MDWF 2090

Course Description

At the completion of this course, the student will be able to demonstrate knowledge and skills in checking for and identifying first through fourth degree tears, and other types of pelvic damage. Students will learn the appropriate use and repair of episiotomies, forms, and usage of anesthetic agents, how to tie off and postpartum repairs appropriate for the midwife in an out-of-hospital setting. Case studies are utilized to demonstrate the application of clinical judgment and management within the scope of care of the Certified Professional Midwife.

Learning Objectives
1. Explain the pelvic muscular anatomy and how it relates to clinical care through the childbearing childbirth and repair

2. Evaluate pelvic floor disorders and choose treatment plan

3. Identify and recommend treatment for an inclusion cyst

4. Appraise and implement techniques to prevent tears in childbirth

5. Evaluate appropriate need for an episiotomy

6. Compare and contrast anatomical impacts from a medial and medio-lateral episiotomy

7. Describe procedural tools and steps for correct episiotomy technique to perform an episiotomy

8. Compile a ‘suture kit’ that identifies appropriate suturing materials and equipment

9. Identify when a client is stable enough to begin repair

10. Assess characteristics to properly identify/classify various wounds

11. Develop repair plans that are clinically appropriate for the different lacerations (including transfer or not suturing)

12. Demonstrate the set up and maintaining of sterile and clean fields - 32 -

13. Demonstrate tying knots using one handed, two handed and instrument techniques

14. Demonstrate anchor, interrupted, continuous, locked mattress, subcutaneous/running mattress and figure 8 stitches

15. Select and administer an appropriate anesthetic agent 16. Explain technique to tie off a bleeding vessel

17. Perform first, second, skin tag, labial tear repairs

18. Analyze principles of wound healing and be able to distinguish between physiologic healing and pathologic repair breakdown or infection

19. Recognize third- and fourth-degree tears and implement care protocol.

20. Recognize cervical tears and implement care protocol.

21. Enact informed consent

22. Demonstrate documentation of a repair

Prerequisites: MDWF 2010 and CLCN 2010 - completed in May, 2021

3 credits