Midwifery Curriculum

COMUNICATION SKILLS

TITLE: COMUNICATION SKILLSCOURSE NO:CREDIT: 2 Credits (1 THEORY& 3 PRACTICALS)PLACEMENT: SMESTER –I

Course Description/ Outline The aim of this course is able the students in writing, reading, listening and speaking. It also develops the learner’s ability to communicate effectively in their practice area and in other practical setting.

Course Objectives:

By the end of this course the students will able to: Learn effective interpersonal skills in informal setting Use effective interpersonal skills in formal setting Gain awareness regarding verbal and nonverbal communication. Develop awareness about language use in different settings Understand the difference between oral and written communication. Participate in discussion on midwifery and non midwifery topics. Read and understand simple text at literal level. Receive and write short message Learn and use lexical items Learn and use appropriate grammatical structure Make effective oral presentations using clinical and non clinical contexts.

Evaluation criteria:

UNIT-IORAL COMMUNICATION

TIME: 4 HOURS

OBJECTIVES CONTENTS TEACHING /LEARNINGSTRATEGIE

1. Gain Understanding about oral communication

1.1 Definition communication 1.2 Definition of oral communications.1.3 Start and finish simple communication1.4 Telephone conversation1.5 Ask for information1.6 Express feeling1.7 Exchange ideas and opinions1.8 Suggest/advise/persuade/insist etc.

Lecture DiscussionDialogueRole play

UNIT-IIORAL PRESENTATION

TIME: 4 HOURS


1.Gain Understanding about oral presentation

1.1 Definition of presentation 1.2 Elements of good presentation1.3 Techniques of presentation preparation 1.4 techniques to handle with audience1.5 time management for presentation1.6 language for presenter


UNIT-IIIVOCABULARY

TIME: 4 HOURS


1. Explain the use of vocabulary

1.1 use of dictionary 1.2 parts of speech1.3 root words 1.4 use of suffixes and prefixes 1.5 idiomatic phrases and their uses


UNIT-IVGRAMMER

TIME: 4 HOURS


Describe the appropriate use of Grammar.

1.1 tenses 1.2 sentence structure1.3 active voice and passive voice 1.4direct and indirect sentences 1.5 articles1.6 uses of preposition


UNIT-VREADING COMPREHENSION

TIME: 4 HOURS


1.Gain Understanding about reading comprehension

1.1 skimming 1.2 scanning1.3 Recognize cohesive devices1.4 reading and understanding through answer the questions


UNIT-VIREPORT WRITING

TIME: 4 HOURS


Shows skills in report writing

1.1 Historical information writing 1.2 incidence reporting1.3 Notes writing


COMPUTER SKILLS

TITLE: COMPUTER SKILLSCOURSE NO:CREDIT: 2 Credits (1 THEORY& 3 PRACTICALS)PLACEMENT: SMESTER –I

Course Description/ Outline The aim of course is to give basic knowledge about computer, its hardware and software and operating system. This course will able the students to work with window operating system ,Ms office utilities (Ms Office ,Ms power point, excel).It also familiarize with the use of internet and e mail etc. Course Objectives:

By the end of this course the students will able to:Discuss computer skills ,application and how it effects on midwifery practiceDemonstrate skills in the use of a word processor(Microsoft word),spread sheet/database(Microsoft Excel)Demonstrate Skills in preparing material for presentation by slide ,overhead or computer projection(Multimedia) using presentation software (power point)Demonstrate skills in assessing in national and international network, search engines, and database using virtual private network. Verbalize understanding of internet and its use, values ad efficacy in communicating midwifery knowledge.Identify use of computer in our own areas of midwifery practiceIllustrate the effective use of computer and its software in midwifery where necessary

UNIT-IINTRODUCATION TO COMPUTER

TIME: 4 HOURS


2. Explain the computer hardware

1.1 Definition of computer 1.2 computer generations1.3 parts of computer


UNIT-IICOMPUTER SOFTWARE

TIME: 4 HOURS


3. Explain the computer Software

1.1 Definition of software 1.2 languages of computer1.3 types of software1.4 operating system1.5 orientation to MS Dos


UNIT-IIIINTRODUCTION TO OPERATING SYSTEM

TIME: 4 HOURS


4. Describe the Ms windows

1.1 orientation to Ms Windows 1.2 Windows,98,xp1.3 Simple commands in windows1.4 windows based operating system1.5 Characteristics of windows OS(operating system)


UNIT-IVINTRODUCAATION TO WORD PROCESSOR

TIME: 4 HOURS


5. Describe the Ms Word

1.1 Definition of word processor 1.2 Ms Word 2000,2003,20071.3 Simple commands in MS Word1.4 Uses of Ms Word1.5 Characteristics of MS word


UNIT-VINTRODUCAATION TO POWER POINT PRESENTATION

TIME: 4 HOURS


6. Demonstrate the use of power point presentation

1.1 orientation of power point presentation 1.2 Simple commands in MS Word1.3 Uses of Power point 1.4 Presentation on power point


UNIT-VIINTRODUCAATION TO SPREAD SHEET

TIME: 4 HOURS


7. Describe the Ms Excel

1.1 Definition of database 1.2 orientation to Ms Excel 1.3 Simple commands in MS Word1.4 Uses of Ms Excel1.5 Practical approach to Ms Excel


UNIT-VIIINTERNET USE FOR MIDWIFERY

TIME: 4 HOURS


8. Explain the internet and its usage in midwifery

1.1 Definition of internet 1.2 Importance of internet in midwifery1.3 orientation to internet searching mailing1.4 overview to website designing


EMBRIOLOGY

TITLE: EMBRIOLOGYCOURSE NO:CREDIT: 3 Credits (2 THEORIES& 1 PRACTICAL)PLACEMENT: SMESTER –I

Course Description/ Outline

This course focus on the essentials of clinically relevant aspects of embryology.The goal is to provide students with an understand of the principles of embriognesis that could be helpful in understanding the diagnoisis,care and prevention of birth defects.

