SCHOOL OF MIDWIFERY AND CAREGIVING

MATERNAL HIGH – RISK CARE

PHILOSOPHY
Emilio Aguinaldo College is a private, non-sectarian, co-educational institution of learning that fosters equal and fair opportunities of
education, the total development of a person, and one’s national identity while conscious of his/her role in the global community.

VISION
Emilio Aguinaldo College envisions itself as an internationally recognized private non-sectarian academic institution rooted in the
Filipino nationalist tradition that consistently pursues the advancement and welfare of humanity.

MISSION
Emilio Aguinaldo College provides a learner-centered, inquiry-based, and socially relevant

CORE VALUES
VIRTUE
EXCELLENCE
SERVICE

QUALITY POLICY

We, the employees of Emilio Aguinaldo College are committed to:

Comply to all statutory and regulatory standards;
Provide consistent quality service to our students, parents, and other stakeholders;
Develop a responsible person through relevant and quality education, able to lead and enhance one’s life, and contribute to the
development of the country and humanity; and
Improve continuously our QMS by communicating the needs of customer to the entire organization, standardizing the processes,
enhancing employees’ competence, periodic review of the system, and addressing the needs for continual improvement
 QUALITY OBJECTIVES

The objectives of Emilio Aguinaldo College are to:

 offer opportunities for quality and relevant education to all;
 cultivate the intellectual, spiritual, moral, social, and physical aspects of a person;
 install appreciation and pride for one’s national identity; and
 produce graduates of global quality equipped with competence in their field of expertise

VISION OF THE SCHOOL OF MIDWIFERY

To develop highly competent professionals who will be able to demonstrate expertise in the field of Midwifery practice.
Encourage students to Effective, Efficient, and Excellent in the field of Midwifery and to have Empathy in the performance of their
duties to the community.

MISSION OF THE SCHOOL OF MIDWIFERY

The School of Midwifery hones students to become exceptionally dedicated professionals with a clear vision and determination to
make positive changes in the world. It is our desire to provide our students with the necessary skills that will lead them to new discoveries,
search for their purpose and achieve their dreams.
 PROGRAM EDUCATIONAL OBJECTIVES:
1. Work local and abroad as a Professional Midwives
2. Independently engage in entrepreneurial health care activities
3. Participate in research, innovations and social mobility

Relationship of the Program Educational Objectives with the EAC Mission

PROGRAM EDUCATIONAL OBJECTIVES EAC MISSION

The BSM graduates, 5 years after graduation will be able to:

1. Work local and abroad as a Professional Midwives 

2. Independently engage in entrepreneurial health care activities 

3. Participate in research, innovations and social mobility 

Relationship between Student Learning Outcomes and Program Educational Objectives:

 PROGRAM
EDUCATIONAL
STUDENT LEARNING OUTCOMES OBJECTIVES

1 2 3

The Graduates/holders of the Certificate in Midwifery shall be able to:

1. Demonstrate the necessary knowledge, skills, and attitude in providing basic care to patients based on patient’s needs   
and scope of work.
  
2. Communicate effectively with patients and other members of the health care team.
In addition to the competencies of the Certificate in Midwifery graduates, the graduates/holders of the Diploma in
Midwifery shall be able to:
  
1. Demonstrate the necessary knowledge, skills, and attitude in providing care to mothers and newborn
  
2. Demonstrate competencies in providing primary health care services.

The Graduates of Bachelor of Science in Midwifery will have the ability to:
1. Demonstrate requisite knowledge and skills on obstetrics, neonatology, the social sciences, public health, and ethics that   
form the basis of high quality, culturally relevant, appropriate care for women, newborns, and childbearing families.
2. Provide high quality, culturally sensitive health education and services to all in any community setting in order to   
promote healthy family life planned pregnancies and positive parenting.
3. Provide high quality antepartum, intrapartum, and postpartum care to maximize health during pregnancy, labor and   
delivery, and postpartum period that include early detection, emergency management, and referral of complicated
conditions of mothers and newborns.
3.1. Conduct health assessment of the woman and fetus for promotion of health and well-being,   
defection of complications during pregnancy, and care of women with an unexpected pregnancy.
3.2. Assess and provide care to women during labor that facilities physiological processes and   
a safe birth, the immediate care of the newborn infant, and detection of complications in
mother or infant.
 3.3. Provide continuing health assessment of mother and infant, health education, support for   
breast feeding, detection of complications and provision of family planning services.
4. Accept own accountabilities as a health professional, the relationships with women and other care providers, and care   
activities that apply to all aspects of midwifery practice.
5. Demonstrate effective interpersonal communication with women and families, health care teams, and community   
groups.
6. Adhere to jurisdictional laws, regulatory requirements, and codes of conduct for midwifery practice.   

