GOVERNMENT COLLEGE OF NURSING,JODHPUR

CLINICAL SPECIALITY –I

OBSTETRIC AND GYNAECOLOGICAL NURSING

COURSE PLAN

Placement : I st year Hours of instruction

Theory :150 Hours

Practical: 650 hours

Total :800 Hours

COURSE DESCRIPTION

This course is designed to assist student in developing expertise and in depth understanding in the field of obstetrics and gynecology
nursing. It will help student to appreciate the client as a holistic individual and develop enable skill to function as an independent midwifery
practitioner. It will further enable the student to function as educator manger and researcher in the field of obstetric and gynecological nursing.

OBJECTIVES-

At the end of the course the students will be able to:

 Appreciate the trends in the field of midwifery, obstetrics and gynecology as a specialty.
 Describe the population dynamics and indicators of maternal and child health.
 Describe the concept of biophysical, psychological and spiritual aspect of normal pregnancy labour and puerperium.
 Provide comprehensive nursing care to women during reproductive period and newborns.
 Integrate the concept of family centered nursing care and nursing process approach in obstetric and gynecological nursing.
 Identify and analyze the deviation from normal birth process and refer appropriately.
 Describe the pharmacological agents their effects during pregnancy child birth puerperium lactation and the role of nurse.
 Counsel adolescent women and families on issues pertaining to pregnancy child birth and lactation.
 Describe the role of various types of complementary and alternative therapies in obstetric and gynecological nursing.
 Describe the recent advancement in contraceptive technology and birth control measures.
 Incorporate evidence based nursing practice and identify the areas of research in the field of obstetric and gynecological nursing.
 Appreciate the legal and ethical issues pertaining to obstetric and gynecological nursing.
UNIT UNIT TITLE HOURS CONTENT METHOD OF TEACHE EVALUATION
TEACHING R
NAME
I Introduction 10  Historical & contemporary perspectives  Lecture cum Mrs. Sumi  Return
 Epidemiological aspect of maternal & discussion Mathew demonstration
child health  Assignments  Visit report
 Magnitude of maternal & child health  Seminars Mrs.  Evaluation
problems  Practice Annamma group and
 Issues of maternal & child health: Age session Sumon panel
gender sexuality psychosocial cultural  Group discussion
factors. discussion  Assignments
 Preventive obstetrics  Visit to MCH  Unit test
 National health and family welfare services  Clinical
program related maternal & child health :  Supervised evaluation
health care delivery system national rural Clinical
health mission, Role of NGO’s practice
 Theories models and midwifery practice
independent nurse midwifery practitioner
 Legal & ethical issues: Code of ethical &
standards of midwifery practice, standing
orders
 Evidence based midwifery practice
 Research priorities in obstetric &
gynecological nursing.
II Human 15  Review of anatomy & physiology of  Lecture cum Mrs. Sumi  Assignments
reproduction human reproduction system: male & discussion Mathew  Unit test
female  Seminars
 Hormonal cycles  Assignments Mr.Vivek
 Embryology
 Genetics teratology & counseling
 Clinical implications

III Pregnancy 25  Maternal adaptation: physiological,  Lecture cum Mrs. Sumi  Return
psychosocial discussion Mathew demonstration
 Assessment- maternal & fetal measures  Assignments  Visit report
maternal measures: history taking,  Seminars Mrs.
Kamakshi  Evaluation
examination-general, physical and  Demonstration
obstetrical measure, identification of high group
 Practice
 risk session discussion
 Fetal measure- clinical parameters,  Group  Assignments
biochemical- human estriol, maternal discussion  Unit test
serum Alfa Feto protein, acetylcholine,  Visit to
esterase(AchE), triple test amniocentesis,  Clinical
diagnostics
chordocentesis, chorionic villi  Supervised evaluation
sampling(CBS) Clinical
 Biophysical(US IMA imaging), fetal practice
movement count, ultrasonography,
cardiotopography, cardiotomography, non
stress test, contraction stress test,
amnioscopy and fetoscopy.
 Radiological examination
 Interpretation of diagnostic tests and
nursing implications.
 Nursing management of the pregnant
woman, minor disorders of pregnancy and
management, preparation of child birth and
parenthood, importance of institutional
delivery, choice of birth setting,
importance and mobilizing of
transportation, pre natal counseling, role of
nurse in crisis interventions, identification
of high risk pregnancy and refer.
 Alternative/ complementary therapies.
IV Normal labour 25  Essential factors of labour.  Lecture cum Mrs. Sumi  Return
and nursing  Stages and concept. discussion Mathew demonstration
management  First stage : physiology of normal labour  Assignments  Visit report
 Use of partograph: principles, use and  Seminars Mrs.
Jyotibala  Evaluation
critical analysis, evidence based studies.  Demonstration
group
 Analgesia and anesthesia in labour. of mechanism
 Nursing management. of labour  Assignments
 Second stage  Practice  Unit test
 Physiology, intrapartum monitoring. session  Clinical
 Nursing management.  Group evaluation
 Resuscitation, immediate newborn care discussion
and initiate breastfeeding(guidelines of  Supervised
national neonatology forum of India) Clinical
 Third stage: practice
 Physiology and nursing management.
  Fourth stage- observation, critical analysis
and nursing management.
 Various childbirth practice: water birth,
position change etc.
 Evidence based practice in relation to
labour intervention.
 Role of nurse midwifery practitioner:
 Alternative/complementary therapies.

