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Introduction to the Program
Get updated in the most modern approach to Obstetric Emergencies both in the different periods of pregnancy and in labor and postpartum"
Nowadays it is common in large hospitals for the obstetric and gynecological emergency services to be independent of the general hospital emergency services. This is an important feature, since the midwife must not only be prepared to deal with obstetric pathology itself, but also with all types of non-obstetric complaints that may occur to the pregnant woman.
Among her daily tasks is not only emergency care, but also assistance in the delivery room and operating room, where the life of the patient, both mother and fetus, are in danger. Therefore, it is vitally important that healthcare professionals are prepared to deal with any type of unexpected situation in the normal course of a pregnancy, both in the early stages of pregnancy and in subsequent trimesters.
The modules that make up this Master's Degree delve precisely into the latest and most interesting issues in the area of Obstetric and Neonatal Emergencies for Midwives. Health professionals will carry out an extensive and in-depth review of non-obstetric pathologies present during pregnancy, frequent neonatal emergencies distinguished by stages, cardiopulmonary resuscitation and special situations such as pseudocyesis or gender violence during pregnancy.
All this under a unique theoretical and practical perspective, as the teaching team has made special emphasis on each topic through numerous multimedia resources of high quality, useful in the work of contextualization of all the theory. The numerous real clinical cases, complementary readings and self-knowledge exercises to which the midwife has access during the course are a distinctive advantage to update herself in a much more effective and comprehensive way.
Taking into account that taking on a program of this nature is usually a complicated task for the midwife, TECH has eliminated both the presential classes as well as the usual pre-fixed schedules in this type of program. This means that there is total freedom to assume the teaching load at the pace you choose, being able to download the entire syllabus from any device with an Internet connection.
Incorporate into your daily practice the updated approach to pathologies such as specific gestational dermatoses, ectopic pregnancy, premature rupture of membranes and labor dystocias"
This Master's Degree in Obstetric and Neonatal Emergencies for Midwives contains the most complete and up-to-date scientific program on the market. The most important features include:
- The examination of practical cases presented by experts in Emergencies Obstetric and Neonatal
- Graphic, schematic, and practical contents with which they are created, provide scientific and practical information on the disciplines that are essential for professional practice
- Practical exercises where self-assessment can be used to improve learning
- Its special emphasis on innovative methodologies
- Theoretical lessons, questions to the expert, debate forums on controversial topics, and individual reflection assignments
- Content that is accessible from any fixed or portable device with an Internet connection
All content will be available from the first day of your program, and you can download each topic and supplementary material at your own pace and interests"
The program’s teaching staff includes professionals from the sector who contribute their work experience to this educational program, as well as renowned specialists from leading societies and prestigious universities.
Its multimedia content, developed with the latest educational technology, will allow professionals to learn in a contextual and situated learning environment, i.e., a simulated environment that will provide immersive education programmed to prepare in real situations.
The design of this program focuses on Problem-Based Learning, by means of which professionals must try to solve the different professional practice situations that are presented to them throughout the academic year. For this purpose, the student will be assisted by an innovative interactive video system created by renowned and experienced experts.
You will have the constant support and advice of the largest online academic institution in the world"
You will gain privileged access to real clinical cases and a practical approach to each of the topics covered throughout the syllabus"
Syllabus
In order to facilitate as much as possible the study work by midwives, TECH has used the pedagogical methodology of Relearning in the development of all the content of this program. This means that the most important terms and concepts of Obstetric and Neonatal Emergencies are repeated repeatedly throughout the syllabus. In this way, a much more natural and effective update is achieved, avoiding that midwives must invest large amounts of study hours to incorporate all the acquired knowledge to their daily practice.