7. Recognize conditions outside the midwifery scope of practice and refer appropriately.   

COURSE SYLLABUS
 MATERNAL HIGH – RISK CARE
A. COURSE DETAILS

Course Name Maternal High-Risk Care Class Schedule

Course Number Room Assignment E5 Ext.
Course Code M - 104 Consultation Hours
10 units (4 units Lec/ 6
Medium of
Course Credit Clinical Practicum (1 unit English
Instruction
SL/2 CP)
Introduction to Obstetrics
Pre-requisite Faculty Facilitator Criselda T. Pabua, RM
and Newborn Care

Hours Required per week 3 hours/week Faculty Signature

B. Course Description:

This course further enhances the concepts of normal pregnancy, labor, and delivery. This focuses on the KSA's in
the care of mothers with complications of pregnancy, labor, delivery, post-partum. This also includes Basic Emergency Obstetrics
and Newborn Care and peri-operative care in gynecological and obstetric cases.

The clinical practicum shall focus on the skills development in early detection, identification and timely referral of
complications of pregnancy, labor, delivery, and post-partum. Provision of care and life saving interventions in obstetrical
emergencies and high-risk pregnancies will be emphasized. The midwifery role in pre-operative, intra- operative and post-
operative care of gynecological and obstetric cases is also incorporated.

C. Relationship between Course Objectives and Student Learning Outcomes

 Course Outcomes Student Learning Outcomes

At the end of the course, the students are expected to: 1 2 3 3.1 3.2 3.3 4 5 6 7

1. Utilizes the scientific process and ensure client safety in the conduct          
of research

2. Adapts to guidelines and principles of evidence-based practice of          

research
3. Maintains efficient communications in conducting research          

4. Documents research report accurately and comprehensively          

D. Course Outline/ Coverage:

Time Teaching – Assessment

Course Outcomes Content / Topics
/Period Learning Activities Tools
I.INTRODUCTION
Students having imbibed EAC Lecture - Paper and pencil
VMPILO & SOM VM and Discussion
understood (OBE) course
requirements

1st week Oral questioning

Utilizes the scientific process and 3rd week Lecture - Discussion Assignments
ensure client safety in the Group activity Paper and Pencils
conduct of research II. THE HIGH-RISK MOTHER
th
4 and
5th week A. Definition
A. Risks Factors of Mothers
A. Complications of Pregnancy

1. First Trimester
1.1 Hyperemesis gravidarum
 1.2 H-mole
1.3 Abortion
1.4 Ectopic Pregnancy
1.5 Incompetent Cervix
2. Second Trimester
2.1 Abruptio Placenta
2.2 Placenta Previa
2.3 Toxemia of Pregnancy
2.4 Hypertensive Vascular Disease
3. Third Trimester
3.1 Premature Labor
3.2 Premature Rupture of Membranes

D. Diseases Affecting Pregnancy

1. Diabetes Mellitus
2. Heart Disease
3. Renal Disorders
4. Common Infections
4.1 Rubella
4.2 Influenza
4.3 Tuberculosis
4.4 STD
4.5 Urinary Tract Infections

Week 6 PRELIM EXAMINATIONS

Adapts to guidelines and III. EXPANDED ROLE OF THE MIDWIFE Lecture - Discussion Oral questioning
principles of evidence-based Week 7 A. Internal Examination During Labor
practice of research Group activity Assignments
&8 A. Perineal Repair of First- and
Second-Degree lacerations Role play Paper and Pencils
A. Insertion of Intravenous Infusion
A. Injection of Oxytocin
A. Injection of Vitamin K
Identify personal guidelines for IV. BASIC EMERGENCY OBSTETRICS AND
developing cultural competency NEWBORN CARE FOR MIDWIVES

