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

Organization and Legislation of Health Services - MODELLI ORGANIZZATIVI DELL'ASSISTENZA OSTETRICA

Course code
Name of lecturer
Marina Carfagna
Number of ECTS credits allocated
Academic sector
Language of instruction
3° ANNO 1° Semestre dal Nov 18, 2019 al Dec 22, 2019.

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

Lesson timetable

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Learning outcomes

Introducing students to the scenarios of the Maternal and Child Health Area and the women's health sector with a vision of obstetric care models of clinical, organizational and managerial type in Italy in the NHS and international health sector. At the end of the module the student must have knowledge and know how to critically analyze the organizational models of obstetric care in order to increase skills that allow to acquire reading tools, design in the obstetrics field as well as skills to create a professional environment that promotes the excellence of obstetric practice, decision making, responsibility and autonomy of professionals in order to be able to apply the knowledge with a view to the continuous improvement of the quality of performance.


WHO Global strategic guidelines for strengthening nursing and midwifery 2016 - 2020.
The organizational environment and care context of the midwife: Hub and Spoke systems hospital area and family counseling area.
DM 70/2015 Regulation defining the qualitative, structural, technological and quantitative standards of hospital care.
The Clinical Care Network model for Neonatology and Birth Points.
State-Regions Conference of 24.01.2018: Agreement on the document Guidelines for the revision of clinical networks - The time dependent networks - 26 January 2018.
Instrument for the measurement, analysis, evaluation and monitoring of clinical-assistance performance: the NATIONAL ASSESSMENT PROGRAMME - PNE
Determination of indicator criteria and quality standards in obstetric care and organization.
Organisational models: general principles.
The Department: the departmental organizational model of the maternal and child area.
The obstetric care models and orientation of WHO, NICE, LG-SNL-ISS guidelines.
Conceptual and operational models in the obstetric discipline.
International and national obstetric organizational models:
One to one model: comparability and applicability.
Midwife-led model.
Caseload midwife-led model.
Midwifery Partnership Model.
A model of exemplary midwifery practice: results of a Delphi study.
Functional areas of midwifery management the Centro Nascita model: from the American models, Anglo-Saxon Free-standing Units and Along-side Units, to the situation in Italy.
Guidelines for the definition and organization of independent care by midwives for low risk obstetrics (BRO) pregnancies - Ministry of Health. .(2017)
From the clinical model of obstetric care to the choice of a practice oriented to the measurement of clinical-assistance outcomes: concept of Midwifery Sensitive Outcomes.

Reference books
Author Title Publisher Year ISBN Note
Carfagna Marina Appunti e slides delle lezioni. Normativa e riferimenti indicati durante le lezioni. Materiale messo a disposizione del docente. (Edizione 1) 2019
ISS-SNLG Linea Guida Emorragia post partum: come prevenirla, come curarla (Edizione 1) Ministero della Salute 2016
Ministero della Salute- Istituto Superiore di Sanità ISS-SNLG Linea Guida n. 26 “Prevenzione e Trattamento della Emorragia del Post Partum”, Ministero della Salute- Istituto Superiore di Sanità 2016
AGENAS Linee di indirizzo clinico-organizzative per la prevenzione delle complicanze legate alla gravidanza (Edizione 1) AGENAS 2017
Ministero della Salute Direzione Generale della Programmazione Sanitaria Direzione Generale della prevenzione sanitaria Comitato Percorso Nascita Nazionale Linee di indirizzo per la definizione e l’organizzazione dell’assistenza in autonomia da parte delle ostetriche alle gravidanze a basso rischio ostetrico (BRO) (Edizione 1) Ministero della Salute 2017
Midwifery Unit Network,University of London Midwifery Unit Standards (Edizione 1) Midwifery Unit Network 2018
Ministero della Salute- L’Istituto Superiore di Sanità SNLG-ISS Linea Guida N. 20 Gravidanza fisiologica (Edizione 1) Ministero della Salute-L’Istituto Superiore di Sanità 2011

Assessment methods and criteria

The examination shall take place in written form through a test consisting of closed and open questions . Test duration 75 minutes.

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