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Curriculum & Tentative Dates

Practical Midwifery Skills

Brought to you by Valerie monterrey CPM and My Favorite students

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 A few of the books that will aid you in this journey.

1. Practical Skills Guide for Midwifery
by Pam Weaver and Sharon Evans
2. Skills for Midwifery Practice
by Ruth Johnson and Wendy Taylor
3. Heart and Hands A Midwife's Guide to Pregnancy and Birth by Elizabeth Davis
4. Bates' Guide To Physical Examination and History Taking
by Lynn Bickley 
5. Spiritual Midwifery by Ina Mae Gaskin
6 Birth Song by Daphne Singingtree
7. The Ministry of Midwifery By Patti Barns
8. Holistic Midwifery by Anne Frye
9. Holistic Midwifery 2 by Anne Frye
10. Birth Emergency Skills Training
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ZOOM Classes Every Monday 4-6pm EST July through may

I-General Skills

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First Class 101 Estimated Date  Fist Semester

 

  •     Hand Washing

  • Gloving/Un-gloving

  • Sterile Technique

  • Sterile Technique

    • Pressure Cooker Method 

    • Oven Method 

    • Boiling Method 

    • Autoclave Method  

    • Cold Chemical Sterilization

​

Second Class 102 Estimated Date  Fist Semester

  •     Use of the Stethoscope

  • Use of the Otoscope

  • Use of the Ophthalmoscope

  • Oxygen Safety

    • O2 Set-up and Administration

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Third Class 103 Estimated Fist Semester

  •     General Lifting Technique

    • Two Person/Sheet Lift

  • Universal Precautions

  •  Oral Temperature

    • Glass Thermometer /Digital Thermometer/Temporal/Tympanic

 

Fourth Class 104 Estimated Fist Semester            

  • Maternal pulses

    • Radial Pulse, Carotid Pulse, Apical Pulse and Six-Second Pulse

  • Maternal Respiratory Assessment

    • Observation of Maternal Respirations

    • Auscultation of Maternal

    • Respirations with Stethoscope

  • Maternal Skin Assessment

  • Interpretation of vital statistics and research findings

            

Fifth Class 105 Estimated Fist Semester            

  •     Maternal Blood Pressure

    • Auscultation of Blood Pressure with Stethoscope/Palpation of Blood Pressure

  • Administration of Oxygen

    • Free Flow Oxygen Administration, Use of Demand Valve Mask

  • Basic Treatment of Shock

  • Non-Pneumatic Anti-Shock Garment

  • Pulse Oximeter PsO2

    • Adult/Newborn       

  

​

2-The Prenatal Period -1

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First Class 201 Second Semester

  • Basic Tools for the Prenatal Period

  • What a Preceptor Wants in an Apprentice or Assistant

  • General Counseling for the Antepartum period​​

  • Understanding social determinants of health (income, literacy, education, sanitation, housing, environmental hazards, food security, common threats to health)

  • Legal and regulatory framework governing reproductive health for women, including laws, policies, protocols, and professional guidelines

  • Understanding of human rights and their effects on the health of individuals, including:
    1. domestic partner violence
    2. female genital cutting
    3. cultural effect of religious beliefs
    4. gender roles
    5. other cultural health practices

​

Second Class 202 Second Semester

  • Specific counseling and Education for the

    • Antepartum Period

    • Postpartum Period

    • Newborn Period

  • Understanding principles of research, evidence-based practice, critical interpretation of professional literature​

  • Facilitates mother’s decision of where to give birth by discussing:
    1. advantages and risks of different birth sites
    2. requirements of the birth site
    3. how to prepare and equip the birth site

 

Third Class 203 Second Semester 

  • S. O. A. P. I. E. R. Charting

  • Oral Client History

  • Basic Emergency Neurological Evaluation

  • Direct and indirect causes of maternal and neonatal
    mortality and morbidity

  • ABCs of Emergency Care

  • Use of AED


Fourth Class 204 Second Semester

  • Hemoglobin Analysis

  • Hematocrit Analysis

  • Glucose Analysis /Glucometer /Dextrostix

  • Obtaining a Clean Catch of Urine

  • Urinalysis Via Dipstick

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Fifth Class 205 Second Semester

  • Breast Exam & Assessment for Breast

feeding

  • Radial Method, Wheel-Spoke Method

  • Costovertebral Angle Tenderness (CVAT)

  • Deep Tendon Reflexes of the Knee

  • Clonus  


Sixth Class 206 Second Semester

  • Basic Physical Exam

  • Speculum Exam

  • Uterine Size & Fetal Age According to

  • Bimanual Exam

  • Assessment of the Uterus, Ovaries & Cervix

  • Exam of Vulva, Vagina Cervix, Perineum &

  • Anus

  • Papanicolaou (Pap) Test

    • Brush, spatula, broom

    • Gynecological Cultures

  • Pelvic Measurements

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Seventh Class 207 Third Semester

