MIDWIFERY/OBSTETRIC AND GYNECOLOGY NURSING-II INCLUDING SAFE DELIERY

Unit

Topic

Hours

I

Recognition and Management of Problems during Pregnancy

·         Assessment of high-risk pregnancy, Problems/Complications of Pregnancy

·         Hyper-emesis gravidarum,

·         Bleeding in early pregnancy – Abortion, Ectopic pregnancy, Vesicular mole

·         Unintended or mistimed pregnancy

·         Post abortion care & counseling

·         Bleeding in late pregnancy – Placenta previa, Abruption placenta, Trauma

·         Medical conditions complicating pregnancy – Anemia, PIH/Pre-eclampsia, Eclampsia, GDM, Cardiac disease, Pulmonary disease, Thyrotoxicosis, STDs, HIV, Rh incompatibility

·         Infections in pregnancy – Urinary tract infection, Bacterial, Viral, Protozoal, Fungal, Malaria in pregnancy

·         Surgical conditions complicating pregnancy – Appendicitis, Acute abdomen

·         COVID-19 & pregnancy and children

·         Hydramnios

·         Multiple pregnancy

·         Abnormalities of placenta and cord

·         Intra uterine growth restriction

·         Intra uterine fetal death

·         Gynaecological conditions complicating pregnancy

·         Mental health issues during pregnancy

·         Adolescent pregnancy

·         Elderly primi, Grand multiparity

·         Management and care of conditions as per the GoI protocol

·         Policy for the referral services

·         Drugs used in management of high-risk pregnancies

·         Maintenance of records and reports

12(T)

10(L)

80(C)

II

Recognition and Management of Abnormal Labour

·         Preterm labour – Prevention and management of preterm labour; (Use of antenatal corticosteroids in preterm labour)

·         Premature rupture of membranes

·         Malpositions and abnormal presentations (posterior position, breech, brow, face, shoulder)

·         Contracted pelvis, Cephalo Pelvic Disproportion (CPD)

·         Disorders of uterine action – Prolonged labour, Precipitate labour, Dysfunctional labour

·         Complications of third stage – Retained placenta, Injuries to birth canal, Postpartum hemorrhage (bimanual compression of the uterus, aortic compression, uterine balloon tamponade)

·         Obstetric emergencies – Foetal distress, Ruptured uterus, Cord prolapse, Shoulder dystocia, Uterine inversion, Vasa previa, Obstetrical shock, Amniotic fluid embolism

·         Episiotomy and suturing

·         Obstetric procedures – Forceps delivery, Vacuum delivery, Version

·         Induction of labour – Medical & Surgical

·         Caesarean section – Indications and preparation

·         Nursing management of women undergoing

·         Obstetric operations and procedures

·         Drugs used in management of abnormal labour

·         Anesthesia and analgesia in obstetrics

20(T)

15(L)

80(C)

III

Recognition and Management of Postnatal Problems

·         Physical examination, identification of deviation from normal

·         Puerperal complications and its management

• Puerperal pyrexia

• Puerperal sepsis

• Urinary complications

• Secondary postpartum hemorrhage

• Vulval hematoma

• Breast engorgement including Mastitis/Breast abscess, Feeding problem

• Thrombophlebitis

• DVT

• Uterine sub involution

• Vesico vaginal fistula (VVF), Recto vaginal fistula (RVF)

• Postpartum depression/psychosis

·         Drugs used in abnormal puerperium

·         Policy about referral

9(T)

5(L)

40(C)

IV

Assessment and Management of High Risk Newborn (Review)

·         Models of newborn care in India –NBCC; SNCUs

·         Screening of high-risk newborn

·         Protocols, levels of neonatal care, infection control

·         Prematurity, Post-maturity

·         Low birth weight

·         Kangaroo Mother Care

·         Birth asphyxia/Hypoxic encephalopathy

·         Neonatal sepsis

·         Hypothermia

·         Respiratory distress

·         Jaundice

·         Neonatal infections

·         High fever

·         Convulsions

·         Neonatal tetanus

·         Congenital anomalies

·         Baby of HIV positive mothers

·         Baby of Rh negative mothers

·         Birth injuries

·         SIDS (Sudden Infant Death Syndrome) prevention, Compassionate care

·         Calculation of fluid requirements, EBM/formula feeds/tube feeding

·         Home based newborn care program – community facility integration in newborn care

·         Decision making about management and referral

·         Bereavement counseling

·         Drugs used for high risk newborns

·         Maintenance of records and reports

7(T)

5(L)

40(C)

V

Assessment and Management of Women with Gynaecological Disorders

·         Gynaecological assessment – History and Physical assessment

·         Breast self-examination

·         Congenital abnormalities of female reproductive system

·         Etiology, pathophysiology, clinical manifestations, diagnosis, treatment modalities and management of women with:

• Menstrual abnormalities

• Abnormal uterine bleed

• Pelvic inflammatory disease

• Infections of the reproductive tract

• Uterine displacement

• Endometriosis

• Uterine and cervical fibroids and polyps

• Tumors – uterine, cervical, ovarian, vaginal, vulval

• Cysts – ovarian, vulval

• Cystocele, urethrocele, rectocele

• Genitor-urinary fistulas

• Breast disorders – infections, deformities, cysts, tumors

• HPV vaccination

• Disorders of puberty and menopause

• Hormonal replacement therapy

·         Assessment and management of couples with infertility:

• Infertility – definition, causes

• Counseling the infertile couple

• Investigations – male and female

• Artificial reproductive technology

• Surrogacy, sperm and ovum donation, cryopreservation

·         Adoption – counseling, procedures

·         Injuries and Trauma; Sexual violence

·         Drugs used in treatment of gynaecological disorders

12(T)

5(L)

80(C)