last Month UHPAB Exam Prep DME 1.1

DAY 1 📅 Nov 10 (Sun)

🤱 Introduction to Midwifery

DME 111: Philosophy & Terminology

Definition, Scope & Philosophy of Midwifery
Core Terminologies (Gravida, Para, Term, Preterm)
Midwife's Role in Maternal Care

🤰 REMEMBER: GTPAL = Gravidity, Term, Preterm, Abortions, Living children!

🎯 KEY POINT: Midwife = "With woman". Empowerment is central!

"You're not just learning a profession, you're embracing a calling!"

"Children are a heritage from the Lord." - Psalm 127:3

DAY 2 📅 Nov 11 (Mon)

🤰 Normal Pregnancy

DME 111: Physiology & Minor Disorders

Physiological Changes (Cardiac, Respiratory, Renal)
Minor Disorders (Nausea, Varicose veins, Backache)
Management & Health Education

Click Here for Day 2 Summary

💓 REMEMBER: Cardiac output ↑ by 40-50%! Blood volume ↑ by 40-50%!

🎯 KEY POINT: Reassure! Nausea = small frequent meals. Varicose veins = elevation!

"Pregnancy is miraculous. Understand the changes, support the mother!"

"You knitted me together in my mother's womb." - Psalm 139:13

DAY 3 📅 Nov 12 (Tue)

🏥 Antenatal Care

DME 111: Antenatal Care (ANC)

Goals & Schedule (4 visits minimum)
History Taking & Physical Examination
Screening Tests & Immunizations

Click Here for Day 3 Summary

📅 REMEMBER: GOAL ORIENTATION! FANC, not APPLICABLE now!

🎯 KEY POINT: Always check BP, urine (protein), weight, fundal height, FHR!

"Antenatal care saves lives. Be thorough, be caring!"

"Before I formed you in the womb I knew you." - Jeremiah 1:5

DAY 4 📅 Nov 13 (Wed)

💬 Health Education & Labour

DME 111: ANC Education & Labour Overview

ANC Health Education Topics (Nutrition, Danger signs, Birth plan)
Normal Labour: Physiology & Stages Overview
Partograph Introduction

Click Here for Day 4 Summary

⚠️ REMEMBER: Danger signs: Bleeding, Severe headache, Fever, Decreased FM!

📊 KEY POINT: Partograph = WHO tool to monitor labour. Learn it early!

"Education is prevention. Teach mothers to be their own advocates!"

"My people are destroyed for lack of knowledge." - Hosea 4:6

DAY 5 📅 Nov 14 (Thu)

🔴 First Stage of Labour

DME 111: Physiology & Management

Physiology: Contractions, Cervical dilatation, Descent
Management: Assessment, Vaginal Examination, Partograph
Maternal & Fetal Monitoring

Click Here for Day 5 Summary

⏱️ REMEMBER: Latent phase = 0-4cm, Active phase = 4-10cm. 1cm/hr expected!

🚨 KEY POINT: VE = Vaginal Examination. Use 5 fingers, assess 5Ps! (Passage, Passenger, Power, Position, Psyche)

"First stage is a marathon. Your patience and skill guide the mother!"

"Weeping may endure for a night, but joy comes in the morning." - Psalm 30:5

DAY 6 📅 Nov 15 (Fri)

💪 Second & Third Stage

DME 111: Delivery & Placenta

2nd Stage: Physiology, Management, Episiotomy, Mechanism
3rd Stage: Physiology, Active Management, Placenta examination

Click Here for Day 6 Summary

👶 REMEMBER: Second stage = Full dilatation to birth. Bear down with contractions!

🩸 KEY POINT: Active management = Oxytocin + Controlled cord traction + Uterine massage!

"Birth is a miracle. You are the guardian of that miracle!"

"I will praise You, for I am fearfully and wonderfully made." - Psalm 139:14

🎉 DAY 7 📅 Nov 16 (Sat)

😎 REST & REVIEW!

