Professional Midwifery Program Curriculum

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	Virginia School of Midwifery Program Curriculum FIRST YEAR PROGRAM INTRODUCTION TO MIDWIFERY New Student Orientation History of Midwifery Midwifery Paths The NARM PEP Process Midwifery Model of Care BASIC ANATOMY & PHYSIOLOGY FOR MIDWIVES PART I Life Science Basic Chemistry Reproductive System Menstrual Cycle Embryology & Fetal Development Genetics BASIC ANATOMY & PHYSIOLOGY FOR MIDWIVES PART II Basic Anatomy and Physiology of the Human Body Terminology and Vocabulary of the Human Body Parts The Eleven Major Systems of the Human Body Changes in the Human Body During Pregnancy Newborn Anatomy and Physiology PRENATAL CARE: THE INITIAL VISIT First Gynecological Exam History Taking Abuse Issues Abortion Calculation of the EDD Reviewing Records from Other Providers The Physical Exam Cultural Sensitivity Risk Assessment Scope of Practice Pelvic Exam Breast Exam & Mammograms Menopause PRENATAL CARE: INITIAL VISIT & PHYSICAL EXAM SKILLS PRACTICE Physical Assessment Skills Charting the Initial Visit PRENATAL CARE: NUTRITION, EXERCISE, TERATOGENS Nutritional Needs of the Pregnant Woman Supplements and Use of Herbs During Pregnancy Nutritional Counseling and Exercise Hydration Optimal Fetal Positioning Common Teratogens PRENATAL CARE: COMMON CHALLENGES DURING PREGNANCY Normal Physical Changes During Pregnancy Non-Allopathic Remedies for Common Pregnancy Ailments Nausea UTI Ectopic Pregnancy Molar Pregnancy Varicosities Sexuality in Pregnancy Symphysis Pubis Dysfunction Sciatica Heartburn Constipation/Hemorrhoids Candida Grand Multiparas Pregnancy Loss VBAC Preeclampsia Preterm Labor Postdates CHARTING AND RECORDKEEPING Legal Requirements Confidentiality/HIPAA Informed Consent Charting Basics Development of Chart Forms Narrative Charting PRENATAL CARE: PRENATAL TESTING Routine Blood Work Urine Dipstick STD/STI Screening Pap Smear Urine Culture Hemoglobin Testing Rh Negative Mothers Genetic Screening Options Ultrasound Use of the Doppler/Fetascope Gestational Diabetes Screening Group Beta Strep Assessment of Fetal Wellbeing Palpation PRENATAL TESTING SKILLS PRACTICE Venipuncture Glucometer Hemoglobinometer Pelvic Exam/Pelvimetry Vaginal Cultures PAP Smear Urine Culture Urine Dip Stick Testing Informed Consent for Prenatal Testing/Screening Completing Lab Requisitions MAINTAINING CLEANLINESS Sterile Technique Clean Technique Handwashing Instrument Sterilization Universal Precautions ADVANCED MIDWIFERY: PHARMACOLOGY Commonly Prescribed Medications During Pregnancy Medications Appropriate to Out of Hospital Birth Labor Augmentation in the Hospital Analgesia/Anesthesia IV Fluids Methods of Administering Medications Multi-Dose Vials Glass Ampules Anaphylactic Shock Antibiotics Immunizations Medications for the Breastfeeding Mother SECOND YEAR PROGRAM INTRAPARTUM CARE: FIRST STAGE LABOR Normal Labor Patterns Prodromal Labor Labor Stimulation Analysis of FHT Patterns Rupture of Membranes Dilation, Effacement, Station Anterior Lip Maternal Exhaustion OP/Malpresentation Pendulous Belly Position Changes Abnormal First Stage Labor (Uterine Rupture, Placental Abruption, Cord Prolapse, Amniotic Fluid Embolism) Intrapartum Transport INTRAPARTUM CARE: SECOND STAGE LABOR Positions for Pushing Cardinal Movements of Birth Face/Brow Presentation Breech Overview Twins Overview Nuchal Cord/Hand Perineal Support Episiotomy Shoulder Dystocia Meconium Water Birth for Second Stage INTRAPARTUM CARE: THIRD STAGE LABOR Cord Clamping/Cutting Signs of Placental Separation