You will be able to go deeper into each topic through detailed videos, clinical cases and high quality readings provided by the teaching team"
Module 1. Neonatal Emergencies
1.1. Rh Isoimmunization
1.1.1. Etiology and Risk Factors
1.1.2. Diagnosis
1.1.3. Effects on the Fetus
1.1.4. Importance of Prevention in Obstetric Emergencies
1.2. Neonatal Infection
1.3. Surgical Emergencies
1.3.1. Traumatology
1.3.2. Digestive: Esophageal Atresia
1.3.3. Umbilical
1.3.4. Urogenital
1.3.5. Neurological: Neural Tube Defects, Hydrocephalus
1.3.6. Diaphragmatic Hernia
1.4. Neurological Problems
1.4.1. Seizures
1.4.2. Intrapartum Asphyxia: Hypoxic-Ischemic Encephalopathy
1.5. Metabolic Alterations
1.5.1. Hyperglycemia
1.5.2. Hypoglycemia
1.6. Congenital Metabolic Errors
1.7. Anaemia. Polycythemia. Hyperbilirubinemia
1.8. Congenital Heart Disease
1.9. Respiratory Pathology
1.10. Prematurity
Module 2. Non-obstetric Pathologies during Pregnancy
2.1. Respiratory System Diseases
2.1.1. Physiological Changes in the Pregnant Woman
2.1.2. Pathology in Pregnant Women
2.2. Hematologic and Circulatory Abnormalities
2.2.1. Physiological Changes in the Pregnant Woman
2.2.2. Anemias
2.2.2.1. Microcytes
2.2.2.2. Normocytes
2.2.2.3. Macrocytes
2.2.2.4. Rare
2.2.3. Plateletopenia/Thrombocytopenia
2.2.4. Von Willebrand Disease
2.2.5. Circulatory Disorders
2.2.5.1. Antiphospholipid Syndrome
2.2.5.2. Hereditary Thrombophilias
2.2.5.3. Varicose Veins
2.2.5.4. Deep Vein Thrombosis
2.2.5.5. Pulmonary Embolism
2.3. Heart Disease and Pregnancy
2.3.1. Physiological Changes in the Pregnant Woman
2.3.2. Risk Classification in Pregnant Women with Heart Disease
2.3.3. Management of Heart Disease During Pregnancy
2.3.4. Management of Heart Disease in Childbirth
2.3.5. Management of Postpartum Heart Disease
2.4. Diseases the Urinary System
2.4.1. Physiological Changes in the Pregnant Woman
2.4.2. Asymptomatic Bacteriuria
2.4.3. Cystitis
2.4.4. Acute Pyelonephritis
2.4.5. Obstructive Uropathy (Urolithiasis)
2.5. Skin Disorders
2.5.1. Physiological Changes in the Pregnant Woman
2.5.2. Pregnancy-Specific Dermatoses
2.5.2.1. Gestational Herpes or Pengyphoid Herpes in Pregnancy
2.5.2.2. Polymorphous Rash in Pregnancy
2.5.2.3. Gestational Prurigo
2.5.2.4. Pruritic Folliculitis in Pregnancy
2.5.3. Impetigo Herpetiformis
2.5.4. Differential Diagnosis of Pruritus during Pregnancy
2.6. Endocrine System Diseases
2.6.1. Physiological Changes in the Pregnant Woman
2.6.2. Diabetes
2.6.2.1. Types of Diabetes
2.6.2.2. Hypoglycemia/Hyperglycemia
2.6.2.3. Diabetic Ketosis
2.6.2.4. Chronic Metabolic Complications
2.6.3. Thyroid Disorders
2.6.3.1. Hypothyroidism and Pregnancy
2.6.3.2. Hyperthyroidism and Pregnancy
2.6.3.3. Thyrotoxic Crisis
2.6.4. Adrenal Gland Disorders
2.6.4.1. Pheochromocytoma
2.7. Digestive System Diseases
2.7.1. Physiological Changes in the Pregnant Woman
2.7.2. Pathology in Pregnant Women
2.8. Nervous System Diseases
2.8.1. Headaches and Migraines
2.8.2. Bell’s Palsy
2.8.3. Epilepsy
2.8.4. CVA
2.8.5. Autonomous Dysreflexia
2.9. Autoimmune and Musculoskeletal Diseases during Pregnancy
2.9.1. Physiological Changes in the Pregnant Woman
2.9.2. Pathology in Pregnant Women
2.10. Psychiatric Disorders during Pregnancy
2.10.1. Physiological Changes in the Pregnant Woman
2.10.2. Pathology in Pregnant Women
Module 3. Infections During Pregnancy
3.1. Fever in Pregnant Women
