The document outlines a curriculum for a 1-year Diploma in Midwifery and Obstetric Nursing. It includes sections on the curriculum title, degree awarded, background, philosophy, goal, objectives, framework, design, structure, admission procedure, evaluation system, assessment methods, course descriptions, and a master plan. The curriculum aims to prepare competent nurse-midwives through courses on anatomy, physiology, gynecology, reproductive health, midwifery, and obstetrics. Students must maintain a minimum attendance, pass all courses individually with over 50%, and complete all clinical requirements to graduate with a Diploma in Midwifery and Obstetric Nursing.

1. Bangabandhu Sheikh Mujib Medical University
Shahbag, Dhaka – 1000
Department of Graduate Nursing
Title: Curriculum on Diploma in Midwifery and Obstetric Nursing
GROUP – 1
4th year B.Sc in Nursing Students
Session: 2015-2016

2. • Preface
• Acknowledgement
• Curriculum tittle
• Degree awarded
• Background
• Philosophy
• Goal
• Objectives
• Framework
• Curriculum Design
CONTENTS

3. CONTENTS
• Curriculum structure
• Student admission procedure
• Evaluation system
• Methods of assessment
• Mark distribution and pattern of question
• Study Plan
• Course Code & Name
• Course description
• Annex1: Master Plan

4. PREFACE
Midwifery & Obstetrical Nursing: deals with the nursing care of
pregnancy, childbirth and post-partum period
Includes care of newborn besides sexual and reproductive health of
women throughout their lives.
The goal of nursing education is to prepare today’s student to meet the
challenges of tomorrow. This preparation must extend beyond mastery
of facts and skills.
Several changes in health care system and health care needs as well as
emerging health problems are observed in Bangladesh over the past
decades and the nursing education and services must be responsive to
those changes.
The slide represent curriculum for one year Diploma in Midwifery and
Obstetrical Nursing. We are the final year BSc in Nursing students and
we tried to make this curriculum as a part of “curriculum development”
under the student of “Nursing Education”.

5. ACKNOWLEDGEMENT
First and above all praise is to almighty God for
providing us to this opportunity to successfully
complete this curriculum. We would like to express
our gratitude to them who provided support, talked
things over and editing, proofreading and designing.
Finally our warmest appreciation goes to our
teachers who have inspired us to make curriculum
for Diploma (Duration: 1 year) in Midwifery and
Obstetrical Nursing.

6. Curriculum Title
Curriculum on Diploma in Midwifery and Obstetrical
Nursing
Degree Awarded
Diploma in Midwifery and Obstetrical Nursing

7. BACKGROUND
Special effort was made to assess the quality of the nursing
education in Bangladesh, particularly Senior Registered Nurse
(SRN) Curriculum, which was revised in 1989 and has been
implemented since 1991. Several studies were also carried out to
examine quality of nursing education as well as the practice of
nursing care in hospitals.
These studies revealed that the existing SRN curriculum did not
meet the goal to prepare client and community-oriented nurses.
Moreover, there was the discrepancy between what was taught in
the nursing institutes and what was practiced in the hospital

8. PHILOSOPHY
Philosophy is the study of general and fundamental questions about
existence, knowledge, values, reason, mind, and language. The
Bangladesh Nursing Council and its members hold the following
beliefs about person, environment, health, nursing, midwifery, and
nursing education.
• Person: is a unique being, holistic in nature with interactive bio-
physical, psycho-social, and spiritual dimensions.
• Environment: consists of bio-physical and socio-cultural elements
that impact people’s health.
• Health: is a state of complete physical, mental, social and spiritual
well-being, and not merely the absence of disease or infirmity.
• Nursing: assists clients (individuals, families and communities-
aggregates of people within communities) to attain physical, mental,
social and spiritual well-being.
• Midwifery: is care of the girl-child, the adolescent and the adult
woman prior to, during, and following pregnancy.
• Nursing education: is a dynamic, continuous learning process of
acquiring nursing and midwifery knowledge and skills that bring
about changes of student behaviors.

