AIMS AND CONTENT

AIMS AND LEARNING OUTCOMES

• Identify the midwife's professional competence with regard to postpartum care
• Identify the midwife's professional competence in providing care for a healthy motherin postpartum period
• Identify the professional competence of the midwife in caring for a healthy newborn
• Identify the process of midwifery care for a healthy newborn
• Understand the physiology of breastfeeding
• Identify the process of caring for the breastfeeding mother and the mother feeding her infant artificial formula

TEACHING METHODS

- Lessons
- Video tutorials
- Work in small groups to plan midwifery care
- Clinical cases

SYLLABUS/CONTENT

• Identifying the midwife's professional competencies with regard to care in the postpartum period.
• Definitions of puerperium and post partum
• Identify the process of midwifery care for the healthy mother
• The process of care during the postpartum period:
• Feeding and hydration of the nursing mother
• Rest/sleep
• Providing appropriate support for baby blues, post-partum depression and puerperal psychosis
• Vital parameters, detection and interpretation (MEOWS card)
• Monitor and ensure progressive uterine involution
• Observe the characteristics of the lochi
• Ensuring that the perineal suture and/or surgical wound is checked if necessary
• Self-treatment of the laparotomic suture
• Ensuring care and hygiene of the perineum
• Assessing pelvic risk factors and promoting recovery of perineal tone
• Control diuresis and encourage first urination in the post partum 
• Promote bowel function
• Promote early mobilisation
• Know the guidelines for administering anti-D immunoprophylaxis
• Providing sex counselling
• Contraception after childbirth
• Vaccinations and health education
• Territorial and home-based obstetrical care process

• Identify the midwife's professional competence with regard to the care of a newborn
• Identifying the process of caring for the healthy newborn
• Classification of the newborn 
• Knowing the characteristics of the healthy term baby
• The process of newborn care in the delivery room
  • Knowing how to adapt to extra-uterine life
  • Apgar index
  • Anthropometric and vital parameters
  • Prophylaxis in the delivery room
  • Supporting the mother-baby bond
  • Skin to skin 
• The newborn care process
  • Meconium emission
  • Initiation of diuresis
  • Weight loss
  • Genital crisis
  • Physiological jaundice
  • Hygiene of the newborn
  • Umbilical stump care
  • Neonatal screening
  • Discharge of the newborn
• Identifying and governing the care of the rooming-in newborn at term
• Identify validated methodologies and techniques for the assessment and control of pain in the neonatal period
• SUPC and SIDS
• The vaccination calendar

• Breastfeeding
• Benefits of breastfeeding
• 10 steps WHO-UNICEF 
• International Code of Marketing of Breastmilk Substitutes
• Recommendations for breastfeeding
• Anatomy and physiology
• Lactogenesis
• Composition of breast milk
• Breastfeeding positions
• Biological nurturing
• Latch
• Breast self-care
• o Manual breast squeezing and breast pumping
• Breast milk storage and BLUD
• Alternative methods of breast milk feeding
• Mother feeding during breastfeeding
• Medications and breastfeeding
• Lactation during pregnancy
• Tandem Lactation
• Breastfeeding and work
• Breastfeeding and Smoking
• Breastfeeding and covid infection
• WHO definitions of infant feeding
• Contraindications to breastfeeding
• Suppression/inhibition of breastfeeding 
• Artificial formula
• Breastfeeding problems

RECOMMENDED READING/BIBLIOGRAPHY

The following documents, provided by the lecturer, are to be used as material:

• Linee Guida n° 37 «Assistenza di routine in puerperio alle donne e ai loro bambini» NICE 2006 
• Linee Guida Caesarean birth NICE 2021
• Guidelines for postoperative care in cesarean delivery: Enhanced Recovery Auer Surgery (ERAS) Society recommendations (part 3) AJOG 
• Guidelines American College of Surgeons [ACS-SIS] 2016 
• Allattamento e promozione della salute materno-infantile: focus sulla salute mentale. Position Statement. Febbraio 2023
• Raccomandazioni sull’utilizzo appropriato della contraccezione ormonale realizzato dalla fondazione confalonieri ragonese su mandato sigo, aogoi, agui 2019
• Gruppo Pediatrico Neonatologico di Collaborazione Intraospedaliera – Linee guida per l’assistenza al neonato fisiologico, Medico e Bambino, 5,35,1993 
• DIMISSIONE DEL NEONATO: documento della Task Force della SIN. Indicazioni su vitamine da inserire nella lettera di dimissione del neonato a termine dal Nido 
• Nice 2014 Postnatal Care 
• SIN 2008 Linee guida per la prevenzione ed il trattamento del dolore nel Neonato 
• SIN 2013 Task Force per l’iperbilirubinemia neonatale. Raccomandazioni per il trattamento dell’iperbilirubinemia neonatale 
• SIN 2023 Linee guida per la prevenzione ed il trattamento del dolore durante le procedure «skin-braking» nel neonato 
• SIN 2018 Raccomandazioni per le prevenzione del Sudden Unexpected Postnatal Collapse SUPC 
• SIN 2023 Raccomandazioni sulla procedura della profilassi della Ophthalmia neonatorum in Italia: documento congiunto SIN-SIGO-SIMP 
• Argomento del Gruppo di Esperti: Cure per lo sviluppo centrate sul bambino e sulla famiglia Contatto skin-to-skin precoce e con5nuo. European standards of care for newborn health 
• La continuità del rapporto madre-bambino e il mantenimento dell’allattamento in caso di ricovero ospedaliero – Ministero della Salute
• Allattamento al seno e uso del latte materno/umano. Position Statement 2015 
• Nutrizione in gravidanza e durante l’allattamento Fondazione confalonieri ragonese 4 giugno 2018 
• Position statement sull’uso di farmaci da parte della donna che allatta al seno – Ministero della salute 2018 
• Memo del TAS su ALLATTAMENTO in caso di PANDEMIA 2021 

TEACHERS AND EXAM BOARD

Exam Board

VIRGINIA MICHELERIO (President)

ANDREA AGUGLIA

ORTENSIA BUSCAINO

LUCA ANTONIO RAMENGHI

FRANCESCA RICCI

CLAUDIA MASSAROTTI (President and Coordinator of Integrated Course)

LESSONS

LESSONS START

Aulaweb

Class schedule

The timetable for this course is available here: EasyAcademy

EXAMS

EXAM DESCRIPTION

Oral test

ASSESSMENT METHODS

The expected learning outcomes will be assessed collectively by evaluating the ability to apply knowledge to solve a proposed problem and/or by evaluating the detailed exposition.