3.1.1. Fever, Fever of Short Evolution, Long Evolution, Fever of Unknown Origin, Bacterial Fever, Systemic Inflammatory Response Syndrome, Sepsis
3.1.2. Possible Causes of Fever in Pregnant Women
3.1.3. Differential Diagnosis
3.2. Acute Gastroenteritis
3.2.1. Types of Gastroenteritis
3.2.2. Clinical Symptoms
3.2.3. Diagnosis
3.2.4. Treatment during Pregnancy
3.3. Bartholinitis
3.3.1. Diagnosis
3.3.2. Risk Factors
3.3.3. Treatment
3.4. Vulvovaginitis
3.4.1. Bacterial Vaginosis
3.4.2. Candidiasis
3.5. Sexually Transmitted Diseases: Bacterial and Parasitic Diseases
3.5.1. Chlamydia
3.5.2. Gonorrhoea
3.5.3. Trichomoniasis
3.5.4. Syphilis
3.6. Sexually Transmitted Diseases
3.6.1. HIV
3.6.2. Genital Herpes
3.7. Tropical Diseases
3.7.1. Trypanosomiasis or Chagas Disease
3.7.2. Zika
3.7.3. Dengue
3.7.4. Malaria
3.7.5. Cholera
3.7.6. Leishmaniasis
3.8. Toxoplasmosis and Cytomegalovirus
3.8.1. Toxoplasmosis
3.8.2. Cytomegalovirus
3.9. Epstein Barr Virus, Parvovirus B19, Listeriosis
3.9.1. Epstein Barr Virus
3.9.2. Parvovirus B19
3.9.3. Listeriosis
3.10. Rubella, Chickenpox and Measles
3.10.1. Rubella
3.10.2. Chickenpox
3.10.3. Measles
Module 4. Obstetric Emergencies in the First Trimester
4.1. Hyperemesis Gravidarum:
4.1.1. Etiology and Risk Factors
4.1.2. Clinical Symptoms
4.1.3. Diagnosis
4.1.4. Treatment. Importance of Nutrition
4.2. Abdominal-Pelvic Pain in Pregnant Women
4.2.1. Etiology
4.2.2. Importance of Differential Diagnosis
4.2.3. Complementary Tests
4.3. Metrorrhagia in the First Half of Pregnancy
4.3.1. Threat of Abortion
4.3.2. Intrauterine Hematomas: Retroplacental, Subchorionic, Subamniotic and Supracervical
4.4. Abortion
4.4.1. Types
4.4.2. Etiology and Risk Factors
4.4.3. Diagnosis
4.5. Abortion Treatment and Complications
4.5.1. Treatment
4.5.2. Complications
4.6. Repeat Abortion and Psychoemotional Aspects
4.6.1. Repeat Abortion
4.6.2. Psychoemotional Aspects
4.7. Voluntary Termination of Pregnancy (VTP)
4.7.1. Introduction
4.7.2. Legal Assumptions of VTP
4.7.3. Treatment
4.7.4. Complications
4.7.5. Selective Fetal Reduction or Discontinuation
4.8. Ectopic Pregnancy
4.8.1. Uncertain Location Pregnancy
4.8.2. Types of Ectopic Pregnancy
4.8.3. Etiology and Risk Factors
4.8.4. Diagnosis
4.8.5. Treatment
4.9. Trophoblastic Disease
4.9.1. Hydatidiform Mole
4.9.2. Gestational Trophoblastic Tumor
4.10. HPV and Cervical Cancer in Pregnancy
4.10.1. Screening during Gestation
4.10.2. Treatment
Module 5. Obstetric Emergencies in the Second and Third Trimester
5.1. Threat of Premature Delivery
5.1.1. Etiology and Risk Factors
5.1.2. Clinical Symptoms
5.1.3. Diagnosis
5.1.4. Treatment
5.2. Premature Rupture of Membranes
5.2.1. Etiology and Risk Factors
5.2.2. Diagnosis
5.2.3. Treatment
5.3. Chorioamnionitis
5.3.1. Etiology and Risk Factors
5.3.2. Clinical Symptoms
5.3.3. Diagnosis
5.3.4. Treatment
5.4. Cervical Deficiency
5.4.1. Etiology and Risk Factors
5.4.2. Diagnosis
5.4.3. Treatment
5.5. Placenta Previa. Previous Vasa
5.5.1. Etiology and Risk Factors
5.5.2. Diagnosis
5.5.3. Treatment
5.6. Detachment of a Normally Positioned Placenta
5.6.1. Etiology and Risk Factors
5.6.2. Diagnosis
5.6.3. Treatment of Placental Abruption
5.7. Hepatopathy in Pregnancy
5.7.1. Intrahepatic Cholestasis
5.7.2. Fatty Liver
5.8. Hypertensive states of Pregnancy (EHE)
5.8.1. Classification
5.8.2. Etiology and Risk Factors
5.8.3. Diagnosis
5.8.4. Determination of the Degree of Severity
