A comprehensive and 100% online program, exclusive to TECH, with an international perspective backed by our membership in the National League for Nursing" 

During the Puerperium and Breastfeeding, significant physiological, psychological, and social changes occur, requiring an integrated and specialized approach. In fact, organizations such as the WHO and UNICEF emphasize the importance of professional care that promotes maternal recovery and ensures safe and effective breastfeeding. Therefore, it is essential that healthcare professionals possess up-to-date knowledge that enables them to intervene effectively in the challenges inherent to this process. 

In response to this need, TECH has designed this Advanced master’s degree in Puerperium Care and Breastfeeding, which will thoroughly address the clinical, nutritional, and psychoemotional aspects of this stage. Throughout specialized modules, the program will cover postpartum pain management, mastitis prevention, counseling on exclusive/prolonged breastfeeding, and emotional support for the mother. All of this will be delivered through rigorous academic content, developed by experts in maternal and child health. 

Additionally, this university program will be offered 100% online, allowing professionals to adapt their training without compromising their personal or work commitments. The exclusive Relearning methodology will also be incorporated, based on intelligent repetition learning, which enhances knowledge retention and promotes a more efficient, flexible, and tailored academic experience to meet the needs of the current healthcare environment. 

As a member of the National League for Nursing (NLN), TECH offers students access to assessment tools, digital libraries, webinars, and conferences focused on nursing educational excellence. This membership promotes faculty development, engagement with leading experts in the field, and the opportunity to join high-impact academic and clinical networks.    

You will become a leading expert in Puerperium and Breastfeeding with an innovative postgraduate program that will enhance your career and transform your professional practice” 

This Advanced master’s degree in Puerperium Care and Breastfeeding contains the most complete and up-to-date scientific program on the market. The most important features include:

• The development of case studies presented by experts in Breastfeeding and Puerperium  
• The 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 in the management of Breastfeeding and Puerperium  
• 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 

You will solidify your theoretical knowledge with the numerous practical resources offered by this university program” 

The faculty includes professionals from the Breastfeeding field, sharing their work experience in this program, as well as recognized experts from leading societies and prestigious universities. 

Its multimedia content, developed with the latest educational technology, will provide professionals with situated and contextualized learning, that is, a simulated environment that will provide immersive study set up to prepare them in real-life situations. 

This program is designed around Problem-Based Learning, whereby the student must try to solve the different professional practice situations that arise throughout the program. For this purpose, the professional will be assisted by an innovative interactive video system created by renowned and experienced experts.  

Discover the most innovative methodology designed by TECH! You will optimize your training in the field of Puerperium and Breastfeeding with the best academic resources"

You will train 100% online and access the content at any time and from anywhere, adapting it to your needs"

The didactic materials that make up this academic pathway have been developed by a team of experts in maternal and child health. Thanks to this, the university program will delve into the main aspects of puerperium and breastfeeding, allowing graduates to address the specific needs of mothers and newborns. Additionally, the content will focus on advanced techniques and evidence-based clinical practices, strengthening the ability to act in various clinical scenarios.

You will guide mothers and newborns toward quality care, improving their well-being and promoting healthy habits from the very beginning” 

Module 1. Physiological Puerperium

1.1. Concept and Stages of Puerperium
1.2. Objectives of the Midwife during the Puerperium
1.3. Physical and Psychosocial Changes
1.4. Care for the Mother and Newborn in the Immediate Puerperium

1.4.1. General Examination
1.4.2. Physical Assessment
1.4.3. Identification of Problems and Prevention

1.5. Attention and Care to the Mother and Newborn in Early Puerperium

1.5.1. Role of the Midwife in Early Puerperium
1.5.2. Health Education and Self-Care Advice
1.5.3. Newborn Screening and Newborn Hearing Impairment Screening

1.6. Control and Follow-up of Late Puerperium
1.7. Hospital Discharge. Midwife’s Report at Discharge. Early Discharge
1.8. Criteria for Quality Care at the Primary Care Center

1.8.1. Criteria for quality care in Primary Care Centers (Community of Madrid and other Autonomous Communities)
1.8.2. Recommendations of the Clinical Practice Guide from the Ministry of Health (CPG)

1.9.  Health Education in the Puerperium

1.9.1. Introduction and Approach. Types of Intervention
1.9.2. Objectives of Health Education in the Puerperium
1.9.3. Midwife as a Health Agent in the Puerperium
1.9.4. Methodology. Main Techniques in Health Education: Expository Techniques, Research Techniques in the Classroom

1.10. Workgroups in the Puerperium: Puerperium and Breastfeeding Groups

1.10.1. Puerperium Session: Objectives and Contents
1.10.2. Breastfeeding Session: Objectives and Contents
1.10.3. Newborn Care Session: Objectives and Contents

