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.

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.

• 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;
• Content and organizational of postnatal care: physiological changes during the postnatal period, needs of care, care of women’s psychological health, the role of midwife;
• Physical health problems and complications in the puerperium: postpartum complications and early identification of the pathological event, the care of woman with sign and symptoms of life- threatening conditions and those with obvious risks for increased postpartum physical morbidity;
• Multiple pregnancy: incidence of multiple pregnancy, determination of zygosity and chorionicity, antenatal care, management of the birth;
• 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;
• Low obstetric risk: Guidelines for the definition and organization of independent care by midwives for low-risk obstetric pregnancies;
• Fetal intrauterine death: psycho-physical care by the midwife, management of childbirth and labor, induction to labor;
• Obstetric-gynecological triage: the role of the midwife in triage, national guidelines on intra-hospital triage, triage methodology, assignment of numerical codes in the obstetric-gynecological field, clinical cases;
• Sexual violence: definitions, guidelines, sexual violence during pregnancy, the role of midwife in the communication, treatment and management of women victims of sexual violence;
• Labor and Water birth: pain, non-pharmacological analgesia techniques, guidelines for the management of water birth, guidelines and factors of inclusion and exclusion.

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.
The psychoneuroendocrine system: the main hormones involved in birth, evaluation of the neuroendocrine system, application in care practice.
Thermoregulation: the mechanism of 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.

Fisiologia della nascita; Roberta Spandrio, Anita Regalia, Giovanna Bestetti; Carocci Faber. Manuale dell’ostetrica i Myles; Ruth Bennett e Linda Brown; EDI-ERMES.
Urgenze ed emergenze in sala parto; Antonio Ragusa e Claudio Crescini; Piccin. Mayes' Midwifery; Editors: Sue Macdonald, Gail Johnson; Elsevier.

• Personalized care of the patient to achieve the desired patient outcome
• Safe and effective care of the patient undergoing analgesia/anaesthesia/sedation
• Selecting instruments and equipment appropriate for the surgery and assist the surgeon
• Performing ongoing patient assessment in every phases of the perioperative period, formulating nursing diagnosis and implementing evidence-based procedures
• Identify the liability of the midwife in the perioperative setting in accordance with the professional standards of practice and behavior
• Developing communication and interpersonal skills
• Enforcing policies that contribute to patient safety

• Heather Nixon, MD, Lisa Leffert, 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 Midwife as Surgical First Assistant; 2015