UNIT I
INTRODUCTION:-
History of midwifery and MCH services in India and Abroad,
Current Trends in midwifery, Morbidity and Mortality
of mothers and infants, Legal aspects in midwifery,
Professional responsibilities of midwife.
UNIT II
REVIEW OF ANATOMY AND PHYSIOLOGY:-
Female reproductive system, female pelvis, Fetal skull,
physiology of reproduction conception and embryonic
development, fetal circulation, genetics and genetic
counselling.
UNIT III
NORMAL PREGNANCY:-
Physiology, Physiological changes in pregnancy, Diagnosis
of pregnancy, signs and symptoms prenatal assessment
and prenatal care (advices and Hygiene) Nutrition in
pregnancy psychosocial and mental health aspect of pregnancy,
Minor disorders of pregnancy and nursing management
of minor disorders, preparation of mother and family
for child brith.
UNIT IV
NORMAL LABOUR:-
Definition, Physiology, stages of labour, mechanism
of labour, assessment of progress of labour, Assessment
of fetal well being Breathing and relaxation technique/exercises
during labour, preparation of labour room/home for delivery,
Midwife's responsibility in managing labour in all stages.
UNIT V
NORMAL PUERPERIUM:-
Definition, physiological and Anatomical changes during
puerperium - Management and nurisng care of mother,
baby and family. Physiology of lactation and establishment
of lactation postnatal care, postnatal exercise, postnatal
check up, customs and beliefs in relation to child bearing
and child rearing. Minors disorders during puerperium
and its management.
UNIT VI
NORMAL NEWBORN:-
Physiology of new born, Characteristics of newborn,
Immediate appraisal of newborn apgar score care of newborn,
identification of congenital abnormalities and referral,
minor disorders of newborn, Hygiene, Nutrition and Immunization.
UNIT VII
FAMILY PLANNING:-
Historical and current perspectives various methods
of family planning, role of midwife in promoting family
welfare services.
PAPER -II
UNIT I
INTRODUCTION:-
High risk pregnancy, Assessment and management. High
risk approach various levels of care of mother and infants.
UNIT II
ABNORMAL PREGNANCY:
A) Conditions:- Abortion, Ectopic pregnancy, Hydatidiform
mole, Hyperemesis gravidarum, Hydraminos Structural
anomalies and its effect on pregnancy - uterine abnormalities
and displacement.
Pregnancy induced Hypertension - Preeclampsia and Edampsia.
Antepartum Hemorrhage, placental dysfunction, Medical
and surgical conditions complicating pregnancy(Diabetes,
cardiac disease, anaemia, etc) Infections diseases complicating
pregnancy(STD, HIV/AIDS, TORCH, Urinary tract infections,
etc)
B)Diagnosis and management of high risk pregnancies:-
Ultrasound in obstetrics, cardio tomography,NST, CST,
Non invasive and invasive, Newer modalities of diagnosis
(CVS,Amniography,etc)Radiology in obstetrics
UNIT III
ABNORMAL LABOUR:-
A) Conditions:- Premature/preterm labour, Malpresentation
and Malposition Incoordinate Uterine action, Cephalo-pelvic
disproportion, obstructed labour, complications of third
stage of labour.
B) Obstetrical emergencies:- Obstetrical shock, Rupture
and inversion of uterus, cord prolapse, Amniotic flind
embolism.
C) Operative obstetrics and other procedures:- Episiotomy,
version, perineal tear and management, Forceps, vacuum
extraction, caesarean section, induction of labour both
medical and surgical, destructive operations (Cleidotomy,
symphisiotomy, Evisceration, etc) .
UNIT IV
ABNORMAL PUERPERIUM:-
Subinvolution of uterus, puerperal sepsis, Post partum
Hemorrhage, Thrombophlebitis embolism, Breast complications
(abscess, engorgement, cracked nipple, etc)
Psychiatric-mental health problems during puerperium(Post
partal blue, post partum psychosis).
UNIT V
HIGH RESK NEWBORN:-
Assessment of high risk newborn, low birth weight babies,
small fordate, large fordate, infant of diabetic mother,
prematurity, postmature babies, IUGR, Asphyxia neonatorum,
Respiratory distress syndrome, Hyaline mambrance disease,
birth injuries, congenital anomalies, congenital syphilis,
newborn with HIV positive Hemolytic deseases of newborn,
Infections, TORCH neonatal seizures, matabolic disorders
still birth - causes and management. Nutrition for high
risk newborn, nursing management of high risk newborn.
UNIT VI
DRUGS IN MIDWIFERY :-
Drugs in common use, indications for administration
drugs permitted for use by midwife, standing orders
for practice of midwifery.
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