Module 2. Risk Situations in the Puerperium

2.1. Postpartum Hemorrhage

2.1.1. Structure, Classification and Risk Factors
2.1.2. Etiology

2.1.2.1. Uterine Tone Alterations
2.1.2.2. Retained Tissue
2.1.2.3. Birth Canal Trauma
2.1.2.4. Coagulation Disorders

2.1.3. Clinical Presentation and Management of Postpartum Hemorrhage

2.1.3.1. Assessment and Quantification of Hemorrhage
2.1.3.2. Medical and Surgical Treatment
2.1.3.3. Midwifery Care

2.2. Infections in Puerperium

2.2.1. Postpartum Endometritis
2.2.2. Perineal Infection
2.2.3. Abdominal Wall Infection
2.2.4. Mastitis
2.2.5. Sepsis. Lethal Septic Shock Syndrome. Staphylococcal or Streptococcal Toxic Shock

2.3. Thromboembolic Disease, Heart Disease and Severe Anemia in the Puerperium

2.3.1. Thromboembolic Disease in the Puerperium

2.3.1.1. Venous Thrombosis: Superficial, Deep and Pelvic
2.3.1.2. Pulmonary Embolism

2.3.2. Heart Disease in the Puerperium
2.3.3. Severe Anemia in the Puerperium

2.4. Arterial Hypertension, Preeclampsia and HELLP in the Puerperium

2.4.1. Management of Women with Hypertension in the Puerperium
2.4.2. Management of Women with Preeclampsia in the Puerperium
2.4.3. Management of Women with HELLP Syndrome in the Puerperium

2.5. Endocrine Pathology in the Puerperium

2.5.1. Management of Women with Gestational Diabetes in the Puerperium
2.5.2. Thyroid Pathology in the Puerperium
2.5.3. Seehan Syndrome

2.6. Digestive and Urinary Pathology

2.6.1. Major Digestive Pathology in the Puerperium

2.6.1.1. Crohn’s Disease and Ulcerative Colitis
2.6.1.2. Fatty Liver
2.6.1.3. Cholestasis

2.6.2. Urinary Pathology in the Puerperium

2.6.2.1. Urinary Infections
2.6.2.2. Puerperium Urinary Retention
2.6.2.3. Urinary Incontinence

2.7. Autoimmune, Neurological and Neuromuscular Diseases in the Puerperium

2.7.1. Autoimmune Diseases in the Puerperium: Lupus
2.7.2. Neurological and Neuromuscular Pathology in the Puerperium

2.7.2.1. Post-Puncture Headache
2.7.2.2. Epilepsy
2.7.2.3. Cerebrovascular Diseases (subarachnoid hemorrhage, aneurysms, brain neoplasms)
2.7.2.4. Amyotrophic Lateral Sclerosis
2.7.2.5. Myasthenia Gravis

2.8. Infectious Diseases in the Puerperium

2.8.1. Hepatitis B Virus Infection

2.8.1.1. Management of Women with Hepatitis B Infection in the Puerperium
2.8.1.2. Newborn Care and Follow-up of Mothers with Hepatitis B Infection

2.8.2. Hepatitis B Virus Infection

2.8.2.1. Management of Women with Hepatitis C Infection in the Puerperium
2.8.2.2. Newborn Care and Follow-up of Mothers with Hepatitis C Infection

2.8.3. Human Immunodeficiency Virus (HIV) Infection

2.8.3.1. Management of Women with HIV Infection in the Puerperium
2.8.3.2. Newborn Care and Follow-up of Mothers with HIV

2.9. Perineal Trauma and Abdominal Scar Dehiscence After Cesarean

2.9.1. Perineal Tears: Grades of Tears and Care
2.9.2. Episiotomy: Types and Midwifery Care
2.9.3. Abdominal Scar Dehiscence after Cesarean: Midwifery Care
2.9.4. Perineal Hematomas

2.10. Psychiatric Pathology

2.10.1. Postpartum Depression (P.P.D.)

2.10.1.1. Definition, Etiology and Detection of P.P.D
2.10.1.2. Medical Care and Midwife Treatment

2.10.2. Postpartum Psychosis

2.10.2.1. Definition, Etiology, Detection of Postpartum Psychosis
2.10.2.2. Medical Treatment and Midwifery Care

Module 3. Pelvic Floor

3.1. Anatomy of the Female Perineum. Types of Perineal Trauma
3.2. Episiotomy

3.2.1. Definition
3.2.2. Types of Episiotomy
3.2.3. Directions for Performing an Episiotomy
3.2.4. WHO, SEGO and CPG recommendations

3.3. Perineal Tears

3.3.1. Definition and Types
3.3.2. Risk Factors
3.3.3. Prevention of Perineal Tears

3.4. Hematomas. Midwifery Care After Perineal Repair

3.4.1. Minor Tears (Types I and II)
3.4.2. Severe Tears (Types III and IV)
3.4.3. Episiotomy

3.5. Short-Term Complications of Perineal Trauma

3.5.1. Hemorrhages
3.5.2. Infections
3.5.3. Pain and Dyspareunia

3.6. Long-Term Complications of Perineal Trauma: Incontinence

3.6.1. Urinary Incontinence
3.6.2. Fecal Incontinence
3.6.3. Gas Incontinence

3.7. Long-Term Complications of Perineal Trauma: Prolapses

3.7.1. Definition and Classification of Genital Prolapse
3.7.2. Risk Factors
3.7.3. Medical and Surgical Treatment for Prolapses. Pelvic Floor Rehabilitation

