Course Plan

Obstetric & Gynaecological Nursing

Placement : 1St Year M. Sc. Nursing Hours of Instruction

Theory : 150 Hours
Practical : 650 Hours
Total : 800 Hours
COURSE DESCRIPTION:
This course is designed to assist students in developing expertise and indepth understanding in the field of Obstetric
and Gynaecological Nursing. It will help students to appreciate the client as a holistic individual and develop skill to
function as an independent midwifery practitioner. It will further enable the student to function as educator, manager,
and researcher in the field of Obstetric and Gynaecological nursing
OBJECTIVES:
At the end of the course the students will be able to:
1. Appreciate the trends in the field of midwifery, obstetrics and gynaecology as a speciality.
2. Describe the population dynamics and indicators of maternal and child health
3. Describe the concepts of biophysical, psychological and spiritual aspects of normal pregnancy, labor and
puerperium.
4. Provide comprehensive nursing care to women during reproductive period and newborns.
5. Integrate the concepts of family centered nursing care and nursing process approach in obstetric and
gynaecological nursing.
6. Identify and analyze the deviations from normal birth process and refer appropriately.
7. Describe the pharmacological agents, their effects during pregnancy, child birth, puerperium, lactation and the role
of nurse
8. Counsel adolescents, women and families on issues pertaining to pregnancy, child birth and lactation
9. Describe the role of various types of complementary and alternative therapies in obstetric and gynaecological
nursing.
10. Incorporate evidence based nursing practice and identify the areas of research in the field of obstetric and
gynaecological nursing.
11. Describe the recent advancement in contraceptive technology and birth control measures
12. Appreciate the legal and ethical issues pertaining to obstetric and gynaecological nursing
LEARNING EXPERIENCES TO MEET THE OBJECTIVES

To meet the above objectives the student needs to learn the changes which have taken place in the approaches toward the treatment and aftercare
of the mentally ill. She will need to know the common causes, the classification of mental illnesses and to recognize early signs and symptoms.
Opportunities must be provided which will help the student to appreciate the importance of relationship with the patient and the therapeutic role
of a nurse and other staff. All of these experiences should help her to develop a desirable attitude to mental illness and a genuine respect for
persons who are no longer in harmony with themselves and/or their environment.

THE ALLOTMENT

The minimum number of hours recommended for formal planning instruction is 150 hrs. in theory and 650 hrs for clinical.

PLACEMENT IN THE CURRICULUM

It is suggested that this subject is placed in M.Sc Nursing Ist year as the students have studied the Child health in 4 thyear B.Sc Nursing and in
Post Basic B.Sc Nursing Ist year it is easy for them to understand the women as a holistic individual.

CLINICAL FACILITIES

obstetric and gynaecological nursing hospitals, obstetric and gynaecological nursing units in General hospitals, outpatient clinics,
Labour Room, Wrd No. 2,LR OT can offer useful experiences when the students are posted for their clinical experiences.
TEACHING PERSONNEL

It is desirable for the teaching to be done by a Lecturer holding M. Sc. In obstetric and gynaecological nursing with adequate experience
in obstetric and gynaecological nursing or Basic or Post-Basic B.Sc. Nursing with Diploma in obstetric and gynaecological
nursing and with a minimum of two year of experience in this field.

TEACHIND FACILITIES

A well equipped classroom with facilities for the use of common A/V aids is useful. A number of suitable films and modern library books and
journals for references may be used to gain current knowledge about the field. General and speciality hospitals managing the sick mothers
provide practical orientation to the students.

TEACHING METHOD

The teaching method that could be used in this field are:

Theory: lecture cum discussion, group discussion and group interaction, project method, computer assisted instruction, panel discussion.

Practical: Demonstration, clinical teaching, ward round, nursing clinics, care plan, case study, process recording, mental status examination,
health education, drug file, role play, observational visits, recreational programmes and family visits in community,. Printed formats have to be
given for writing nursing care plan, case study, Nutritional assessment of the mother.

Students should be encouraged to observe and to relate to these observations and incidents from their own clinical experiences in the
wards or in the community, for discussion by the group. All the teaching and clinical experiences should inculcate in the students desirable
attitude towards the mother.
 COURSE PLAN
COURSE TITLE : Obstetric and Gynaecological nursing Hours : 150

COURSE DESCRIPTION : This course is designed to assist students in developing expertise and in depth understanding in
the field of Obstetric and Gynaecological nursing.It will helps students to appreciate the child as a holistic individual and develop skill to
function as Obstetric and Gynaecological nursing specialist. It will further enable the students to function as educator, manager, and
researcher in the field of Obstetric and Gynaecological nursing.

PLACEMENT OF THE COURSE : Obstetric and Gynaecological nursing must be placed in Ist year of M.Sc. Nursing.

GENERAL OBJECTIVE : Upon completion of the unit, the students acquire knowledge regarding the mother clients
and . assessment and management of emergencies.

