BEE ENN COLLEGE OF NURSING, JAMMU

COURSE PLAN

SUBJECT: OBSTETRICS AND GYNAECOLOGICAL NURSING

SUBMITTED TO: SUBMITTED BY:

MISS. NIKITA SHARMA MISS. SEHREE ALTAF
ASSISTANT PROFESSOR M.Sc NURSING IST YEAR
DEPTT. OBSTETRICS AND DEPTT. OBSTETRICS AND
GYNAECOLOGICAL NURSING GYNAECOLOGICAL NURSING
(BECON) (BECON)

SUBMITTED ON:
 RAJIV GANDHI COLLEGE OF NURSING CHAK BHALWAL, JAMMU
OBSTETRICS AND GYNAECOLOGICAL NURSING
COURSE PLAN

COURSE TITLE:CLINICAL SPECIALITY-I HOURS OF INSTRUCTION

COURSE CODE: MSCNUR105 THEORY : 150 HRS
PLANNED HOURS :161 HRS
TOTAL : 800 HRS

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 willhelp students to appreciate the client as a holistic individual and develop skill to function as an
independent midwifery practitioner. It willfurther enable the student to function as educator, manager, and researcher in the field of
Obstetric and Gynaecological nursing.

COURSE OUTCOMES
At the end of the course the students will be able to:

1. appreciate the trends in the field of midwifery, obstetrics and gynecology as a speciality.

2. describe the population dynamics and indicators of maternal and childhealth

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 andnewborns.

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 normalbirth process and refer appropriately.

7. describe the pharmacological agents, their effects duringpregnancy, 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 theroleof 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 gynaecologicalnursing.

11. describetherecentadvancementincontraceptivetechnologyand birth controlmeasures.

12. appreciate the legal and ethical issues pertaining to obstetric and gynaecologicalnursing.
UNIT TIME PLANNED LEARNING CONTENT TEACHING/ ASSESSMENT TEACHERS
(HRS) HOURS OUTCOMES LEARNING METHODS INCHARGE
ACTIVITIES
01 10 12 appreciate the INTRODUCTION Lecture cum short answer Mrs.
trends in the □ Historical and contemporary discussion, use type questions, RAFIQA
field of perspectives. of white board, long answer BASHIR
midwifery, □ Epidemiological aspects of power-point type questions
obstetrics and presentation
maternal and child health.
gynecology as a □ Magnitude of maternal and child
speciality. health problems
□ Issues of maternal and child health:
Age, Gender, Sexuality, psycho
Socio cultural factors
□ Preventiveobstetrics.
□ National health and family welfare
programmes related to maternal and
child health: health care delivery
system- National Rural health
mission, Role ofNGO‟s
□Theories,modelsandapproachesappl
iedtomidwiferypractice
□ Role and scope of midwifery
practice: Independent Nurse
midwiferypractitioner
□ Legal and Ethical issues: Code of
ethics and standards of midwifery
practice, standingorders
□ Evidence based midwiferypractice
□ Research priorities in obstetric and
gynaecologicalnursing.
UNIT TIME PLANNED LEARNING CONTENT TEACHING/ ASSESSMENT TEACHERS
(HRS) HOURS OUTCOMES LEARNING METHODS INCHARGE
ACTIVITIES
02 15 15 describe the HUMAN REPRODUCTION Lecture cum short answer Mrs.
population □Review of anatomy and physiology discussion, use type questions RAFIQA
dynamics and of human reproductive system: male of white board BASHIR
indicators of andfemale
maternal and □ Hormonalcycles
childhealth □ Embryology
□Genetics, teratology andcounseling
□ Clinicalimplications

