|Unseen Examination – 2.5 hours
To test knowledge and understanding relating to complications in childbirth and associated
Pharmacology, as well as application of research evidence. 90%
Authentic World Examination 10%
|This module focuses on the challenges to the midwife’s sphere of practice, as part of the multidisciplinary team, in providing maternal and neonatal care during the childbearing continuum. The module examines possible deviations from normal midwifery care, including assessing the likelihood of such deviations; this allows the student to prepare for & recognise the onset of pathological occurrences. The module will explore the midwifery management and care of women and neonates with pathological conditions and the midwife’s role as part of the midwifery team, making management decisions. The module also examines therapeutic interventions encountered in midwifery and the rationale for their use reflecting current research findings.
|By the end of the module the student should be able to:
Professional practice skills
manage selected obstetric emergencies in a simulated setting.
Values and attitudes
demonstrate sensitivity to the diverse needs of women and families experiencing complications, whilst appreciating the woman’s right to autonomy and self determination.
Knowledge and understanding
demonstrate an understanding of the midwife’s sphere of practice when caring for women and neonates experiencing complications as documented in the Midwives Rules and Standards (NMC 2004);
understand the importance of research in relation to providing evidence based practice in line with clinical governance, to women and neonates experiencing complications during the childbearing continuum;
identify women and neonates likely to be at risk of experiencing complications;
explain how deviations from normal physiology during the childbearing continuum impact on management decisions and outcomes;
demonstrate understanding of the correct dosage and mode of administration of drugs used in midwifery, noting special precautions and drug interactions;
demonstrate an understanding of national and local policies / guidelines which underpin the provision of care to high risk women and neonates;
critically examine the role of the midwife when assessing, managing and supporting women and neonates experiencing complications in the childbearing continuum;
discuss ethical aspects affecting care delivery to women experiencing stressful situations relating to the compromised neonate;
critically examine the process of audit and how this relates to research and development;
understand the importance of multidisciplinary team working when deviations from the normal are encountered and how this contributes to prevention of adverse outcomes;
demonstrate an appreciation of the role of the healthcare team and external agencies, in supporting women when they explore their childbirth experiences;
discuss psychological theories and evidence underpinning the care of parents experiencing bereavement or loss.
anticipate the possible outcomes and management strategies when facing challenging situations in midwifery;
understand the impact on mothers and babies of introducing drugs to women experiencing deviations from normal;
analyse care decisions in a critical and reflective manner;
articulate the elements involved in clinical reasoning;
evaluate contemporary research findings relating to specific maternal and neonatal complications.
demonstrate a commitment to continuing practice development through the dissemination of learning and research findings, specifically with regard to complications in childbearing;
develop skills of communication with women and families experiencing difficulties, such as domestic violence, and demonstrate an awareness of the contribution of external support agencies and other members of the healthcare team;
develop a basic understanding of epidemiology and the implications of statistics in healthcare.
|Methods of Teaching/Learning
|Contact hours: 100 hrs
Directed study: 200 hrs
Coad J. & Dunstall M. J. (2005) Anatomy and Physiology for Midwives. Second Edition. Elsevier, Edinburgh.
Lewis, G (Ed) (2007) The Confidential Enquiry into Maternal and Child Health (CEMACH): Saving Mothers’ Lives: Reviewing Maternal Deaths to Make Motherhood Safer – 2003-2005. The Seventh Report on Confidential Enquiries into Maternal Deaths in the United Kingdom. CEMACH, London.
Nelson-Piercy C. (2006) Handbook of Obstetric Medicine. Martin Dunnitz, London.
Johnston, P., Flood, K., Spinks, K (2003) The Newborn Child, Churchill Livingstone, Edinburgh.
Jordan S. (2010) Pharmacology for Midwives the Evidence Base for Safe Practice. 2nd Edition, Pelgrave Macmillan, Oxford.
Nursing and Midwifery Council (2004) Midwives Rules and Standards. NMC, London.
Nursing and Midwifery Council (2008) The Code: Standards for Conduct, Performance & Ethics for Nurses and Midwives. NMC, London.
