BNS 119: Reproductive Health & Midwifery (I, II & III)
ADOLESCENT HEALTH • MODULE 1
Adolescent Health, Puberty & Youth-Friendly Services
Puberty, Sexuality & Adolescent Crises
- Subtopic: Self-Awareness, Body Image, and Adolescent Psychological Identity Formation
- Subtopic: Physical, Hormonal, and Emotional Changes Across Puberty in Girls and Boys
- Subtopic: Precocious Puberty vs. Delayed Puberty: Etiology, Investigations, and Management
- Subtopic: Human Sexuality, Sexual Orientation, and Parent-Adolescent Relationship Dynamics
- Subtopic: Societal Influences: Family Typologies, Cultural Gender Roles, and Peer Pressure
- Subtopic: Adolescent Risk Behaviors: Substance Abuse, Risky Sexual Practices, and Vulnerability
- Subtopic: Unintended Adolescent Pregnancies: Health, Educational, and Social Consequences
- Subtopic: Unsafe Abortion Among Youths, Complications, and Comprehensive Post-Abortion Care (PAC)
- Subtopic: Designing and Operationalizing Youth-Friendly Sexual and Reproductive Health Services
MATERNAL SAFETY • MODULE 2
Safe Motherhood Initiatives & Family Planning Modalities
Safe Motherhood Frameworks & Midwifery Laws
- Subtopic: Epidemiology of Maternal Morbidity and Mortality in Uganda and the East African Region
- Subtopic: The Three Delays Model Causing Maternal Death (Deciding to Seek, Reaching, Receiving Care)
- Subtopic: The Pillars of Safe Motherhood: Antenatal Care, Clean/Safe Delivery, Postnatal Care, Family Planning
- Subtopic: Male Involvement: Engaging Husbands and Communities to Support Safe Motherhood
- Subtopic: Regulations Governing Midwifery in Uganda: UNMC Enrolment, Registration, and Licensing
- Subtopic: Legal Duties, Scope of Private Midwifery Practice, and Malpractice Liabilities in Uganda
- Subtopic: UNMC Code of Professional Conduct for Midwives and Mandatory Continuing Medical Education
Family Planning & Contraceptive Technology
- Subtopic: Counseling Frameworks in Family Planning: The REDI and GATHER Counseling Models
- Subtopic: Natural Family Planning Methods: Cervical Mucus (Billings), Basal Body Temperature, LAM
- Subtopic: Barrier Methods: Male Condoms, Female Condoms, Diaphragms, and Spermicidal Formulations
- Subtopic: Hormonal Contraceptives: Combined Oral Pills, Progestin-Only Pills, Injectables (DMPA/Sayana Press)
- Subtopic: Long-Acting Reversible Contraceptives (LARCs): Copper IUDs, Levonorgestrel IUDs, Subdermal Implants
- Subtopic: Permanent Methods: Bilateral Tubal Ligation (Minilaparotomy/Laparoscopy) and Vasectomy
- Subtopic: Emergency Contraception: Levonorgestrel Pills and Emergency IUD Insertion Protocols
REPRODUCTIVE ANATOMY • MODULE 3
Obstetric Anatomy, Physiology & Fetal Development
The Female Pelvis & Fetal Skull
- Subtopic: Anatomy of the Female Bony Pelvis: Bones, Sacroiliac Joints, Symphysis Pubis, and Ligaments
- Subtopic: Pelvic Planes and Diameters: Pelvic Inlet (Brim), Cavity, and Pelvic Outlet
- Subtopic: Classification of Pelvic Shapes: Gynecoid, Android, Anthropoid, and Platypelloid Pelves
- Subtopic: Clinical Pelvimetry: Assessing Pelvic Capacity, Diagonal Conjugate, and Ischial Spines
- Subtopic: Anatomy of the Pelvic Floor Muscles (Levator Ani) and Perineal Body
