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2010/1 Module Catalogue
 Module Code: MID3008 Module Title: HIGH RISK MIDWIFERY
Module Provider: Health & Social Care Short Name: MID3008
Level: HE3 Module Co-ordinator: ROBINSON AE Mrs (HSC)
Number of credits: 30 Number of ECTS credits: 15
Module Availability
Semester 2
Assessment Pattern
Unseen Examination – 2.5 hours

To test knowledge and understanding relating to complications in childbirth and associated
pharmacology, as well as the critical analysis and application of research evidence.

Module Overview
Module Aims
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.
Learning Outcomes
By the end of the module the student should be able to:

Professional practice skills

making use of appropriate midwifery evidence, 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);

demonstrate effective use 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 competence with regard to the correct dosage and mode of administration of
drugs used in midwifery, noting special precautions and drug interactions;

critically evaluate the impact of national and local policies / guidelines on the provision of
care to high risk women and neonates;

critically evaluate the role of the midwife when assessing, managing and supporting women
and neonates experiencing complications in the childbearing continuum;
critically 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;

evaluate the importance of multidisciplinary team working when deviations from the normal are encountered and how this contributes to prevention of adverse outcomes;

demonstrate an understanding of the role of the healthcare team and external agencies, in supporting women when they explore their childbirth experiences;

evaluate psychological theories and evidence underpinning the care of parents experiencing
bereavement or loss.

Cognitive skills

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;

critically evaluate contemporary research findings relating to specific maternal and neonatal complications.

Key skills

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 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.

Module Content
Methods of Teaching/Learning
Contact hours: 100 hrs
Directed study: 200 hrs

Selected Texts/Journals

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.
London: CEMACH.
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.

Journal titles:
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)
Nursing Ethics

Web Sites:
Royal College of Midwives
Royal College of Anaesthetists
British Maternal & Fetal Medicine Society
Dept of Health
Nursing & Midwifery Council
Association for Improvements in the
Maternity Services
Last Updated
29TH JULY 2010