3.8. Conservative Treatment for Pelvic Floor Dysfunction

3.8.1. Manual Techniques
3.8.2. Instrumental Techniques: Biofeedback and Electrostimulation and among others
3.8.3. Postural Re-education and Abdominal-Pelvic Training

3.9. Surgical Treatment for Pelvic Floor Dysfunction

3.9.1. Slings and Meshes
3.9.2. Colposuspensions
3.9.3. Colporrhaphy and Perineorrhaphy

3.10. Female Genital Mutilation (F.G.M.)

3.10.1. Introduction and Social and Demographic Context of FGM. Epidemiology
3.10.2. Current FGM Practice
3.10.3. Types of MGF
3.10.4. Consequences of the Practice of FGM on Women’s Health
3.10.5. Approach to FGM: Prevention Strategies, Detection, and Midwifery Interventions
3.10.6. Legal Framework Regarding FGM

Module 4. Breastfeeding

4.1. Anatomy

4.1.1. Embryonic Development
4.1.2. Mature Mammary Glands
4.1.3. Mammary Glands in Pregnancy
4.1.4. Mammary Gland in Breastfeeding

4.2. Physiology of Milk Secretion

4.2.1. Mammogenesis
4.2.2. Lactogenesis I and II
4.2.3. Lactogenesis III/ Lactopoiesis
4.2.4. Endocrine Control of Milk Secretion

4.3. Composition of Breast Milk

4.3.1. Types of Milk and Their Composition
4.3.2. Comparison Between Colostrum, Mature Milk, and Cow’s Milk

4.4. Effective Breastfeeding

4.4.1. Signs of Good Latching
4.4.2. Normal Patterns in Newborns: Urination, Defecation, and Weight Gain

4.5. Assessment of a Feeding

4.5.1. Latch Scale
4.5.2. European Union Observation Table for Feeding
4.5.3. Positions for Breastfeeding

4.6. Nutrition and Supplementation

4.6.1. Nutrition and Supplementation for the Mother
4.6.2. Supplementation for Newborns. Recommendations from the 2017 Clinical Practice Guide

4.7. Contraindications of Breastfeeding

4.7.1. Maternal Contraindications
4.7.2. Newborn Contraindications
4.7.3. Pharmacological Suppression

4.8. Breastfeeding and Bonding

4.8.1. Skin-to-Skin Contact: The Importance of the First Hours after Birth
4.8.2. Co-Sleeping

4.8.2.1. Benefits
4.8.2.2. Guidelines for Safe Co-Sleeping

4.8.3. Tandem Breastfeeding

4.9. Milk Extraction and Preservation
4.10. Weaning. Initiative for the Humanization of Birth and Breastfeeding Care (IHAN)

Module 5. The Newborn

5.1. Introduction to Neonatology. Concept and Classification

5.1.1. Neonatology Periods
5.1.2. Classification of the Newborn: by Birth Weight, by Gestational Age
5.1.3. Classification of the High-Risk Newborn
5.1.4. Determination of Gestational Age: Farr-Dubowitz Methods. Capurro Method, and Ballard Method

5.2. Adaptation to Extrauterine Life by Systems

5.2.1. Respiratory. First Breath
5.2.2. Cardiovascular: Circulation, Hemoglobin and Coagulation. Closure of Ducts and Foramen Ovale
5.2.3. Thermoregulation in the Newborn
5.2.4. Gastrointestinal
5.2.5. Renal
5.2.6. Hormonal and Immune Systems
5.2.7. Hepatic and Glucose Metabolism

5.3. Immediate Care of the Newborn. Midwifery Care in the Immediate Postpartum Period

5.3.1. Newborn Assessment. Apgar Test
5.3.2. Prophylaxis
5.3.3. Behavioral Phases (Alert, Adaptation, Rest, Search, and Established Lactation)
5.3.4. Skin-to-Skin Contact
5.3.5. Midwifery Care in the Immediate Postpartum Period

5.4. Physical Examination of the Newborn

5.4.1. Skeletal System
5.4.2. Skin and Subcutaneous Tissue
5.4.3. Cardiorespiratory System
5.4.4. Abdomen
5.4.5. Thorax
5.4.6. Genitourinary System
5.4.7. Upper and Lower Limbs
5.4.8. Neurological System

5.5. Newborn Care

5.5.1. Hygiene and Bathing
5.5.2. Umbilical Cord Care
5.5.3. Urination and Meconium
5.5.4. Dressing
5.5.5. Pacifier
5.5.6. Hospital Visits
5.5.7. Nutrition

5.6. Thermal Regulation in the Newborn and Physical Environment

5.6.1. Temperature Regulation in the Newborn
5.6.2. Heat Production in a Newborn
5.6.3. Heat Loss in a Newborn
5.6.4. Methods to Reduce Heat Loss
5.6.5. Consequences of Thermal Alterations in the Newborn
5.6.6. Importance of the Physical Environment: Light Exposure, Day-Night Rhythm, Noise, and Tactile Stimuli