WEEK 1 COMPLETE!

✅ Review Days 1-6 (Pregnancy & Labour basics)
✅ Draw & label partograph from memory
✅ Practice 20 MCQs on normal labour
✅ Watch delivery video demonstration
✅ REST - You've earned it!

🎯 REMEMBER: Master normal before abnormal! These are your foundations!

"Week 1 down! You're building on a strong foundation. Keep going! 🏗️"

"The path of the righteous is like the morning sun." - Proverbs 4:18

DAY 8 📅 Nov 17 (Sun)

🦴 Female Pelvis & Varieties

DME 111: Obstetric Anatomy

Bony Pelvis: Bones, Joints, Landmarks
Pelvic Types (Gynecoid, Android, Anthropoid, Platypelloid)
Pelvic Assessment: Clinical & Imaging

Click Here for Day 8 Summary

🦴 REMEMBER: Gynecoid = Ideal for birth (50% women). Android = Male-type, difficult!

📏 KEY POINT: Diagonal conjugate = 12.5cm important! Assess inlet size!

"Know the passage to predict the journey!"

"You formed my inward parts." - Psalm 139:13

DAY 9 📅 Nov 18 (Mon)

🌸 Reproductive Organs

DME 111: Vulva to Ovaries

Vulva, Vagina, Cervix: Structure & Function
Uterus: Layers (Endometrium, Myometrium, Perimetrium)
Uterine Tubes & Ovaries

🌸 REMEMBER: Cervix softens (Goodell's sign), uterus enlarges (Hegar's sign)!

🎯 KEY POINT: Myometrium contracts! Endometrium nourishes! Know your layers!

"The womb is the first home. Know it intimately!"

"YourMaker is your husband— the Lord Almighty is his name." - Isaiah 54:5

DAY 10 📅 Nov 19 (Tue)

🧬 Gametogenesis & Fertilization

DME 111: Embryology Basics

Spermatogenesis & Oogenesis
Menstrual Cycle Hormones (FSH, LH, Estrogen, Progesterone)
Fertilization Process & Site (Fallopian tube)

🧬 REMEMBER: Fertilization occurs in ampulla of fallopian tube! Zygote forms!

🎯 KEY POINT: Day 14 ovulation! FSH matures follicle, LH triggers ovulation!

"Life begins at the moment of fusion. Understand this miracle!"

"God created mankind in His own image." - Genesis 1:27

DAY 11 📅 Nov 20 (Wed)

🫀 Placenta & Fetal Circulation

DME 111: Placenta & Fetus

Placenta Development & Functions
Fetal Circulation (Shunts: Ductus venosus, Foramen ovale)
Amniotic Fluid & Umbilical Cord

🫀 REMEMBER: Placenta weight = 500g. Two arteries, one vein in cord!

💡 KEY POINT: Fetal circulation bypasses lungs! Changes at birth are dramatic!

"The placenta is the baby's life support system. Master it!"

"I praise You because I am fearfully and wonderfully made." - Psalm 139:14

DAY 12 📅 Nov 21 (Thu)

👶 Fetal Skull & Moulding

DME 111: Cranium & Sutures

Fetal Skull Bones & Sutures (Sagittal, Coronal, Lambdoid)
Fontanelles (Anterior & Posterior)
Mechanism of Moulding

👶 REMEMBER: Anterior fontanelle = diamond, closes 18 months. Posterior = triangle, closes 3 months!

🎯 KEY POINT: Moulding = overlapping skull bones. Caput succedaneum = edema!

"The skull is designed for birth. Understand its genius!"

"You have granted me life and steadfast love." - Job 10:12

DAY 13 📅 Nov 22 (Fri)

🌺 Normal Puerperium

DME 111: Postnatal Care

Physiology: Uterine involution, Lochia changes
Management: Vitals, Perineal care, Breastfeeding support
Minor Disorders & Postnatal Exercises

🩸 REMEMBER: Lochia rubra = 3 days, serosa = 10 days, alba = 3 weeks!

