practice 3th ed Churchil living stone. |

| |

|Ann (L) and Perecival (P) (2000): The new midwifery: science and sensitivity in practice 2th ed Churchill living stone. |

| |

|Course Content |

|Class |Topics |Chapter in Text (handouts) |

|1 |Introduction and course orientation |Course Syllabus |

| 2 |The first stage: physiology and early care |Chapters 4, section 24 and Handouts |

|3 |The first stage: physiology and early care |Chapter 4, section 24 and Handouts |

|4 |The first stage: management |Chapter 4, section 24 and Handouts |

|5 |The first stage: management |Chapter 4, section 24 and Handouts |

|6 |Pain relief and comfort labor |Chapter 4, section 26 and Handouts |

|7 |Pain relief and comfort labor |Chapter 4, section 26 and Handouts |

|8 |Transition and the second stage of labor |Chapter 4, section 27 and Handouts |

|9 |Transition and the second stage of labor |Chapter 4, section 27 and Handouts |

|10 |Physiology and management of the third stage of labour |Chapter 4, section 28 and Handouts |

|11 |Physiology and management of the third stage of labour |Chapter 4, section 28 and Handouts |

|12 |Prolonged pregnancy and disorders of uterine action |Chapter 4, section 29 and Handouts |

|13 |Prolonged pregnancy and disorders of uterine action |Chapter 4, section 29 and Handouts |

|14 |Malpositions of the occiput and malpresentations |Chapter 4, section 30 and Handouts |

|15 |Malpositions of the occiput and malpresentations |Chapter 4, section 30 and Handouts |

|16 |Malpositions of the occiput and malpresentations |Chapter 4, section 30 and Handouts |

| | | |

|17 |Operative deliveries |Chapter4, section 31 and Handouts |

|18 |Operative deliveries |Chapter4, section 31 and Handouts |

|19 |Midwifery and obstetrics emergency |Chapter4, section 32 and Handouts |

|20 |Midwifery and obstetrics emergency |Chapter4, section 32 and Handouts |

|21 |Group presentation |- |

|22 |Group presentation |- |

|23 |Group presentation |- |

|24 |Group presentation |- |

|25 |Review |- |

|Additional Notes |

|Assignments |Group presentation |

|Exams |written-exam |

|Cheating |According to university regulation |

|Attendance |According to university regulation |

|Graded Exams |3-exams |

|Laboratory |Not applicable |

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