03 25 30 describe the PREGNANCY Lecture cum Multiple choice

concepts of □Maternal adaptation : discussion, use questions, short Mrs.
biophysical, of white board answer type RAFIQA
Physiological,psychosocial
questions BASHIR
psychological  Assessment– Maternal and foetal
and spiritual measures Maternal
aspects of measures:Historytaking ,
normal exmanination-General,physical and
pregnancy, obstetrical measure, identification of
labor and
highrisk,
puerperium.
 Foetal measure- clinical
parameters, biochemical- human
estriol, Maternal Serum Alfa Feto
Protein, Acetyl Choline esterase
(AchE), Triple Test Aminocentesis,
UNIT TIME PLANNED LEARNING CONTENT TEACHING/ ASSESSMENT TEACHERS
(HRS) HOURS OUTCOMES LEARNING METHODS INCHARGE
ACTIVITIES
Cordocentesis, chorionic villus Mrs.
sampling (CVS), RAFIQA
 Biophysical- (US IMAGING, BASHIR
Foetal movement count, Ultra
Sonography, Cardiotocography,
cardiotomography,Non Stress
Test(NST), Contraction stress
test(CST), amnioscopy, foetoscopy,
 Radiological examination.
□ Interpretation of diagnostic tests
and nursingimplications
□ Nursing management of the
pregnant women, minor disorders of
pregnancy and management,
preparation for child birth and
parenthood,
Importanceofinstitutionaldelivery,ch
oiceofbirth setting, importance and
mobilizing of transportation, prenatal
counseling, role of nurse and crisis
intervention, identificationof high
risk pregnancy andrefer
□Alternative/
complementarytherapies
UNIT TIME PLANNED LEARNING CONTENT TEACHING/ ASSESSMENT TEACHERS
(HRS) HOURS OUTCOMES LEARNING METHODS INCHARGE
ACTIVITIES
04 25 25 provide NORMAL LABOUR AND Lecture cum Multiple choice Mrs.
comprehensive NURSING MANAGEMENT discussion, use questions, short RAFIQA
nursing care to □ Essential factors of labour of white board answer type BASHIR
women during questions
□ Stages andonset
reproductive First stage: Physiology of normal
period labour
andnewborns.  Use of partograph: Principles, use
and critical analysis, evidence
basedstudies
 Analgesia and anaesthesia
inlabour
 Nursingmanagement
Second stage:
Physiology, intrapartummonitoring
 Nursingmanagement.
Resuscitation , immediate newborn
care and initiate breast
feeding(GuidelinesofNationalneonata
logyforumofIndia)
Thirdstage:
Physiology and
nursingmanagement.

UNIT TIME PLANNED LEARNING CONTENT TEACHING/ ASSESSMENT TEACHERS

 (HRS) HOURS OUTCOMES LEARNING METHODS INCHARGE
ACTIVITIES
Fourth stage – Observation,
critical analysis and Nursing
management.
 Various child birth practice: water
birth, position changeetc
 Evidence based practice in relation
to labourintervention
Role of nurse midwifery practitioner
Alternative/
complementarytherapies
Lecture cum Multiple choice Mrs.
NORMAL PUERPERIUM AND
05 20 21 integrate the discussion, use questions, short RAFIQA
NURSING MANAGEMENT of white board answer type BASHIR
concepts of □ Physiology ofpuerperium questions
family centered
□ Physiology of lactation, lactation
nursing care
management,exclusive breast feeding
and nursing
,Baby friendly
process
hospitalintitative(BFHI)
approach in
□ Assessment of postnatal women.
obstetric and
gynaecological □ Minor discomforts and
nursing. complications ofpuerperium
□ Management of mothers during
puerperium: Postnatal exercises
Rooming in, bonding, warmchain

UNIT TIME PLANNED LEARNING CONTENT TEACHING/ ASSESSMENT TEACHERS

 (HRS) HOURS OUTCOMES LEARNING METHODS INCHARGE
ACTIVITIES
Role of nurse midwifery
practitioner Mrs.
 Alternative/complementary RAFIQA
therapies BASHIR

06 20 22 identify and NORMAL NEWBORN Lecture cum short answer

analyze the □ Physiology and characteristics of discussion, use type questions
deviations from normalnewborn of white board
normalbirth □ Physical and Behavioural
process and assessment ofnewborn
refer □ Needs ofnewborn
appropriately. □ Essential newborn care: Exclusive
breast feeding,
Immunization,Hygienemeasures,Ne
wbornnutrition
□ Organization of neonatal care,
services(Levels), transport, neonatal
intensive care unit, organization and
management of nursing services
inNICU
□ Observation and care ofnewborn
□ Parentingprocess