🎯 KEY POINT: Uterus involutes 1cm/day. Should be non-palpable by 10-14 days!

"The fourth trimester is critical. Support recovery and bonding!"

"But those who hope in the Lord will renew their strength." - Isaiah 40:31

🎊 DAY 14 📅 Nov 23 (Sat)

💪 ANATOMY CHECKPOINT!

WEEK 2 COMPLETE!

✅ Draw pelvic types from memory
✅ Label fetal skull bones & sutures
✅ Explain placental circulation
✅ Practice 25 MCQs on obstetric anatomy
✅ REST - Your brain is soaking it all in!

📊 PROGRESS: 14/31 days = 45% DONE! Anatomy is your foundation!

"You're not just learning, you're becoming a midwife! 🌟"

"We are God's handiwork, created to do good works." - Ephesians 2:10

DAY 15 📅 Nov 24 (Sun)

🌙 Menstrual Disorders

DME 112: Gynaecology Basics

Amenorrhoea (Primary & Secondary)
Dysmenorrhoea & Menorrhagia
Metrorrhagia & Polymenorrhoea
Dysfunctional Uterine Bleeding (DUB)

🩸 REMEMBER: Menorrhagia = >80ml blood loss. Dysmenorrhoea = painful periods!

🎯 KEY POINT: Secondary amenorrhoea = 6 months no menses. Rule out pregnancy first!

"Women's health is your domain. Understand their cycles!"

"She is clothed with strength and dignity." - Proverbs 31:25

DAY 16 📅 Nov 25 (Mon)

💔 Abortions & Ectopic

DME 112: Pregnancy Loss

Types: Threatened, Inevitable, Incomplete, Complete, Septic, Missed
Management: MVA, Medical, Surgical
Ectopic Pregnancy: Sites, Presentation, Management

🚨 REMEMBER: Septic abortion = fever + offensive discharge. EMERGENCY!

🎯 KEY POINT: Ectopic = Implantation outside uterus. Tubal = most common. Rupture = shock!

"Handle loss with compassion. Your care matters in grief!"

"The Lord is close to the brokenhearted." - Psalm 34:18

DAY 17 📅 Nov 26 (Tue)

🦠 Infections & Cancers

DME 112: PID & Cancers

Pelvic Inflammatory Disease (PID) - Causes, Presentation, Treatment
Fibroids (Leiomyomas)
Genital Cancers: Cervical, Uterine, Ovarian, Breast

🔥 REMEMBER: PID = Ascending infection. Gonorrhea/Chlamydia common causes!

🎯 KEY POINT: Cervical cancer = HPV vaccine preventable! Pap smear screening!

"Screening saves lives. Be an advocate for prevention!"

"An ounce of prevention is worth a pound of cure." - Proverbs (Wisdom)

DAY 18 📅 Nov 27 (Wed)

💑 Family Planning Methods

DME 112: Reproductive Health

Non-Hormonal: Condoms, IUD, Tubal Ligation, Vasectomy
Hormonal: Pills, Injectables, Implants
Mode of Action & Side Effects

🎯 REMEMBER: LARC = Long Acting Reversible Contraception. Implants = 3-5 years!

⚠️ KEY POINT: Copper IUD = 10 years. No hormones. Check strings monthly!

"Empower women to plan their families. Choice is power!"

"Children are a blessing, but choice is wisdom." - Proverbs

DAY 19 📅 Nov 28 (Thu)

🤝 Safe Motherhood & STIs

DME 112: RH Integration

Safe Motherhood: Components, 3 Delays, Mortality reduction
STIs: Gonorrhea, Chlamydia, Syphilis, HIV
Syndromic Management Approach

⏰ REMEMBER: 3 Delays = Seeking care, Reaching care, Receiving care!

🎯 KEY POINT: Syndromic management = Treat based on symptoms, not lab tests!

"Safe motherhood is a human right. Fight for every woman!"

