Content Objective: Maternity Care
By the end of the Family Medicine Clerkship, the medical student will be able to:
- Discuss key pre-conception considerations in healthy women of childbearing age. (e.g. folic acid supplementation, smoking, rubella immunity, etc.)
- Date a pregnancy accurately.
- Explore the patient’s feelings and concerns about her pregnancy (e.g. supports, stressors, etc.)
- Perform an adequate first prenatal visit including taking a history and performing an appropriate focused physical exam with the assistance of available antenatal tracking tools.
- Screen for and identify pregnancies at risk (e.g. domestic violence, multiple gestation, maternal age, substance use, etc.)
- Conduct a basic prenatal follow up visit, including BP measurement, weight, fetal heart rate (starting at 12 weeks), symphysis-fundal height (20 weeks and beyond), screening for concerns and complications.
- Provide basic education and counseling regarding delivery.
- Counsel a patient regarding the benefits of breastfeeding and identify common breastfeeding complications including poor latch, nipple pain, inadequate milk supply, engorgement and mastitis.
- Differentiate between post-partum blues and post-partum depression.
- Conduct a six-week-post-partum visit that includes:
- Pap test and breast examination.
- family planning/contraception options appropriate for the patient (i.e. no estrogen if patient is breastfeeding.)
- screening for post-partum depression.
Mandatory Clinical Encounter
- Routine prenatal care clinical card, SHARC-FM
- Common Prenatal Problems Clinical Card, SHARC-FM
- Zolotor AJ, Carlough MC. Update on Prenatal Care. Am Fam Physician. 2014; Feb 1:89(3):199-208 (Please note this is a U.S. resource, most provinces have individualized prenatal records. This article provides a good overview of prenatal practices with good evidence. Provincial guidelines regarding prenatal screening may vary.)
- PEI Reproductive Care Program
- NB Perinatal Health Program
- NS Reproductive Care Program
- Breastfeeding webinar - see Brightspace for slides
- Postpartum and Newborn Care Summary Checklist for Primary Care Providers
* Where a specific resource is not listed for a particular objective, please refer to recommended general texts/websites. Resources have often been selected from the Clinical Practice Guidelines and Protocols in British Columbia and Alberta’s Towards Optimized Practice Clinical Practice Guidelines. These are often concise summaries of national guidelines.