M.Sc.

Nursing 1st Year

SUBJECT- Obstetric and Gynaecological Nursin

Course Co-ordinator- Ms. Asha (Assistant Professor)

Pres. Theory Hours- 150 hrs. Pres. Practical Hours-650

hrs Total-
800

Course Description
This course is designed to help the students develop and understanding in the field of Obstetric and Gynaecological Nursing. This will help the
students to appreciate the client as a holistic individual and develop skill to function as an independent midwifery practitioner. It will further
enable the student to function as educator, manager and researcher in the field of obstetric and gynaecological nursing.

Objectives
At the end of the course the students will be able to :
1. Appreciate the trends in the field of midwifery obstetric gynaecology as a speciality.

2. Describe the population dynamics and indicators of maternal and child health.

3. Describe the concepts of biophysical, psychological and spiritual aspects of normal pregnancy, labour and puerperium.

4. Provide comprehensive nursing care to women during reproductive period and newborns.
5. Integrate the concepts of family centered nursing care and nursing process approach in obstetric and gynaecological nursing.
6. Identify and analyse the deviations from normal birth process and refer appropriately,

7. Describe the pharmacological agents their effects during pregnancy, child birth, puerperium, lactation and role of nurse

8. Counsel adolescents, women and families on an issues pertaining to pregnancy, child birth and lactation.

9. Describe the role of various types of complementary therapies in obstetric and gynaecological nursing.

10. Incorporate evidence based nursing practice and identify the areas of research in the field of obstetric and gynaecological nursing.

11. Describe the recent advancement in contraceptive technology and birth control measure

12. Appropriate the legal and ethical issues pertaining to obstetric and gynaecological nursing.
 DISTRIBUTION OF THEORY HOURS

TOTAL LEARNING OBJECTIVES COURSE CONTENT TIME TEACHING ASSESSMENT TEACHER’S

HOURS LEARNING METHODS NAME
ACTIVITIES
UNIT -1 Introduction Ms. Asha
10  Explain about the  Historical and contemporary 1  Lecture Cum Essay type short
historical background perspectives. Discussion answer &
of midwifery and objective type
gynaecological  Epidemiological Aspects 2
nursing. maternal and child health
 Magnitude of maternal and 1 Ms. Asha
 Describe child health problems  Lecture Cum Essay type short
epidemiological  Issues of maternal and child 2 Discussion answer &
aspects in maternal health: Age, Gender, objective type
and child health Sexuality. psycho socio-
cultural factors 1
 Preventive obstetrics 2
 National health and family Ms. Asha
 Describe national welfare programmes related  Lecture Cum Essay type short
health and family maternal and child health: Discussion answer &
welfare program health care delivery system- objective type
programmes related national Rural health 2
maternal and child mission, Role Of NGO's
health: health care  Theories, models and 2
delivery system- approaches applied to
national Rural health midwifery practice
mission, Role Of  Role and scope of midwifery
NGO's practice: Independent Nurse 2
 practitioner
 Legal and Ethical issues: 2
 Describe the Legal Code of ethics and standards
and Ethical issues: midwifery practice, standing
Code of ethics and orders
standards midwifery  Evidence based midwifery
practice, standing practice
orders  Research priorities in
obstetric and gynaecological
nursing.

Principles of pre and post operative

care of infants and children
10 Unit-II

 Review of anatomy HUMAN REPRODUCTION  Essay type Ms. Asha

and physiology of  Review of anatomy and 3  short answer &
human reproductive physiology of human  objective type
system: male and reproductive system: male
female and female  Lecture Cum
 Describe Hormonal  Hormonal cycles 2 Discussion
cycles  Embryology 1
 Genetics, teratology and 2
Describe Genetics, teratology counselling
and counselling  Clinical implications 2

25 Describe assessment - UNIT - III PREGNACY

Maternal and foetal measures Essay type and short Ms.Asha
Maternal and measure:  Maternal adaptation: 5  Lecture cum type and ppts
History taking examination - Physiological, psychosocial discussion presentation
General. physical and  assessment - Maternal and 4
obstetrical measure, foetal measures Maternal
identification high risk, and measure: History taking
examination - General.
physical and obstetrical
measure, identification high
risk,

Explain Foetal measure-  Foetal measure- clinical 3

clinical parameters. parameters. Biochemical,
Biochemical, human estriol human estriol maternal  Class Essay type and short Ms. Asha
maternal Serum Alfa Fetu Serum Alfa Fetu protein, presentation type and ppts
protein, Acetyl Choline Acetyl Choline esterase presentation
esterase (AchE.), Triple Test (AchE.), Triple Test
Amniocentesis, Amniocentesis,
Cordocentesis. chorionic Cordocentesis. chorionic
villus sampling (CVS)), villus sampling (CVS)), 3

