Pre-operative assistance with particular reference to caesarean section:
Definition of the intervention, patient entry, diagnostic measures, preparation of the day before the surgery and of the day itself: patient in ordinary and emergency hospitalization.
Post-operative assistance:
Checkups, post-operative complications.
Obstetric care in physiological pregnancy:
Physical, general and local modifications of pregnant women:
changes in the gastro-intestinal, cardiovascular, respiratory, renal and reproductive systems, dermatological, skeletal, endocrine, breast and nervous system changes;
pregnancy hormones;
placenta, amniotic fluid detection of body weight, height, vital signs;
duration of pregnancy; nullity and multiparity; diagnosis of pregnancy and differential diagnosis. Supply
Intimate hygiene, prevention of hemorrhoids, varicose veins, striae gravidarum, chloasma gravidarum. Preparation of nipples for breastfeeding: Hoffmann exercises. Physical exercise: lumbar pain prevention, groin pain prevention, correction of unsuitable postures during pregnancy.
Specialist services scheme for the control of physiological pregnancy excluded from participation in the cost.
Lifestyles in pregnancy.
Infections in pregnancy: infectious diseases in pregnancy, the influence of infectious diseases on the evolution of pregnancy and the product of conception.
FIRST QUARTER OF PREGNANCY:
reception of the pregnant woman;
compilation of obstetric and clinical records of the quarter;
signs and symptoms of pregnancy; sympathetic phenomena (signs of presumption, probability and certainty).
obstetric examination: anamnesis, inspection, palpation, auscultation, vaginal exploration;
detection of vital signs, weight gain,
pelvic examination: external, internal (mirror and bimanual examination),
first visit, midwife diagnosis;
check-up calendar during pregnancy
laboratory investigations with prescription and evaluation of the following tests: urinalysis, blood count, glycemia, hepatic, renal, blood coagulation, blood group and Rh, indirect Coombs test, TORCH, urine culture, vaginal swabs, etc.
instrumental investigations; ultrasound, nuchal translucency.
II QUARTER OF PREGNANCY:
Characteristics of the quarter.
Maternal / fetal risk factors with prenatal diagnosis.
Non-invasive techniques: biochemical tests;
Invasive techniques: chorionic villus sampling, amniocentesis, funiculocentesis, fetoscopy. Instrumental investigations: ultrasound (fetal growth and fetal well-being), echocardiography, hormonal monitoring, flowmetry.
Role of the midwife in prenatal diagnosis. Visit of the midwife. Maneuvers of the Leopold. Laboratory investigations: prescription and evaluation.
III QUARTER OF PREGNANCY
Characteristics of the quarter. Instrumental investigations: prescription and evaluation. Laboratory tests. Obstetric visit. Brocà index, fundus symphysis measurement, Johnson's rule; Braxton-Hicks contractions,
Pregnancy as a biological, social and psychoemotional event:
Characteristics of the three quarters, the physical, dynamic, emotional, environmental / relational aspect.
The specific needs of pregnant women:
The midwife's relational task in the three trimesters.