Bachelor's degree in Obstetrics (to qualify as an obstetrician)

Reproductive pathophysiology - MODELLI DI ACCOMPAGNAMENTO ALLA NASCITA

Course code
4S000898
Name of lecturer
Silvana Cappellaro
Number of ECTS credits allocated
2
Academic sector
MED/47 - MIDWIFERY
Language of instruction
Italian
Location
VERONA
Period
2° ANNO 2° Semestre dal Mar 2, 2020 al Apr 26, 2020.

To show the organization of the course that includes this module, follow this link * Course organization

Lesson timetable

Go to lesson schedule

Learning outcomes

The course aims to provide the cultural basis to promote the physiology of pregnancy, childbirth and the centrality of the woman, couple and newborn, with a holistic approach.
We will go through the history and the evolution of obstetric psycho-prophylaxis, in Europe and in Italy, from its beginning to the present day, analysing how methodologies and objectives have changed.
The student will be provided with tools that will guide him in personalized assistance to the woman, with updated information based on efficacy tests, WHO / UNICEF's guidelines and recommendations. Moreover the benefits of the accompanying courses at birth will be explained.
The course aims to prepare the student to plan and conduct a preparation course at birth, as a promoter of the health of mother and child. The main purpose of the course is to put the mother back to the center with her needs, resources and skills, in order to demyricise the birth, protecting and supporting breastfeeding. During the course we will talk about how to identify and prevent post-partum depression.
Within a view to global and ongoing assistance, the student will be encouraged to learn about the social welfare of the area in which it operates, facilitating access to the Birth Points to women. The student will learn how to provide adequate support, during women's return home after childbirth. During the course we will talk about the importance of networking with other operators in private and public services and clinics.

Syllabus

Presentation of the course;
• history of childbirth preparation courses from the Russian-Soviet psychoprophylaxis (Platonov, etc.) to its French importation (Lamaze, clinique des metallurgistes - breathing breathing); Read (tension - fear of pain); Piscicelli's Italian RAT experience (forced push teaching, conception of the female body as a machine);
• active childbirth (Balaskas - Maghella) then / at the same time diffusion of works on the body based on perception, reality in the Italian context;
• notes on childbirth in water;
• unconventional labor relaxation techniques;
• notes on the perineum;
• evolution of the models: from preparation courses to birth to accompanying courses at birth and related organizational models;
• malpositions and prevention interventions during pregnancy;
• practices to be adopted (best-practice) also in the light of the new 2011 guidelines issued by the Italian Ministry of Health (the Italian project "POMI", maternal- infantil project);
• the changes made by the Deontological Code and the Professional Profile on the role of the midwife in the physiological pathways different from the pathological: specifically, the Veneto Region with the pregnancy agenda;
• distance benefits of the accompanying courses at birth;
• critically analyze the contradictions between what courses are taught and what happens in real assistance. Expectations of women and hospital practices. Unforeseen events: outline of perinatal mourning and presentation of the AMA group (the italian Mutual Aid).
• the birth path and the collaborations between hospital and territory: the organizational models in Italy. The organization of the birth path between present and future; the consultors, the territorial associations; notes on home visits;
• places of birth: hospital, maternity home, home birth: presentation of the brochure "To every woman her childbirth";
• describe the potential impact that some practices performed during labor and delivery may have on mother and child well-being and on begining of breastfeeding. WHO recommendations and mothers' friendly care. The birth plan;
• describe strategies for promoting public health for mother, child and society in general. Primary prevention: the italian campaign "Genitori Più". Presentation of the Edinburgh staircase;
• multidisciplinarity in supporting child nutrition;
• Lotus Birth;
• the collection of stem cells

Bibliography
• Schmid V. Apprendere la maternità, Ed. Apogeo, Milano 2010.
• Maghella P., Corso di preparazione al parto, Ed. Red, Milano 2005.
• Schmid V., Salute e nascita, Urra-Apogeo, Milano, 2007.
• Maghella P., Quian - Incontri di accompagnamento alla nascita, Numeri primi editore, Brescia, 2014 .
• Piano Sanitario Nazionale 2011-2013.
• Papa R, Arsieri R., Stringo i denti e diranno che rido - L'accidentato percorso della nascita, Guida ed. Napoli, 2003

Assessment methods and criteria

Oral exam aimed at assessing the ability in organizing pre-natal meetings, methodology used, communication model and objectives to be achieved.
Written elaboration of a model of accompaniment to individual birth. The objective is the planning of a course of accompaniment at birth, "from theory to practice".





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