Obstetric and Neonatal Emergency Nursing

Get up to date on the most important issues surrounding Obstetric and Neonatal Emergency Nursing, including vulvovaginitis, miscarriage, preterm labor, labor dystocias and urgent cesarean sections" 

Emergency department work is always demanding for nurses. In addition to Obstetric Emergencies, nurses must also deal with non-obstetric pathologies, neonatal emergencies or more delicate situations such as out-of-hospital deliveries or pseudocyesis.

In order to deal with the main life-threatening emergencies of both the pregnant mother and the fetus, nurses must have access to adequate health education, which takes an up-to-date and detailed approach. With this is mind, the contents of this program are divided into the different phases of pregnancy, in order to provide a comprehensive update on the most relevant Obstetric and Neonatal Emergencies.

TECH has assembled a specialized team of nurses and midwives with extensive practical experience in the treatment of all types of obstetric emergencies. This experience distinguishes the theoretical contents of the program, which are based on the most rigorous scientific findings, enriched with clinical cases to effectively contextualize all the advances covered.

Since the work of nurses is particularly changeable and unpredictable, it is obviously complicated or even impossible to undertake a Professional Master’s Degree in a traditional format. For this reason, TECH is committed to a completely online format, eliminating both in-person classes and preset schedules. All content is available from day one in the virtual classroom and can be downloaded to any device with an Internet connection.

At TECH you decide when, where and how, adapting the pace of study and teaching load to your own responsibilities and not the other way around"

This Professional Master’s Degree in Obstetric and Neonatal Emergency Nursing contains the most complete and up-to-date scientific program on the market. Its most notable features are:

• The examination of practical cases presented by experts in Emergencies Obstetric and Neonatal
• Graphic, schematic, and practical contents which provide scientific and practical information on the disciplines that are essential for professional practice
• Practical exercises where self-assessment can be carried out to improve learning
• A special emphasis on innovative methodologies
• Theoretical lessons, questions for experts, discussion forums on controversial issues and individual reflection work
• Content that is accessible from any fixed or portable device with an Internet connection 

The teaching team has created a wealth of quality audiovisual material, with real clinical examples for each of the topics covered"

The program’s teaching staff includes professionals from the sector who pour their professional experience into this Professional Master’s Degree program, as well as renowned specialists from leading societies and prestigious universities.

The multimedia content, developed with the latest educational technology, will provide the professional with situated and contextual learning, i.e., a simulated environment that will provide immersive learning designed for real situations.

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

Join TECH Technological University for a sound update on the most important Obstetric and Neonatal Emergencies"

You will have access to thorough theoretical and practical content, created to address obstetric complications and pathologies that arise in daily practice"

The structure and content of this program have been designed to facilitate the nurse's study as much as possible. In order to achieve this, a Relearningmethodology has been used, in which the most important concepts and terms of Obstetric and Neonatal Emergency Nursing are reiterated throughout the entire syllabus. In this way, nurses can progress much more naturally and efficiently throughout the program, avoiding the need to invest long hours of study to update and expand their knowledge of the most important topics. 

You will have access to the virtual classroom 24 hours a day, being able to study from the comfort of your personal computer, tablet or even smartphone"

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.  Anaemia

 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 Thrombophilia
 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, Short Duration Fever, Long Duration Fever, Fever of Unknown Origin, Bacterial, 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.  Gonorrhea
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 the Dilation Phase of Labor

6.1.  Labour and Delivery

6.1.1.  Labour
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.  Risks to 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. Obstetrical Emergencies during the Delivery and Afterbirth

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 Management

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 Accreta

 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

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

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