UNIT TIME PLANNED LEARNING CONTENT TEACHING/ ASSESSMENT TEACHERS

 (HRS) HOURS OUTCOMES LEARNING METHODS INCHARGE
ACTIVITIES
07 10 10 describe the PHARMOCO DYNAMICS IN Lecture cum short answer Mrs.
pharmacologica OBSTETRICS discussion, use type questions RAFIQA
l agents, their □ Drugs used in pregnancy, labour, of white board BASHIR
effects post partum andnewborn
duringpregnanc □ Calculation of drug dose
y, child birth, andadministration
puerperium, □ Effects of drugsused
lactation and □ Anaesthesia and analgesia
the role of
inobstetrics
nurse.
□ Roles and responsibilities of
midwifery nursepractitioner
□ Standing orders and protocols and
use of selected life saving drugs and
interventions of obstetric
emergencies approved by
theMOHFW
counsel
adolescents, FAMILY WELFARE SERVICES Lecture cum Multiple choice
08 10 10 discussion, use questions, short Mrs.
women and □ Populationdynamics
of white board answer type RAFIQA
families on □ Demographytrends: vital statistics, questions BASHIR
issues calculation of indicators especially
pertaining to maternal and neonatal mortality rates
pregnancy, and problems and other
child birth and healthproblems
lactation.

UNIT TIME PLANNED LEARNING CONTENT TEACHING/ ASSESSMENT TEACHERS

 (HRS) HOURS OUTCOMES LEARNING METHODS INCHARGE
ACTIVITIES
□ Recent advancement in
contraceptivetechnology
□ Role of nurses in family welfare
programmes in allsettings
□ Role of independent nurse
midwiferypractitioner
□ Family lifeeducation
□ Evidence basedstudies
□ Information, Education
andCommunication(IEC)
□ Management information and
evaluation system(MIES)
□ Teaching and supervision of health
teammembers

09 05 05 describe Lecture cum Multiple choice Mrs.

INFERTILITY
theroleof discussion, use questions, short RAFIQA
□ Primary and secondarycauses
various types of of white board answer type BASHIR
□ Diagnosticprocedures
complementary questions
□ Counseling: ethical and legal
and alternative
therapies in
aspects of assistedreproductive
obstetric and technology(ART)
gynaecological □ Recent advancement in
nursing. infertilitymanagement.
□ Adoption procedures
Role of nurses in infertility
management.

UNIT TIME PLANNED LEARNING CONTENT TEACHING/ ASSESSMENT TEACHERS

 (HRS) HOURS OUTCOMES LEARNING METHODS INCHARGE
ACTIVITIES
10 05 05 incorporate MENOPAUSE Lecture cum Multiple choice Mrs.
evidence based □ Physiological, psychological and discussion, use questions, short RAFIQA
nursing practice socialaspects of white board answer type BASHIR
and identify the □ Hormone ReplacementTherapy questions
areas of □ Surgicalmenopause
□ Counseling andguidance
research in the
field of
Role of midwifery nurse practitioner
obstetric and
gynaecological
nursing.

11 05 06 describetherece ABORTION Lecture cum Multiple choice

ntadvancementi discussion, use questions, short Mrs.
□ Types,causes
ncontraceptivet of white board answer type RAFIQA
□ Legislations, Clinical rights and questions BASHIR
echnologyand professionalresponsibility
birth □ Abortionprocedures
controlmeasure □ Complications
s. □ Nursingmanagement
Role of midwifery nurse practitioner
BIBLIOGRAPHY
1. Daftary Shrish, Holland and Brews Manual of Obstetrics, B Churchill Livingstone, New Delhi.
2. Dickason Elizabeth jean et al, Maternal Infant Nursing Care, Mosby, St.Louis.
3. GoodnerBrenda, Concepts of Obsterics Nursing, Skidmore, Roth Publishing, INC, Texas.
4. Gorie Trula Myers et al, Foundations of Maternal Newborn Nursing, WB Saunders, Co., 1998, Philadelphia.
5. Ladewing Patricia Wieland et al, Essentials of Maternal Newborn Nursing, Addisol Wesley Nursing, 1990, New York.
6. Rashmi Patil, Instruments, Operatuions, Drugs in Obstetrics and Gynaecology, Vors Medical Publications, Mumbai.
7. Philips Celeste R, Family Centered Maternity Newborn Care, Mosby New year Book, 1996, St Louis.