5.9. Preeclampsia in Pregnancy
5.9.1. Preeclampsia
5.10. Eclampsia and HELLP syndrome
5.10.1. Eclampsia
5.10.2. HELLP Syndrome
Module 6. Obstetric Emergencies During Labor: Dilation Phase
6.1. Labour and Delivery
6.1.1. Prodromes of Labor
6.1.2. Delivery
6.1.3. Stages in the Birth Process
6.1.4. Admission Criteria
6.2. Analgesia during the Dilatation Period
6.2.1. Non-Pharmacological Pain Relief Methods
6.2.2. Pharmacological Pain Relief Methods
6.2.3. Complications
6.3. Methods of Monitoring Fetal Well-Being
6.3.1. External Fetal Monitoring
6.3.2. Internal Fetal Monitoring
6.3.3. Basic Parameters for the Interpretation of Cardiotocographic Recordings
6.4. Risk of Loss of Fetal Well-Being
6.4.1. Pathology Parameters for the Interpretation of Cardiotocographic Recordings
6.4.2. Interpretation of the Register according to Different Agencies
6.4.3. Other Complementary Tests
6.4.4. Intrauterine Fetal Resuscitation
6.5. Dystocia during Childbirth Maternal Causes Dynamic Dystocia
6.5.1. Dynamic Dystocia
6.5.2. Diagnosis of Non-Progression of Labor
6.6. Birth Canal Dystocia
6.6.1. Soft Canal Dystocia
6.6.2. Boned Canal Dystocia
6.6.3. Positioning during Delivery Fetal Descent
6.7. Labor Dystocias: Ovarian Causes
6.7.1. Umbilical Cord Knots
6.7.2. Umbilical Cord Circulars
6.7.3. Umbilical Cord Prolapse
6.8. Labor Dystocias: Ovarian Causes
6.8.1. Types of Podalic Presentation
6.8.2. Vaginal Breech Delivery
6.8.3. Complications
6.9. Labor Dystocias: Other Presentations
6.9.1. Anomalous Presentations: Face, Forehead, Chin
6.9.2. Anomalous Presentations: Oblique and Transverse Situations
6.9.3. Compound Presentations
6.10. Amniotic Fluid Embolism
6.10.1. Etiology and Risk Factors
6.10.2. Diagnosis
6.10.3. Performance
Module 7. Obstetric Emergencies During Labor: Expulsion and Delivery Phase
7.1. Shoulder Dystocia
7.1.1. Risk Factors
7.1.2. First, Second and Third Level Maneuvers
7.1.3. Effects on the Fetus
7.2. Instrumental Delivery
7.2.1. Types of Instrumental Delivery
7.3. Emergency Cesarean
7.3.1. Indication for Urgent Cesarean Section
7.3.2. Preparation of the Pregnant Woman for Urgent Caesarean Section
7.3.3. Analgesia in Emergency Cesarean Section
7.4. Special Situations during Delivery
7.4.1. Preterm Delivery
7.4.2. Twin Delivery
7.5. Hemorrhage associated with Childbirth and early Puerperium
7.5.1. Etiology and Risk Factors
7.5.2. Classification
7.5.3. Diagnosis and Quantification of Hemorrhage
7.6. Uterine Atony and Coagulation Disturbances in Hemorrhage Associated with Childbirth and Early Puerperium
7.6.1. Uterine Atony
7.6.1.1. Medical treatment
7.6.1.2. Surgical treatment
7.6.2. Coagulation Alterations
7.7. Trauma to the Birth Canal
7.7.1. Cervico-Vaginal and Perineal Trauma
7.8. Retention of Placenta or Ovarian Adnexa
7.8.1. Retention of Placenta or Ovarian Adnexa
7.8.1.1. Diagnosis
7.8.1.2. Etiology and Risk Factors
7.8.1.3. Delivery Maneuvers
7.8.1.4. Performance and Treatment
7.8.1.5. Umbilical Cord Breakage
7.9. Placental Accreta and Uterine Inversion
7.9.1. Placenta Accrete
7.9.1.1. Diagnosis
7.9.1.2. Etiology
7.9.1.3. Treatment
7.9.2. Uterine Inversion
7.9.2.1. Diagnosis
7.9.2.2. Degrees of Uterine Inversion
7.9.2.3. Performance and Maneuvers
7.10. Uterine Rupture
7.10.1. Classification (Dehiscence and Tearing)
7.10.2. Diagnosis
7.10.3. Treatment
Module 8. Postpartum Emergencies
8.1. Postpartum Infection
