City College of Naga

Naga City
Diploma in Midwifery

CLINICAL FOCUS
MIDWIFERY PRACTICUM
DELIVERY ROOM

Day 1 Objectives Activities

30 minutes 1. Acquaint students with 1. Orientation to the hospital, LR/DR
hospital setup, staff, setup, staff, personnel and
personnel and policies standard operating procedures.
Admitting patient in LR unit from
the ward
2. Assess the different 2. Intrapartal Assessment
obstetrical/ gynecological  Obtain OB history (LMP,
conditions Gravida, Parity, TPALM, AOG
and BOW)
3. Enhance student’s 3. Checks vital signs
assessment skills on  Fetal Assessment ( auscultate
mothers during labor and & record FHT, assess
delivery intensity of contraction by
manual palpation of the
uterine fundus)
 Determine fetal presentation,
position, station and attitude
 Maternal Assessment
(Leopold
s Maneuver , fundic height
measurement, IE, physiologic
changes preceeding labor, tru
vs. false labor and mechanism
4. Apply concepts in intrapartal of labor
care 4. Patient Care
 Performs the function of a Accomplish the ff procedure:
Labor Room Midwife to  Positioning the client in the
enhance capability on DR table
preparing client for labor  Preparation of the medication;
and delivery administration of medications
 Perineal preparation/
Abdomino perineal
Preparation
 Instructing the client on
breathing technique
 Coaching mother to push
during contractions
 Prepation of sterile table
( NSD set, D&C set, forcep
delivery set, and)
5. Enhance skills in providing
5. Intrapartal Care
immediate newborn
 Surgical hand scrubbing
 assessment and care  Gowning and gloving
30 minutes  Assisting the doctor in the
delivery of the baby
 Cord Care
 Facilitate delivery of the
placenta
 Identify signs of placental
separation
 Checks the characteristics/
completion of the placenta
 Proper handling and serving
of sharps, sponges and
needles
 Accurate counting
documentation of instruments,
sharps, sponges & needles
 Assess amount of blood loss
 Postpartum Care
 Monitor vital signs
 Assessment of uterine
involution
 Assessment of lochia
 Monitor signs of bleeding
6. Develop responsibility in 6. Perform immediate newborn
preserving the unit assessment
 APGAR Scoring
 Perform immediate newborn
care
 Call out time of birth
 Establish clearance of airway
 Immediate thorough drying
( 20 seconds)
 Early skin to skin contact
 Properly timed clamping and
cutting of the cord
 Non- separation of newborn &
mother for breastfeeding
(within 90 minutes)
 Eye prophylaxis within the first
hour
 Administration of Vitamin K,
Hepa B, BCG after 90 minutes
of uninterrupted skin to skin
contact
7. Document patient care upon 7. After care of the instruments and
admission to labor room until DR theatre
the post partum period
8. Documentation
 Transfer & proper
endorsement of mother
and newborn (Rooming
 In )
Post Conference: Giving assignments ( Case Study, TPR Sheet plotting, and Partograph
Plotting)
Skills Performed:

Competencies Acquired:

Day 2 - 3 Objectives Activities

1. Enhance knowledge skills in 1. Endorsement
endorsement
2. Receiving patient from ward;
admitting patient in LR unit
3. Patient Care (same activities as
the first day)
4. Discussion of assignment/
bedside conference
Post Conference: Assignment
 (Postnatal Care Assessment, Complication, Intervention and Case Study)
 (Case Analysis, Case Reading, Current Trends and Issues in DR, Research in DR
Midwifery)
 (Legal, Ethico- Moral Responsibilities, Code of Ethics in DR, Journal)
Objectives Activities
1. Endorsement
2. Patient Care
3. Bedside Conference
4. Evaluation:
 Post Test ( Paper & Pencil Test)
 Oral Test
Post Conference: Discussion of Evaluation Grade; Completion and Signing of Cases

ADDENDUM
(NO CASE):
1. Discussion: Commonly used terms and abbreviations and review of female reproductive
organ, Pregnancy, Complication, Labor and Delivery
2. Refer to Clinical Teaching Plan
3. Skills Enhancement
4. Case Study Discussion/ Analysis
5. Discussion of Assignment

FOR STANDBY STUDENTS:

1. Follow up handled patient in ward
2. Film viewing of different kind of DR Midwifery skills
3. Critiquing of film reviewed

Note: All activities must have evaluation either written or oral ( quiz, recitation,
demonstration, etc)
Prepared By:

Rachael Ann E. Pacamarra, RM, BSM

Naga City General Hospital, Clinical Instructor

Noted By:

Jeanifer U. San Pedro, RM, RN, MSPH, PhD

Dean, College of Midwifery