  • Leopold's Maneuvers Spinning Babies

  • Obstetrical Abdominal Evaluation, scars and

skin changes

  • Assessment of Other-Than-Vertex Presentation

  • Fundal Height Measurement

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Eighth Class 208 Third Semester

  • Auscultation of Fetal Heart Rate

    • Fetoscope, Doppler, Pinard Horn

  • Assessment of edema

  • Fetal Activity Testing

  • Routine Prenatal Exam

  • Supine Hypotensive Syndrome

  • Cervical Rimming/ Sweeping the cervix

  • Cervical Ripening Balloon Foley catheter


3-The Prenatal Period -2


First Class 301 Third Semester

  • Information on national and local health services, such as social services, WIC, breastfeeding, substance abuse, mental health, and bereavement

  • Ectopic Pregnancy

  • Care of the woman who is Miscarrying

  • Preterm labor

  • Vaginal Bleeding in Pregnancy

    • First Trimester Bleeding

    • Second Trimester Bleeding

    • Third Trimester Bleeding

​

Second Class 302 Third Semester

  • Resources for referral to higher health facility levels,
    appropriate communication and transport mechanisms,

  • Prepared for emergencies

  • Maternal Hypertension

    • Mild after 20 wks,

    • Severe Maternal Hypertension

  • Assessment of Pre-eclampsia/toxemia

  • Placenta Abruptio

  • Placenta Previa

  • External Version

  • Vaginal Birth After Cesarean (VBAC)

​

Third Class 303 Third Semester

  • Anemia in Pregnancy

  • Hyperemesis

  • Intrauterine Growth Restriction (IUGR)

  • Premature Rupture of Membranes (PROM)

​

Fourth Class 304 Third Semester

  • Laws of Health

    • Nutrition, Exercise, Water, Sunlight,

    • Temperance, Air, Rest, Trust

  • Diet sheets Brewer, Trim Healthy, Mama

  • Massage, muscle cramps and ligament pain

  • Chiropractic, loose joint and back pain

  • Water Treatments

  • Belly Binders SPS

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4 Labor & Delivery

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First class 401 Fourth Semester

  • Setting up for a Birth

  • Setting up Oxygen and emergency station

  • Intrapartum Pelvic Exam and vitals

​

Second Class 402 Fourth Semester

  • Evidence of Ruptured Membranes

  • Sterile Digital Exam /Sterile Speculum Exam

  • Artificial Rupture of Membranes

  • Assessment of Contractions

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Third Class 403 Fourth Semester

  • Basic Comfort Measures

  • Water Birth

  • Ball/Peanut Ball

  • Rebozo/Sheet

  • Tens Unit/Massage

  • Hip Squeeze, Pressure

​

Fourth Class 404 Fourth Semester

  • Posterior or Asyncitic Position

  • McRoberts Maneuver

  • Gaskin Maneuver

  • Sitting, Standing, Squat

  • Lunges, Curbs and stairs

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Fifth Class 405 Fourth Semester

  • Monitoring the Fetal Heart

  • Assessment of Meconium Staining

  • Edema

  • Perineal Massage & Support

​

Sixth Class 406 Fourth Semester

  • Abnormal Changes in Maternal Vital Signs

  • Edematous Cervical Lip

  • Hand Maneuvers to Assist Delivery

  • Ritgen Maneuver

  • ​Shoulder dystocia​

    • Anterior Shoulder

    • hyperflex legs

    • rotation of shoulder (Rubin)

    • Posterior arm

    • McRoberts​ 

    • Woods screw

    • Gaskin (Hands and Knees)

    • Episiotomy

    • Supera pubic pressure

    • Clavicle fracture

    • Zavanellie's maneuver

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​Seventh Class 407 

Date February/2023

  • Cord prolapse

    • Cord prolapse when Birth is Imminent

  • Dystocia things that slow a birth down​

    • Positional and large baby​

    • Family dystocia

    • Personal Fears or Past Experiences causing dystocia

    • Exhaustion and Hunger​

​

Eighth Class 408 

  • Newborn Suction Techniques

    • Bulb, delee

    • Res-Q-Vac or Electric Suction Device

  • Management of the Nuchal Cord

    • Somersault and Cutting

​


Ninth Class 409 

  • Face & Brow Presentations

  • Breech Delivery

​

Tenth Class 410 

  • Delivery of Twins

  • Emergency Manual Dilation

  • Newborn Intubation

  • ​

​​

5 The Postpartum Period



First Class 501 

  • Immediate Postpartum Management

    • Facilitating Delivery of the Placenta

    • Manual Removal of Placenta

    • Assessment of the Placenta

    • Obtaining a Cord Blood Sample

      • into a Tube/or Syringe and Needle

​​

Second Class 502

​

  • Estimation of Blood Loss

    • Postpartum Hemorrhage and assessment

    • Blood Loss on pads, floor, in pool

​​

Third Class 503 

  • Assessment and Repair of Lacerations

  • Episiotomy

  • Suture class Class 1 Future date for Class 2

​​

 

