Midwifery

At the end of the three-year course, the graduate must be able to: - Manage physical, psychological and social needs and diagnose the need for help of women, couples and communities in various socio-health environments, integrating theoretical knowledge with practice to respond to these with technical-scientific competence also when dealing with foreign users; - Manage obstetric/gynaecological needs for assistance requiring preventive, curative, rehabilitative and palliative skills in specific sectors of ultra specialist gynaecology and obstetrics such as mammary pathology, alterations in pelvic statics, sterility, infertility, metabolic diseases and contagious illnesses, etc.; - Maintain a good relationship and give information regarding family planning problems according to the principle of responsible maternity and paternity, the birth process, also when dealing with other ethnic groups and their specific cultural situations with ability in counselling; - Carry out educational interventions regarding the reproductive health of women/couples and communities, with specific reference to sexually transmitted diseases (STD); - Carry out educational interventions on the prevention of neoplastic pathologies of the female genital apparatus and the associated glands, through provision of information and procedures the nurse is competent in (e.g.: self-palpation of the breast, Pap-test, etc.); - Manage the socio-health needs of pregnant women providing every kind of information and educational support to eliminate situations of conflict in the presence of drug addiction, states of poverty, disability, etc.; - Assess clinical manifestations linked to the biological-sexual cycle of women; - Assess clinical manifestations linked specifically to pregnancy; - Plan, supply, and evaluate gynaecological and obstetric/neonatal assistance for healthy and sick persons within a complex and integrated socio-care system, promoting lifestyles that are positive for health and adopting care systems oriented to self-management and self-cure; - Monitor maternal/foetal wellbeing during physiological pregnancy, during spontaneous birth and (in collaboration with a specialist) in pathological situations (monitoring and care of at least 40 parturients); - Carry out a normal delivery including vertex presentation included if necessary, episiotomy and in the case of an emergency, breech delivery; - Prevent, identify, monitor and manage potentially pathological situations that require a medical intervention, and carry out, wherever necessary, related emergency measures through the aid of available means that the nurse is competent in; - Evaluate clinical manifestations linked to gynaecological and obstetric/neonatal pathologies, reactions to the stage of the illness, to operations in the case of hospitalisation, in day-Hospital and day-surgery, as well as home care; - evaluate clinical manifestations linked to immediate, intermediate and late physiological puerperium, during hospitalisation, as well as home care including assessment of new-born without serious pathologies; - Evaluate clinical manifestations linked to immediate, intermediate and late physiological puerperium, during hospitalisation, including assessments of clinical manifestations of pre- and post-term new-born weighing less than the norm or with various pathologies; - Realize planned care interventions according to Guidelines verified and verifiable on the basis of scientific evidence (EBM/EBC); - Examine new-born and take care of them, take any initiative forced by necessity and, carry out immediate reanimation; - Guarantee correct application of diagnostic/therapeutic practices, in accordance with scientific principles adapting them to the assisted person, in relation to various urgent problems of reproductive health and otherwise, of women and couples; - Contribute in identifying, defining and organising gynaecological and obstetric assistance in normal, emergency and urgent situations according to criteria of priority, guaranteeing continuity of care through optimisation of human and other resources and materials; - Make assessments of preventive, curative, palliative and rehabilitative gynaecological and neonatal services according to specific indicators of process and outcome; - Possess professional and decision-making capacity in planning and realising educational interventions on health and sex for women, couples and the community; - Implement interventions to support innovative and traditional surgical procedures realised in collaboration with specialist doctors and other health workers; - Act with respect for principles and norms of an ethical/deontological and medico-legal in the gynaecological-obstetric-neonatal area; - Respect their own role and duties and that of other operators of the care team, pursuant to the regulations in force regarding responsibility and the fields of action of the obstetrician, autonomously and in collaboration with other health workers; - Make use of the various technologies appropriate to birth with respect for other ethnic groups and in accordance with the principle of personalisation and appropriateness of cure; - Be able to use at least one language of the European Union, as well as Italian, in their specific area of competence and to exchange general information; - Adopt counselling techniques in the various professional contexts to foster good communication with both users and co-workers. 1st YEAR Course of Study Intended to provide knowledge relating to the structure and functioning of organs and apparatuses, as well as the typology of biological phenomena, with particular reference to human reproduction and theoretical-practical notions of general basic care, obstetric-neonatal assistance according to the principles of Midwifery with knowledge relating to the needs of multi-ethnic users in the maternal-infantile sphere, designed to create the conditions to tackle the first experience of internship in professional reference environments, and acquire basic care skills. . 2nd YEAR Intended to deepen physiopathological, specialist clinical and care knowledge for the management of physiological pregnancy and pregnancy prone to risk as well as assistance for healthy and critical new-born. Necessity to acquire skills in the surgical, obstetric and specialist fields in collaboration with a specialist, plus communicative ability to pass information onto individuals, couples and the community, aiming at prevention and the promotion of health for women/couples/families. Internships take place in hospital and territorial contexts (consulting rooms, delivery departments, health centres, institutes with special agreements to allow students to try out the knowledge and techniques they have learnt. 3rd YEAR Intended to deepen oncological, endocrinological, sexological and contraceptive knowledge as well as anatomo-pathological frameworks of gynaecological neoplasms in addition to principles of bioethics and the ethical and deontological norms of the profession of obstetrician with a gradual self-sufficiency in clinical judgement when managing obstetric emergencies and urgent situations autonomously and in collaboration with other professionals; the acquisition of methodological skills to understand obstetric research to help develop the final thesis. Increase the importance of the internship carried out inside birth departments of 1st, 2nd and 3rd levels of criticality with a turnover system and at a territorial level as regards assistance for physiological pregnancy, in full autonomy. The logic of the curriculum becomes concrete in the gradual distribution of internship experiences that increase over the three years of study.