The focus of this course is on the collaborative management between the Midwife and other health care providers in complex clinical situations. It focuses on identification, diagnosis, evaluation and follow up of women with obstetric and medical complications. Emphasis is on midwives in dealing with high risk woman during pregnancy, labor and postpartum cases. The student collaboratively manages the care of women who have or develop medical, obstetrical, or gynaecological complications. Bleeding in pregnancy and termination of pregnancy will be emphasized. Newborn complications are considered. Primary care of women and newborns is also addressed. The course is dealing with obstetric emergencies i.e. shoulder dystocia, postpartum hemorrhage, hemorrhagic shock, cord prolapse, eclampsia convulsion.
Extended Practicum
The purpose of the extended practicum is to provide the student with an opportunity to practice autonomy in labor and delivery care in the base hospital. To ensure competence and autonomy in practice when making judgments and decisions, the student will keep a journal of critical incidents in practice from the outset of the program. The personal journal is an important aspect of the program evaluation strategy.