- Subtopic: The Fetal Skull: Bones, Sutures, Fontanelles (Bregma and Lambda), Diameters, and Moulding
- Subtopic: Fetal Lie, Presentation, Attitude, Position, Denominator, and Station of the Presenting Part
Fertilization, Embryology & Placental Physiology
- Subtopic: Spermatogenesis, Oogenesis, Ovulation, and Hormonal Regulation of the Ovarian Cycle
- Subtopic: Fertilization in the Fallopian Tube, Cleavage, Morula Formation, and Blastocyst Implantation
- Subtopic: Embryonic Development, Germ Layers (Ectoderm, Mesoderm, Endoderm), and Organogenesis
- Subtopic: Development, Structure, and Endocrine/Transport Functions of the Human Placenta
- Subtopic: Anatomy of the Umbilical Cord (Two Arteries, One Vein, Wharton’s Jelly) and Amniotic Fluid Functions
- Subtopic: Fetal Circulation: Ductus Venosus, Foramen Ovale, Ductus Arteriosus, and Transition at Birth
ANTENATAL CARE • MODULE 4
Normal Pregnancy, Antenatal Assessment & Minor Disorders
Physiological Changes & Pregnancy Diagnosis
- Subtopic: Maternal Physiological Adaptations: Cardiovascular, Hematological, Respiratory, and Renal Systems
- Subtopic: Metabolic, Endocrine, Gastrointestinal, Musculoskeletal, and Cutaneous Adaptations
- Subtopic: Presumptive, Probable, and Positive Signs and Symptoms of Pregnancy
- Subtopic: Calculating Expected Date of Delivery (EDD) Using Naegele’s Rule and Gestational Age
Focused Antenatal Care (FANC)
- Subtopic: Objectives and Schedule of Focused Antenatal Care (FANC) Visits According to MOH Guidelines
- Subtopic: Comprehensive Obstetric History Taking and Identification of Pre-Existing Medical Risks
- Subtopic: Systematic Abdominal Palpation: Fundal Height (McDonald's Rule), Lateral, Pelvic, and Pawlik's Grips
- Subtopic: Auscultation of Fetal Heart Sounds Using Pinard Stethoscope and Doppler Sonography
- Subtopic: Routine Antenatal Screening: Syphilis (RPR/VDRL), HIV (PMTCT), Urinalysis, Blood Grouping, Rhesus, Hb
- Subtopic: Intermittent Preventive Treatment of Malaria in Pregnancy (IPTp-SP) and LLIN Distribution
- Subtopic: Tetanus Diphtheria (Td) Immunization, Ferrous Sulfate, and Folic Acid Supplementation
- Subtopic: Individualized Birth Preparedness and Complication Readiness Planning (BP/CR)
- Subtopic: Etiology and Midwifery Relief of Minor Disorders: Morning Sickness, Heartburn, Constipation, Varicosities
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INTRAPARTUM CARE • MODULE 5
Normal Labour, Partograph Monitoring & Active Management
Stages, Physiology & Mechanism of Labour
- Subtopic: Physiological Causes of Onset of Labour (Hormonal, Mechanical, and Fetal Factors)
- Subtopic: True Labour Contractions vs. False Labour Contractions (Braxton Hicks Contractions)
- Subtopic: Physiological Changes in the First Stage: Cervical Effacement, Dilatation, and Uterine Retraction
- Subtopic: Mechanisms of Normal Vertex Delivery: Engagement, Descent, Flexion, Internal Rotation
- Subtopic: Mechanism Continuation: Extension, Restitution, External Rotation of Head, Lateral Flexion of Body
Labour Monitoring & Active Delivery Management
- Subtopic: Vaginal Examination in Labour: Assessing Dilatation, Membranes, Presentation, Caput, Moulding
- Subtopic: The WHO Modified Partograph: Plotting Fetal Heart Rate, Cervical Dilatation, Alert/Action Lines
