39454 - Laboratory 3 (RN)

Learning outcomes

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

Course contents

• Efficacy and safety of childbirth in an out-of-hospital environment.
• Epidemiology of out-of-hospital birth.
• Professional requirements for midwives who follow out-of-hospital births.
• Obstetric care for out-of-hospital births. Labor, delivery and postpartum:

1. childbirth eligibility criteria;
2. prenatal information, obstetric management and informed consent;
3. assistance in an extra-hospital environment;
4. methods for transferring mother and newborn to hospital;
5. maternal emergencies in an extra-hospital environment;
6. neonatal resuscitation at home;
7. the obstetric bag.

• Postpartum care in an out-of-hospital environment:

1. continuity of care, maternal-neonatal obstetric checks to promote the well-being and protect the health of the dyad;
2. prophylaxis, screening and pediatric visit.

• Testimonials from midwives and families with experience of out-of-hospital births and continuity of care.

Readings/Bibliography

• Assistenza al travaglio e al parto fisiologico in ambiente extraospedaliero – Regione Emilia-Romagna: Linee di indirizzo, Revisione sistematica delle prove (settembre 2021).

• Assistenza al travaglio e al parto fisiologico in ambiente extra-ospedaliero - AUSL della Romagna, 2024 

• NCC-WCH. National Collaborating Centre for Women’s and Children’s Health. Intrapartum Care. Care of healthy women and their babies during childbirth. Version 2. London: National Collaborating Centre for Women’s and Children’s Health, 2014, updated February 2017a.

• Osservatorio Regionale sul Parto Extra-ospedaliero. Rappoto dati anno 2023, Regione Emilia-Romagna.

• 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

• https://nascereincasa.com

Teaching methods

• Lectures and group work.
• Meeting with a freelance midwife accompanied by couples who have experienced a home birth.

Assessment methods

Elaboration and presentation of a paper on a clinical case

Teaching tools

• PowerPoint presentations
• Watching videos
• Meeting with a freelance midwife

Office hours

See the website of Sara Dalla Croce