5.7. Common Reasons for Consultation

5.7.1. Crying
5.7.2. Milk Allergy
5.7.3. Gastroesophageal Reflux
5.7.4. Late Vomiting
5.7.5. Inguinal Hernia
5.7.6. Haemangiomas
5.7.7. Nasolacrimal Duct Obstruction
5.7.8. Sleep

5.8. Screening and Development and Growth Parameters of the Newborn

5.8.1. Metabolic, Auditory and Visual Screenings
5.8.2. Growth Parameters (Weight, Height, and Circumferences)
5.8.3. Development Parameters

5.9. Common Problems

5.9.1. Metabolic Dysfunctions: Hypoglycemia and Hypocalcemia
5.9.2. Respiratory Issues: Hyaline Membrane Disease, Apnea, Transient Tachypnea, Meconium Aspiration Syndrome
5.9.3. Hyperbilirubinemia: Physiological, Pathological and Kernicterus
5.9.4. Gastroesophageal Reflux. Infantile Colic
5.9.5. Febrile Seizures

5.10. Newborn Accident Prevention. Prevention of Sudden Infant Death Syndrome

Module 6. Special Situations

6.1. Premature Newborn

6.1.1. Definition. Etiology
6.1.2. Characteristics and Morphology of Premature Infants (Dubowitz Test, Ballard Test)
6.1.3. Early and Late Complications Specific to Prematurity
6.1.4. Care for Parents of Premature Newborns. Impact of Prematurity on Parents
6.1.5. Early and Late Complications

6.2. Postmature Newborn

6.2.1. Definition. Etiology
6.2.2. Clinical Presentation
6.2.3. Main Complications
6.2.4. General Care

6.3. Low Birth Weight and Intrauterine Growth Restriction (IUGR)

6.3.1. Definition. Etiology
6.3.2. Clinical Presentation
6.3.3. Main Complications
6.3.4. General Care

6.4. Hypoxic–Ischemic Encephalopathy

6.4.1. Essential and Specific Criteria for the Diagnosis of Hypoxic-Ischemic Encephalopathy
6.4.2. Management of Hypoxic-Ischemic Encephalopathy

6.5. Perinatal Infection. Sepsis

6.5.1. Early or Vertical Infection
6.5.2. Late or Nosocomial Infections
6.5.3. Neonatal Sepsis
6.5.4. Special Considerations for Major Infections: Listeria, Cytomegalovirus, Toxoplasma, Rubella, Chicken Pox and Syphilis

6.6. Midwifery Care for Newborns of Mothers Who Use Drugs

6.6.1. Drug Classification According to WHO (Opioids and Derivatives, Barbiturates and Alcohol, Cocaine, Amphetamines, LSD, and Cannabis) and Pharmacology (CNS Stimulants, CNS Depressants, and Psychedelics)
6.6.2. Effects of Drug Use During Pregnancy on Newborns
6.6.3. Care and Monitoring of Newborns
6.6.4. Fetal Alcohol Syndrome

6.7. Specifics of Breastfeeding in the Premature Newborn

6.7.1. Sucking Reflex and Prematurity
6.7.2. Breast Milk, Donated Milk, and Formula Milk
6.7.3. Special Techniques and Positions
6.7.4. Use of a Relactation Device

6.8. Breastfeeding Problems in Special Situations

6.8.1. Drowsy Newborns
6.8.2. Breastfeeding Strike
6.8.3. Ankyloglossia
6.8.4. Fetal Pathology: Down Syndrome, Pierre-Robin Syndrome, and Cleft Lip

6.9. Breastfeeding Problems Related to the Mother I

6.9.1. Flat, Inverted and, Pseudoinverted Nipple
6.9.2. Poor Latch
6.9.3. Nipple Cracks and Infections
6.9.4. Delayed Lactogenesis II

6.10. Breastfeeding Problems Related to the Mother II
6.11. Mastitis: Culture Extraction
6.12. Abscess
6.13. Hypogalactia
6.14. Engorgement

Module 7. Psychological and Emotional Aspects in the Puerperium

7.1. Definition of Bonding. Theoretical Framework
7.2. Neurobiology of Bonding

7.2.1. Maternal Hormonal System
7.2.2. Newborn Hormonal System

7.3. Psychic Changes in the Puerperium

7.3.1. Psychic Transparency
7.3.2. Psychosocial Adaptation: Reva Rubin and Mercer

7.4. Risk Factors in Disruption of the Bond
7.5. Perinatal Loss

7.5.1. Definitions
7.5.2. Risk Factors and Causes

7.6. Types of Perinatal Loss

7.6.1. Spontaneous Abortion, Voluntary Termination of Pregnancy (VTP)
7.6.2. IVF due to Fetal Malformation or Maternal Risk
7.6.3. Selective Reduction in Multiple Gestations
7.6.4. Intrauterine or Intrapartum Stillbirth Loss