Course Objectives:

By the end of this course the students will able to: Define the midwifery, midwife and Lady Health Worker Describe the history of midwifery Understanding the Midwife’s role towards Community and Profession Identifies the basic structure of labor room, Basic Health Unit (BHU), Rural Health

Centre (RHC) Recognize the different type of instruments and detail about their uses Demonstrate the sterilization and disinfection techniques Describe the counseling of patients Assists the patient with different problems

GENERAL EMBRYOLOGY

UNIT-IINTRODUCTION TO EMBRYOLOGY

TIME: 1 HOUROBJECTIVES CONTENTS TEACHING

/LEARNINGSTRATEGIES

1. Define Embryology Lecture1.1 Definition of embryology Discussion1.2 importance of embryology

References:

Betty R. Sweet “Mays Midwifery, A Textbook for Midwifes” Bailliere Tindall; 10th Ed. T.W Sadler “Medical Embryology” Williams & Wilkins ,7th Ed:

Evaluation: Test

UNIT-IIGAMETOGNESIS

TIME: 2 HOURSOBJECTIVES CONTENTS TEACHING

/LEARNINGSTRATEGIES

1. Define Gametogenesis Lecture1.3 Definition of Gametogenesis Discussion1.4 Germ cell1.5 the conversion of Germ cell

Into male and female gametes

2. Describe the oVULATION To implantation Definition of ovulation Describe the Fertilization

Explain the Implnatation of Ovum

References:


Evaluation: Test

UNIT-IIIGERM DISC

(2 ND ,3 RD WEEK OF DEVELOPMENT) TIME: 4 HOURS

OBJECTIVES CONTENTS TEACHING /LEARNING

STRATEGIES1. Understanding the Bilaminar

Germ Dic(2nd week of development) Describe the second week by days

Eight day of developmentEight day of developmentninth day of developmentEleven to twelfth day of development Thirtenth day of development

2. Understanding the TriliminarGerm Dic(3rd week of development) Describe the formation of Gastrulation(Embryonic,Mesoderm Endoderm) Notocord Explain the growth of Germ Disc

References:


Evaluation: Test

UNIT-IVEMBRIONIC PERIOD

(3 RD To Eight Week) TIME: 2 HOURS


STRATEGIES1. Explain the embryonic Period Lecture

1.6 Definition of embryonic period ion Describe the derivatives of

The Ectodermal Germ LayerThe Mesodermal Germ LayerThe Endodermal Germ Layer

References:


Evaluation: Test

UNIT-V

FETAL PERIOD(3 RD Month To Birth)


/LEARNINGSTRATEGIES

2. Explain the Fetal Period Lecture

1.7 Definition of fetal period ion Describe the development of the Fetus Explain the growth and length

Weight during the fetal period

References:


Evaluation: Test

UNIT-VI

PLACENTATIME: 2 HOURS


STRATEGIES Understanding of Fetal MembraneAnd placenta Expain THE STRUCTURE OF PLACENTA Meternal surface Fetal surface List the Function of Palcenta Describe the circulation of placenta

Expain the Amenion and Umblical Cord

References:


Evaluation: Test

UNIT-VII

SPECIALEMBRYOLOGYBODY SYSTEM OF FETUS


/LEARNINGSTRATEGIES

1. Define the Skeletal System Describe superficially the Skeletal system by Parts: Skull Limbs Vertebral column Ribs Sternum2. Define the Muscular System Describe superficially the Skeletal Muscle: Head Muscular ate Head Muscular ate Cardiac Muscle 3. Define the Body Cavities Describe formation of the Interembryonic Coelom Diaphragm and Thoracic Cavity 4. Define the Cardiovascular System Describe the formation of Heart tube 5. Define the Respiratory System Describe superficially the Formation of Respiratory System by Parts: Trachea Bronchi Lungs 6. Define the Digestive System Describe superficially the Digestive system by Mesenteries Foregut Midgut Hindgut7. Define the Urogenital System Describe superficially the Formation of

Urinary system Kidney System Genital System8. Define the Head & Neck Describe superficially the Formation of Head and Neck 9. Define the Ear Describe the formation Of Internal Middle and external ear 10. Define the Eye Describe superficially the Eye parts: Optic Cup Lens Vesicle Ratina,Iris and Ciliary Body Lens Choroids sclera Cornea Vitreous Body Optic Nerve11. Define the Integumentary System Describe superficially the Skin Hair Mammary gland 12. Define the Central Nervous System Describe superficially the Skeletal system by Parts: Spinal Cord Brain

References:


NEONATOLOGYTITLE: NEONATOLOGY

COURSE:

CREDIT:

COURSE DESCRIPTIONCOURSE OBJECTIVES

UNIT-IINTORDUCTION TO NEONTOLOGY

TIME: 4 HOURSS.NO OBJECTIVES CONTENT TEACHING &

LEARNING STRATEGIES

1. Define the terms related to neonatology

definition Neonatology Neonatal period Perinatal period Neonatal Mortality Perinatal mortality rate Neonatal Mortality rate Infant Mortality rate Term or gestational age birth weight low birth weight normal birth weight very low birth weight extremity low birth weight incredibily low birth weight

lecture

UNIT-IINEW BORN BABY


LEARNING STRATEGIES

2. Develop the skills in care of new born.

DefinitionPhysiology of new

bornImmediate cre of

new born

lecture

3. Explain and demonstrate the techniques of neonatal History and examination

Neonatal History Natal history Postnatal history Feeding history Maternal health during

pregnancy Past obstetric history History of subling Family medical history Social history

Examination of newborn

First stage Second stage

Physical; examination

General examination Skin Head Eyes Nose Mouth Neck Chest Lungs Heart Abdomen Genitila Anus Spine Pulses Nerves Limbs Hips

Neonatal reflexes Moro reflexes Grasp reflexes

LectureDemionstration Re demonstrationChartsMovies

Rooting reflexs Sucking reflexes Swallowing reflexes Withdrawl reflexes Righting reflexes Asymmetrical tonic neck reflexes Stepping reflexes Glant reflexes Galnt reflexes

Assesment of maturity

Menstural history Brth weight Length External criteria Neurological criteria Scoring system