8.1.1. Genital Tract and Pelvic Infections
8.1.1.1. Risk Factors
8.1.1.2. Signs and Symptoms by Extent
8.1.1.2.1. Endometritis
8.1.1.2.2. Salpingitis
8.1.1.2.3. Pelviperitonitis
8.1.1.2.4. Pelvic Celulitis or Parametritis
8.1.1.2.5. Pelvic Thrombophlembitis
8.1.1.2.6. Generalized Peritonitis
8.1.1.2.7. Perineum, Vagina and Cervix Infection
8.1.1.2.8. Cesarean Wound Infection
8.1.1.2.9. Septicemia
8.1.1.3. Treatment and Care
8.1.2. Urinary Infection
8.1.3. Respiratory infection. Mendelson's Syndrome
8.2. Birth Canal Complications
8.2.1. Dehiscence
8.2.1.1. Risk Factors
8.2.1.2. Treatment
8.2.2. Vulvar/Perineal Haematoma
8.2.2.1. Risk Factors
8.2.2.2. Treatment
8.3. Urinary Disturbances in the Postpartum Period
8.3.1. Voiding Dysfunction and Urinary Retention
8.3.2. Urinary Incontinence
8.4. Thromboembolic Disease in the Puerperium
8.4.1. Etiology and Risk Factors
8.4.2. Most Common Postpartum Thrombosis
8.4.3. Diagnosis
8.4.4. Treatment and Prevention
8.5. Cardiac and Endocrine Disorders
8.5.1. Puerperal Hypertension
8.5.2. Peripartum Cardiomyopathy
8.5.3. Postpartum Thyroiditis
8.5.4. Sheehan Syndrome
8.6. Psychosocial Maladjustment in the Postpartum Period
8.6.1. Mother-Baby Bonding Issues
8.6.2. Postpartum Depression: Maternity Blues
8.6.3. Puerperal Psychosis
8.7. Breast Pathology
8.7.1. Breast Lesions. Cracks
8.7.2. Candidiasis
8.7.3. Raynaud's Phenomenon
8.8. Breast Engorgement and Milk Pearls
8.8.1. Mammary Ingurgitation
8.8.2. Milk Pearls
8.9. Breast Duct Obstruction
8.9.1. Mastitis
8.9.2. Breast Abscess
8.10. Post Epidural Puncture Headache
8.10.1. Risk Factors
8.10.2. Diagnosis
8.10.3. Clinical Symptoms
8.10.4. Treatment
Module 9. Cardiopulmonary Resuscitation
9.1. Cardiopulmonary Resuscitation (RCP) for Pregnant Women
9.1.1. Etiology of Cardiorespiratory Arrest (CRA)
9.1.2. Incidence
9.1.3. Survival
9.1.4. Risk Factors
9.2. Basic CPR for Pregnant Women
9.2.1. Situation Assessment
9.2.2. Basic CPR Algorithm
9.2.3. Changes to CPR for Pregnant Women
9.3. Advanced CPR for Pregnant Women
9.3.1. ADVANCED CPR Algorithm
9.4. Trauma in Pregnant Woman and Perimortem Caesarean Section
9.4.1. Gravidic Modifications
9.4.2. Trauma Management for Pregnant Women
9.4.3. Perimortem Cesarean Section
9.5. Neonatal Resuscitation
9.5.1. Adaptation to Extrauterine Life
9.5.2. Incidence
9.5.3. Anticipation and Team Preparation
9.5.4. Maternal and Neonatal Risk Factors
9.6. First Steps in Neonatal Resuscitation
9.6.1. Initial Assessment
9.6.2. Initial Stabilization
9.6.3. Routine Care
9.6.4. Cord Clamping
9.7. Algorithms for CPR in Pregnant Women: Current Clinical Guidelines:
9.7.1. Evaluation after First Steps
9.7.2. Respiratory Support
9.7.3. Circulatory Support
9.7.4. Medication in Resuscitation
9.8. Special Situations in Neonatal CPR: Intrapartum Meconium and Prematurity
9.8.1. Meconium
9.8.2. The Premature Newborn
9.8.3. Newborn < 32 weeks
9.9. Other Special Situations in Neonatal CPR
9.9.1. Pneumothorax
9.9.2. Congenital Diaphragmatic Hernia (CDH)
9.9.3. Fetal Hydrops
9.9.4. Choanal Atresia
9.9.5. Pierre-Robin Sequence
9.9.6. Prenatal Diagnostic Upper Area Pathway Involvement: EXIT Technique
9.10. Post-Resuscitation Care
9.10.1. Post-Resuscitation Care for Pregnant Women
9.10.2. Post-Resuscitation Care of the Neonate
9.10.3. Maternal Intercenter Transport
9.10.4. Neonatal Intercenter Transport
Module 10. Special Situations in the Obstetrics Emergency Department