Describe Biophysical (US  Biophysical (US IMAGING,

IMAGING, Foetal movement Foetal movement count,
count, ultra Sonography, ultra Sonography,
Cardiotocography, cardio - Cardiotocography, cardio -
tomography, Non- Stress tomography, Non- Stress
Test(NST), Contraction stress Test(NST), Contraction 2
test(CSTAmnioscopy, stress test(CST). 3
foetoscopy Amnioscopy, foetoscopy
 Radiological examination
 Interpretation of diagnostic
tests and nursing 3
implications

Describe Nursing
management  Nursing management of the
 pregnant women, minor
disorders of pregnancy and
management, preparation for
child birth and parenthood,
importance of institutional
delivery, choice of birth
setting, importance and
mobilizing of transportation, 2
prenatal counselling, role of
nurse and crisis intervention,
identification high
pregnancy and refer
 Alternative /complementary
therapies

25 Describe normal labour and UNIT 4 NORMAL LABOUR

nursing management AND NURSIG MANAGEMENT

 Essential factors of labour 2

 Stages and onset Ms. Asha
Describe first stage of labour First stage: Physiology of normal 1 Lecture cum Essay type, long
Use of partograph: principles, labour discussion and AV answer type and short
use and critical analysis,  Use of partograph: Aid Projector answer
evidence studies Analgesia principles, use and critical
and anaesthesia in labour analysis, evidence studies 5
Nursing management  Analgesia and anaesthesia in
labour
 Nursing management
Describe Physiology, Second stage
intrapartum monitoring  Physiology, intrapartum 5
Nursing management monitoring
Resuscitation „ immediate  Nursing management
newborn care and initiate  Resuscitation „ immediate Lecture cum Ms. Asha
breast feeding newborn care and initiate discussion and AV Essay type, long
breast feeding (Guidelines of Aid Projector answer type and short
National neonatology forum answer
of India)
Describe Physiology and Third stage
nursing management of third  Physiology and nursing 4
stage of labour management

Describe observation, critical Fourth stage - Observation,

analysis and Nursing, critical analysis and Nursing, 7 Ms. Asha
management of fourth stage management.
of labour  Various child birth practice: Lecture cum
water birth, position change discussion and AV Essay type, long
etc Aid Projector answer type and short
 Evidence based practice in answer
relation to labour 2
intervention
Role of nurse midwifery
practitioner
 Alternative
/complimentary Therapies
 UNIT 5 NORMAL
PUERPERIUM AND NURSIG
20 MANAGEMENT

Describe Physiology of
puerperium Physiology of  Physiology of puerperium 2
lactation,lactation management, Lecture cum Essay type, long Ms. Asha
exclusive breast feeding ,baby  Physiology of lactation,lactation discussion and AV answer type and short
friendly hospital Initiative management, exclusive breast 4 Aid Projector answer
(BFHI), Assessment of postnatal feeding ,baby friendly hospital
women,Minor discomforts and Initiative (BFHI)
complications of puerperium
 Assessment of postnatal women 6
 Minor discomforts and
complications of puerperium

Describe management of  Management of mothers during Lecture cum

mothers during puerperium: Postnatal exercises 6 discussion and AV Essay type, long answer Ms. Asha
puerperium,Postnatal exercises Rooming in,bonding,warm Aid Projector type and short answer
Rooming in,bonding,warm chain chain