9. GOAL
Student who completes the Diploma program will be a
competent nurse-midwife who can demonstrate the
competency of using knowledge-based practice for
provision of quality holistic client-centered nursing care
to meet needs/expectations and to promote, maintain,
and restore heath of individuals, families, and
communities in common and simple health problems/
situations.

10. OBJECTIVES
1. Demonstrate to have knowledge in:
Basic sciences, applied sciences, and human sciences;
• Focusing on interpersonal communication, nursing process, holistic nursing,
community-oriented nursing, and knowledge requiring for making clinical nursing
judgment.
• Nursing leadership and management;
• National health care policy;
• Emerging local and global health issues;
• Basic research and evidence-based nursing;
• Basic self-inquiry and computer
2. Demonstrate to have skills in:
• Providing client-centered and holistic care with caring behaviors;
• Communicating effectively with nursing clients, nursing members, physicians and
other health care providers;
• Managing own work on a day-to-day basis;
• Thinking critically and committing to self-directed learning
3. Appreciate oneself as a nurse-midwife, and have positive attitudes toward
professional nursing and lifelong learning.

11. FRAMEWORK
The curriculum is designed to offer a sequence of learning experiences ,from simple to
complex. The curriculum framework (Figure 1) incorporates common and simple
situations significant to nursing in dealing with health of individuals, families, and
communities within the health-illness continuum and throughout human developmental
stages (from newborn to elders, including pregnancy) for achieving nursing goals
(promoting, maintaining and restoring health). These include competencies in:
Figure 1: Curriculum Framework of the special program on Midwifery & Obstetrical Nursing.

12. CURRICULUM DESIGN
It is designed to incorporate-
(1) general education courses to prepare students to understand the world, understand
human behaviors and well-behave in the society, and be able to communicate in
English,
(2) foundation courses to furnish students with essential knowledge relevant to
Midwifery and gynecological nursing and
(3) professional courses for midwifery and obstetrical nursing are sequenced from one
year specialized course, from simple to complex, with an attempt to increase students’
competencies overtime.

13. CURRICULUM STRUCTURE
Total credits = 47 credits
Number in parenthesis indicates total classroom study hours,
hours in laboratory and/ or clinical practice hours in a year.
Numbers are assigned as the followings:
1 credit for classroom study I equal to 16 hours per semester
1 credit for laboratory is equal to 32 hours per semester
1 credit for clinical practice is equal to 96 hours per semester

14. ADMISSION PROCEDURE
Each institute will develop an admission guide considering the following
criteria of admission procedure:
1. Criteria for applicants:
• Applicants who meet the following criteria will be eligible to enter into the
program:
• the applicants must have passed diploma in Nursing Science and
Midwifery or B.Sc. in Nursing or Post Basic B.Sc. in Nursing or M.Sc. in
Nursing
• The applicants must have the passed license examination under
Bangladesh Nursing Council
2.Method of selection:
• The applicants must appear at 100 marks MCQ written test with 100
questions which will include knowledge of Nursing, General Knowledge,
Bengali, English and Mathematics

15. Continued………
3. Duration of Program:
A period of one year education
4. Medium of instruction:
English language is used as a medium of instruction with
supplemental, as necessary.
5. Teaching system:
Institutes may have their own preference for conducting
the teaching sessions. Teaching (theory and practice)
sessions may be arranged either in block or study day
system. This curriculum provides sample of block system
of teaching session.

16. Continued………
6. Methods of teaching:
Find out what they know and do
Students Apply
Learning
Build on what
they know and
do
Practice new
knowledge/skills

17. EVALUATION SYSTEM
Grade Category Description
A Excellent (80.00 – 100 )%
B Good (70.00 – 79.99) %
C Fair (60.00 – 69.99) %
D Weak (50.00 – 59.99) %
F Fail < 49.99%

18. Continued……
Method of assessment:
Method of assessment is both formative and summative.
a. Formative assessment includes :
• class attendance,
• class examinations or quizzes
b. In course assignments such as :
• preparation of written assignment,
• preparation of posters,
• booklet,
• laboratory reports,
• practical notebook,
• case study,
• nursing care plan,
• oral presentation,
• report writing and so on.