Uni Competencies Contents Hours Teaching Teaching Method of

t The student is able to: Learning Aids Evaluation
No. Activities
1 Describe the historical Introduction 10 􀂾 Lecture cum 􀂾 Chalk 􀂾 Question &
development, 􀂉 Historical and contemporary discussion board Answer
 Epidemiological perspectives 􀂾 Structured 􀂾 OHP 􀂾 Assignment
aspects trends, ethical, 􀂉 Epidemiological aspects of maternal discussion
national health policy and and child health 􀂾 Group
national health programmes 􀂉 Magnitude of maternal and child interaction
, Evidence based health problems 􀂾 Observation of
midwifery practice 􀂉 Issues of maternal and child patients
related to Obstetric and health : Age, Gender, Sexuality,
Gynaecological psycho Socio cultural factors
nursing. 􀂉 Preventive obstetrics
􀂉 National health and family welfare
programmes related to
maternal and child health: health
care delivery system-
National Rural health mission, Role
of NGO’s
􀂉 Theories, models and approaches
applied to midwifery practice
􀂉 Role and scope of midwifery
practice: Independent Nurse
midwifery practitioner
􀂉 Legal and Ethical issues: Code of
ethics and standards of
midwifery practice, standing orders
􀂉 Evidence based midwifery practice
􀂉 Research priorities in obstetric and
gynaecological nursing.

2 Describe human Human reproduction 15 􀂾 Lecture cum 􀂾 Chalk 􀂾 Assignment

reproductive 􀂉 Review of anatomy and physiology discussion board 􀂾 Report
system of human reproductive 􀂾 Nursing 􀂾 Printed 􀂾 Clinical
system: male and female rounds formats assignment
􀂾 Case study 􀂾 Visits
 􀂉 Hormonal cycles 􀂾 Clinical
􀂉 Embryology posting and
􀂉 Genetics, teratology and counseling Patient
􀂉 Clinical implications assignment
3 Describe Maternal Pregnancy 25 􀂾 Process 􀂾 Chalk 􀂾Assignment
adaptation, diagnostic 􀂉 Maternal adaptation : Physiological, Recording board 􀂾 Report
tests, Nursing psychosocial 􀂾Mental Status 􀂾Printed 􀂾 Test
management, • Assessment – Maternal and foetal Examination formats
counseling. measures Maternal 􀂾Psychological 􀂾Check list
measures:History taking , Games
exmanination-General,physical
and obstetrical measure,
identification of high risk,
• Foetal measure- clinical parameters,
biochemical- human
estriol, Maternal Serum Alfa Feto
Protein, Acetyl Choline
esterase (AchE), Triple Test
Aminocentesis, Cordocentesis,
chorionic villus sampling (CVS)),
• Biophysical- (US IMAGING, Foetal
movement count, Ultra
Sonography, Cardiotocography,
cardiotomography, Non
Stress Test(NST), Contraction stress
test(CST), amnioscopy,
foetoscopy,
• Radiological examination,
􀂉 Interpretation of diagnostic tests
and nursing implications
􀂉 Nursing management of the
 pregnant women, minor disorders
of pregnancy and management,
preparation for child birth and
parenthood, importance of
institutional delivery , choice of birth
setting, importance and mobilizing of
transportation, prenatal
counseling, role of nurse and crisis
intervention, identification
of high risk pregnancy and refer
􀂉 Alternative/complementary
therapies.

4 Discuss normal labour and Normal Labour and nursing management: 25 􀂾 Lecture cum 􀂾 Chalk 􀂾Assignment
nursing management. 􀂉 Essential factors of labour discussion board 􀂾Report
􀂉 Stages and onset 􀂾 Nursing 􀂾Printed 􀂾 Clinical
First stage: Physiology of normal labour rounds formats Assignment
• Use of partograph: Principles, use 􀂾 Case study 􀂾Check list
and critical analysis, 􀂾 Clinical 􀂾Visits
evidence based studies posting and
• Analgesia and anaesthesia in labour Patient
• Nursing management assignment
Second stage 􀂾Mental Status
• Physiology , intrapartum monitoring Examination
• Nursing management. 􀂾Observation
• Resuscitation , immediate newborn
care and initiate breast
feeding (Guidelines of National
neonatalogy forum of India)
Third stage
• Physiology and nursing
 management
Fourth stage – Observation, critical
analysis and Nursing
management.
• Various child birth practice: water
birth, position change etc
• Evidence based practice in relation
to labour intervention
Role of nurse midwifery practitioner
• Alternative/complementary
therapies
5 Describe normal Normal puerperium and nursing 20 􀂾 Lecture cum 􀂾 Chalk 􀂾Assignment
puerperium and nursing management discussion board 􀂾Report
management 􀂉 Physiology of puerperium 􀂾 Nursing 􀂾Printed 􀂾 Clinical
􀂉 Physiology of lactation, lactation rounds formats Assignment
management, exclusive breast 􀂾 Case study 􀂾Check list
feeding ,Baby friendly hospital 􀂾 Clinical 􀂾Visits
intitative(BFHI) posting and
􀂉 Assessment of postnatal women . Patient
􀂉 Minor discomforts and assignment
complications of puerperium 􀂾Mental Status
􀂉 Management of mothers during Examination
puerperium: Postnatal 􀂾Observation
exercises Rooming in, bonding, warm
chain
􀂉 Evidence based studies
Role of nurse midwifery practitioner
• Alternative/complementary
therapies
6 Describe observation Normal Newborn 20 􀂾 Lecture cum 􀂾 Chalk 􀂾Assignment
and care of newborn. 􀂉 Physiology and characteristics of discussion board 􀂾Report
normal newborn 􀂾 Nursing 􀂾Printed 􀂾 Clinical
 􀂉 Physical and Behavioural rounds formats Assignment
assessment of newborn 􀂾 Case study 􀂾Check list
􀂉 Needs of newborn 􀂾 Clinical 􀂾Visits
􀂉 Essential newborn care: Exclusive posting and
breast feeding, Patient
Immunization, Hygiene measures, assignment
Newborn nutrition
􀂉 Organization of neonatal care,
services(Levels), transport,
neonatal intensive care unit,
organization and management of
nursing services in NICU
􀂉 Observation and care of newborn
􀂉 Parenting process