 Evidenced based studies 2

Role of nurse midwifery practitioner Lecture cum

 Alternative/complementary 2 discussion
therapies
 Describe Physiology and
characteristics of normal
newborn Physical and Unit 6 Normal Newborn
Behavioural assessment of  Physiology and 3 Lecture cum Essay type, long answer Ms. Asha
20 newborn. characteristics of normal discussion type and short answer
newborn 3
 Physical and Behavioural
assessment of newborn 2
Assess the needs of new born  Needs of newborn 5
Describe Exclusive breast  Essential newborn care:
feeding, Immunization, Exclusive breast feeding,
hygiene measures, Newborn Immunization, hygiene 3
nutrition measures, Newborn
nutrition
Explain Organization of  Organization of neonatal
neonatal care, services care, services (Levels). 2
(Levels). neonatal intensive neonatal intensive care unit,
care unit, organization and organization and
management nursing services management nursing
in NICU services in NICU 1
 Observation and care of
newborn,
 Parenting process 1
 Describe Drugs used tn Unit 7 Pharmoco dynamics in
pregnancy, labour. post obstetrics
10 partum and newborn  Drugs used in pregnancy,
Describe Calculation Of drug labour. post partum and 2
dose and administration newborn
 Calculation Of drug dose Lecture cum Essay type Ms. Asha
and administration 2 discussion Short answers
Describe Roles and  Effects of drugs used
responsibilities of midwifery  Anaesthesia analgesia in 2
nurse practitioner obstetrics
 Roles and responsibilities of 1
Describe Standing orders and midwifery nurse practitioner 2
protocols and use of selected  Standing orders and
life saving drugs and protocols and use of selected
interventions Of obstetric life saving drugs and
emergencies approved b the interventions Of obstetric 2
MOHFW emergencies approved b the
MOHFW.
 Describe Family welfare UNIT- 8 Family welfare services
10 services
 Population dynamics
Describe Demography  Demography trends: vital 1
trends: vital statistics, statistics, calculation of 2 Lecture cum Short answers Ms. Asha
calculation of indicators indicators especially discussion Essay type
especially maternal and maternal and neonatal
neonatal mortality rates and mortality rates and problem
problem and other health and other health problems
problems  Recent advancement in 1
contraceptive technology
Describe Role of nurses in  Role of nurses in family 1
family welfare programmes welfare programmes in all
in all settings settings 1
Explain Role of independent  Role of independent nurse
nurse midwifery practitioner midwifery practitioner
 Family life education 2
 Evidence based studies
 Information, Education
Describe Information, and Communication (lEC) 2
Education and  Management information
Communication and evaluation
system(MIES) 1
Describe Information, Information, Education and
Education and Communication
Communication
5 UNIT- 9 INFERTILITY

Describe Primary and  Primary and secondary 1

secondary causes of causes
infertility. 1
Explain Diagnostic  Diagnostic procedures  Lecture
Ms.Asha
procedures 1 discussion  Assessment of
 Counselling: Ethical and  Practice skills with
Describe Counselling: Ethical legal aspects of assisted teaching checklist
and legal aspects of assisted reproductive technology 1  Clinical  Short answer
reproductive technology (ART) teaching
(ART)  Recent advancement in 1
infertility management.
 Adoption procedures
Describe Role of nurses in
infertility Role of nurses in infertility
management
5  Describe Menopause Unit -10 Menopause  Lecture  Short answer
discussion  Objective type Ms. Asha
 Explain  Physiological, psychological 2  Clinical
Physiological, and social aspects teaching
psychological and  Hormone Replacement 1  Workshop
social aspects Therapy 1 
 Surgical menopause 1
 counselling and guidance
1
Role of midwifery nurse practitioner
5  Describe Abortion UNIT –11 Abortion  Lecture cum  Essay type Ms. Asha
Its Types and causes discussion  Objective type
 Types, causes 2  Class
 Legislations, Clinical  Legislations, Clinical rights 2 presentation
rights and and professional
professional responsibility
responsibility  Abortion procedures 1
 Complications
 Nursing management
PRACTICAL

TOTAL = 660 HOURS

1 WEEK = 30 HOURS

Deptt. / Unit No. of weeks Total Hours

S. No.
1 Antenatal Wards and OPDs and Family planning clinic 6 180

2 Labour room 5 150

3 Postnatal ward 2 60

4 PHC/Rural maternity settings 4 120

5 Gynae,Maternity OT 4 120

6 NICU 1 30

Total 22 Weeks 660 Hours

Procedure
 Diagnostic investigation : amniocentesis, chordocentecis, chorionic villi sampling
 Infertility management: artificial reproduction: artificial insemination, invitro fertilization and related procedure

Procedure assisted
 Medical termination of pregnancy

Procedure performed
 Antenatal assessment- 20
 Postnatal assessment- 20
 Assessment during labour : use pf partograph- 20
 Per vaginal examination -20
 Conduct of normal delivery -20
 Episiotomy and suturing – 10
 Setting up of delivery areas
 Insertion of intra uterine devices (copper T)
 Bibliography

 JACOB ANNAMMA .A Comprehensive Textbook of midwifery and gynecological nursing .5th

edition.Health science publisher.

 DUTTA D.C.A Textbook of obstretrics. 9th edition.New central book agency London. .

 MAGON SHALLY,SIRA SANJU.A textbook of midwifery and obstetrics. 4th edition. lotus publisher.
 STATE INSTITUTE OF NURSING AND PARAMEDICAL SCIENCES,BADAL

COURSE PLAN

SUBMITTED TO: SUBMITTED BY:

Respected mam Ms.Asha Sukhmani
Assistant Professor M.Sc Nursing 1st year
SINPMS,Badal