7.7. Perinatal Grief

7.7.1. Concept and Modalities
7.7.2. Stages of Grief
7.7.3. Differences Between Perinatal Grief and Depression

7.8. Conceptualization of Perinatal Grief

7.8.1. Specific Manifestations
7.8.2. Factors Influencing Grief
7.8.3. Perinatal Grief Assessment Scales

7.9. Experiences After Suffering a Loss

7.9.1. Pregnancy After Loss
7.9.2. Breastfeeding During Grief
7.9.3. Others Affected by the Loss

7.10. The Role of the Midwife in Perinatal Loss and Grief

Module 8. Sexuality and Contraception in the Puerperium

8.1. Anatomical Overview of the Female Genital Tract

8.1.1. External Genitals
8.1.2. Internal Genitals
8.1.3. Bony Pelvis
8.1.4. Soft Pelvis
8.1.5. Mammary Gland

8.2. Overview of the Physiology of the Female Reproductive System

8.2.1. Introduction
8.2.2. Female Hormones
8.2.3. Female Reproductive Cycle: Ovarian, Endometrial, Myometrial, Tubal, Cervical-Uterine, Vaginal, and Mammary

8.3. Female Sexual Response Cycle

8.3.1. Introduction: Master and Johnson’s Sexual Response Cycle
8.3.2. Desire
8.3.3. Excitement
8.3.4. Plateau
8.3.5. Orgasm

8.4. Sexuality in the Puerperium

8.4.1. Introduction
8.4.2. Anatomical, Physiological and Psychological Changes in the Puerperium
8.4.3. Sexuality in the Puerperium
8.4.4. Sexual Problems during the Puerperium
8.4.5. Promoting Sexual Health in the Puerperium

8.5. Dysfunction of Desire

8.5.1. Introduction
8.5.2. Biological Basis of Sexual Desire
8.5.3. Considerations on Sexual Desire
8.5.4. Definitions of Sexual Desire
8.5.5. Dysfunctions in the Desire Phase
8.5.6. Etiology of Desire Dysfunction
8.5.7. Treatment Proposals

8.6. Dysfunction of Excitement

8.6.1. Definitions of the Concept of Excitement
8.6.2. Definition of Dysfunction of Excitement
8.6.3. Classification of Dysfunction in the Excitement Phase
8.6.4. Etiology of Dysfunction in the Excitement Phase

8.7. Dysfunction of Orgasm

8.7.1. What is Orgasm and How It Occurs
8.7.2. Physiological Reactions of the Sexual Response in Women
8.7.3. The G-Spot
8.7.4. The Love Muscle (Pubococcygeal Muscle)
8.7.5. Conditions Necessary for Achieving Orgasm
8.7.6. Classification of Female Orgasmic Dysfunctions
8.7.7. Etiology of Anorgasmia
8.7.8. Treatment

8.8. Vaginismus and Dyspareunia

8.8.1. Definitions
8.8.2. Classification
8.8.3. Etiology
8.8.4. Treatment

8.9. Couples Therapy

8.9.1. Introduction
8.9.2. General Aspects of Couples Therapy
8.9.3. Sexual Enrichment Dynamics and Communication in Couples

8.10. Contraception in the Puerperium

8.10.1. Concepts
8.10.2. Types of Contraception
8.10.3. Natural Methods

8.10.3.1. Natural Methods with Breastfeeding
8.10.3.2. Natural Methods Without Breastfeeding

8.10.4. IUD (Intrauterine Device)
8.10.5. Hormonal Methods

8.10.5.1. Hormonal Methods with Breastfeeding
8.10.5.2. Hormonal Methods Without Breastfeeding

8.10.6. Voluntary Sterilization
8.10.7. Emergency Contraception

Module 9. Parenting 

9.1. Childhood and Positive Parenting in the European Framework

9.1.1. The Council of Europe and Children’s Rights
9.1.2. Positive Parenting: Definition and Basic Principles
9.1.3. Public Policies in Support of Positive Parenting

9.2. The Family as a Health Agent

9.2.1. Definition of family
9.2.2. The Family as a Health Agent
9.2.3. Protective Factors and Constraints
9.2.4. Development of Parental Skills and Responsibility

9.3. The Family: Structure and Life Cycle

9.3.1. Family Models

9.3.1.1. Inclusion
9.3.1.2. Fusion
9.3.1.3. Interdependence

9.3.2. Types of Families

9.3.2.1. Stable
9.3.2.2. Unstable
9.3.2.3. Single-Parent
9.3.2.4. Blended

9.3.3. Monomarental and Single-Parent Families
9.3.4. Assessment of Family Needs

9.3.4.1. Family Evolutionary Cycle
9.3.4.2. Family Apgar Test
9.3.4.3. MOS Questionnaire

9.4. Parenting Educational Styles

9.4.1. Classification of Parenting Styles
9.4.2. Classification of Styles

9.4.2.1. Authoritarian Parents
9.4.2.2. Permissive Parents (Indulgent and Negligent)
9.4.2.3. Democratic Parents

9.4.3. Family Styles

9.4.3.1. Contractual
9.4.3.2. Statutory
9.4.3.3. Maternalistic
9.4.3.4. Overprotective

9.5. Coeducation

9.5.1. Introduction and Principles
9.5.2. Coeducation Strategies
9.5.3. Workshops for Coeducation in Families (Sessions)

9.6. Positive Conflict Resolution. Intra-family Communication

9.6.1. Introduction
9.6.2. Smart Traffic Light Technique
9.6.3. Effective Communication, Active Listening and Assertiveness
9.6.4. Self-esteem and Self-awareness: Self-esteem at Different Stages of the Child’s Life
9.6.5. Promoting Autonomy
9.6.6. Self-control and Frustration Tolerance

