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Maternal & Infant Health - #25380


 

 
Linda J. Bowers, DC
2.0
30.0
2.0
0
Learners will develop an understanding of normal physiological and biomechanical changes in pregnancy. Emphasis is placed on lifestyles and behaviors that maximize health in pregnancy for the mother and her unborn child. Health aspects of the first year of life are also discussed.
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The Institution-wide learning goals define the common ground that unites the programs within the university. They are purposefully broad so that the various colleges and schools can continue to develop their unique identities through varying ways in which the goals are met.

  1. Effective Communication
    Graduates will demonstrate effective verbal, non-verbal, and written communication skills in a wide variety of contexts, including collaborative activities.
  2. Self Directed and Lifelong Learning
    Graduates will be aware of the limits of one’s personal knowledge and experience and have an intellectual interest in scholarly and creative endeavors. Graduates will actively set appropriate learning goals, pursue them, and apply the knowledge gained.
  3. Ethical Reasoning
    Graduates will demonstrate a willingness to recognize the values of others while maintaining one’s own integrity, and act ethically and professionally in all endeavors.
  4. Individuals, Communities and Cultures
    Graduates will demonstrate awareness and sensitivity to the cultural and health practices of individuals and communities. Graduates will be able to identify appropriate health related resources.
  5. Service to the Community
    Graduates will understand and value the benefits of service to the community.
  6. Influence of Mind, Body and Spirit on Health
    Graduates will recognize the inter-relationship of the mind, body and spirit and the influence of extrinsic factors on an individual’s health.
  7. Critical Thought and Knowledge Acquisition
    Graduates will acquire, appraise and apply scientific information. Graduates will contextually organize and synthesize relevant information to address an issue or problem.
  8. Competence in one's Discipline
    Graduates will demonstrate competence of appropriate depth and scope for one's discipline.

Course Objectives
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  1. Appreciate the unique aspects of caring for pregnant women and for infants as to communication skills needed, physical examination modifications necessary, and management issues.
  2. Enable students to formulate an impression of their own role and the chiropractic profession's role in maternal and infant health.
  3. Familiarize students with methods to access and evaluate reliable, relevant sources of information regarding maternal and infant healthcare.
  4. Provide introductory training in the scope of maternal and infant health concerns including the following subject specific areas: health history, physical examination, periodic health examination, lab/radiology examinations, common and/or critical disorders/concerns, and prevention/health promotion practices relevant to pregnant women and infants.
  5. Provide information to be an advocate for a pregnant woman's healthcare rights.
  6. Assume the ethical responsibility for an infant's healthcare rights.
Materials
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A. Required Text(s):
  1. Course notes and handouts
  2. Green M, Palfrey JS, eds. 2002. Bright Futures: Guidelines for Health Supervision of Infants, Children and Adolescents, 2nd edition, revised. Arlington, VA National Center for Education in Maternal and Child Health.

B. Recommended Text(s):
N/A
C. Required Materials for Lab:
N/A
Assignments
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A. Read the appropriate sections in your lecture notes prior to class.
B. Reading for BF nutrition in infancy(Quiz 5) directions: go to www.brightfutures.org, click on Bright Futures in  Practice Series, scroll down to Bright Futures in Practice: Nutrition, click on download PDF of Bright Futures in Practice Nutrition, scroll to Nutrition Supervision, click on Infancy, read chapter.
C. In-class worksheets and vignettes.
D. Maternal health/pregnancy internet sites: you are to "surf the net" and find at least 3 sites regarding pregnancy or maternal health and 2 sites regarding infancy that you would recommend as a good source of information regarding health concerns or changes during pregnancy and infancy. After you have found the sites, you are to complete a typed paper regarding each site.
Format for internet paper: for each site: 1) the URL address, 2) aspects of the site you like, 3) aspects of the site you don't like, 4) reliability and validity of the information contained in the site and any apparent bias of the site, and 5) your recommendations to a patient or colleague regarding this site. Paper must be typed using Times New Roman, 12 point font, 1-inch margins.
Grading for Internet paper: for each site: 1 point if all 5 bulllet points are completely answered and well written (ie complete sentences). 0.5 point if short phrases for answered and/or not all 5 aspects of each site are addressed. Late papers will have a 20% reduction in grade per day.
E. Online pneumatic otoscopy review course: go to: www.aap.org/otitismedia/www. Click on enter the site; on the left side of the page is the otoscopy review, take the course. Complete the worksheet regarding this course. Late papers will have a 20% reduction in grade per day.
Attendance
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Attendance at all lectures is required. If you miss more than 10% of class time, you will be dismissed from class.
Grading Criteria
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Miscellaneous:

In-class work:~20 - 25 points Make-up of in-class work will be given solely at my discretion and is worth 1/2 of the possible points.
Internet worksheet: 5 points
Online review course: 5 points
 Examination #1: 55 points (covers Bright Futures readings)
Quizzes will be given promptly at the beginning of the first hour. Quizzes will cover that week's reading assignment.  Quizzes are not "dropped". There are no make-up quizzes.