A. Vaginal Bleeding During Pregnancy

1. Rapid assessment of the woman
2. Emergency Care
B. Postpartum Hemorrhage
1. Definition
2.Causes of postpartum Bleeding
3. Emergency care
C. Severe Preeclampsia with or without
Convulsions
1. Diagnostic Criteria
2.Complications of severe preeclampsia
3. Reducing the risk of eclampsia
4. What to do (Management)
D. Preterm Labor and PreLabor-Rupture
of Membranes
1. Preterm Labor
1.1 Definition
1.2 Signs and Symptoms
1.3 What to do
2. Prelabor Rupture of Membranes
2.1 Definition
2.2 Signs and Symptoms
2.3 What to do

Week
MIDTERM EXAMINATIONS
12
E. Prolonged Labor Oral questioning
Lecture - Discussion
Maintains efficient 1. Definition Assignments
Week
communications in conducting Group activity
13 & 14
research 2. Causes of Prolonged Labor Demonstration and Paper and Pencils
Return Demonstration
3. Diagnosis Performance
checklist
4. What to do

F. Stuck Shoulder

1. Definition

2. Causes of Stuck

3. Diagnosis

4. What to do

G. Imminent Breech Delivery

1. Definition

2. Predisposing Factors

3. Diagnosis

4. What to do

5. After managing the stuck shoulder

(shoulder dystocia)

H. Imminent Breech Delivery

1.Definition

2. Diagnosis
 3. Signs of Imminent Delivery

4. What to do

I. Umbilical Cord Prolapse

1. Definition

2. What to do

J. Medical Problems During Pregnancy

V. NEWBORN ASSESSMENT AND

RESUSCITATION
A. Newborn Resuscitation
1. Assessment of Breathing
2. Resuscitate Newborn
3. Care after resuscitation

B. Newborn Assessment
1. Purpose of Examination
2. Timing of Examination
3. Steps in Newborn Examination
4. Newborn Examination findings
5. Weight Monitoring During the First
Month
4. Breastfeeding and Danger Signs

Documents research report Week VI. PERI OPERATIVE OBSTETRICS Lecture - Discussion Oral questioning
accurately and 15, 16, A. Surgical Asepsis Group activity Assignments
comprehensively 17 A. Surgical Instruments Demonstration and Paper and Pencils
B. Roles of the Midwives in the Return Performance
Operating Room Demonstration checklist
 C. Assisting in Obstetrical Surgical
Procedure (BTL, Cesarian section,
Dilatation and Curettage)

Week
FINAL EXAMINATIONS
18

D. References:

Pilliteri, Adelle, et al Maternal and Child Nursing – Care of the Child bearing and Childbearing Family ^th Copy Right 2010

Murray &McKinney, et al Foundations of Maternal – Newborn and Women’s Health Nursing Sixth Edition 2014

Grading System:

Raw Scores Grade Equivalents Interpretation

97-100 1.00 Excellent
 94-96 1.25 Very Good
91-93 1.50 Very Good
88-90 1.75 Very Good
85-87 2.00 Good
82-84 2.25 Good
79-81 2.50 Good
76-78 2.75 Fair
75 3.00 Passed
70-74 4.00 Conditional Passed
Below 70 5.00 Failed
INC Incomplete
OW Officially Withdrawn
UW Unofficially Withdrawn

PRELIM GRADE MIDTERM GRADE FINAL GRADE

Prelim Exam 60% Midterm Exam 60% Final Exam 60%
Class Standing 40% Class Standing 40% Class Standing 40%
Total 100% Total 100% Total 100%

FFG Computation
PG (Prelim Grade) + MG (Midterm Grade) + FG (Final Grade)
BREAKDOWN OF CLASS STANDING

Preliminary
Recitation - 30% Prepared by: Approved by:
Quiz - 20%
Research/ Assignment - 20%
Project - 20%
Attendance - 10% Criselda T. Pabua, R.M Ellen S.N. Salac, Ph.D
100% Faculty VPAA

Midterm
Pre Midterm Exam - 20%
Recitation - 20%
Quiz - 20%
Research/ Assignment - 20%
Project - 10%
Attendance - 10% Noted By:
100%

Finals
Pre Final Exam - 20% Erlinda B. Gonzalez, RL, MLS
Recitation - 20% Chief Librarian
Quiz - 20%
Research/ Assignment - 20%
Project - 10%
Attendance - 10%
100%