9.7. Attachment

9.7.1. Introduction. Function. Opportunity Window
9.7.2. Attachment Development by Age
9.7.3. Types of Attachment: Secure, Anxious and Ambivalent, Avoidant, Disorganized
9.7.4. Paternal Bond

9.8. Midwife Care Oriented Toward the Establishment and Promotion of Attachment

9.8.1. Kangaroo Care Method
9.8.2. Promotion of Breastfeeding
9.8.3. Babywearing
9.8.4. Infant Massage
9.8.5. Session Model for Promoting Attachment

9.9. Disruption of the Maternal-Infant Bond

9.9.1. Introduction
9.9.2. Diagnostic Criteria
9.9.3. Psychometric Questionnaires
9.9.4. Other Assessment Scales
9.9.5. Semi-Structured Interview

9.10. Emotional or Psychological Abuse

9.10.1. Introduction to Child Abuse
9.10.2. Definition of Psychological Abuse
9.10.3. Classification: Passive and Active
9.10.4. Risk Factors
9.10.5. Symptoms and Disorders
9.10.6. Forms of Psychological Abuse

Module 10. Legislation and Management in Midwifery Care Practice in the Puerperium

10.1. The Woman in the Puerperium and the Newborn as Users of the National Health System. Ethical Principles in Professional Practice
10.2. Right to Health Information and the Right to Privacy in Midwifery Care

10.2.1. Right to Healthcare Information
10.2.2. Holder of the Right to Healthcare Information
10.2.3. Right to Epidemiological Information
10.2.4. Right to Privacy. Professional Secrecy
10.2.5. Right to Patient Autonomy
10.2.6. Informed Consent
10.2.7. Limits of Informed Consent and Informed Consent by Representation
10.2.8. Conditions for Information and Informed Consent in Writing
10.2.9. Information in the National Health System

10.3. Professional Secrecy
10.4. Medical History. Discharge Report and Other Clinical Documentation. Data Protection
10.5. Professional Responsibility in Midwifery Care
10.6. Civil Registry. Family Book. Current Maternity and Paternity Leave. Special Situation Leave
10.7. Quality in Midwifery Care during the Puerperium

10.7.1. Concept of Quality and Conceptual Framework. Total Quality
10.7.1. Structure, Process, and Outcome Evaluation
10.7.2. Evaluation Methods: External Evaluation, Internal Evaluation and Monitoring
10.7.3. Dimensions of Quality

10.8. Health Programs and Their Evaluation

10.8.1. Concept of a Health Program
10.8.2. Objectives and Activity Planning
10.8.3. Clinical Practice Guidelines
10.8.4. Care Maps and Clinical Pathways
10.8.5. Evaluation

10.9. Healthcare Planning

10.9.1. Introduction and Definition of Healthcare Planning
10.9.2. Stages in Planning
10.9.3. Problem Identification. Types of Needs
10.9.4. Indicators
10.9.5. Factors Conditioning Health Problems
10.9.6. Prioritization of Problems

10.10. Organization of Obstetric Care in the Puerperium across Different Levels of Care

10.10.1. Organization of Midwifery Care in Primary Care and Specialized Care Centers
10.10.2. Midwifery Puerperium Consultation
10.10.3. Coordination of Midwifery Care across Both Levels of Care. Continuity of Care

Module 11. Breastfeeding Today and Throughout History

11.1. Concepts Related to Breastfeeding

11.1.1. Evolution of the Concept of Breastfeeding
11.1.2. Concepts of Breastfeeding

11.2. History of Breastfeeding

11.2.1. Natural History of Breastfeeding
11.2.2. Historical Development of the Importance of Breastfeeding

11.3. False Myths

11.3.1. Misconceptions About Breastfeeding
11.3.2. Correct Beliefs About Breastfeeding

11.4. Strategy for Normal Delivery Care

11.4.1. Promotion of Breastfeeding After Birth
11.4.2. Benefits of Breastfeeding in Childbirth

11.5. Epidemiology

11.5.1. Epidemiological Course of Breastfeeding Development
11.5.2. Social Evolution of Breastfeeding

11.6. Human Milk Banks

11.6.1. Concept of a Milk Bank
11.6.2. Characteristics of a Milk Bank

11.7. Advising and Supporting Women Who Do Not Wish to Breastfeed

11.7.1. Health Education for Women Who Do Not Wish to Breastfeed
11.7.2. Specific Information for Non-Breastfeeding Women