UNIT-IIICARE OF NEWBORN


LEARNING STRATEGIES

4. Define and demonstrate the CARE OF NWBORN IN LABOR

Aftercare of newborn delivered at home delivered at Hospital

APGAR Scoring

lecture

5. Gain knowledge about breast feeing to the mother

Breast feedingImportance of breast

feedingAdvantagesContraindication of

breast feedingArtificial feeding

LectureChartDemonstrationRe demonstrationMovies

UNIT-IIIWEIGHT AND TERM PROBLEMS


LEARNING STRATEGIES

6. Define the different birth weight and term or gestational; age related problems with new born

6.1 Low birth weight

6.2 The pre term baby

6.3 Small for gestational age(SGA) babies

6.4 Large for gestional Age (LGA) babies

LectureDiscussion

UNIT-VNeonatal problems


LEARNING STRATEGIES

7. Define the different neonatal problems

7.1 Birth aspexia

7.2 jaundice

conjugated a unconjugated

7.3 neo

LectureDiscussion

natal hypetitus

7.4 Congnital biliary atresia

7.5 Intrauterine infections

Congenital Toxoplasmosis

Congenital Rebulla Cyto megalovirus(CMV)

Infection Congenital Syphilis Tuberclosis in newborn

7.6Nownatal metabolic problems Hypoglycemia Hypocalemia Late Hypocalemia Hypomagnesemia Hypernatermia

7.7 Birth trauma Head injuies Intracranial Haerohage Injuriesto the peripheral

nerves and spinal cord Facial nerve injuries Bony injuries Soft tissue injuries

7.8 Congenital malformation Trisomy(21):Mangolism:

down syndrome Microcephaly

Myelo-Maningocele Achondroplasia Talipes(club feet)

7.9 Respiratory distress in the newborn

Meconium Aspiration Syndrome(MAS)

Surfactant Deficiency Transient tachypneoa of

the newborn(TTN) or pulmonary maladaptation

Choanal Atresia Congenital diphrametic

hernia Pheunothorax Pneumionia7.10 Neonatal infection

Types of infection a) Superficial

b) Systemic infection Neonatal sepsis Menigitis Urinary tract

infection Osteomylitis Neonatal tetinis

UNIT-VWEIGHT AND TERM PROBLEMS


LEARNING STRATEGIES

8. Define the different birth weight and term or gestational; age related problems with new born

6.1 Low birth weight6.2 The pre term baby6.3 Small for

gestational age(SGA) babies

6.4 Large for gestional Age (LGA) babies

LectureDiscussion

Breast feedingImportance of breast

feedingAdvantagesContraindication of

breast feedingArtificial feeding

LectureChartDemonstrationRe demonstrationMovies

FAMILY PLANNING

TITLE: FAMILY PLANNINGCOURSE:CREDIT:CLASS:

COURSE DESCRIPTION:

This course is design to give the basic concept of family planning and its importance for the community. It also gives the knowledge about the different methods used in family planning .It also gives the knowledge about the counseling methods used to counsel the families for family planning.

COURSE OBJECTIVES:

At the end of this course the learner will be able to understand the:

UNIT-I

INTRODUCTION TO FAMILY

TIME: 4 HOURS

S NO OBJECTIVES CONTENT TEACHING & LEARNING STRATEGIES

1. Describe the family structure in Pakistan

1.1. Structure of family-types of families

1.2. Cultures factors-Value, beliefs-Roles and Tasks, Power and coping

1.3. Functions and role of family

1.4. Family mental health

Lecture Discussion

2. Describe the family as a unit of are in the community health care

2.1. Family as a unit of care

2.2. Care of family as a client

2.3. Purpose and principle2.4. Types of nurse family

contact-home visit-community clinic-referral-school visit

Lecture DiscussionDemonstrationRole playCharts

UNIT-IIINTRODUCTION TO FAMILY PLANNING

TIME: 4 HOURS


3. Explain the family planning

3.1. Introduction of family planning-definition-population problems and need of family planning

3.2. Health condition requiring family planning-Bad obstetric history-Genetic condition

3.3. Social influences of family planning

Lecture Discussion

4. Describe the role midwife in family planning

4.1. Role of midwife in family planning

Preparation of physical set up of FP clinic(in use of antiseptic and disinfectant)

Preparation and sterilization of equipment and supplies

Preparation of client Post procedure Responsibilities Record4.2 Family planning

education and motivation on the community level Political religious

Lecture DiscussionDemonstrationRole playCharts

UNIT-III FAMILY PLANNING IN PAKISTAN

TIME: 4 HOURS


5. Describe the family planning services available in Pakistan

5.1. Family planning program in Pakistan

Government and non government agencies

International and bilateral assistance in family planning

Lecture Discussion

UNIT-IVMETHODS OF FAMILY PLANNING

TIME: 4 HOURS


6. Describe the indications and contraindications of different methods of family planning

6.1Temporary FP methods

Behavioral methods for contraception

Coitus interrupts

Safe period

Chemical methods

Foam tab

Jelly and paste

Mechanical methods

Condom

Diaphragm and cervical caps

Intrauterine device (IUD)

Mechanical and chemical combination

Physiological

Combination pills

Sequential pills

Micro pills

Depo-Provera injection

Implant

6.2 Permanent FP methods

Vasectomy

Tubectomy

Lecture DiscussionDemonstration\ChartsMoviesRe demonstration

UNIT-VINTRODUCTION TO COUNSCELING

TIME: 4 HOURS


7. Describe the counseling and role of counseling in family planning

7.1. Family planning program in Pakistan

Government and non government agencies

International and bilateral assistance in family planning

Lecture Discussion

GYNAE-I(OBSTETRIC)

TITLE: GYNAE-ICOURSE NO:CREDITS: 4 CREDITS

COURSE DESCRIPTION:

This course introduce the students with basics of reproductive system, normal labor, abnormal labor, pre and post natal care .It makes skillful in handling with normal delivery and other problems during labor.

COURSE OBJECTIVES:

At the end of this course the learners will be able to;

Define the male and female reproductive system their structure and functionsDescribe the pregnancy,change an dadptation during pregnnayExplain the normal and abnormal laborDemostrate the handling with normal pregnancy.List the complication during abnormal delivery

UNIT-I REPRODUCTIVE SYSTEMTIME:4 HOURS

OBJECTIVES CONTENTS TEACHING /LEARNING STRATEGIES

1.Gain the knowledge of male and female

Pelvis:1.1 Description(Bones and Joints)1.2 Function

LectureChartsModel

reproductive organs,their structure and functions

1.3 Types1.4 Measurement1.5 Difference between male and female pelvicPelvic Floor 1.6 Muscles1.7 Ligaments1.8 Function of pelvic floor1.9 Blood supply1.10 Nerve supplyFemale organs of reproduction1.11 External1.12 Internal1.13 Structure1.14 FunctionsMemory gland1.15 Structure1.16 Functions