19. Mark distribution and pattern of
questions:
Mark distribution and pattern of questions:
A. Marks and pattern or question in written examination in each subject will be
as follows:
1. Formative assessment:
– 10 marks are allocated for formative assessment of each paper, when total marks of
written exam are either 100 or 150.
– 10 marks of formative assessment will be divided as follows:
Class attendance = 2%
Class examination = 4%
In course assignment = 4%
Total = 10%

20. Continued…..
1. Multiple choice question(MCQ):
• 20 marks is allocated for 20 MCQ, when total marks of written exam are
100 or 150.
• There will be separate answer script for MCQ examination.
• Time allocation is one minute for each question.
2. Short answer question (SAQ): Rest of the written examination are allocated
for SAQ for each paper

21. Continued…..
Pass mark: 50 marks in each in subject individually in written, oral and
practical examination.
Attendance and marks: All students are expected to attend classes regularly.
The institute believes that attendance is necessary for effective learning. The
first responsibility of student is to attend classes regularly, and one is required
to attend at least 60% of all theoretical classes and 100% of lab and practical
session held in every course. Basis for awarding marks for class attendance for
classes will be as follows:
Attendance marks
• 90% and above = 2.0
• 75%-89.99% = 1.5
• 60%- 74.99% = 1.0
• Less than 60% = 0.0

22. STUDY PLAN
Code and name of the different courses with hours and marks
1. Foundational course:
D121 : Anatomy
D122 : Physiology
Hours
48/32/0
48/0/0
Marks
150
150
2. Professional course:
D133: Gynae and Reproductive Health
D134: Midwifery and Obstetric Nursing
80/8/192
112/32/288
150
200

23. COURSE CODE AND NAME
It means designation and numbering system of a course. Each course
is designated by a letter D which stands for Diploma in Midwifery
and Obstetrical Nursing followed by a three digit number with the
following criteria:
• First digit indicates the year of study
• Seconds digit indicates whether the course is
 foundation (1)
 professional (2)
• The 3rd digit indicates chronological order of the course of
specific year.

24. Continue……..
The course is illustrated by an example that is
given below:

25. Total hours = 840 hours
Weeks 8w/2w/10w = 20 weeks
Theory hours = 288 hours = 18 credit
Lab hours = 72 hours = 2.25 credit
Practical hours = 480 hours = 5 credit
Total hours = 840 hours = 25.25 credit

26. Total hours = 864 hours
Weeks 6w/2w/12w
Theory hours = 216 hours = 13.5 credit
Lab hours = 72 hours = 2.25 credit
Practical hours = 576 hours = 6 credit
Total hours = 864 hours = 21.5 credits
Midterm + Final examination:
Total hours = 840 h + 864 h = 1704 hours
Total credits = 25.5 + 21.75 = 47 (504/144/1056)

27. COURSE DESCRIPTION
D121: Anatomy ( 98/64/0)
Anatomical structure of human body , introduction to anatomy , musculoskeletal
system- bones , homeostasis and metabolism of body systems including nervous
system ,endocrine system , cardiovascular system , respiratory system , digestive
system , urinary system , reproductive system, hematological system, sensory
organs , integumentary system and immune system .
D122: Physiology (74/0/0)
Physiological functions of human body , introduction to physiology , movement,
nervous system , endocrine system , cardiovascular system, respiratory system
,digestive system , urinary system, sensory organs .

