1Introduction to concepts of midwifery and obstetrical Nursing Trends in midwifery and obstetrical nursing Historical perspectives and current trends Legal and ethical aspects Preconception care and preparing for parenthood Role of nurse in midwifery and obstetrical care National policy and legislation in relation to maternal health and welfare Maternal morbidity mortality and fertility rates Perinatal morbidity and mortality rates 2 Female pelvis general description of the bones joints ligaments planes of the pelvis diameters of the true pelvis important landmarks variations in pelvis shape Female organs of reproduction external genetalia internal genital organs and their anatomical relations musculature blood supply nerves lymphatics pelvic cellular tissue pelvic peritoneum Human sexuality Foetal development Conception Review of fertilization umbilical card placenta development embryo development fetal circulation fetal skull review of genetics

3 Normal pregnancy Physiological changes during pregnancy Psychological changes Discomforts of pregnancy Diagnosis of pregnancy Signs Differential diagnosis Confirmatory tests Ante-natal care Objectives assessment antenatal examination per vaginal examination Relationship of foetus to uterus and pelvis high risk assessment and screening noninvasive and invasive procedures diagnostic evaluation for pregnancy Antenatal counseling Antenatal exercises and Diet Substance use Education for child-birth Husband and families Preparation for safe confinement Prevention from radiation Psycho social and cultural aspects of pregnancy 4 normal labour physiology of labour first stage preparation of labour room partograph maternal and fetal monitoring second stage of labour mechanism of labour principles episiotomy newborn resuscitation care of umbilical cord immediate assessment of newborn initial feeding third stage of labour Method of placental expulsion Management Principles and techniques Examination of the placenta-examination of perineum Maintaining records and reports Fourth Stage 5 Normal puerperium Physiology Duration Postnatal assessment and management Promoting physical and emotional well being Lactation management Immunization Family dynamics after child birth Family welfare services methods counseling Follow-up Records and reports

6 newborn adaptation immediate newborn care essential newborn care immunization breastfeeding prevention of infection minor disorder of newborn level of neonatal care records and reports 7 high risk assessment and screening noninvasive procedures Hyper emesis gravidarum bleeding in early pregnancy abortion ectopic Pregnancy vesicular mole Ante partum haemorrage Uterine abnormality and displacement Diseases complicating pregnancy Medical and surgical conditions Infections RTI STD UTI HIV TORCH Gynaecological diseases Pregnancy induced hypertension diabetes Toxemia of pregnancy hydramnios Rh incompatibility Mental disorders Adolescent pregnancy Elderly primi and grand multipara Multiple pregnancy Abnormalities of placenta cord Intra uterine growth retardation Nursing management of mothers with high risk pregnancy 8 CPD and contracted pelvis Malpositions and malpresentations Premature labour disorders of uterine actions precipitate labour prolonged labour Complications of third stage injuries to birth canal Obstetrical emergencies and their management Obstetrical procedures and operations Induction of labour forceps vacuum version manual removal of placenta cesarean section destructive operations Nursing management of women undergoing Obstetrical operations and procedures

9Assessment and management of woman with postnatal complications Puerperal infections breast engorgement infections thrombo Embolic disorders post partum haemorrage Eclampsia and sub involution Psychological complications Post partum Blues Post partum Depression Post partum Psychosis 10 Admission of neonates in the neonatal intensive care units protocols Nursing management of Low birth weight babies Infections Respiratory problems haemolytic disorders Birth injuries Malformations Monitoring of high risk neonates Feeding of high risk neonates Organization and management of neonatal intensive care units Infection control in neonatal intensive care units Maintenance of reports and records

11 drugs in obstetrics Indication dosage action contra indication and side effects of drugs Effect of drugs on pregnancy labour puerperium Nursing responsibilities in the administration of drug in Obstetrics Oxytocins anti hypertensives diuretics tocolytic agents anti convulsants Analgesics and anesthetics in obstetrics Effects of maternal medication on foetus and neonate 12 Population trends and problems in India Concepts aims importance and history of family welfare programme National Population dynamics policy and education National family welfare programme Organization and administration at national state district block and village levels Methods of contraception spacing temporary and permanent Emergency contraception Infertility and its management Counseling for family welfare Latest research in contraception Maintenance of vital statistics Role of national international and voluntary organizations Role of a nurse in family welfare programme Collaboration with anganwadi and traditional birth attendant