11.8. Paternal Involvement in Breastfeeding

11.8.1. The Father as a Support Figure for Breastfeeding
11.8.2. The Father as a Breastfeeding Advisor

11.9. Global Protection of Breastfeeding: WHO Recommendations

11.9.1. WHO Recommendations
11.9.2. Global Protection of Breastfeeding

Module 12. Physiology and Medical History in Breastfeeding

12.1. Anatomy of the Breast

12.1.1. Surrounding Bony Structure of the Breast
12.1.2. Muscular Structure of the Breast

12.2. Physiology of Breastfeeding

12.2.1. Physiological Development of Breastfeeding
12.2.2. Hormonal Circuit of Breastfeeding

12.3. Benefits of Breastfeeding for the Mother

12.3.1. Concept
12.3.2. Benefits of Breastfeeding for the Mother

12.4. Benefits of Breastfeeding for the Baby

12.4.1. Concept
12.4.2. Benefits of Breastfeeding in the Baby

12.5. Evaluation of the Feeding

12.5.1. Indications in Feeding
12.5.2. Inadequate Practices in Feeding

12.6. Signs of Good and Poor Latch

12.6.1. Concept of Latch
12.6.2. Benefits of a Good Latch

12.7. Recommended Positions

12.7.1. Proper Positions in Breastfeeding
12.7.2. Improper Positions in Breastfeeding

Module 13. Breastfeeding Care and Breastfeeding Women’s Health

13.1. First Recommendations During Pregnancy

13.1.1. Evolution of Breastfeeding During Pregnancy
13.1.2. Breastfeeding Care During Pregnancy

13.2. Breast Care During Breastfeeding

13.2.1. General Care
13.2.2. Specific Recommendations

13.3. Proper Techniques for Breastfeeding

13.3.1. Different Breastfeeding Techniques
13.3.2. Incorrect Breastfeeding Measures

13.4. Short-Term Effects of Breastfeeding on the Health of the Mother

13.4.1. Immediate Benefits of Breastfeeding for the Mother
13.4.2. Positive Recommendations for Breastfeeding

13.5. Medium and Long-Term Effects of Breastfeeding on the Health of the Mother

13.5.1. Long-Term Benefits of Breastfeeding
13.5.2. Medium-Term Benefits of Breastfeeding

13.6. Maternal Diet and Breastfeeding

13.6.1. Foods that Affect Breast Milk
13.6.2. Foods that Benefit Breastfeeding

13.7. Physical Activity and Breastfeeding

13.7.1. Encouraging Physical Activity During Breastfeeding
13.7.2. Contraindications for Physical Activity During Breastfeeding

Module 14. The Healthy Newborn

14.1. Anatomical and Physiological Characteristics

14.1.1. Anatomy of the Newborn
14.1.2. Physiology of the Newborn

14.2. Nutritional Requirements of the Infant

14.2.1. Infant Nutrition
14.2.2. Dietary Advice

14.3. Growth of Breastfed Infants

14.3.1. WHO Growth Curves
14.3.2. Normality in the Growth Curve

14.4. Infant Colic

14.4.1. Concept
14.4.2. Indications to Avoid Infant Colic

14.5. Early Skin-to-skin Contact

14.5.1. The Skin-to-skin Start
14.5.2. Immediate Benefits of Skin-to-Skin Contact

14.6. First Breastfeeding. Attachment

14.6.1. Concept of Attachment
14.6.2. Guidelines for Beginning Contact

14.7. Breastfeeding and Kangaroo Mother Method

14.7.1. Concept of the Kangaroo Method
14.7.2. Initiation of the Technique

14.8. Teats and Pacifiers During Breastfeeding

14.8.1. Description of Teats and Pacifiers
14.8.2. Contraindications for Teats and Pacifiers

Module 15. Problems During Breastfeeding

15.1. Contraindications for Breastfeeding

15.1.1. Situations that Contraindicate Breastfeeding
15.1.2. Counseling

15.2. Maternal Pathologies that Contraindicate Breastfeeding

15.2.1. Listing Maternal Pathologies that Contraindicate Breastfeeding
15.2.2. Counseling on the Contraindications of Breastfeeding

15.3. Neonatal Pathologies that Contraindicate Breastfeeding

15.3.1. Listing Neonatal Pathologies that Contraindicate Breastfeeding
15.3.2. Counseling on the Contraindications of Breastfeeding

