39454 - Laboratory 3 (BO)

Learning outcomes

At the end of the module, the student possesses the knowledge and ability to understand a model of care based on physiology, continuity of care and practical organization to create de-medicalized environments for birth.

Course contents

• Assisting births in an out-of-hospital environment:  Regione Emilia Romagna guidelines
• 2023 data report of the regional observatory on out-of-hospital delivery
• Giving birth safely: what the evidence says 
• The concept of "Obstetric Risk"
• The family context of the woman/couple (family of origin, presence of other children, etc.)
• The concept of "continuity of care"
• The midwife, the team, being on call
• The "Obstetric bag", what you need for delivery assistance
• Welcoming the newborn
• Support the initiation and continuation of breastfeeding
• How to deal with complications and emergencies
• Arrange transfer to hospital
• Postpartum and puerperium: supporting physical, emotional, relational and practical adaptation

Readings/Bibliography

• 2023 data report of the regional observatory on out-of-hospital delivery
• Assistance with physiological labor and delivery in an out-of-hospital environment. Guidelines. Systematic review of evidence
• A. Regalia, G. Colombo La nascita: rischi reali, pericoli percepiti Carrocci Faber ed.

• E.Zaccherini Siamo nati in casa: Parto naturale ed energia femminile (Ecoalfabeto. I libri di Gaia)
• Nadia Maria Filippini Generare, partorire, nascere: Una storia dall’antichità alla provetta, Viella Ed.
• Service Delivery and Organisation programme, The Birthplace national prospective cohort study: perinatal and maternal outcomes by planned place of birth. Birthplace in England research programme. Final report, 2011
• Campiotti M, Campi R, Zanetti M, Olivieri P, Faggianelli A, Bonati M, Nascite a basso rischio programmate fuori dall'ospedale, in Italia, R&P 2018; 34: 58-66
• Spandrio, Regalia, Bestetti, Fisiologia della nascita, Carrocci Faber, 2014
• Schimd V., Il parto in casa e in casa maternità, Terra Nuova edizioni, 2018
• www.saperidoc.it
• http://www.saperidoc.it/flex/cm/pages/ServeBLOB.php/L/IT/IDPagina/1346
• www.unicef.it
• www.salute.gov.it/portale/donna/dettaglioContenutiDonna.jsp?lingua=italiano&id=4481&area=Salute%20donna&menu=nascita

Teaching methods

• Interactive lessons
• Group work
• Meetings with midwives from the cultural association Il nido and with couples who have chosen out-of-hospital delivery
• Watching videos

Assessment methods

Production of a short written assignment

Teaching tools

• Powerpoint presentations
• Video projection
• Guided tour of the maternity home "Il Nido"
• Meeting with midwives who assist at home
• Meeting with parents who have chosen out-of-hospitaldelivery

Office hours

See the website of Elisa Orsi