28. Continue……
D133: Gynecological and reproductive health Nursing
Gynecological nursing :
Concept of gynecology and gynecological nursing, gynecological problems ,
diagnosis and examination, menstrual cycle, disorder of menstruation,
abortion, prevention of gynecological infection and nursing care management
if gynecological problems , inflammatory condition of female reproductive
organs , begin and malignant growth, polyps, cyst vesicular moles and
displacement of uterus.
Reproductive Health Nursing :
Introduction to reproductive health, family planning , fertility and infertility,
problems in reproductive health of both sex, adolescence group, status of
women , process of counseling on different issues of reproductive health
problems , concept pf safe motherhood initiative and different national and
international policies and programs in reproductive health. Ethical and legal
issues relevant to the care of clients with reproductive health needs.

29. Continue……
D134: Midwifery and Obstetrical Nursing (214/64/612)
Midwifery :
Introduction to midwifery , roles ,functions and responsibility of nurse midwives
in the health care system , ethics in midwifery , maternal and newborn health
situations in Bangladesh; socio economic and cultural factors affecting maternal
and newborn health, application of nursing process as basis for the practice of
midwifery; fertilization; growth and development of fetus , changes and impact of
pregnancy on bio- psycho- social and spiritual aspect of women during
pregnancy, mechanism of labor , theory and practice in providing comprehensive
and holistic care to pregnant women and their newborn/ fetus and families from
preconception , antenatal , labor to postnatal period ; with the women as the
central figure in the care; emphasis is placed on management of normal delivery
with active management of 3rd stage and 4th stage of labor , immediate care of the
newborns and early and exclusive breastfeeding.

30. Continue……
Obstetrics:
Theory and practice in providing comprehensive and holistic care to pregnant
women having abnormal obstetric and/ or underlying medical condition and
their fetus and families from pre conception, antenatal , labor to postnatal
period with the women as the central figure of the care, emphasis is placed on
early detection of obstetric complications and conditions detrimental to health
of pregnant women and their fetus , timely procurement of medical assistance
and /or referral and first line management for obstetrics emergencies and life
threatening situation: emergency obstetric care, use of midwifery standard for
quality management , ethical issues concerning the maternal and newborn
health in Bangladesh.

31. Continue……
Duration of Examination Hours:
• Examination hours for written paper will be allocated as follows:
• 1. For 50 marks: 2.00 hours.
• 2. For 100 marks: 3.00 hours
Multiple choice question (MCQ):
• Number of item: 20 MCQ for each course.
• Time allocation: 1 minute for each question.
• MCQ will cover 10 best answer and 10 correct answer
• Marks allocation: Each question will carry 1 mark
• MCQ examination will be taken at the beginning of the written
examination.
• Essay type or a combination of mixed type of questions such as
objective type, short type and essay questions

32. Continue……..
Short question (SAQ) & Essay question (EAQ):
• The rest of the marks of the written examination are allocated for SAQ & EAQ.
• Short Question (SAQ): Each SAQ will carry 5 marks
• Essay Question (EAQ): Each EAQ will carry 10 marks having no sub- questions.
• For 50 marks student have to answer 4 SAQ out of 6 and 1 EAQ out of 2 respectively
• For 100 marks student have to answer 6 SAQ out of 8 and 5 EAQ out of 7
respectively.
• The answer script will be examined by one assessor.
Formative assessment marks distribution:
1. Formative assessment: 10 marks are allocated for formative assessment of each
paper, when total marks of written exam are of either 100 or 150.
2. 10 marks will be divided as follows:
Class attendance = 2 %
Class test examinations = 4%
Assignment & Presentation = 4 %
Total = 10%

33. Continue……..
Attendance marks:
90% and above =2.0
75%-89.99% =1.5
60%-74.99% =1.00
Less than 60% =0.00
Graduation:
Student will be graduated if they need the following criteria:
1. Pass mark is 60%
2. Pass and complete the requirement of all courses including the clinical
experience specified in the check list book.
Leave system:
The student will get 4 weeks of annual leave in each year.
Certification and Licensure:
Bangladesh Nursing and Midwifery Council will issue certificate and license
as a registered nurse.