- Subtopic: Monitoring Uterine Contraction Frequency/Duration, Liquor State, Moulding, and Maternal Vitals
- Subtopic: Pain Management in Normal Labour: Non-Pharmacological Comfort Measures vs. Analgesics
- Subtopic: Conducting Normal Delivery: Guarding the Perineum, Delivering Head, Checking Cord Around Neck
- Subtopic: Episiotomy: Anatomical Indications, Infiltration Technique, Mediolateral Incision, and Repair
- Subtopic: Active Management of the Third Stage of Labour (AMTSL): Uterotonic Administration, CCT, Uterine Massage
- Subtopic: Examination of the Expelled Placenta, Membranes, and Cord for Completeness and Anomalies
- Subtopic: Immediate Fourth Stage Care: Monitoring Maternal Bleeding, Vital Signs, and Bladder Voiding
PUERPERIUM & DRUGS • MODULE 6
Normal Puerperium, Postnatal Newborn Care & Midwifery Drugs
The Normal Puerperium
- Subtopic: Physiological Involution of the Uterus and Progression of Lochia (Rubra, Serosa, Alba)
- Subtopic: Physiological Adaptations of Cardiovascular, Urinary, Endocrine, and Musculoskeletal Systems Postpartum
- Subtopic: Management of the Mother in the Immediate Puerperium: Perineal Hygiene, Early Ambulation, Voiding
- Subtopic: Physiology of Lactogenesis, Milk Secretion, Prolactin, Oxytocin Reflexes, and Engorgement Care
- Subtopic: Postnatal Hospital Discharge Examination and 6-Week Routine Postnatal Clinic Follow-Up
Drugs Used in Midwifery Practice
- Subtopic: Uterotonics: Oxytocin Indications, Dosage, Infusion Regimens, and Side Effects
- Subtopic: Uterotonics: Ergometrine and Methylergometrine Actions, Contraindications in Hypertension
- Subtopic: Prostaglandins in Obstetrics: Misoprostol Use in Induction, PPH Prophylaxis, and PPH Treatment
- Subtopic: Anticonvulsants: Magnesium Sulfate (Pritchard and Zuspan Regimens) for Pre-Eclampsia / Eclampsia
- Subtopic: Monitoring Magnesium Sulfate Toxicity (Patellar Reflex, Respiration, Urine Output) & Calcium Gluconate
- Subtopic: Tocolytic Agents: Nifedipine and Beta-Agonists in Threatening Preterm Labour
- Subtopic: Antimalarials, Prophylactic Antibiotics, Haematinics, and Analgesics in Maternity Wards
OBSTETRIC EMERGENCIES • MODULE 7
High-Risk Obstetric Complications & Emergency Midwifery
Complications in Pregnancy
- Subtopic: Bleeding in Early Pregnancy: Threatened, Inevitable, Incomplete, Complete, Septic, Missed Abortions
- Subtopic: Ectopic Pregnancy: Risk Factors, Ruptured Tubal Pregnancy Shock, Emergency Nursing Protocols
- Subtopic: Gestational Trophoblastic Disease (Hydatidiform Mole): Clinical Signs, Evacuation, Follow-Up
- Subtopic: Antepartum Haemorrhage (APH): Placenta Praevia (Types I–IV) vs. Abruptio Placentae (Concealed/Revealed)
- Subtopic: Hypertensive Disorders in Pregnancy: Gestational Hypertension, Pre-Eclampsia, Severe Pre-Eclampsia, Eclampsia
- Subtopic: Management of Eclamptic Fits: Airway Maintenance, Anticonvulsants, Antihypertensives, Urgent Delivery
- Subtopic: Medical Conditions Complicating Pregnancy: Severe Anaemia, Gestational Diabetes, Cardiac Disease, Sickle Cell
- Subtopic: Infections Complicating Pregnancy: Malaria in Pregnancy, Syphilis, HIV, Hepatitis, Tuberculosis