Charts

Models

UNIT-IIPUBERTYTIME: 4HOURS


1.Describe the physical changes

Puberty2.1 Male

LectureCharts

in ale and female at puberty

2.2 Female Model

UNIT-IIIMENUSTURAL CYCLETIME: 4HOURS


1.Gain the knowledge about menstrual cycle an describe the hormones affecting the cycle

Menstruation3.1 Definition3.2 Clinical featureMenopause3.3 Definition3.4 Symptoms3.5 Physical changes

LectureChartsModel

UNIT-IVPREGNANCYTIME: 4HOURS


1.Gain the knowledge about normal

4.1 Definition 4.2 Duration of pregnancy4.3 Physiological change

LectureChartsModel

phenomena of pregnancy

2. Develop understanding of nutritional requirement during pregnancy and to advice pregnant women.

4.4 Diagnosis of pregnancy4.5 Relationship of the fetus to uterus and pelvis

4.6 Sign and symptom of pregnancy4.7 Minor disorder of pregnancy4.8Nutration and its role in pregnancy

UNIT-VANTENATAL CARETIME: 4HOURS


1.To Understand the importance

5.1 a Definition5.1 b Aims and Advantages

LecturePosters

of antenatal care

2. To understand the psychology of pregnant women

3. Develop skills in physical and clinical examination of an expectant mother

4.Understaning the need of health teaching to pregnant women and give advice when needed

5.2 psychology aspect of pregnancy

5.3 a Physical and clinical examination 5.3 b History taking5.3 c Abdominal palpation5.4 d Pelvic assessment

5.4 a Advises to pregnant women5.4 b Mother craft classes

Chart

Demonstration

Discussion Charts

UNIT-VINORMAL LABORTIME: 4HOURS


1.Develop understanding an d skills n the management of normal labor

6.1Definition6.2Causes of onset of labor6.3 Sign of labor6.4 Mechanism of normal labor6.5 Physiological change in first, second and third stage of labor6.6 Management

LectureChartsDiscussion

6.7 complication of first , second and third stage of labor

UNIT-VIIABNORMAL LABORTIME: 4HOURS


1.Ddefine and discuss abnormal labor /Dystocia

2.Develop understanding of mechanism of various abnormal

7.1 a Defintion of abnormal laor /dystocia71.b Causes due to power,passenger,pesssage

7.2a Mal presentation7.2 b Occipito posterior of vertex


Lecture Discussion

presentation and position

3.Develop skills in diagnosis of mal presentation

4. Develop skills in management of various mal presentationAnd mal position

5. Develop understanding and skills and diagnosis and management of multiple pregnancy

6. Develop understanding and skills in the management of disorder uterine action.

7 To gain knowledge about the varios obstetrical emergencies and their manegenet

8. Develop understaning and skills in the management of complications of third tage of labor.

7.3 a deep transverse arrest7.3 b face presentation7.3 c brow presentation

7.4 a shoulder7.4 b presentation /transverse7.4 c breech presentation7.4 d management of abnormal labor

7.5 multiple pregnancy

7.6 a Disorder uterine action7.6 b hypnic uterine action7.6 c incordinate uterine action7.6 d hypertonic uterine action7.6 e constriction ring7.6 f cervical dystocia7.6 g rigid cervix7.6 h oedematous interior lip of cervix7.6 i prolonged labor7.6 j contracted pelvis7.6 k trial of labor7.6 l obstructed labor7.7 Obsterical emergencies7.7a Rupture of uterine7.7 b prolapse of cord7.3c Acute inversion of uterus

8.1 Complication of third stage of labor8.1a Post partum hemorrhage8.1 b adherent placenta8.1 c retained placenta8.1 d vulval haematoma8.1 e collapse and shock

Demonstration

UNIT-VIIICOMLICATION OF PREGNANCYTIME: 4HOURS


1.Gain knowledge about the conditions associated with bleeding in early pregnancy and their

8.1 conditions associated with bleeding during early pregnancy8.1 a Implantation bleeding8.1 b Cervical lesions8.1 c Abortion81 d Causes of abortion ,types ,sign & symptoms and treatment

LectureChartsDiscussionSpecimens

management.

2. Gain knowledge about the abnormal amount of liquor amine and its effect on pregnant women and fetus

3. Develop skills in diagnosis of hydramnios

4. Gain knowledge about the diseases caused by toxemia of pregnancy and their management

5.Gain knowledge about diseases associated with pregnancy and their management

6.Develop understanding about diseases transmitted by sexual contact and their management

7.Gain knowledge about causes of

8.1 e Cervical incompetence8.1 f Legal aspects of abortion8.1 g Islamic views8.1 h Enforced Law

8.2 Ectopic pregnancy8.2 a Bacteriamic shock8.2 b Hydiatiform mole8.2 c Choricacorcinoma

8.3 Hydramnios8.3 a Definition, Causes ,Types ,Sign & symptomsManagement and Complication

8.4 Toxemias of pregnancy8.4 a Definition and types8.4 b Hyper emesis gravid arum8.4 c Pre-eclampsia8.4 d Eclampsia

8.5 Diseases associated with pregnancy8.5 a Cardiac Diseases8.5 b Diabetes8.5 c Pulmonary T.B8.5 d Anemia8.5 e Rubella8.5 f Urinary tract infection

8.6 Sexual transmitted Diseases8.6 a Trichomoniasis8.6 b Candia sis8.6 c Syphilis8.6 d Gonorrhea8.6 e Aids/HIV infection

8.7 Bleeding associated with late pregnancy8.7 a Ante partum Hemorrhage

LectureDiscussions

Lecture

bleeding occurring in late pregnancy and their management

8.7 b Definition ,Types ,Sign & Symptoms and management

Discussions

UNIT-XIOBSETETRICAL OPERATIONSTIME: 4HOURS


1.Gain Knowledge about varios

6.1Definition6.2Causes of onset of labor6.3 Sign of labor6.4 Mechanism of normal labor6.5 Physiological change in first, second and third


stage of labor6.6 Management6.7 complication of first , second and third stage of labor