"Defend the cause of the weak and fatherless." - Psalm 82:3

DAY 20 📅 Nov 29 (Fri)

👫 Adolescent & Gender Issues

DME 112: Special Populations

Adolescent Reproductive Health Needs
Adolescent-Friendly Services
Gender-Based Violence & Domestic Violence

💬 REMEMBER: Adolescents need privacy, confidentiality, non-judgmental care!

🚨 KEY POINT: GBV = Physical, sexual, emotional, economic abuse. Assess safely!

"Protect the vulnerable. Be their voice when they cannot speak!"

"Speak up for those who cannot speak for themselves." - Proverbs 31:8

🔥 DAY 21 📅 Nov 30 (Sat)

🎯 MAJOR MILESTONE!

WEEK 3 COMPLETE!

✅ Review Days 15-20 (Gynae & RH)
✅ List all FP methods with side effects
✅ Practice syndromic STI management
✅ Create adolescent health education poster
✅ REST - You're becoming a specialist!

📊 PROGRESS: 21/31 days = 68% DONE! Reproductive health mastery!

"You're handling sensitive topics with grace. PROFESSIONAL! 💪"

"Let your light shine before others." - Matthew 5:16

DAY 22 📅 Dec 1 (Sun)

🧠 Mental Health Concepts

DME 113: Mental Health Basics

Concepts: Mental Health vs Mental Illness
Classification (ICD-10)
Etiology: Biological, Psychological, Social

🧠 REMEMBER: Mental health = state of well-being. Not just absence of illness!

🎯 KEY POINT: Bio-psycho-social model = Holistic approach to mental illness!

"Mental health matters. Break the stigma, be the change!"

"God gave us a spirit of power, love, and self-discipline." - 2 Timothy 1:7

DAY 23 📅 Dec 2 (Mon)

🛡️ Psychiatric Disorders

DME 113: Maternal Mental Health

Depression & Postpartum Depression
Psychosis & Postpartum Psychosis
Anxiety Disorders & Panic Attacks
Substance Abuse & Alcoholism

😔 REMEMBER: Postpartum blues = 50-80% moms. PPD = 10-15%. Lasts >2 weeks!

🚨 KEY POINT: Postpartum psychosis = EMERGENCY! 1-2/1000. Risk of infanticide/suicide!

"Screen every mother. Mental health is maternal health!"

"Cast all your anxiety on Him because He cares for you." - 1 Peter 5:7

DAY 24 📅 Dec 3 (Tue)

💊 Pharmacology Basics

DME 113: Drugs in Midwifery

Pharmacokinetics (ADME)
Pharmacodynamics (Action, Dose-response)
Essential Drugs Concept
Prescription Writing

💊 REMEMBER: ADME = Absorption, Distribution, Metabolism, Excretion!

🎯 KEY POINT: Essential drugs = Most effective, safe, affordable. WHO list!

"Drugs are tools. Know them well to heal, not harm!"

"The leaves of the tree are for the healing of the nations." - Revelation 22:2

DAY 25 📅 Dec 4 (Wed)

🤱 Drugs in Midwifery

DME 113: Obstetric Drugs

Oxytocics (Oxytocin, Ergometrine, Misoprostol)
Anticonvulsants (MgSO₄)
Antibiotics, Analgesics
Pediatric medications

💉 REMEMBER: Oxytocin = 5-10 IU IM. Ergometrine = 0.2mg IM. Know doses!

⚠️ KEY POINT: MgSO₄ loading dose = 4g IV over 5 min! Monitor reflexes, respiration, urine output!

"Medication errors kill mothers. Be the safe pair of hands!"

"Whoever is faithful in little things will be faithful in large ones." - Luke 16:10

DAY 26 📅 Dec 5 (Thu)

🦟 Malaria & TB

DME 114: Tropical Diseases

Malaria: Transmission, Lifecycle, Clinical features
Malaria in Pregnancy (IPTp, ITNs)
Tuberculosis: Types, Diagnosis, DOTS

🦟 REMEMBER: Plasmodium falciparum = Most deadly. IPTp = 3 doses SP in pregnancy!

