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

LESSONS

LESSONS START

Aulaweb

Class schedule

The timetable for this course is available here: Portale 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.