UNIT-IEXAMINATION OF THE PATIENT

TIME:SNO OBJECTIVES CONTENT TEACHING &

LEARNING STRATEGIES

1. Demonstrate the physical examination of the gynae patient

Taking the history

Normal menstrual history

Abnormal menstrual history

Complaints of pain

Examination of the

Lecture DiscussionMovieDemonstrationSkill labChart

breasts

Abdominal examination

Examination of the vulva

Bimanual pelvic examination

Speculum examination

Laparoscopy

Lymphography and gynaeco graphy

UNIT-II

ABNORMALITIES OF MENSTRUATION

TIME:SNO OBJECTIVES CONTENT TEACHING

& LEARNING STRATEGIES

2. Describe the abnormalities of menstruation

Dysfunctional uterine bleeding

Total hysterectomy

Subtotal hysterectomy

Abnormal vaginal bleeding

Amenorrhea

Primary pituftary hypofunction

Secondary pituitary hypoFunction

Adreno-genital syndrome

Lactation-amenorrhea syndrome

Polycystic ovary disease

Genetic causes of amenorrhea

Laboratory detection of genetic defects

Turner’s syndrome

Sex chromosome additions

TesticularfeminisatjonCryptomenorrhoea

Viriljsm

Hirsutism

Dysmenorrhoea

Primary spasmodic dysmenor rhoea

Secondary congestive dys menorrhoea

Treatment of dysmenorrhoeaL Presacral neurectomy

Pre-menstrual tension

Lecture DiscussionMovieDemonstrationSkill labChart

UNIT-IIICONGENITAL ABNORMALITIES


LEARNING STRATEGIES

3. Describe the Congenital abnormalities in related to gynae.

Abnormalities of ovary and tube

Abnormalities of the tube and uterus

Abnormalities of uterus

Abnormalities of the vagina

Abnormalities of the vulva

Lecture DiscussionMovieChart

UNIT-IVDISEASES OF VULVA, PERINEUM, & VAGINA


LEARNING STRATEGIES

4. Explain the Vulva,perineum and vagina

4.1 Vulval dystrophy—Kraurosis

4.2 Leukoplakia

4.3 Localised scieroderma and

Lichen simplex

4.4 Cyst of Bartholin’s gland

4.5 Simple tumours of the vulva

4.6 Carcinoma of the vulva

4.7 Simple vulvectomy ...

4.8 Diseases of the urethra

4.9 Operation for the vaginal outlet

4.10 Vaginal discharge

4.11 Cysts of the vagina

4.12 Carcinoma of vagina


UNIT-V

DISEASES OF CERVIX

SNO OBJECTIVES CONTENT TEACHING & LEARNING STRATEGIES

5. Explain the DISEASES OF CERVIX

5.1 Cervical erosion

5.2 Ectropion of cervix and trachelorrhaphy

5.3 Conisation of cervix Cervical polyps and chronic Cervicitjs

5.4 Specific infections

5.5 Squamous metaplasia

5.6 Dysplasia

5.7 Carcinoma in situ

5.8 Prognosis in. Dysplasia and Carcinoma in situ

5.9 The positive smear in pregnancy

5.10 Carcinoma of the uterine cervix


UNIT-VI

ISEASES & DISPLACEMENT OF UTERUS

TIME:


6. Explain the DISEASES & DISPLACEMENT OF UTERUS

6.1 Uterine polyps

6.2 Fibroids

6.3 Adenomyosis

6.4 Carcinoma of the endometrium

6.5 Backward displacements of the Uterus

6.6 Sling operations on uterus

6.7 Chronic inversion of the Uterus, prolapse

6.8 Cervicovaginai prolapse

6.9 Prolapse of the posterior wall

6.10 Cervical prolapse

6.11 Changes following prolapse

6.12 Anterior colporrhaphy (and— repair of cystocele)

6.13 Repair of uterine prolapse


UNIT-VII

STRESS INCONTINENCE

TIME:


7. Describe the STRESS INCONTINENCE

7.1 Physiology of micturition

7.2 causes of stress incontinence

7.3 Disturbed bladder function

7.4 Frequency

7.5 Investigations of incontinence


UNIT-VIII

Disease of the ureter broad ligament, fallopian tube & ovary

TIME:


8. Describe the Disease of the ureter broad ligament, fallopian tube & ovary

7.1 injury to ureter

prevention of the injury

Urinary fistula

Broad ligament cysts

Carcinoam oft eh fallopian tube

Sterilization

Restoring tubal patency

Rupture of the tube

Diagnosis of tubal pregnancy

Ectopic pregnancy

Sterilization

Restoring tubal patency

Rupture of the tube

Diagnosis of tubal pregnancy

Ectopic pregancy

Clinical features of ovarian Tumours

Torsion of the pedicle

Rupture of ovarian cyst

Extraperitoneal development of Ovarian tumours

Serous cystadenoma


Ovarian tumours

Germ cell tumours

Carcinoma of the ovary

Krukenberg tumour

UNIT-IX

SEXUAL PROBLEMS

TIME:


9. Describe the SEXUAL PROBLEMS RELATED TO GYNEA

Infertility

Investigation of the wife

Tests for ovulation

Hysterosalpingography

Induction of ovulation with Clomiphene

Induction of ovulation with Gonadotrophins

Causes of infertility in the male

Dyspareunia

Apareunia

Oral contraceptives

Intra-uterine contraceptive Devices (IUCD)

The vaginal diaphragm

Rhythm method

MEDICO LEGAL problems


UNIT-X

ABORTION

TIME:


10. Describe the Abortion

Abortion

Classification

Dilatation and curettage (‘D and C)

Complications of dilatation

In complete abortion

Abdominal hysterectomy

Therapeutic abortion

Habitual abortion

Septic abortion Septic shock

Possible mechanism of septic shock

Treatment of circulatory failure

Hydatidiform mole

Hormonal effects of mole

Clinical features of mole

invasive mole

Choriocarcinoma


UNIT-XI

ENDOMETRIOSIS AND PELVIC INFLAMMATION

TIME


. Describe the endometriosis and pelvic inflammation and relate problems

Endometriosis

Pelvic inflammation

Salpingo-oophoritis

pelvic cellulites

Abscess formation in pelvic cellulites

Gonorrhea

Syphilis

Chancroid

Granuloma inguinale

Diagnosis of Syphilis

Genital tuberculosis

Venous thrombosis

INTORODUTION TO RESEARCH

TITLE: INTORODUTION TO RESEARCHCOURSE NO:CREDIT: 4 Credits (1 THEORY& 3 PRACTICALS)PLACEMENT: SMESTER –I


This course is designed to give basic concept of research, methodology, sampling, report writing, literature review, collection and analysis of data. It also give an understanding of ethics, critical Appraisal and utilization of research.