- Subtopic: Multiple Gestation: Types (Monozygotic/Dizygotic), Complications, Delivery Precautions
- Subtopic: Amniotic Fluid Disorders: Polyhydramnios vs. Oligohydramnios Etiology and Clinical Management
- Subtopic: Rhesus Isoimmunization: Pathophysiology, Coombs Testing, Anti-D Immunoglobulin Administration
Complications in Labour & The Puerperium
- Subtopic: Premature Rupture of Membranes (PROM) and Preterm Prelabour Rupture of Membranes (PPROM)
- Subtopic: Preterm Labour: Diagnosis, Corticosteroid Therapy (Dexamethasone) for Fetal Lung Maturity, Tocolysis
- Subtopic: Abnormal Uterine Action: Hypotonic Uterine Inertia, Hypertonic Contractions, Constriction Rings
- Subtopic: Prolonged Labour and Obstructed Labour: Clinical Features (Bandl’s Ring), Pathophysiology, Sequelae
- Subtopic: Malpresentations and Malpositions: Occipito-Posterior, Face, Brow, Shoulder (Transverse Lie)
- Subtopic: Breech Presentation: Subtypes, Mechanism, Assisted Vaginal Breech Delivery (Lovset's, Mauriceau-Smellie-Veit)
- Subtopic: Cephalopelvic Disproportion (CPD) and Trial of Labour Protocols
- Subtopic: Umbilical Cord Presentation vs. Cord Prolapse: Emergency Position, Manual Elevation, Urgent Delivery
- Subtopic: Ruptured Uterus: Etiology, Impending Signs, Frank Rupture Features, Emergency Resuscitation
- Subtopic: Postpartum Haemorrhage (PPH): Primary PPH (The 4 Ts: Tone, Tissue, Trauma, Thrombin)
- Subtopic: Emergency Management of PPH: Bimanual Uterine Compression, Aortic Compression, Uterotonics, Anti-Shock Garment
- Subtopic: Secondary Postpartum Haemorrhage: Retained Cotyledons, Subinvolution, Endometritis
- Subtopic: Obstetric Shock: Hypovolemic, Septic, Cardiogenic, and Neurogenic (Acute Uterine Inversion)
- Subtopic: Amniotic Fluid Embolism: Pathophysiology, Sudden Collapse, DIC, Emergency Resuscitation
- Subtopic: Puerperal Sepsis: Risk Factors, Clinical Staging, Broad-Spectrum Antibiotic Management
- Subtopic: Deep Venous Thrombosis (DVT) and Pulmonary Embolism in the Puerperium
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CLINICAL GYNAECOLOGY • MODULE 8
Gynaecological Pathologies, Urogenital Fistulae & Infertility
Menstrual & Structural Gynaecological Disorders
- Subtopic: Menstrual Disorders: Primary and Secondary Amenorrhoea Etiological Workup
- Subtopic: Abnormal Uterine Bleeding (AUB): Menorrhagia, Metrorrhagia, Oligomenorrhoea, Dysmenorrhoea
- Subtopic: Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD)
- Subtopic: Endometriosis and Adenomyosis: Pathophysiology, Chronic Pelvic Pain, Medical/Surgical Care
- Subtopic: Uterine Leiomyomas (Fibroids): Submucosal, Intramural, Subserosal, Clinical Presentation, Myomectomy
- Subtopic: Pelvic Organ Prolapse: Uterine Prolapse (Degrees I–III), Cystocele, Rectocele, Pessary Management
- Subtopic: Obstetric Fistulae: Vesicovaginal Fistula (VVF) and Rectovaginal Fistula (RVF) Etiology and Prevention
- Subtopic: Pre- and Postoperative Nursing Care for Obstetric Fistula Surgical Repair Patients
Infections, Infertility & Sexual Health
- Subtopic: Pelvic Inflammatory Disease (PID): Salpingitis, Tubo-Ovarian Abscesses, Sequelae
- Subtopic: Pathological Vaginal Discharges: Bacterial Vaginosis, Trichomoniasis, Vulvovaginal Candidiasis
