Outline Format for Certification or Recertification
Use this form to list the topics that are taught in your one day class or weekly series of classes. If your outline already follows this format, you can copy and send it, including the objectives and methods of presentation. Otherwise, use this form - make additional copies as needed. You can download a blank copy of this form here.

THE FOLLOWING IS AN EXAMPLE OF A FIVE WEEK SERIES OF CLASSES.

BEHAVIORAL OBJECTIVE
CONTENT (BRIEF OUTLINE)
METHOD OF PRESENTATION
(Write 4 for the one day class or 2 for each class in a weekly series)


Class #1

  • Describe the nutritional needs of a pregnant woman.
  • Demonstrate slow chest and abdominal breathing.



    • Class #2

  • Identify physical and emotional signs of labor.
  • Demonstrate 3 kinds of touch for labor.

    Class #3

  • Demonstrate 3 pushing positions.
  • List advantages and disadvantages of no meds and pain meds.



    Class #4

  • List 3 reasons for a cesarean
  • Identify 5 changes that occur during postpartum.

    Class #5

  • Demonstrate the 5 S's for calming a crying baby.
  • Demonstrate a good latch for breastfeeding.
    		• Include each topic that you teach.



    Introductions
    Nutrition
    Exercise
    Discomforts
    Warning Signs
    Playing with Baby
    Breathing
    Progressive Relaxation

    Labor
    Breathing
    Massage
    Labor Practice


    Birth and Pushing

    Placenta
    Birth Options
    Comfort Measures
    Pain Medications



    Cesarean
    Postpartum
    Tour


    Infant Care
       Normal Newborn
       Care at Home
       Breastfeeding
       Bottlefeeding
       Crying
       Illness
       Safety
    Labor Review and Practice

    		(Discussion, demonstration, lecture, role-play, handouts, video, poster, speaker, models, etc.)

    Name Tag Game
    Lecture, chart, diet record sheet
    Demonstration
    Handout, discussion
    Handout, discussion
    Discussion and chart
    Demonstration, music, practice
    Demonstration, music, practice

    Lecture, discussion, chart, video, handout
    Demostration, practice, music
    Demostration, practice, music


    Roleplay with massage, walking, ball, lunge, knee press, hip squeeze
    Lecture, demo, practice, video
    Lecture
    Handout, discussion
    Discussion and practice
    Lecture, video, discussion

    Lecture, roleplay, video
    Discussion, bag
    Discussion, roleplay positions in the room

    Lecture, charts, discussion, video, handouts, roleplay demonstration





    Top 10 list of things to remember, roleplay

    This file last modified 03/03/07