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Breastfeeding Teaching at Department of Obstetrics

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Breastfeeding Teaching at Department of Obstetrics ประสบการณการเรียนการสอน การเลี้ยงลูกดวยนมแม ในโรงพยาบาลพระมงกุฎเกลา พ.อ.หญิง ผศ.ปริศนา พานิชกุล กองสูตินรีเวชกรรม รพ.พระมงกุฎเกลา Department of Obstetrics & Gynecology Phramongkutklao Hospital For Medical Students Med. Topics Student ANC, abnormal ANC 4th year Lecture & 10-step of BF Labor & abnormal labor pattern 4th year Lecture Bedside Normal & abnormal puerperium 4th year round Basic Breastfeeding in OB 4th year (Lecture) Common Breastfeeding Problems 5th year Lecture For Medical Students • ANC • Labor service round • Postpartum service round For Medical Students • Scope – Anatomy & physiology – Lactogenesis – Benefit of Breastfeeding – Evaluation of breast & nipple – Breastfeeding positions & 4 key points latch on & 4 key signs milk expression cup feeding For Medical Students • Scope – Evaluation of nipple & areolar – Inverted nipple – Cracked nipple – Breast Engorgement – White dot / Blocked duct – Mastitis / Breast abscess – Galactagogues – Lactation suppression Educational materials Educational materials Educational materials Evaluation For Medical Students Observation in • Antenatal class • Breastfeeding clinic For Medical Students Observation in • Postpartum class BF Teaching For Medical Students Comment เสนอแนะ • ควรเพิ่ม case-base learning • การมีการกระตุนการเรียนรู ใหนักเรียนทุกคนไดมีสวนรวม การหยุดถามตอบเปนชวงๆ ชวยกระตุนการเรียนรูไดดี • สามารถนําความรูไปแนะนําคนไขได For OB&GYN Residents • Guest lecture • Basic science “Physiology of lactation” • 10-min. talk “Breastfeeding counseling” “Common breastfeeding problems” • Essay examination Teamwork • Department of OB & GYN • Nursing team • 1st refresher BF course - 2009 Teamwork • Department of OB & GYN • Nursing team • Last refresher BF course - 2011 • Yearly attended BF class Teamwork • Department of Pediatrics • NICU & Nursery BF Teaching in Pediatric Department หนวยทารกแรกเกิด • การเลี้ยงลูกดวยนมแมในทารกปกติ / นพท ป 4 (Ward round) • Breast feeding related jaundice / นพท ป 4 (Lecture ) • Human milk management / นพท ป 6 (Ward round & OPD) หนวยโภชนาการเด็ก • Breastfeeding / นพท.ป 4 BF Teaching in Pediatric Department Comment เสนอแนะ • อยากใหมี class ที่เปนการเรียนการสอน แบบที่ไดเห็นคนไขจริง และไดฝกปฏิบัติจริง เชน ไปสอนที่ Clinic นมแมของสูติ • สอนการใหนมแมในทารกปวย • สอนการสนับสนุนนมแม โดยอาจารกุมารแพทยทุกคน ในวันที่ออก OPD well baby สอน กับ นพท. • ให นพท. เรียน เนื้อหาเรื่องนมแม ผาน e-learning What is the plan? • For Medical student: – Examination: MCQ, MEQ, OSCE • For team: – BF guest lecture / Basic science / Topic for OB & GYN residents – Advice Breastfeeding clinic to all personal – Refresher BF course for nursing team – Nurse in charge of Breastfeeding clinic .
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