1. The characteristics of labour:the different stages of labour, physiology of labour.
2. Midwifery care during the first stage of labor: physiology, definition, characteristics, care settings, midwife role.
3. Midwifery care during the second stage of labor: physiology, definition, characteristics, labour and delivery phenomena, midwife role.
4. Midwifery care during the third stage of labor: physiology, definition, characteristics, management, midwife role.
5. Midwifery care in the management of perineal traumas: spontaneous lacerations, episiotomy, sutures.
6. Classification and interpretation of a cardiotocographic monitoring: characteristics of a CTG, definition of patterns, classification according to the FIGO 2015 and NICE 2017 Guidelines.
7. Setting and preparation of surgical instruments for spontaneous vaginal delivery.

Mayes' Midwifery; Editors: Sue Macdonald, Gail Johnson; Elsevier.

Planned caesarean section
Perineal techniques during the labour for reducing perineal trauma and management of the perineum after delivery
Female genital mutilation
The appropriate management of the umbilical cord
Hospital discharge of the term newborn

-NICE. Caesarean section. Clinical guideline. 2011
-SNLG. Taglio cesareo: una scelta appropriata e consapevole. 2014.
-Queensland Clinical Guidelines: Normal birth. 2018
-Aasheim V et al. Perineal techniques during the second stage of labour for reducing perineal trauma. Cochrane Library. 2018.
-WHO. Delayed umbilical cord clamping for improved maternal and infant health and nutrition outcomes. 2014
-ABM Clinical Protocol #2. Guidelines for Hospital Discharge of the Breastfeeding Term Newborn and Mother: ‘‘The Going Home Protocol,’’ Revised 2014
-Mayes’ Midwifery. Macdonald, Johnson. Elsevier. 2017
-Didactic material (lessons in pdf, papers, etc.) delivered by the Professor

The Professor will deliver a study guide.

Communication as a professionalizing practice for midwives
The management of contrattitudes in the professional relationship
Communication management in clinical cases: prenatal diagnosis (eg diagnosis of a fetus with genetic pathology), elective cesarean section, urgent cesarean section, labour induction, genital mutilation, perinatal mourning.
How to find evidence in support of clinical practice: case studies (early vs late cord clamping, request for lotus birth, case studies suggested by students).
Transcultural communication (female and male genital mutilation, nutrition during pregnancy, breastfeeding and complementary feeding).

The handouts will be provided by the teacher (presentations, bibliography)

1. Content and organizational of postnatal care: physiological changes during the postnatal period, care of women’s psychological health, the role of midwife.
2. Physical health problems and complications in the puerperium: postpartum complications and early identification of the pathological event, obstetric assistance after operative delivery, the care of woman with sign and symptoms of life-threatening conditions and those with obvious risks for increased postpartum physical morbidity.
3. Multiple pregnancy: incidence of multiple pregnancy, determination of zygosity and chorionicity, antenatal care, management of the birth.
4. Induction of labour and prolonged pregnancy: indications and contraindications and implications for induction of labour, methods of induction, evaluate the management of prolonged pregnancy.
5. Rhythmic variations of labour: recognize altered patterns of uterine action and understand how these patterns may contribute to a prolonged or precipitate labour, the use of partogram, the role of midwife in the prevention, care and management of altered patterns of uterine action.
6. Complications related to the third stage of labour: postpartum haemorrhage, recognize risk factors, signs and symptoms, the role of midwife in emergency management, the importance of teamwork.
ADDITIONAL:
Preterm labour: identify the risk factors for preterm labour, recommended drugs for preter labour (tocolytics), implications of preterm labour and preterm birth for the baby and the family.
Thermoregulation: the mechanism oh heat loss , knowledge of neutral thermal environment for the newborn, identification of signs and symptoms of cold stress, the role of the midwife.
Resuscitation of the newborn: the knowledge of the algorithm, the role of midwife.

Mayes' Midwifery; Editors: Sue Macdonald, Gail Johnson; Elsevier.

• Personalized care of the patient to achieve the desiredpatientoutcome
• Safe and effective care of the patientundergoing analgesia/anaesthesia/sedation
• Selectinginstruments and equipment appropriate for the surgery and assist the surgeon
• Performingongoingpatientassessment in everyphases of the perioperativeperiod, formulating nursing diagnosis andimplementingevidencebasedprocedures
• identify the liability of the midwife in the perioperative setting in accordance with the professional standards of practice and behaviour
• developingcommunication and interpersonal skills
• Enforcing policies thatcontribute to patientsafety

• eather Nixon, MD,LisaLeffert, MD;Anesthesia for cesarean delivery; Aug 20H19
• Goodman, Cynthia Spry; Essentials of Perioperative Nursing; Jones & Bartlett Publishers, 2016
• Ragusa, Crescini; Urgenze ed Emergenze in Sala Parto;Piccin;October 2016
• Nell Tharpe, Caity Byrne; The MidwifeasSurgical First Assistant; 2015