Course Objectives:

By the end of this course the students will able to: Define the research Describe the Understanding the Midwife’s role towards Community and Profession Identifies the basic structure of labor room, Basic Health Unit (BHU), Rural Health

Centre (RHC) Recognize the different type of instruments and detail about their uses Demonstrate the sterilization and disinfection techniques Describe the counseling of patients

Assists the patient with different problems

UNIT-IFUNDAMENTALS OF RESEARCH


/LEARNINGSTRATEGIES

1. Define the research Lecture1.8 Definition of research Discussion

importance of research Need for research

the research as scientific methodSource of knowledge

Characteristic of the scientific ApproachesPurpose of Scientific research

References:

Denise F. Polit ,Barnadette P .Hungler“Essential of Nursing Research” J.B Lippincott Company 3rd Ed.

Evaluation:

UNIT-11OVERVIEW OF THE RESEARCH PROCESS


/LEARNINGSTRATEGIES

1. Define the basic research terminology 1.9 Definition of different terms

Scientific studyConcepts, constructs and theoriesVariablesOperational definitionDataRelationshipsControl

2. Describe the Major steps in Research The Conceptual phase The Design and Planning Phase The Empirical Phase The analytical Phase

The Dissemination Phase

References:


Evaluation:

UNIT-IIIRESEARCH REPORT


/LEARNINGSTRATEGIES

1. Gain understanding for reading the research report Lecture

What are research journal articles?The content of Research ReportThe Style of Research ReportTips on Reading Research Report

2. Explain the locating research reports Bibliographic Aids for Midwifes and nurses Research Report Tips on Locating Research Report

3.develop written literature reviews Purpose of literature review

Explain the importance of research Need for researchDescribe the research as scientific method

Source of knowledge

Characteristic of the scientific ApproachesPurpose of Scientific research

References:


Evaluation:

UNIT-IVRESEARCH PROBLEM AND HYPOTHESES


/LEARNINGSTRATEGIES

2. Explain the research problem Lecture

Sources of research problemDevelopment and Refinanacement of the research problemStatement of the research problem

2. Explain the research Hypothesis Definationn of research hypotheses Chaaracteristics of the Hypotheses Wording of the Hypotheses

Hypotheses Testing and Scientific Research

References:


Evaluation:

UNIT-VTHEORITICAL FRAMEWORK FOR RESEARCH


/LEARNINGSTRATEGIES

3. Describe the nature of theories Definition of Theories Lecture

Purpose of theoriesCharacteristics of theories

2. Explain the Conceptual framework, Models and testing Definition of Conceptual frame

And models Important conceptual framework And theories in research Testing a theories and conceptual framework

References:


Evaluation:

UNIT-VIRESEARCH DESIGN


/LEARNINGSTRATEGIES

4. Describe the Research Design Definition of Research Design

Purpose of research DesignDesimensions of the research design

2.Explain the types of research Design Experimental and non experimental Cross sectional and Longitudanl Surveys,Field studies Evalatuion research Need Assement

Case study Historical research Methodological research

References:


Evaluation:

UNIT-VII

SAMPLING DESIGNTIME: 4 HOURS


STRATEGIES5. Determine the basic sampling concept Lecture

Definition ofSampleSamplingPopulationStrataSampling RationaleSample sizeTypes of SamplingNon probabilityProbability

References:


Evaluation:

UNIT-VIIIMETHOD OF DATA COLLECTION


/LEARNINGSTRATEGIES

6. Describe the Data collection method Definition of Data Lecture

Data collectionBasic Characteristics of Data Collection MethodSelf Report Method ScaleObservational MethodBiophysiologic Measures

References:


Evaluation:

UNIT-IXDATA QUALITY


/LEARNINGSTRATEGIES

7. Gain understanding for reading the research report Lecture

What are research journal articles?The content of Research ReportThe Style of Research ReportTips on Reading Research Report

2. Explain the locating research reports Bibliographic Aids for Midwifes and nurses Research Report Tips on Locating Research Report

3.develop written literature reviews Purpose of literature review

Explain the importance of research Need for researchDescribe the research as scientific method

Source of knowledge Characteristic of the scientific Approaches

Purpose of Scientific research

References:


Evaluation:

INTORODUTION TO MIDWIFERY

TITLE: MDWIFERYCOURSE NO:CREDIT: 4 Credits (1 THEORY& 3 PRACTICALS)PLACEMENT: SMESTER –I


This course focus on preliminary knowledge about midwifery, its historical review, responsibilities of midwifes .It also gives practical approach to handle the Gynea and obs patients with appropriate use of techniques as well as counseling of patients.

Course Objectives:

By the end of this course the students will able to: Define the midwifery, midwife and Lady Health Worker Describe the history of midwifery Understanding the Midwife’s role towards Community and Profession Identifies the basic structure of labor room, Basic Health Unit (BHU), Rural Health

Centre (RHC) Recognize the different type of instruments and detail about their uses Demonstrate the sterilization and disinfection techniques Describe the counseling of patients Assists the patient with different problems

UNIT-IINTRODUCTION TO MIDWIFERY


/LEARNINGSTRATEGIES

1. Define Midwifery Lecture1.10 Definition of Midwifery

Discussion1.11 Definition of Midwife1.12 Difference between Midwife and

Lady Health Worker 1.4 Importance of Midwifery and Midwife

2. Describe the history 2.1 Origin of word midwife and midwifery Lecture of midwifes 2.2 Concept of midwifes throughout Discussion Different era 2.3 Development of midwifery in different era

3. Describe the role and Responsibilities of midwifes 3.1 Role and responsibilities towards Client Family Community and society Profession

4. Explain the Ethics and Law 4.1 Define ethics and law4.2 Differentiate Ethics and Laws Lecture

4.3 Pakistan Midwifes Act Code Book

References:

Betty R. Sweet “Mays Midwifery, A Textbook for Midwifes” Bailliere Tindall; 10th Ed. Evaluation: Test

