This midwifery and obstetrical nursing notes article is very important for bsc nursing 3rd year students because this notes pdf is not available unit-wise on the internet.
This subject deals with patients to provide care during the pregnancy and recently delivered.
This midwifery and obstetrical notes pdf is made using simple language. Every topic is easily understandable from this bsc 3rd year notes pdf.
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| Unit-I |
Introduction to midwifery and obstetrical Nursing
| Introduction to concepts of midwifery and obstetrical Nursing; Trends in midwifery and obstetrical nursing– Historical perspectives and current trends, Legal and ethical aspects, Pre-conception care and preparing for parenthood, Role of nurse in midwifery and obstetrical care, National policy and legislation in relation to maternal health & welfare |
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| Unit-II |
Review of anatomy & physiology of female reproductive system and foetal development
| Female pelvis- general description of the bones joints, ligaments, planes of the pelvis diameters of the true pelvis, important landmarks, variations in pelvis shape; Female organs of reproduction – external genitalia, internal genital organs and their anatomical relations, musculature – blood supply, nerves, lymphatics, pelvic cellular tissue, pelvic peritoneum; Physiology of menstrual cycle; Human sexuality; Foetal development o Conception o Review of fertilization, implantation (embedding of the ovum), development of the embryo & placenta at term functions, abnormalities, the foetal sac, amniotic fluid, the umbilical cord, o Foetal circulation, foetal skull, bones, sutures and measurements; Review of Genetic |
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| Unit-III |
Assessment and management of pregnancy (ante-natal)
| Normal pregnancy; Physiological changes during pregnancy– Reproductive system, Cardiovascular system, Respiratory system, Urinary system, gastrointestinal system, Metabolic changes Skeletal changes, Skin changes, Endocrine system, Psychological changes, Discomforts of pregnancy, Diagnosis of pregnancy, Signs, Differential diagnosis, Confirmatory tests; Antenatal preparation– Antenatal counseling, Antenatal exercises, Diet, Substance use, Education for child-birth, Husband and families, Preparation for safe confinement, Prevention from radiation; Psycho-social and cultural aspects of pregnancy; Adjustment to pregnancy; Unwed mother; Single parent; Teenage pregnancy; Sexual violence; Adoption |
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| Unit-IV |
Assessment and management of the intra-natal period
| Physiology of labour, mechanism of labour; Management of labour:- First stage–Signs and symptoms of the onset of labour; normal & abnormal- Duration Preparation of:- Labour room, Woman, Second stage– Signs and symptoms; normal & abnormal, Duration, Conduct of delivery; principles and techniques, Episiotomy (only if required), Receiving the newborn Third stage– Signs and symptoms; normal & abnormal, Duration, Method of placental expulsion, Management; Principles and techniques, Examination of the placenta, Examination of the perineum |
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| Unit-V |
Assessment and management of women during the postnatal period
| Normal puerperium; Physiology Duration; Postnatal assessment and management, Promoting physical and emotional well-being, Lactation management, Immunization Family dynamics after child-birth; Family welfare services; methods, counselling; Follow-up; Records and reports |
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| Unit-VI |
Assessment and management of normal neonates
| Normal Neonate:- Physiological adaptation, Initial and daily assessment, Essential newborn care; Thermal control, Breastfeeding, prevention of infections Immunization Minor disorders of newborns and their management, Levels of Neonatal care (levels I, II, & III), At primary, secondary and tertiary levels; Maintenance of Reports and Records |
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| Unit-VII |
High-risk pregnancy-assessment & management
| Screening and assessment- Ultrasonics, cardiotomo-graphy, NST, CST, non-invasive & invasive, Newer modalities of diagnosis; High-risk approach; Levels of care; primary, secondary & tertiary levels; Disorders of pregnancy- Hyper-emesis gravidarum, bleeding in early pregnancy, abortion, ectopic, Pregnancy, vesicular mole, Antepartum haemorrhage; Uterine abnormality and displacement Adolescent pregnancy, Elderly primi and grand multipart; Multiple pregnancies; Abnormalities of placenta & cord; Intra-uterine growth-retardation; Nursing management of mothers with high-risk pregnancy; Maintenance of Records and Report |
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| Unit-VIII |
Abnormal Labour-assessment and management
| Disorders in labour- CPD and contracted pelvis, Malpositions and malpresentation, Premature labour, disorders of uterine actions- precipitate labour, prolonged labour, Complications of the third stage: injuries to the birth canal Obstetrical procedures and operations; Presentation and prolapse of cord, Vasa praevia, amniotic fluid embolism, rupture of uterus, shoulder dystocia, obstetrical shock; Obstetrical procedures and operations; Induction of labour, forceps, vacuum version, manual removal of placenta, caesarean section, destructive operations; Nursing management of women undergoing |
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| Unit-IX |
Abnormalities during Postnatal Periods
| Assessment and management of women with postnatal complications- Puerperal infections, breast engorgement & infections, UTI, thrombo- Embolic disorders, post-partum haemorrhage, Eclampsia & subinvolution- Psychological complications:- Postpartum Blues, Postpartum Depression, Postpartum Psychosis |
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| Unit-X |
Assessment and management of High-risk newborn
| Admission of neonates in the neonatal intensive care units- protocols; Nursing management of- Low birth weight babies, Infections, Respiratory problems, haemolytic disorders, Birth injuries, Malformations Monitoring of high-risk neonates; Feeding of high-risk neonates; Organisation & management of neonatal intensive care units; Infection control in neonatal intensive care units; Maintenance of reports and records |
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| Unit-XI |
Pharmaco-therapeutics in obstetrics
| Indication, dosage, action, contraindication & side effects of drugs; Effect of drugs on pregnancy, labour & puerperium; Nursing responsibilities in the administration of the drug in Obstetrics oxytocins, antihy-pertensives, diuretics, toco-lytic agents, anti-convulsants; Analgesics and anaesthetics in obstetrics; Effects of maternal medication on foetus & neonate |
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| Unit-XII |
Family Welfare Programme
| Population trends and problems in India; Concepts, aims, importance & history of family welfare programme; National Population: dynamics, policy & education; National family welfare programme; RCH, ICDS, MCH Safe motherhood; Counselling for family welfare; Latest research in contraception; Maintenance of vital statistics; Role of national, international & voluntary organizations; Role of a nurse in family welfare programme; Training/Supervision/Collaboration with other functionaries in the community like ANMs, LHVs, Anganwadi workers, TBAs (Traditional birth attendant- Dai) |
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