10.1. Out-of-Hospital Birth
10.1.1. Performance
10.1.2. Necessary Material for Childbirth Care
10.1.3. Precautions and Recommendations
10.1.4. Attention upon Arrival at the Hospital
10.2. Drug Addiction and Pregnancy
10.2.1. Management during Pregnancy and Postpartum
10.2.2. Effects on the Fetus
10.3. Domestic Violence during Pregnancy
10.3.1. Concept of Violence and Risk Factors in Pregnancy
10.3.2. Types of Violence
10.3.3. The Cycle of Violence
10.3.4. Detection of Domestic Violence
10.3.5. Action Protocol for Domestic Violence
10.4. Sexual Assault during Pregnancy
10.4.1. Types of Sexual Offenses based on the Penal Code
10.4.2. Action Protocol
10.5. Pseudocyesis
10.5.1. Prevalence and Epidemiology
10.5.2. Pathogenesis and Risk Factors
10.5.3. Diagnosis
10.5.4. Treatment
10.6. Antepartum Fetal Death
10.6.1. Causes and Risk Factors
10.6.2. Action Protocol
10.6.3. Bereavement Care
10.7. Cancer and Pregnancy: Chemotherapy Drugs in Pregnancy
10.8. Transplants and Pregnancy
10.9. SARS CoV2 Infection and Pregnancy
10.10. Informed Consent in Urgent Care
10.10.1. Types of Consent
10.10.2. Revocation of Informed Consent
10.10.3. Special Considerations for the Urgent Care of Minors
10.10.4. Special Considerations for the Urgent Care of Persons under Guardianship
All the material will be a great reference support even after completion of the program, given its own novel and cutting-edge nature"
Postgraduate Diploma in Non-Obstetric Pathologies, Infections and Special Situations in Obstetric and Neonatal Emergencies for Midwives
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The Postgraduate Diploma in Non-Obstetric Pathologies, Infections and Special Situations in Obstetric and Neonatal Emergencies for Midwives is an academic program whose main objective is to prepare midwifery teams for special situations that may arise during pregnancy and childbirth. This Postgraduate Diploma covers all non-obstetric pathologies that a woman may present during pregnancy, from chronic diseases to minor ailments. In addition, infections that can affect both the mother and the fetus and emergency situations that require specific medical attention in the field of maternity are addressed. In this sense, midwives are key players in prenatal care, during childbirth and in the postpartum period, so it is essential that they have the necessary knowledge to face unforeseen situations and know how to act effectively and quickly.
Study 100% online from anywhere in the world .
This academic study is presented in an online format, allowing midwives to study from anywhere and at their own pace. In addition, it has a faculty highly specialized in the subject, which is available to resolve any doubts or concerns. During the Postgraduate Diploma, topics such as gestational diabetes, arterial hypertension, sexually transmitted infections and emergency situations during childbirth and postpartum are addressed. In short, the Postgraduate Diploma in Non-Obstetric Pathologies, Infections and Special Situations in Obstetric and Neonatal Emergencies for Midwives is an excellent option for all those midwives who wish to broaden their knowledge and be prepared for any eventuality in their daily work. It is an investment in your career and, above all, in the attention and care of pregnant women and their babies. Study with TECH from anywhere in the world and at any time you prefer