UNIT-II

ORIENTATION TO PLACEMENT AREATIME: 4 HOURS


STRATEGIES1. Introducing to the Labor room 1.1 Define the labor and labor Room 1.2 Purpose of Labor Room 1.3 Outline the diagram structure 1.3 Role of Midwife in labor room 2. Describe the basic function of 2.1 Define the BHU and RHC Basic Health Unit (BHU) 2.2 Differentiate between BHU And Rural Health Centre (RHC) and RHC 2.3 Explain the basic function of BHU and RHC 2.4 Role and Responsibilities of Midwife in BHU and RHC Reference:

“Community Health Nursing”

Evaluation Criteria

Sketch Diagram of Labor RoomQuestion AnswerTest

UNIT-III

INSTRUMENTS USED IN LABOR ROOMTIME: 4 HOURS


STRATEGIES1. Introducing to instruments Use in labor Room 1.1 List the names of instruments 1.2 Explain the purpose of each instrument 1.3 Identify the order of use of Different instruments

1.13 Recognize the different Instrument Set of operation

Reference:


Evaluation Criteria

Sketch Diagram of InstrumentsOral Examination

UNIT-IV

STERLIZATIONTIME: 4 HOURS


STRATEGIES1. Understanding the concept Of sterilization

1.1 Define the Sterilize

Sterilization Microorganism

1.2 Purpose of sterilization1.3 Importance of Sterilization 1.4 Explain the Techniques and

And Methods used for sterilization 2. Understanding the concept of Disinfection 2.1 Define the Infect Disinfect Disinfection 2.2 Recognize the Difference between Sterilization and Disifnction 2.3 List the names of Disinfectants

2.4 Identify the purpose of Disinfectant 2.5 Describe the different techniques of disinfectant Reference:

“Microbilogy for nurses”

Evaluation CriteriaLabeling of disinfectantsTest

UNIT-V

COUSELING OF PATIENTTIME: 4 HOURS


STRATEGIES1. Introducing to counseling 1.1 Define counseling and Counselor 1.2 Purpose of counseling 1.3 Describe the different techniques Of counseling 1.4 Explain the role of midwife as counselor 1.5 Enlist the Advantages Of counseling 1.6 Revises the ethical and legal And legal consideration For counseling

Reference:

Evaluation Criteria

Question Answer

Test

UNIT-VI

HANDLING WITH PATIENTTIME: 4 HOURS


STRATEGIES1. Understanding the concept of handling 1.1 Room

1.2 Purpose of Labor Room 1.3 Outline the diagram structure 1.3 Role of Midwife in labor room 2. Describe the basic function of 2.1 Define the BHU and RHC Basic Health Unit (BHU) 2.2 Differentiate between BHU And Rural Health Centre (RHC) and RHC 2.3 Explain the basic function of BHU and RHC 2.4 Role and Responsibilities of Midwife in BHU and RHC Reference:


Evaluation Criteria

Sketch Diagram of Labor RoomQuestion AnswerTest

PEAIATRICTITLE: PEAIATRIC

COURSE NO:CREDIT: COURSE DESCRIPTIONCOURSE OBJECTIVES

UNIT-IINTRODUCTION TO PEDIATRICS

TIME:SNO OBJECTIVES CONTENT TEACHING AND

LEARING STRATEGIES

1. Understand the focus of paediatric nursing

1.1 The role of the family in the care of the sick child.

1.2 The role of the nurse in the care of the sick child

1.3 Definition of common terms:

- Paediatrics

- Neonate

- Toddler

- Pre-schooler

- school-age child

- adolescent

Lecture Discussion

UNIT-IINORMAL GROWTH ANDDEVELOPMENT


LEARING STRATEGIES

2. Understand normal growth and development from infancy to adolescence.

2.1 Physical, psychological, social development

2.2 Language and intellectual development

2.3 Cultural influence

2.4 Responses to sickness

Lecture DiscussionCharts

3. Describe factors which promote optimal growth and development of children and adolescents

3.1 Nutrition needs and feeding

3.2 Immunization

- Lecture

- Discussion

(review)

3.3 Sleep, rest, exercise

3.4 Safety

3.5 Stimulation and play activities

3.6 Parent-child relationship

31 Parental concerns

3.8 Communication with siblings

- Demonstration

- Prepare a chart on developmental milestones

- Have student identify strategies to maxims growth and development of one child she/he knows

- Have students contribute their interactions/observations of children to the discussion.

UNIT-IIIPHYSICAL HISTORY AND ASSESMENT


LEARING STRATEGIES

4. a. Identify problems of the sick child after history taking and physical assessment.

b. Plan the nursing care for the sick child and adolescent.

d. Identify strategies to

.1 History taking and Physical assessment of the sick child

5.2 Physical and psychological response to sickness and hospitalization of the child and adolescent

5.3 Stress of illness on child/adolescent

Lecture DiscussionDemonstrationUse of case example

evaluate outcomes of nursing care

e. Explain the sickness to the

child and parents

f. Assist the family in copying with illness and hospitalization.

