MDWF 3050: Complications of the Postpartum Period
Winter 2024 Term - completed April, 2024
Course Description
This course covers physical and psychological complications that may arise during the postpartum period. 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. Clinical management of complications in the first few hours after birth.
2. Clinical management of complications in the first eight weeks after birth.
3. Complications in the postpartum period including when to refer to other care providers and when to activate EMS.
4. Clinical management of the following conditions: Postpartum Hypertension and Preeclampsia, Endometritis, PP hemorrhage, Cystocele, Rectocele, incontinence (feces or urine) and fistula, bowel problems, Urinary retention, principles of elimination, management-micturition & catheterization, Perineal pain and dyspareunia, Retained products of conception, D + E, subinvolution, Gallbladder disease, Cesarean recovery including wound infection, principles of infection control, need to obtain swab, principles of wound management, principles of wound healing, Postpartum thyroid conditions, Mastitis/Cellulitis , Hematoma, Postpartum hemorrhage/late postpartum hemorrhage, DVT/Thrombophlebitis/PE, UTI/Kidney Infection/Cystitis/Urethritis, Postpartum Mood Disorders including PP depression, PP Anxiety, PP OCD, and PP psychosis, Mental illness and complex childhood trauma/PTSD, Maternal HIB, HIV, TB, Hep B and C including prevention of transmission to midwives and assistants, Postpartum anemia
5. Management of the following: Substance abuse risk factors, Child abuse/neglect risk factors, Domestic partner abuse, transport etiquette
6. Management of birth trauma associated with: Shoulder dystocia, PP hemorrhage, Manual removal of placenta, Fetal demise, Family and others showing up uninvited not behaving appropriately during birth, Mismatch for the client of their attendant/midwife/student, Sexual abuse trauma arising during birth
(Midwives College of Utah, 2023).
Prerequisites: Completion of all Phase Two courses - completed August 2023
Credits: 3.5
References
Midwives College of Utah. (August, 2023). Midwives College of Utah 2023-2024 course catalogue. Salt Lake City, Utah.