Facilitating Delivery of the Placenta Inspection of the Placenta Estimating Blood Loss Postpartum Hemorrhage Managing Shock IV Fluids Catheterization INTRAPARTUM CARE: IMMEDIATE POSTPARTUM APGAR/Initial Newborn Assessment Newborn Transition Suctioning Facilitating Breastfeeding Newborn Exam Vitamin K Erythromycin Eye Prophylaxis Perineal Exam Suturing Overview Giving Postpartum Instructions BIRTH ASSISTANT WORKSHOP Preparing the Home for Birth The Birth Kit The Midwife’s Birth Bag Setting up the Birth Room Water Birth Birth Stools Charting Signs and Symptoms of Labor Input/Output External Signs of Labor Progress Cleaning Up BIRTH ASSISTANT SKILLS SESSION Initial Assessment Comfort Measures Assessing Vital Signs in Labor Auscultation of Fetal Heart Tones in Labor Perineal Compresses Neonatal Resuscitation Review POSTPARTUM Visits During the First Week Newborn Care Lochia Perineal Care/Healing Hematoma Uterine Involution Breastfeeding Management Postpartum Mood Disorders Family Adjustment Family Planning During Postpartum WELL WOMAN CARE SKILLS SESSION PAP Smear Pelvic Exam Breast Examination Family Planning ADVANCED MIDWIFERY: SUTURING WORKSHOP Assessment of Lacerations Infiltration Suturing Materials Suturing Techniques ADVANCED MIDWIFERY: OBSTETRICAL EMERGENCIES Cord Prolapse Shoulder Dystocia Hemorrhage Placenta Previa Newborn Apnea Managing Shock ADVANCED MIDWIFERY: BREECH AND TWINS WORKSHOP Breech Presentation Types Management of Breech Delivery Types of Twins Considerations in Prenatal Care Management of Twin Delivery ADVANCED MIDWIFERY: COMPLEMENTARY MODALITIES Chiropractic Acupuncture & Traditional Chinese Medicine Herbalism Homeopathy Hypnosis Massage Therapy THIRD YEAR PROGRAM This year is devoted towards establishing competency in the role of the primary midwife. The main focus during the third year is on completing the clinical training required for graduation, as well as the completion of the student’s Graduate Research Project, and preparation for independent practice through the development of practice guidelines and informed consent documents. Before entering the third year of the program, the student will submit an application and intent to matriculate. Approved students will be offered the opportunity to complete their clinical training at NOVA Natural Birth Center. PRIMARY MIDWIFE UNDER SUPERVISION Clinical Experiences: Observe and assist clinical preceptor at least 8 hours per week, including: 75 Prenatal Visits, including: 20 Initial Prenatal Visits 55 Other Prenatal Visits 40 Postpartum Visits, including: 20 postpartum visits within the first 3 days after the birth 20 other postpartum visits 25 Births, including: All Primary Midwife Under Supervision Births will be planned out of hospital births 5 home births 5 water births 10 Continuity of Care No more than 2 hospital transports can count towards the 25 births At least 10 of the births must have occurred during the last 3 years 25 Initial Newborn Exams as Primary Midwife Under Supervision Attend and present cases at a minimum of 2 peer review sessions Job Shadowing with preceptor for two full weeks Pass VSTM skills exam with a score of at least 90% (Distance Learning Program students may complete this exam with their approved clinical preceptor) Complete graduation review Submit Graduate Research Project and receive score of at least 90% Receive written recommendations from at least two preceptors Receive written approval of: Practice guidelines Informed consent documents Completed NARM paperwork

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