SRM SCHOOL OF NURSING

DGNM- III YEAR- 2019-2020

MIDWIFERY AND GYNECOLOGICAL NURSING : 120 HRS

UNIT CONTENT HOURS NAME OF THE SIGNATURE OF THE

FACULTY FACULTY
1 Introduction:
a) Definition of midwifery and obstetrical Mrs. Viji.A
nursing 4 Assistant professor
b) Scope of midwifery
c) Basic competencies of a midwife
d) History of midwifery
e) Trends of maternity services in India
f) Vital statistics related to maternal health
in India.
2 Reproductive system 5
a) Review of structure and function of Mrs. Viji.A
female reproductive system Assistant professor
b) Female pelvis –structure, types and
diameters
3 Embryology and foetal development
a) Oogenesis, spermatogenesis,
fertilization and implantation. 5 Mrs. Selvi
b) Embryology and Fetal development Tutor
c) Placenta and membranes:
- Structure
- Functions
- Abnormalities
- Liquor amni
- Umbilical cord

d) Fetal skull: 3 Mrs.R.Deena Jothy

- Structure Associate professor
- Diameters
- Fontanels and sutures
e) Fetal circulation
UNIT CONTENT HOURS NAME OF THE SIGNATURE OF THE
FACULTY FACULTY
4 Normal pregnancy and its management
a) Pre-conception care 12 Mrs.R.Deena Jothy
b) Genetic counseling Associate professor
c) Physiological changes in pregnancy
d) Diagnosis of pregnancy
- History
- Signs & symptoms
e) Antenatal care: .
- History taking
- Calculation of expected date of
delivery,
- Examination and investigations
- Health Education and counselling
- Drugs and immunizations
f) Minor disorders and their management
5 Normal labour and its management
a) Definition and stages
b) Causes and signs of onset of labour Mrs. Viji.A
c) True and false labour
Assistant professor
d) First stage of labour:- Physiology
- Monitoring using partograph and its interpretation 18
- Care of mother : physical and psychological
- Pain management - Setting up of the labour room including newborn corner
e) Second stage: - Physiology and mechanism.- Monitoring,- Conduction of
normal delivery,- Episiotomy,- Essential newborn care
f) Third stage:
- Physiology and signs
- Active management of third stage
- Examination of the placenta
- Episiotomy suturing
g) Fourth stage:
- Physiology
- Care of the mother and baby
- Postpartum family planing
 UNIT CONTENT HOURS NAME OF THE SIGNATURE OF THE
FACULTY FACULTY
6 Management of newborn
a) Assessment 14 Mrs. Selvi
b) Physiological adaptation Tutor
c) Apgar scoring
d) Examination for defects
e) Breast feeding- BFHI
f) Care of newborn -Skin, eyes,
buttocksetc
g) Bonding and rooming in
h) Minor disorders of new born:
- Birth marks, rashes, skin
- Infections, sore buttocks,
- Infection of eyes
7 Management of normal puerperium 10
a) Definition and objectives of care
b) Physiological changes Mrs.R.Deena Jothy
c) Postnatal counselling Associate professor
d) Lactation and feeding
e) Care during puerperium – breast and
perineal care, postnatal exercise,
postnatal examination, follow up,
family welfare
f) Minor ailments and management.
g) Family planning
8 Management of complications during 6 Mrs.R.Deena Jothy
pregnancy Associate professor
a) Bleeding in pregnancy-- Early and late,- Ectopic pregnancy,- Abortion
- Antepartum hemorrhage,- Vesicular mole
b) Hyperemesis gravidarum
c) Gestational diabetes mellitus
d) Pregnancy inducedhypertension -- Pre eclampsia,- Eclampsia
e) Hydromnios – poly and oligo
f) Pelvic inflammatory diseases
g) Intra uterine growth retardation
h) Post maturity
i) Intra uterine death
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FACULTY FACULTY