34. Appendix : 1
Curriculum for Diploma in Midwifery and Obstetric Nursing
Master Plan for Overall Course Structure based on Block System of Teaching
Midterm
Final
Here,
T = Theory
L = Lab
PGy = Practice in Gynecological and Reproductive Health Nursing
PMO = Practice in Midwifery and Obstetric Nursing
B = Break
S/L = Study Leave
M/E = Midterm Examination
F/E = Final Examination
Weeks 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
T T T L PGy PGy PMO PMO PMO T T PGy PGy B PMO PMO PGy B T L T R S/L M/E M/E B
Weeks 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
T T T L PGy PMO PMO T T L B PMO PMO PMO PMO PMO B PGy PGy PMO PMO R S/L F/E F/E B

35. Appendix: 2
Organization of the Course Structure (Sample of Block System of Teaching)
Midterm
Gynecological and Reproductive Health Nursing:
Selected Words are –
 Gynae Ward (GW)
 Gynae OT (GOT)
 Gynae Post-operative Ward (GPOW)
Midwifery and Obstetrics Nursing:
Selected Wards are –
Labor Room (LR)
Caesarean OT (COT)
Caesarean Post-operative Ward (CPOW)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
T T T L PGy PGy PGy PGy PGy T T B PMO PMO PMO PMO PMO B T L T R S/L M/E M/E B

36. Group:
G1, G2, G3, G4, G5
T T T L
G1
GW
G5
GW
G4
GW
G3
GW
G2
GW
T T B
G1
LR
G5
LR
G4
LR
G3
LR
G2
LR
B T L T R S/L M/E M/E B
G2
GW
G1
GW
G5
GW
G4
GW
G3
GW
G2
LR
G1
LR
G5
LR
G4
LR
G3
LR
G3
GOT
G2
GOT
G1
GOT
G5
GOT
G4
GOT
G3
COT
G2
COT
G1
COT
G5
COT
G4
COT
G4
GOT
G3
GOT
G2
GOT
G1
GOT
G5
GOT
G4
CPOW
G3
CPOW
G2
CPOW
G1
CPOW
G5
CPOW
G5
GPOW
G4
GPOW
G3
GPOW
G2
GPOW
G1
GPOW
G5
CPOW
G4
CPOW
G3
CPOW
G2
CPOW
G1
CPOW

37. Group:
G1, G2, G3, G4, G5
T T T L
G1
GW
G3
GW
G2
GW
T T L B
G1
LR
G5
LR
G4
LR
G3
LR
G2
LR
B
G1
LR
G4
LR
G3
LR
G2
LR
R S/L F/E F/E
G2
LR
G1
LR
G5
LR
G4
LR
G3
LR
G2
COT
G1
COT
G4
COT
G3
COT
G2
GOT
G1
GOT
G3
GOT
G3
CPOW
G2
CPOW
G1
CPOW
G4
CPOWG3
COT
G2
COT
G1
COT
G5
COT
G4
COT
G4
CPOW
G3
CPOW
G2
CPOW
G1
CPOWG3 G2 G1
G4
COT
G3
COT
G2
COT
G1
COT
G5
COT

38. Final
Wee
ks
1 2 3 4 5 6 7 8 9 1
0
1
1
12 13 14 15 16 1
7
18 19 20 21 2
2
23 24 25 2
6
T T T L PG
y
PG
y
PG
y
T T L B PM
O
PM
O
PM
O
PM
O
PM
O
B PM
O
PM
O
PM
O
PM
O
R S/
L
F/
E
F/
E
B
Gynecological and Reproductive Health Nursing:
Selected Words are –
 Gynae Ward (GW)
 Gynae OT (GOT)
 Gynae Post-operative Ward (GPOW)
Midwifery and Obstetrics Nursing:
Selected Wards are –
 Labor Room (LR)
 Caesarean OT (COT)
 Caesarean Post-operative Ward (CPOW)