Nursing and Midwifery Council (2007) Standards for Medicines Management. NMC, London.
Nursing and Midwifery Council (2004) Guidelines for Records and Record Keeping. NMC, London.
Billingham M. & Stevenson M. (eds) (2007) Critical Care in Childbearing for Midwives. Blackwell Publishing, London.
Gatford J.D. & Phillips N. (2005) Nursing Calculations. Churchill Livingstone, London.
Gilbert E. & Harmon J. S. (2007) Manual of High Risk Pregnancy and Delivery.
4th Edition. Mosby, St Louis.
Mander, R. (2005) Loss and Bereavement in Childbearing, Routledge, London.
McGhee M. (2000) A Guide to Laboratory Investigations. 3rd Edition. Radcliffe Medical Press Ltd., Oxford.
National Institute for Health and Clinical Excellence (NICE) (2007) Intrapartum Care. Care of healthy women and their babies during childbirth, NICE Clinical Guideline 55, NICE, London.
Walsh D and Downe S (Eds) (2010) Essential Midwifery Practice Intrapartum Care, Wiley-Blackwell, Oxford.
American Academy of Family Physicians (2004) Advanced Life Support in Obstetrics Manual. 4th Edition. Kansas City, American Academy of Family Physicians.
Department of Health (2004) National Service Framework for Children, Young People and the Maternity Services. HMSO, London.
Boyle M. (2002) Emergencies around Childbirth: A Handbook for Midwives. Radcliffe Medical Press, Abingdon Oxford.
Chamberlain G., Steer P. & Zander L. (Eds) (1999) ABC of Labour Care. BMJ Books, London.
Downie G., Mackenzie J. & Williams A. (2003) Pharmacology and Medicines Management for Nurses. Churchill Livingstone, London.
Enkin M., Keirse M., Neilson J., Crowther C., Duley L., Hodnett E. & Hofmeyer G. (2000) A Guide to Effective Care in Pregnancy and Childbirth. 3rd edn. Oxford University Press, Oxford.
Foley H. & Strong T.H. (1997) Obstetric Intensive Care. W.B. Saunders, Philadelphia.
Frith L. & Draper H. (2004) Ethics and Midwifery: Issues in Contemporary Practice. Books for Midwives, Edinburgh.
Galbraith A., Bullock S., Manias E., Hunt B. & Richards A. (1999) Fundamentals of Pharmacology A Text for Nurses and Health Professionals. Addison Wesley Longman Ltd, Harlow Essex.
Howell C., Grady K. &. Cox C. (2007) Managing Obstetric Emergencies and Trauma The MOET Course Manual. 2nd Edition. RCOG Press, London.
Jacobson B., Murray A. (2007) Medical Devices Use & Safety Churchill Livingstone, Edinburgh.
Liu D. T. Y. (Ed) (2007) Labour Ward Manual. 4th Edition. Churchill Livingstone, Edinburgh.
Robson S.E., Waugh J.N.S. (Editors) (2008) Medical Disorders in Pregnancy Wiley Blackwell, Chichester
Skinner S. (2005) Understanding Clinical Investigations. 2nd edition. Balliere Tindall, Edinburgh.
Symon A. (Editor) (2006) Risk and Choice in Maternity Care – An International Perspective Churchill Livingstone, Edinburgh
Wylie L & Bryce H (2008) The Midwives’ Guide to Key Medical Conditions Churchill Livingstone, Edinburgh.
Birth: Issues in Perinatal Care
British Journal of Midwifery
British Journal of Obstetrics and Gynaecology
Journal of Obstetric, Gynaecologic and Neonatal Nursing
The Practising Midwife
MIDIRS Midwifery Digest
Health Services Journal
Journal of Medical Ethics (BMA)
Royal College of Midwives www.rcm.org.uk
Royal College of Anaesthetists www.rcoa.ac.uk
British Maternal & Fetal Medicine Society www.bmfms.org.uk
Dept of Health www.doh.gov
Nursing & Midwifery Council www.nmc-uk.org
Association for Improvements in the www.aims.org.uk
|27TH JULY 2010