Midterm: ~70-100 points (covers lecture material through labor & delivery)
Final: ~70-100 points (covers biomechanical changes to end)
Notes:

-It is your responsibility to keep track of your performance in this course. Scores will be posted to eNorthwestern as soon as the homework/quizzes/exams are graded.
-My previous tests, quizzes, and worksheets are not sanctioned for student use. If you use non-sanctioned material, you will be found guilty of cheating and, at minimum, receive a zero on that material. If you are found guilty of inappropriate test-taking behavior, you will receive a zero on that homework/quiz/exam and the behavioral standards committee will be notified.
-You must notify me as soon as possible if you are going to miss a class, quiz or test either by email or phone.
- Make-up examinations are given at my discretion. You need to fill out a make-up examination request form. Proof regarding the absence will be needed. For example, a wedding invitation, boarding pass, or note from physician, funeral notice. Note: make-up examinations may be different from the original examination.
- Grievances involving my judgement in assigning a grade based on academic performance may be resolved only through an informal resolution manner and not through any grievance procedure.

 

Guaranteed grades are as follows:

A = 90-100%
B = 80-89%
C = 75-79%
D = 70-74%
F = 69% and below
Course Competencies
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-

COGNITIVE DOMAIN


  1. Recognize normal physiological and biomechanical changes in pregnancy.
  2. Recognize normal growth and development patterns of infants.
  3. Knowledgeable about common and/or critical maternal and infant disorders and the appropriate management strategies to be employed.
  4. Select the appropriate laboratory and radiological examinations necessary for a pregnant woman or an infant.
  5. Assess the nutritional adequacy of a pregnant woman's diet as well as an infant's diet and design a program of nutrition which addresses the major nutritional concerns.
  6. Evaluate a pregnant woman's level of physical fitness and preparedness for labor and delivery, and plan a program that maximizes the chance for a healthy and safe delivery.
  7. Appraise health promotion literature and incorporate the information into a healthcare program for infants and pregnant women.


Conditions:
N/A

PSYCHOMOTOR DOMAIN


  1. Perform/observe a history and physical examination on a pregnant woman and an infant.
  2. Perform/observe chiropractic adjustments safely, judiciously and appropriately on infants and pregnant women.


AFFECTIVE DOMAIN


Demonstrate integrity, sensitivity, respect, courtesy, compassion, and professionalism when working with pregnant women and infants.
Weekly Calendar of Learning Objectives
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Week Dates Topics/Learning objectives
Week 1 -- Introduction, pre-conception health
Diagnosis of pregnancy
Reading: BF Guidelines: (p 7-11; 19-34)
Week 2 -- History, physical exam, diagnostic tests, In the Womb DVD
Reading: BF Guidelines: (p 37-58)
Week 3 --

High-risk pregnancies, Special concerns
Reading: BF Guidelines: (p 61-76)
Week 4 --

Nutrition
Read class notes nutrition up to assessment
Reading: BF Guidelines: (p 79-97)
Week 5 --

Lifestyle, FAS; Prenatal health concerns, Pregnancy complications (read notes)
Reading: BF-Nutrition www.brightfutures.org
Examination #1
Week 6 -- Normal L & D
Week 7 -- Normal L&D
MIDTERM EXAMINATION
Week 8 -- Adjusting pregnant women
Reading: Adjustive procedures for the pregnant chiropractic patient
QUIZ 1
Week 9 -- Immediate care of the NB and mother; puerperium, breastfeeding
Week 10 -- PE of newborn; adjusting infants
Internet sites worksheet due
Week 11 --

Adjusting infants, Seriously ill infant
Week 12 --

Common/Critical health concerns
Online course worksheet due
Week 13 --

Common/Critical health concerns
Week 14 -- FINAL EXAMS AS SCHEDULED
Week 15 -- FINAL EXAMS AS SCHEDULED
Please Note
This schedule of lecture and lab topics and quizzes and exams may be changed during the course of the trimester as circumstances require. Whenever possible, such changes will be announced in class before the date and time in question. You are responsible for anything that transpires during lectures and labs, even when you are unable to attend. In the event that you miss a class session, make sure you check with a classmate about any announcements or schedule changes which may have been made. Makeup exams are allowed only according to the policies described in the current student handbook, which is available in the Student Affairs office.
Maintained by Northwestern College of Chiropractic
Last updated:8/3/2006
 

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