[MDWF 2010 : Prenatal Care I]

MDWF 2010: Prenatal Care I: Foundations of Prenatal Care 3.5 cr. (3 academic credits/.5 clinical credit)

Instructor: Jayme Moore, CPM, LM, BSN, RN  

PREREQUISITE: Completion of Phase one classes or special permission from Registrar or currently a CPM/RM Note: this class is a prerequisite for other classes. It is recommended you take this as soon as possible in your phase This course focuses on the basics of prenatal care from establishing initial contact, taking a thorough client history, initiating ongoing prenatal care, evaluation of the pregnant person and the fetus, addressing common discomforts and physiological changes of pregnancy, and recognizing when referral is indicated. With the midwifery model of care and an individualized approach, students will develop a portfolio of chart forms for routine prenatal care, client handouts, several practice guidelines, and the NARM Informed Disclosure of Midwifery Practice. Case studies are utilized to demonstrate the application of clinical judgment and management within the scope of practice of the Certified Professional Midwife. 

Learning Objectives:
1. Develop or identify documents that will be used in the student’s personal practice.
2. Describe the benefits and risks of available birth settings.
3. Identify clients that are good candidates for direct-entry midwifery care at the initial interview and assess throughout the prenatal period for complications that necessitate collaboration or referral.
4. Be able to identify the components of a comprehensive health and obstetric, gynecologic and reproductive health history.
5. Identify pregnancy through recognition of signs and symptoms, history-taking, physical assessments, and laboratory testing.
6. Calculate the estimated date of birth and assess gestational period through query about LMP, bimanual exam, and/or urine pregnancy testing.
7. Perform a routine prenatal care exam, including gestational assessment, abdominal assessment, fetal growth assessment, monitoring of the fetal heart rate, fetal well-being assessment, pelvic examination, and clinical pelvimetry.
8. Perform ongoing history at each prenatal visit.
9. Describe components of the physical examination that evaluate potential for a healthy pregnancy.
10. Be able to perform a complete abdominal assessment including measuring fundal height, determining fetal lie, position, and presentation, evaluation of fetal growth using manual measurements or techniques, and auscultation of the fetal heart rate.
11. Describe physiological and emotional changes in pregnancy.
12. Understand the midwifery standards of care and guidelines in regard to prenatal care.
13. Have a basic understanding of common complaints and complications of pregnancy and non-pharmacological remedies for those complaints.
14. Describe the Occupational Safety and Health Administration (OSHA) standards that apply to midwifery care during the prenatal period, including specific infection prevention and control strategies. 1.
15. Assume administration and management tasks and activities, including but not limited to compliance with work safety regulations (i.e., OSHA compliance). 15. Demonstrate facilitation of the informed decision-making process and provision of individualized care, counseling, collaboration and referral as indicated, evident throughout all documents.
16. Identify pre-existing factors and factors that develop anytime during the childbearing cycle that make out-of-hospital birth an unsafe option. - 27 -
17. Identify signs, symptoms, and indications for referral of selected complications and conditions of pregnancy that affect either the pregnant person or fetus.
18. Provide health education to clients (adolescents and adults) and their families about normal pregnancy progression, warning signs and symptoms, and when and how to contact the midwife. 19. Provide routine education specific to pregnancy, including appropriate hygiene in pregnancy, considerations for work inside and outside the home, components of preparation of the home/family for the newborn, and common techniques to physically prepare for labor.

Midwives College Utah (2022-2023) Course Catalog. https://www.midwifery.edu/course-catalog/ 

Urgent warning signs in pregnancy: https://www.cdc.gov/hearher/maternal-warning-signs/index.html