🎯 KEY POINT: TB = Cough >2 weeks + fever + weight loss. DOTS = Directly Observed Treatment!

"Tropical diseases kill mothers and babies. Know them to stop them!"

"I will take away sickness from among you." - Exodus 23:25

DAY 27 📅 Dec 6 (Fri)

🐛 Helminths & Other Diseases

DME 114: Parasitic Diseases

Intestinal Worms (Ascaris, Hookworm, Tapeworm)
Schistosomiasis, Onchocerciasis, Elephantiasis
Measles, Cholera, Typhoid, Ebola

🐛 REMEMBER: Hookworm causes anemia! Deworm pregnant women in 2nd/3rd trimester!

🎯 KEY POINT: Schistosomiasis = Snail fever. Hepatosplenic damage. Praziquantel treatment!

"Community health is midwifery health. Think beyond the hospital!"

"He heals all your diseases." - Psalm 103:3

💥 DAY 28 📅 Dec 7 (Sat)

🎊 FINAL SPRINT!

WEEK 4 COMPLETE!

✅ Review Days 22-27 (Mental Health & Tropical)
✅ List all obstetric drug doses
✅ Create flashcards for STI syndromes
✅ Draw parasite lifecycles
✅ REST - The finish line is near!

📊 PROGRESS: 28/31 days = 90% DONE! You're almost exam-ready!

"You've mastered Semester 1 content. Now polish it to perfection! 🌟"

"Well done, good and faithful servant!" - Matthew 25:23

DAY 29 📅 Dec 8 (Sun)

🎯 Midwifery Marathon

REVIEW: All Systems

✅ Draw labour stages from memory
✅ Label pelvic types & fetal skull
✅ Practice 50 MCQs on obstetrics
✅ Teach FP methods to a friend

🧠 REMEMBER: If you can teach it, you know it. Be the teacher today!

🚨 EXAM-FOCUSED DAY! NO NEW CONTENT! 🚨

"Your brain is a muscle. Flex it with active recall!"

"Study to show yourself approved." - 2 Timothy 2:15

DAY 30 📅 Dec 9 (Mon)

🚀 Clinical Skills Blitz

REVIEW: All Skills

✅ Write SOAPIE for ANC visit
✅ List all drug doses (oxytocin, MgSO₄, SP)
✅ Syndromic STI management x10
✅ FP counseling role-play

🚀 REMEMBER: Speed + Accuracy = Exam success. Time yourself!

🚨 HANDS-ON PRACTICE DAY! 🚨

"Repetition is the mother of skill. You're becoming automatic!"

"Whatever you do, work at it with all your heart." - Colossians 3:23

🎯 DAY 31 📅 Dec 10 (Tue)

😌 LIGHT REVIEW & REST

PREPARE YOUR MIND

✅ Skim ALL sticky notes (golden nuggets)
✅ Review difficult topics ONE last time
✅ Pack exam materials (ID, pens, calculator)
✅ Sleep 8-9 hours (memory consolidation!)
✅ PRAY & visualize SUCCESS

🧠 REMEMBER: Tomorrow you rest. Dec 11-13 = Final review. Dec 14 = VICTORY!

"You've done the work. Now trust your training. You. Are. READY! 🏆"

"Be strong and courageous. Do not be afraid." - Joshua 1:9

🎓 EXAM DAY 📅 Dec 14 (Sat)

🏆 YOU ARE A MIDWIFE!

DEC 11-13: FINAL REVIEW DAYS

Use the website for last-minute notes!

✅ Dec 11: Review all obstetric anatomy (draw pelvis & skull)
✅ Dec 12: Memorize all drugs & FP methods
✅ Dec 13: STI syndromes & tropical diseases
✅ Dec 14: EXAM DAY - You've got this! 👶

"SEMESTER 1 MASTERED. GO GET THAT A+! GOD IS WITH YOU! 🙏"