High risk pregnancy: 6 Mrs.R.Deena Jothy

- Monitoring- NST, USG Associate professor
- Anemia
- Jaundice
- Viral
- Urinary tract infections
- Hearts diseases
- Diabetes
- AIDS and STD’s
- Osteomalacia,
- Teenage pregnancy
- Elderly Primigravida
- Multipara
- Multiple pregnancy
9 Management of high risk labour 10 Mrs. Viji.A
a) Malposition, malpresentations Assistant professor
b) Contracted pelvis
c) Abnormal uterine actions
d) Cervical Dystocia
e) Premature rupture of membranes,
precipitate and prolonged labour,
induction of labour obstructed labour,
f) Obstetrics Emergencies-Cord prolapse,
cord presentation, amniotic fluid
embolism, obstetric shock,rupture of
uterus, shoulder dystocia, vasa previa
g) Complications of third stage
- PostpartumHemorrhage
- Atonic uterus
- Injuries to the birth canal
- Retained placenta and membranes,- Inversion of uterus
10 Management of complications of 4 Mrs.R.Deena Jothy
puerperium Associate professor
- Puerperal pyrexia,- Puerperal Sepsis,- Thrombophlebitis and Embolism
- Breast engorgement, Mastitis, Breast abscess,- Puerperal psychosis
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FACULTY FACULTY
11 High risk and sick newborn
a) Assessment 10 Ms.Joy Santhiya
b) Nursing care
c) Management of newborn with:- Hyperbilirubinaemia.- Neonatal
hypoglycemia,- Hypothermia - Neonatal Convulsions,- Rh incompatability,-
Small for dates,- Low birth weight,- Preterm -, Asphyxia,RDS,- Sepsis,- Birth
injuries Cephal hematoma Caput succedaneum Facial &Erb’s palsy,Torticollis
Hemorrhage,- Congenital anomalies
d) Newborn of HIV positive mother,diabetic mother
e) Levels of care in NICU
12 Obstetric operations 10 Mrs. Viji.A
a) Definition, indication and care of Assistant professor
women undergoing-- Induction of labour,- Manual removal of placenta,-
Version
- Forceps delivery,- Vacuum extraction,- Caesarean Section,- Sterilization,-
Destructive surgeries,- Amnio infusion,- Manual Vaccum Aspiration,
Dilatation,and Evacuation, Dilatation and Curettage
b) Post abortion care.
13 Drugs used in obstetrics 4 Mrs. Selvi
a) Indication, dose, action, contraindication, side effects and responsibilities in Tutor
the administration of : - Oxytocin,- Uterotonics,- Tocolytics,-
Antihypertensives,- Anticonvulsants - Anesthesia and analgesia
b) Drugs used for newborn
c) Teratogens – effects of drugs on mother
and baby.
14 Ethical and legal aspects related to 2 Mrs. Selvi
midwifery Tutor
a) Maternal and newborn death review
b) Mother and child tracking system

Signature of the Subject in Charge Signature of the Dean

 SRM SCHOOL OF NURSING
DGNM- III YEAR- 2023-2024
GYNAECOLOGICAL NURSING HOURS PRESCRIBED : 20 HRS

UNIT CONTENT HOURS NAME OF THE SIGNATURE OF THE

FACULTY FACULTY
1 INTRODUCTION
a) Definition of terms Mrs. Selvi
b) History 2 Tutor
c) Examination
d) Investigation
2 PUBERTY
a) Definition Mrs. Viji.A
b) Development of sex organs in Assistant professor
females and sexuality 3
c) Review of menstrual cycle
d) Premenstrual syndrome
e) Disorders of menstruation,
dysmenorrhoea, cryptomenorrhoea,,dysfunctional uterine bleeding

3 FERTILITY AND INFERTILITY

a) Definition Mrs. Viji.A
b) Causes-both in male and female 2 Assistant professor
c) Investigation
d) Management
e) Artificial reproductive techniques
4 PELVIC INFECTIONS
a) Vulva – vulvitis, bartholinitis
b) Vagina - Vaginitis, Trichomonas
vaginitis, Moniliasis,
c) Metritis,Salpingitis, Oophritis 2 Mrs.R.Deena Jothy
d) Cervical erosions Associate professor
e) Pelvic Abscess
f) Chronic infection .
UNIT CONTENT HOURS NAME OF THE SIGNATURE OF THE
FACULTY FACULTY
g) Pelvic inflammatory disease
h) Pelvic tuberculosis
i) Sexually Transmitted Diseases
- Syphilis
- Gonorrhea 2 Mrs.R.Deena Jothy
- Warts Associate professor
- HIV
j) Syndromic case management .
5 GYNAECOLOGICAL DISORDERS
a) Retroversion, retro flexion
b) Fistulas Mrs. Selvi
c) Uterine displacement & prolapse
(Procidentia) 5 Tutor
d) Uterine malformations
e) Cysts and fibroids
f) Uterine polyps
g) Tumors of the reproductive tract –
benign and malignant
h) Palliative care and rehabilitation
6 BREAST DISORDERS
a) Review mastitis, breast engorgement, Mrs.R.Deena Jothy
breast abscess 2 Associate professor
b) Tumors of the breast benign and malignant

7 MENOPAUSE
a) Definition and physiological changes
b) Signs and symptoms Mrs. Viji.A
c) Health education and counselling Assistant professor
d) Hormone replacement therapy 2
e) Surgical menopause

Signature of the Subject in Charge Signature of the Dean

 TEACHING PLAN
ON
MIDWIFERY AND GYNECOLOGICAL
NURSING
 TEACHING PLAN
ON
GYNAECOLOGICAL NURSING