V Normal 20  Physiology of puerperium  Lecture cum Mrs. Sumi  Return

Puerperium  Physiology of lactation, lactation discussion Mathew demonstration
And Nursing management, exclusive breastfeeding,  Assignments  Visit report
Management baby friendly hospital initiative (BFHI)  Seminars Mrs.  Evaluation
 Assessment of postnatal women.  Demonstration Annamma group and
 Minor discomfort and complication of of Sumon panel
puerperium breastfeeding discussion
 Management of mothers during Technique and  Assignments
puerperium: postnatal exercise Rooming postnatal  Unit test
in, bonding, warm chain exercise  Clinical
 Evidence based studies on puerperium  Practice evaluation
period session
 Role of nurse midwifery practitioner  Group
 Alternatives / complementary therapies for discussion on
postnatal minor ailments. rooming
bonding and
warm chain
 Visit to BFHI
 Supervised
Clinical
practice
VI Normal 20  Physiology and characteristics of normal  Lecture cum Mrs.  Return
Newborn newborn discussion Annamma demonstration
 Physical and behavioral assessment of  Assignments Sumon  Assignments
newborn  Demonstration  Observation
 Needs of newborn of report
 Essentials of newborn care: exclusive  newborn  Clinical
breastfeeding, immunization, hygiene examination evaluation
measures, newborn nutrition  Observation  Unit test
 Organization of neonatal care, report of
services(levels), transport, neonatal NICU
 intensive care unit, organization and  Role play
management of nursing services in NICU  Supervised
 Observation and care of newborn practice
 Parenting process session

VII Pharamco 10  Drugs used in pregnancy, labor,  Lecture cum Mrs. Sumi  Assignments
dynamics In postpartum and newborn discussion Mathew  Calculation
Obstetrics  Calculation of drug dose and  Assignments  Clinical
administration  Exercise on Mrs. evaluation
 Effects of drugs used dose Annamma  Unit test
 Anesthesia and analgesia in obstetrics calculation Sumon
 Roles and responsibilities of midwifery  Clinical
nurse practitioner practice
 Standing orders and protocols and use of
selected life saving drugs and interventions
of obstetric emergencies approved by
MOHFW
VIII Family Welfare 10  Population dynamics  Lecture cum Mrs. Sumi  Return
Services  Demography trends: vital statistics, discussion Mathew demonstration
calculation of indicators especially  Demonstration  Clinical
maternal and neonatal mortality rates and  Practice Mrs. evaluation
problems and other health problems session Annamma  Field visit
 Recent advancement in contraceptive  Group project Sumon report
technology  Counseling  Project report
 Role of nurses in family welfare session
programmes in all setting  Field visits
 Role of independent nurse midwifery  Assignments
practitioner
 Family life education
 Evidence based studies
 Information education and
communication(IEC)
 Management information and evaluation
system (MIES)
 Teaching and supervision of health team
members
IX Infertility 5  Primary and secondary causes  Lecture cum Mrs.  Evaluation of
 Diagnostic procedures discussion Annamma panel
 Counseling: ethical and legal aspects of  Assignments Sumon  Assignments
 assisted reproductive technology (ART)  Visit to  Visit report
 Recent advancement in infertility infertility
management center
 Adoption procedures  Panel on
 Role of nurses in infertility management infertility
management
X Menopause 5  Physiological, psychological and social  Lecture cum Mrs.  Evaluation of
aspects discussion Annamma seminars case
 Hormonal replacement therapy  Seminars Sumon presentation
 Surgical menopause  Case and group
 Counseling and guidance presentation discussion
 Role of midwifery practitioner  Group
discussion on
management of
menopause
XI Abortion 5  Types, causes  Lecture cum Mrs.  Observation
 Legislations, clinical rights and discussion Annamma report
professional and responsibility  Observation of Sumon  Assignments
 Complications M.T.P O.T
 Nursing management  Assignments
 Role of nurse practitioner  Practice
session on
trolley setup