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Unit-I GNM 3rd Year Midwifery Notes PDF
Introduction
• Definition of midwifery and obstetrical nursing,• Trends of maternity services in India, • The Vital statistics related to maternal health in India • Scope of midwifery, • History of midwifery, • Basic competencies of a midwife.
History, signs & symptoms of pregnancy; Pre-conception care, Genetic counselling, physiological changes in spregnancy. Antenatal Care- History, calculation of the expected date of the delivery, Drugs and immunizations, Examination and investigation, Health Education and counselling; Minor disorders & their management
Definition, signs & causes, stages of the onset of labour, True and false labour. ◉ The first stage of labour:↪ Physiology, Monitoring using photography and its interpretation. Care of mother: physical and the psychological, Pain management, Setting up for labour room including the newborn corner. ◉ Second Stage: ↪ Mechanism and the Physiology; Monitoring; Conduction of the Normal delivery; Episiotomy; Essential newborn care ◉ Third stage: Physiology and signs; Active management of the third stage; Examination of the placenta; Episiotomy suturing ◉ Fourth stage: Physiology; Postpartum family planning; Care of the mother and baby.
Assessment, Apgar scoring, Examination for defects, physiological adaptation, Breast-feeding- BFHI, Care of Newborn- Skin, eyes, buttocks, etc. Bonding & the rooming-in, Minor disorders of newborns- skin, rashes, birthmarks, Infections of the eye, Infections, sore buttocks.
Definition and objectives of care, Physiological changes, Postnatal counselling, Lactation and feeding, Care during puerperium- breast and perineal care, follow-up, postnatal exercise, postnatal examination, and the family welfare. Minor ailment and management, Family planning.
◉ Malposition & malpresentation, Contracted pelvis, Abnormal uterine actions, Cervical Dystocia, Precipitate & prolonged labour, premature rupture of membranes & induction of labour obstructed labour, amniotic fluid embolism, obstetric shock, Obstetrics Emergencies-Cord prolapse, vasa Previa, cord presentation, rupture of the uterus, and the shoulder dystocia. ◉ Complications of the third stage- Retained placenta and membranes, Inversion of Uterus, Atonic uterus, Postpartum Hemorrhage, Injuries to the birth canal.
Assessment, Nursing care, Asphyxia, RDS, Sepsis, Hypothermia, Management of newborns with- Hyperbilirubinemia, Neonatal hypoglycemia, Neonatal Convulsions, Rh incompatibility, Small for dates, Low birth weight, Preterm, Newborn of HIV positive mother, Levels of care in NICU, and the diabetic mother. Birth injuries Cephalhematoma Caput succedaneum Facial & Erb’s paralysis Torticollis Hemorrhage, Congenital anomalies.
Definition, indication and care of women undergoing, Induction of Clinical labour teaching, Amnio infusion, Manual removal of the placenta, Version, Vacuum extraction, Caesarean section, Sterilization, Destructive surgeries, Forceps delivery, Manual Vaccum aspiration, Dilatation& evacuation, Dilatation & curettage, Post-abortion care.
Dose, side effects, action, contraindication, Indication and the responsibilities in the administration of- Oxytocin, Antihypertensives, Anticonvulsants, Uterotonics, Tocolytics, Anesthesia & analgesia; Drugs used for newborns, Teratogens- effects of drugs on mother & baby.
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