Fourth Class 504 

  • Assistance with Breast-feeding Techniques

  • Bathing Mother & Baby

  • The Golden Hour  

     
Fifth class 505 

  • Postpartum Vitals

  • General Education for the Postpartum

  • General Postpartum Exam of the Mother and Baby

    • The 24-48 hour Postpartum Exam

    • The five day Postpartum Exam

    • The two Week Postpartum Exam

    • The four Week Postpartum Exam      

    • The Six Week Postpartum Exam

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6 Newborn Period

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First Class 601 

  • Immediate Care of the Newborn

  • Clamping & Cutting the Cord

  • Newborn Temperature Assessment,

  • Axillary, Rectal, Tympanic Temperature

  • Newborn Pulses

  • Respiratory & Cardiac Assessment of the

  • Newborn (basic)

​​

Second Class 602 

  • Assessment of Newborn Reflexes

  • Newborn Eye Prophylaxis

  • Gestational Age Assessment

  • The Newborn Exam

  • Vitamin K Shot, Drops

​
Third Class 603 

  • Respiratory & Cardiac Assessment of the

Newborn

  • Scoring Respiratory Assessment with the

    • Silverman-Anderson Index

  • Meconium Aspiration

  • Recognition of Respiratory Distress Syndrome RDS

​​

Fourth Class 604 

  • Choanal Atresia

  • Congenital Diaphragmatic Hernia (CDH)

  • Pierre Robin Syndrome

  • Cleft Lip/palate

  • Tongue tie/Lip Tie

​​

Fifth Class 605 

  • Administration of Free Flow Oxygen to the Newborn

  • PP Routine Newborn Exam

  • The Newborn Metabolic Screen

  • Use of the Iceometer

  • Jaundice in the Newborn

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7 Advanced General Skills


First Class 701 

  • Drawing Medication

    • from an Ampule

    • from a Multi-Dose Vial

  • IM Injection for the Mother/Newborn

  • Intradermal Medication injection

  • Intradermal Sterile Water Injection

  • Subcutaneous Injection

  • Venipuncture with a Needle and Syringe​


Second Class 702 

  • Administration of IV Fluids

  • Changing and Discontinuing an IV

  • Changing Bag and Discontinuing (D/C) an IV Attaching a saline lock

  • Administration of IV antibiotics

  • Administration of IV Pitocin for Postpartum Hemorrhage

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June- some of July is often used for vacation, planning and planting time


Third Class 703 

  • Preparing a Wet Mount Slide

  • How to Use a Microscope

  • Home Lab tests we can do

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Fourth Class 704 

  • Urinary Catheterization

  • Infiltration of local anesthetic

​​

Fifth Class 705 Estimated Date July/2023

  • Basic Suturing review

  • Advanced Suturing Class 2


Sixth Class 706  

  • Advanced Oxygen Administration to the Mother

    • Mouth · Mask

    • Oxygen therapy via Bag-Valve-Mask (BVM)

  • Advanced Treatment of shock

​​

Seventh Class 707 

  • Allergic Reaction

    • Mother/Baby

  • Newborn Oropharyngeal Airway

  • Newborn Orogastric tube

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Eighth Class 708 

  • Newborn Resuscitation/Neonatal Resuscitation

  • Maternal Oral Suctioning

  • Maternal Oropharyngeal Airway.

  • Maternal laryngeal Mask Airway (LMA)

  • Maternal Resuscitation CPR​ 


Ninth Class 709 Estimated Date August 2023

  • Newborn Seizures

  • Maternal Seizures

​​

Tenth Class 710 

  • Natural Family Planning

  • Hormonal contraceptives

  • Barrier Contraceptives, Cervical Cap Fitting, Condoms

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8 Business Considerations

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First Class 801 

  • Peer review for maternal and neonatal mortality or morbidity 

    • The purpose of peer review

    • The process of participating in peer review

​​​

Second Class 802 

  • The application of professional ethics, values, and human rights

    • The principles of confidentiality in relationships with clients and students including applicable components of HIPAA

    • The process of shared decision making with clients throughout pregnancy and birth

​​​

Third Class 803 

  • Knowledge, and Skills related to Professional Issues Students must...

    • prepares the mother for the possibility of less than optimum pregnancy outcomes

    • responsibility and accountability for clinical decisions and actions

    • acts consistently in accordance with standards of practice

    • maintains/updates knowledge and skills

    • behaves in a courteous, non-judgemental, non-discriminatory, and culturally
      appropriate manner with all clients

    • is respectful of individuals and of their cultural and customs

    • shares and explains protocols of practice, including regulatory requirements, and client’s right to refuse testing or intervention

    • uses appropriate communication and listening skills with clients and support
      team

    • accurately and completely records all relevant information in the client’s
      chart, and explains results to client

    • is able to comply with all local requirements for reporting births and deaths

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Fourth 804 Financial and Scheduling​​​​

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Classes and dates that are confirmed

Anyone is welcome! call 814-392-2277

held at the Dove Charity Office

954 Fleshman Mill Rd, New Oxford, Pa 17350

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