NEONATAL CARE

Degree course: 
Corso di First cycle degree in Midwifery
Academic year when starting the degree: 
2019/2020
Year: 
2
Academic year in which the course will be held: 
2020/2021
Course type: 
Compulsory subjects, characteristic of the class
Seat of the course: 
Varese - Università degli Studi dell'Insubria
Credits: 
1
Period: 
Second semester
Standard lectures hours: 
16
Detail of lecture’s hours: 
Lesson (16 hours)
Requirements: 

No preliminary scientific or disciplinary knowledge is required, there are no prerequisites compared to other courses. The teachings of the previous year, together with the professionalizing internship, will provide students with a conceptual patrimony useful for addressing the topics proposed in the course

The exam is carried out orally.

Assessment: 
Voto Finale

At the end of the course the student will be able to:
● know and apply care pathways for the physiological newborn to ensure appropriate care according to the most recent evidence
● know and apply the principles of neonatal physiology from birth to discharge, to promote adaptation, physical, psycho-affective and social development
● plan information and support interventions for parents regarding the care of their newborn.

● IMMEDIATE MIDWIFERY CARE TO THE NEWBORN AT BIRTH: evaluation of the newborn, clamping and cutting of the umbilical cord, identification of the newborn,
mother-child first meeting
● MIDWIFERY CARE FOR NEWBORN IN THE FIRST HOURS OF LIFE: evaluation of neonatal well-being, promotion of neonatal skills, the first bath, anthropometric measurements, ophthalmic and anti-haemorrhagic prophylaxis
● MIDWIFERY CARE FOR NEWBORN IN THE FIRST DAYS OF LIFE: rooming-in, observation of the newborn (physiological phenomena, reflexes, sleep-wake rhythm, crying), hygiene of the newborn and care of the umbilical stump, newborn screening
1. Legislative framework of obstetric competences in the neonatal setting
2. The physiological newborn: definition and classification
3. The morphological characteristics of the newborn: biometric values, attitude, body proportions and appearance
4. The sensory skills of the newborn
5. Adaptation of the newborn to extra-uterine life: respiratory, cardiovascular, metabolic adaptation
6. Neonatal care: midwifery care to the newborn at the delivery and in the following hours, physical examination of the newborn, mandatory prophylaxis
7. Physical changes and physiological phenomena of the newborn:
a. Weight loss
b. Evolution of the umbilical stump
c. Skin changes
d. Caput
is. Genital crisis
f. Physiological jaundice
8. Practices that may have effects on the well-being of mother and child: friendly care of the mother during labor and delivery with a view to good neonatal adaptation and initiation of breastfeeding. Breastcrawling. Apgar 11 and 12. Bacteriological imprinting: why delaying bathing and prophylaxis.
9. The behavioral states of the newborn: how to promote the empowerment of the newborn and inform parents
10. Midwifery and the prevention of post-natal collapse (SUPC). The midwife and the reduction of risk factors for SIDS.
11. Mandatory neonatal screening, extended neonatal screening
12. Food requirements of the newborn and infant.

S. Fumagalli, M. Panzeri- L’assistenza ostetrica al neonato, Zadig editore 2019 V.Maglietta, V.Vecchi- Principi di neonatologia, Casa editrice Ambrosiana Spandrio, Regalia, Bestetti- Fisiologia della nascita, Carocci Faber

The teaching will be delivered through lectures with the use of slides, images,
diagrams and schemes. During the lessons, the teacher constantly stimulates and encourages the active participation of the students, also through moments of discussion and case analysis in order to deepen the topics presented.
Some videos will be shown to better understand some physiological processes. The material presented is made available to students on the e-learning platform.

For appointments or requests for information, the teacher can be contacted by e-mail at: silvia.vavassori@uninsubria.it

Professors

VAVASSORI SILVIA