and family

5.4 Communication with child and family.

5.5 Parental coping with sickness and/or death of a child.

UNIT-IGASTROINTSTINAL DISORDER IN PEADS


LEARING STRATEGIES

5. Identify the common health problem of children related to gastrointestinal disorders

Diarrhea

Dehydration

Anemia

Various infestation

Round worm

Hookworms

Tape worms

Thread worms

Pyloric stenosis

Gatrooesophegial

Lecture DiscussionChartsModelsRole play

reflux

Intestinal obstruction

Volvos

Inguinal hernia

Umbilical hernia

Imperforated anus

Diagrammatic hernia

UNIT-IRespiratory/ENT disorders


LEARING STRATEGIES

6. Indentify the Respiratory/ENT disorders

- tonsillitis

- colds

- bronchitis

- pleurisy

- ailergies

- asthma

- diphtheria

- pertussis

- whoopingcough


- otitis media

- croup

- cystic fibrosis Pneumonia

UNIT-IGenitourinary disorders


LEARING STRATEGIES

7. Indentify the Genitourinary disorders

nephritis

- pyelonephritis

- renal calculi

- nephrotic syndrome

hydrocele •1

- phimosis


- undescended testes

- ambiguous genitalia

- renal failure

-

hypospadiaslepispadia

UNIT-INeurological disorders


LEARING STRATEGIES

8. Indentify the Neurological disorders

epilepsy

meningitis

- encephalitis

polio

rehabilitation

mental retardation


- seizures

- hydrocephalus

- neuromuscular disorders

- Guitliane-Barre syndrome

- muscular dystrophy

- spina I

-

meningomyelocele

- encephalocele

- meningocele

Unit-

Cardiovascular disorders


LEARING STRATEGIES

9. Indentify the Cardiovascular disorders

anemia

- thalassaemia

- u4em

- hemophilia

- congenital heart disease of

children


Collagen disorders

- rheumatic fever

- rheumatic heart disease

Unit-

Congenital disorders


LEARING STRATEGIES

10. Identify the Congenital disorders

cleft lip

- cleft palate

- clubfoot

Endocrine disorders

- insulin dependent


diabetes mellitus

- Cushings syndrome

- Hypothyroidism

- Hyperthyroidism

- Hypopitituitarism

- Hyperpituitarism

Skin disorders/infections

- Scabies

- Eczema

- Boils

- Impetigo

- Ringworm

Musculoskeletal disorders

- Fractures

- Traction

- Scoliosis

- Lordosis

- Kyphosis

Viral infections

- mumps

- measles

- chicken pox

Accidents

- Falls

- Burns

- Drowning

- Asphyxia

- Poisoning Injury due to sharp instruments

Foreign body in the

eye, ear, nose, throat, stomach

Safety measures for prevention of common accidents

UNIT-I

Medication administration rule


LEARING STRATEGIES

11. Indentify the Genitourinary disorders

Rules of calculation of dose:

- Young’s rule


- Clark’s rule

- Fried’s rule

MIDWIFERY & PUBLIC HEALTH

TITLE: MIDWIFERY & PUBLIC HEALTH

COURSE NO:

CREDITCLASS

COURSE DECRIPTIONOBJECVTIVES

UNIT-IINTRODUCTION TO PUBLIC HEALTH

TIME: 4 HOURS


8. Describe the relation of midwifery with public health

8.1. definition of public health

8.2. Importance of public health

8.3. Relations of midwife with public health

8.4. Role of midwife with public health

Lecture Discussion

UNIT-IIDISTRICT MIDWIFE SERVICES

TIME: 4 HOURS


9. Understand the principles & importance of District Midwifery Services for the mother and child health

9.1. Definition9.2. District Midwifery

organization9.3. Staff

District Midwifery Supervisor

Charge nurse Nurse Midwife\

Pupil Midwife Bearer Driver

9.4. function(To provide

Lecture Discussion

antenatal Intranatal and Postnatal care to all the registered cases in the homes & clinic)

9.5. Referral of cases to hospital

3.


1. Define the fundamentals of Health Management information system (HMIS)

1.1 Basic terms related to HMIS

1.2 Difference between Health Management information system (HMIS), Hospital Management System& Health Information system.

1.3 Importance of HMIS1.4 Role of Midwife\Midwife

Nurse in HMIS1.5 Function of HMIS1.6

Lecture DiscussionCharts

UNIT-IINTORDUCTION TO HEALTH MANAGEMENT INFORMATION SYSTEMTIME:

UNIT-IIHEALTH MANAGEMENT INFORMATION SYSTEM (HMIS) DESIGNTIME:


2. Explain the HMIS Design

2.1 Organization structure Central\state Province Level District Level PHC\Hospital Sub Centre

2.2 Content or Flow of the HMIS

2.3 Team of staff members2.4 Basic components and

equipment of HMIS

Lecture DiscussionChartsModels

UNIT-IIIHMIS DATA COLLECTION PROCESSTIME


3. Describe the HMIS data collection process

3.1 Data vs. Information vs. Knowledge

3.2 Health care data and data sources

3.3 Data standard & data models

3.4 Information & communication

3.5 Information architecture and flow

3.6 Data requirement of an Integrated delivery system

3.7 Data normalization3.8 Health system record3.9 Interfaced vs. Integrated

HMIS


UNIT-IVIMPLEMENTION OF HMISTime:SNO OBJECTIVES CONTENT TEACHING &

LEARNING STRATEGIES

4. Explain the HMIS implementation process

4.1 Pre-implementation period Need assessment Consultation to the

program manger Development of a

forms and indicators Community based

information system

4.2 Development phase4.3 Pre test stages Training strategies Reviews of the training

strategies Computerization of the

manual HMIS The role of out phase4.4 The Roll-Out Phase4.5 Post implementation

review

UNIT-VHMIS IN WORLD AND PAKISTANTime:SNO OBJECTIVES CONTENT TEACHING &

LEARNING STRATEGIES

5. Review the HMIS in world and Pakistan

5.1 History of HMIS WHO & HMIS HMIS in Pakistan

5.2 Future of HMIS in Pakistan and world

UNIT-V1ISSUES AND PROBLEMS RELATED TO HMISTime:SNO OBJECTIVES CONTENT TEACHING &

LEARNING STRATEGIES

6. Describe issues and problems related to the HMIS in world and Pakistan

6.1 Internal issues and factors

6.2 External issues and factors


UNIT-IIIREFFERAL SYSTEM

TIME: 4 HOURS

S NO

OBJECTIVES CONTENT TEACHING & LEARNING STRATEGIES

10. Gain knowledge about the referral system of her\his province

10.1. Basic unit of health system BHU MCH RHC THQ Hospital DHQ Teaching Institution

10.2. Referral System

10.3. Legal issues in referral system

UNIT-IV

HEALTH AGENCIES

TIME: 4 HOURS

S NO


11. Gain knowledge about the Govt: & non Govt: Agencies to contact for help.

11.1. Helping agencies

11.2. Govt Agencies

11.3. World Agencies WHO UNICEF UNISCO SOCIAL SECURITY Red Crescent\Red Cross

4.4 Non Govt: OrganizationEdhi Welfare

Lecture Discussion

UNIT-VREGULARITIES BODIES FOR MIDWIFES

TIME: 4 HOURS

S NO


12. Gain knowledge about the bodies of training of Midwife

12.1. Pakistan nursing council

12.2. Provinincial Nursing Examination board

Lecture Discussion

UNIT-VILEGAL ASPECT OF MIDWIFERY PRACTICE

TIME: 4 HOURS

S NO


13. Understand the importance of legal aspects of midwifery practice

13.1. Rules and Regulation governing the practice and supervision of midwifes

13.2. PNC regulation for midwife practice

13.3. Responsibilities as a midwife

13.4. Birth and death registration

13.5. Notification of communicable diseases.

Lecture Discussion

Midwifery Curriculum

Documents

Transcript of Midwifery Curriculum