- Subtopic: Female Infertility Workup: Tubal Factors, Ovarian Factors, Uterine Factors, HSG Interpretation
- Subtopic: Male Infertility Factors: Semen Analysis Interpretation (Azoospermia, Oligospermia)
- Subtopic: Assisted Reproductive Technologies (ART): In Vitro Fertilization (IVF), IUI, Ethical Considerations
- Subtopic: Female Sexual Dysfunction: Dyspareunia, Vaginismus, Frigidity
- Subtopic: Clinical Management and Forensic Examination of Sexual Assault and Rape Survivors
GYNAECOLOGICAL SURGERY • MODULE 9
Gynaecological Oncology, Operative Procedures & Diagnostics
Gynaecological Malignancies
- Subtopic: Carcinoma of the Cervix: Risk Factors, Human Papillomavirus (HPV) Link, Visual Inspection (VIA)
- Subtopic: Cervical Screening: Pap Smear Staging, Colposcopy, Cervical Intraepithelial Neoplasia (CIN)
- Subtopic: Endometrial Carcinoma: Risk Factors, Postmenopausal Bleeding Workup, Management
- Subtopic: Ovarian Neoplasms: Benign Ovarian Cysts, Dermoid Cysts, Malignant Ovarian Carcinomas
- Subtopic: Gestational Trophoblastic Neoplasia (Choriocarcinoma): Serum Beta-hCG Monitoring and Chemotherapy
- Subtopic: Benign and Malignant Breast Pathologies: Fibroadenoma, Breast Carcinoma Screening, Mammography
Operative Gynaecology & Procedures
- Subtopic: Manual Vacuum Aspiration (MVA) and Dilatation & Curettage (D&C) for Incomplete Abortion
- Subtopic: Preoperative and Postoperative Care for Abdominal and Vaginal Hysterectomy
- Subtopic: Perioperative Care for Myomectomy, Oophorectomy, and Salpingectomy
- Subtopic: Diagnostic Gynaecological Procedures: Endometrial Biopsy, Culdocentesis, Laparoscopy
- Subtopic: Mandatory UNMC Practical Midwifery Experience Targets (Normal Deliveries, ANC, Pelvic Exams)
Prescribed Textbooks & References
Core academic textbooks, gynaecological surgery manuals, and national reproductive health guidelines prescribed by the NCHE Bachelor of Nursing Science syllabus.
- Monga, A. & Baker, P. (Eds.). (2006). Obstetrics by Ten Teachers (18th ed.). London: Hodder Arnold.
- Monga, A. & Baker, P. (Eds.). (2006). Gynaecology by Ten Teachers (18th ed.). London: Hodder Arnold.
- Magowan, B.A., Owen, P. & Drife, J. (2009). Clinical Obstetrics and Gynaecology (2nd ed.). Edinburgh: Saunders / Elsevier.
- Fraser, D.M. & Cooper, M.A. (2009). Myles' Textbook for Midwives (15th ed.). Edinburgh: Churchill Livingstone / Elsevier.
- Varney, H., Kriebs, J.M. & Gegor, C.L. (2003). Varney's Midwifery (4th ed.). Sudbury: Jones & Bartlett Publishers.
- Lowdermilk, D.L. & Perry, S.E. (2007). Maternity & Women’s Health Care (9th ed.). St. Louis: Mosby / Elsevier.
- Grobler, F. (2003). Contraception Theory and Practice (4th ed.). Pretoria: Van Schaik Publishers.
- Johnson, S. (2005). Fundamental Aspects of Gynaecology Nursing. London: Quay Books.
- Uganda Nurses and Midwives Council (UNMC) (2001). Midwifery Handbook and Guide to Practice. Kampala: UNMC / Ministry of Health.
- World Health Organization (2006). Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors. Geneva: WHO.
Follow your university’s current approved course outline for official course codes, teaching order and assessments. This directory organises supplementary revision resources.
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