7 Describe pharmoco Pharmoco dynamics in obstetrics 10 􀂾 Seminar 􀂾 Chalk 􀂾 Test

dynamics in obstetrics 􀂉 Drugs used in pregnancy, labour, 􀂾 Group Board 􀂾Assignment
post partum and newborn Discussion 􀂾 Printed 􀂾 Report
􀂉 Calculation of drug dose and 􀂾 Care plan format 􀂾Comprehens
administration 􀂾 Observation 􀂾 OHP ive test
􀂉 Effects of drugs used 􀂾 Process 􀂾 Visits
􀂉 Anaesthesia and analgesia in recording
obstetrics
􀂉 Roles and responsibilities of
midwifery nurse practitioner
􀂉 Standing orders and protocols and
use of selected life saving
drugs and interventions of obstetric
emergencies approved by
the MOHFW
8 Discuss family welfare Family welfare services 10 􀂾 Lecture cum 􀂾 Chalk 􀂾 Question
 services 􀂉 Population dynamics discussion Board and Answer
􀂉 Demography trends: vital statistics, 􀂾 Seminar 􀂾 Printed 􀂾Assignment
calculation of indicators 􀂾Drug file format 􀂾 Report
especially maternal and neonatal 􀂾Patient care 􀂾 OHP 􀂾 Test
mortality rates and problems 􀂾Group 􀂾 Video
and other health problems interaction
􀂉 Recent advancement in 􀂾Clinical
contraceptive technology posting
􀂉 Role of nurses in family welfare 􀂾Psychological
programmes in all settings games
􀂉 Role of independent nurse 􀂾 Placement in
midwifery practitioner ECT room
􀂉 Family life education
􀂉 Evidence based studies
􀂉 Information, Education and
Communication(IEC)
􀂉 Management information and
evaluation system(MIES)
􀂉 Teaching and supervision of health
team members

9 Describe infertility , Infertility 5 􀂾 Lecture cum 􀂾 Chalk 􀂾 Question

infertility 􀂉 Primary and secondary causes discussion Board and Answer
management. 􀂉 Diagnostic procedures 􀂾Clinical 􀂾 OHP 􀂾Assignment
􀂉 Counseling: ethical and legal posting 􀂾 Visits 􀂾 Report
aspects of assisted reproductive 􀂾Patient care 􀂾 Test
technology(ART) 􀂾 Seminar
􀂉 Recent advancement in infertility
management.
􀂉 Adoption procedures
Role of nurses in infertility
 management.
10 Describe Physiological, Menopause 5 􀂾 Lecture cum 􀂾 Chalk 􀂾 Question
psychological and 􀂉 Physiological, psychological and discussion Board and Answer
social aspects of social aspects 􀂾Clinical 􀂾 OHP 􀂾Assignment
menopause, 􀂉 Hormone Replacement Therapy posting 􀂾 Visits 􀂾 Report
Counseling and 􀂉 Surgical menopause 􀂾Patient care 􀂾 Test
guidance. 􀂉 Counseling and guidance 􀂾 Seminar
Role of midwifery nurse practitioner
11 Describe abortion ,types Abortion 5 􀂾 Lecture cum 􀂾 Chalk 􀂾 Question
and nursing management. 􀂉 Types, causes discussion Board and Answer
􀂉 Legislations, Clinical rights and 􀂾Clinical 􀂾 OHP 􀂾Assignment
professional responsibility posting 􀂾 Visits 􀂾 Report
􀂉 Abortion procedures 􀂾Patient care 􀂾 Test
􀂉 Complications 􀂾 Seminar
􀂉 Nursing management
Role of midwifery nurse practitioner