15.4. Nipple Problems

15.4.1. Different Types of Nipples
15.4.2. Support for the Mother

15.5. Breast Engorgement

15.5.1. Concept
15.5.2. Appropriate Treatment

15.6. Mastitis

15.6.1. Concept
15.6.2. Proper Treatment

15.7. Breastfeeding Aids and Devices

15.7.1. Different Devices for Breastfeeding
15.7.2. How to Support Breastfeeding?

Module 16. Other Types of Breastfeeding

16.1. Artificial Breastfeeding

16.1.1. Concept
16.1.2. Development of the Technique

16.2. Formula Milk: Management and Drawbacks

16.2.1. Formula Milk Preparation
16.2.2. Benefits and Drawbacks

16.3. Preparation of a Baby Bottle

16.3.1. Technique for Preparing a Baby Bottle
16.3.2. Sterilizing Baby Bottles

16.4. Mixed Breastfeeding

16.4.1. Concept
16.4.2. How to Carry it Out

16.5. Relactation

16.5.1. Concept
16.5.2. Indications

16.6. Combination of Breastfeeding with Complementary Feeding

16.6.1. Complementary Feeding
16.6.2. Nutritional Needs

Module 17. Breastfeeding in Special Situations

17.1. Hypogalactia

17.1.1. Concept
17.1.2. Measures to Treat It

17.2. Sick Newborns

17.2.1. Different Pathologies
17.2.2. Breastfeeding in Children with Pathologies

17.3. Premature Babies

17.3.1. Definition of Prematurity
17.3.2. Breastfeeding in Premature Babies

17.4. Adolescent Mothers

17.4.1. Breastfeeding in Adolescent Mothers
17.4.2. Problems in Adolescent Mothers

17.5. Breastfeeding and Lactation Amenorrhea Method (LAM)

17.5.1. Concept
17.5.2. Benefits of LAM

17.6. Cleft Lip and Lip Malformations

17.6.1. Concept
17.6.2. Support for Newborns and Breastfeeding Mothers

17.7. Breastfeeding and New Pregnancy

17.7.1. Tandem Breastfeeding
17.7.2. Counseling

17.8. Breastfeeding and Stress

17.8.1. Stress as a Harmful Factor in Breastfeeding
17.8.2. Measures to Cope with Stress

Module 18. Common Situations During Breastfeeding

18.1. Crying and Breast Refusal

18.1.1. Concept
18.1.2. Immediate Care

18.2. Breastfeeding Strike

18.2.1. Concept
18.2.2. Advice on Handling the Strike

18.3. Extended and Tandem Breastfeeding

18.3.1. Concept
18.3.2. Benefits

18.4. Co-Sleeping

18.4.1. Concept
18.4.2. Benefits of Co-Sleeping

18.5. Working Outside Home and Breastfeeding

18.5.1. Returning to Work
18.5.2. Support in this Situation

18.6. Milk Expression: Methods and Tools

18.6.1. Parts of the Breast Pump
18.6.2. Using the Breast Pump

18.7. Transport and Storage of Breast Milk

18.7.1. Milk Storage Mechanisms
18.7.2. Transporting Milk

Module 19. Medications and Breastfeeding

19.1. Transfer of Medications and Other Substances to Breast Milk

19.1.1. Concept
19.1.2. Contraindications in Medication Administration

19.2. Drug Interaction and Breastfeeding

19.2.1. Drug Interactions
19.2.2. Medication Administration

19.3. Most Common Medications During Breastfeeding

19.3.1. Medications Recommended During Breastfeeding
19.3.2. Indications

19.4. Online Resources and Tools on Medications and Breastfeeding

19.4.1. Websites on Breastfeeding and Medications
19.4.2. How to Search Online?

19.5. Harmful Substances and Breastfeeding

19.5.1. Different Harmful Substances in Breastfeeding
19.5.2. Approach to the Intake of Harmful Substances

Module 20. Breastfeeding Associations. Initiatives and Legislation

20.1. Support Groups

20.1.1. Concept
20.1.2. Different Support Groups

20.2. Lactation Consultants

20.2.1. Concept of Lactation Consultants
20.2.2. Roles of Lactation Consultants

20.3. Innocenti Declaration

20.3.1. Global Protection of Breastfeeding
20.3.2. Protection Treaty

20.4. WHO’s Baby-Friendly Hospital Initiative (BFHI)

20.4.1. Features of the Initiative
20.4.2. Objectives to Achieve

Module 21. Diseases and Breastfeeding

21.1. Concept

21.1.1. Definition of Diseases and Breastfeeding
21.1.2. Performance

21.2. Absolute and False Contraindications

21.2.1. Contraindications
21.2.2. False Myths

21.3. HIV and Breastfeeding

21.3.1. Concept
21.3.2. Indications for Breastfeeding

21.4. Hepatitis and Breastfeeding

21.4.1. Concept
21.4.2. Indications for Breastfeeding

21.5. Oncological Processes and Breastfeeding

21.5.1. Cancer and Breastfeeding
21.5.2. Indications for Oncological Process and Breastfeeding Mother

21.6. Special Situations in the Newborn that make Breastfeeding Difficult

21.6.1. Newborn Special Situations
21.6.2. Mechanisms for Adapting to Special Situations and Breastfeeding

21.7. How to Promote Breastfeeding in Maternal-Fetal Conditions

21.7.1. Concept
21.7.2. Promoting In Situ Breastfeeding

Module 22. Maternal Weaning

22.1. Concept and Types

22.1.1. Types of Suppression
22.1.2. Mechanism for Progressive Weaning

22.2. Physiology of Maternal Milk Suppression

22.2.1. Physiology of Suppression
22.2.2. Guidelines for Suppressing Breastfeeding

22.3. Methods to Facilitate Weaning

22.3.1. When and How to Wean
22.3.2. How to Begin Progressive Weaning

22.4. Prolonged Breastfeeding

22.4.1. Concept
22.4.2. Benefits and Drawbacks

22.5. Medications for Suppressing Breastfeeding

22.5.1. Medications for Suppression
22.5.2. Indications

22.6. Return to Work

22.6.1. Stress of Returning to Work
22.6.2. Guidance and Support

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