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2010/1 Module Catalogue
Module Provider: Health & Social Care Short Name: ADVMWPRAC
Level: M Module Co-ordinator: WILSON AE Dr (HSC)
Number of credits: 15 Number of ECTS credits: 7.5
Module Availability
Semester 2
Assessment Pattern
A critical appraisal and analysis of one area of midwifery practice covered in the module. The appraisal needs to comprise a comprehensive literature review identifying how research evidence is integrated into current practice. You need to be able to demonstrate how your own practice experience and learning informs future practice.

3000 words
Module Overview
Module Aims
• To critically examine the forces (social, political and philosophical) impacting upon the nature of contemporary midwifery practice, recognising the complexity of these different forces with a view to developing a vision for its future.
• To explore the current and future role of the midwife within the wider socio-political agendas, so as to predict and take lead in the future direction of midwifery practice and education.
• To situate the position/status of midwifery practice within the global perspective, articulate and integrate innovative approaches in practice.
• To critically examine and assess the applicability of research and other evidence to further the development of midwifery practice and the evolving role of the midwife.
Learning Outcomes
On completing this module the student should be able to:

Subject knowledge and understanding
• Analyse current practices in midwifery with evidence-based knowledge versus knowledge generated from practice.
• Critically assess the effect of practice management on the provision, outcomes and quality of care for women and their babies.
• Discuss the implications of inequalities in maternity care provision worldwide
Cognitive skills
• Critically analyse the current status of midwifery practice, identify the need for changes using leadership qualities in developing and implementing strategies for change.
• Understand ethical issues and dilemmas that may arise in shifting the paradigms of current midwifery practice with a view to moving existing boundaries and paradigms.
Practice skills
• Identify and respond to the needs and wishes of childbearing women and their families
• Critically assess the contemporary role of the midwife, foster the culture of continued and lifelong learning and be able to support colleagues in their quest for excellence in practice.
Key/ transferable skills
• Critically evaluate research findings and identify ‘best practice’ in the work-place collaboratively with others involved in the development of practice

Module Content
Background to current midwifery practice within the NHS and maternity services.
The concept of practice, situating midwifery within a wider socio-political and philosophical frame of reference.
Considering the effects of globalisation.
Assumptions about midwifery practice. Current controversies and trends in midwifery
Looking towards a philosophical model of the postmodern midwife
Gender issues and sensitive care
The concept of autonomy and its relationship to the profile and role of the midwife.
Management and leadership in midwifery practice.
Consultant midwives & role responsibilities.
Innovations in practice.
WHO, UK government, ICM initiatives.
The way forward.
Methods of Teaching/Learning
Taught: 2 days( 16 hours) negotiated tutorials ( 1hr sessions)
Self-directed: 150 hrs

Self-directed learning
One-to-one tutorial
Selected Texts/Journals

Beake, S. Bick, D. (2007). Maternity services policy: does the rhetoric match the reality? British Journal of Midwifery 15 (2) pp 89-93

Davis-Floyd, R. (2001). Daughter of time: The postmodern midwife www.davis-floyd/userimages/filr Accessed 28.01.09

Department of Health. (2007) Maternity Matters: choice, access and continuity of care in a safe service. DoH. London.

Department of Health. (2008) Framing the Nursing and Midwifery Contribution: Driving up the quality of care DoH. London.

Frith, L. (1996) Ethics and Midwifery: Issues in contemporary practice Butterworth Heinemann: London

Garcia, J. & Redshaw, M. (1998) First Class Delivery: A national survey of women’s views of maternity care

Healthcare Commission (2008) Towards Better Births: A review of the maternity services in England Commission for Healthcare Audit and Inspection. London.

Jacobus, M. Keller, EF. Shuttleworth, S. (eds) (1990) Body Politics, Women and the Discourse of Science Routledge, London

Illich, I. (1976) Limits To Medicine: the expropriation of health, Penguin, London

Kargar, I. Hunt, S. (1997) Challenges in Midwifery Care Macmillan, Basingstoke

Kroll, D. (1996) Midwifery Care for the Future Balliere Tindall: Basingstoke

Murphy-Black, T. (1995) Issues in Midwifery Macmillan: Basingstoke

Page, L. (1999) The New Midwifery Churchill Livingstone: Edinburgh

Proctor, S. Renfrew, M. (2000) Linking Research and Practice in Midwifery: a guide to evidence-based practice. Bailliere Tindall: London


Bick. D, McCourt. C, Beake S. (2004). Choice, culture and evidence- informed practice: addressing the future of the UK maternity services. World Views on Evidence-based Nursing Third Quarter. Pp162-164

Bluff. R, Holloway I. (2008) The efficacy of midwifery role models Midwifery 24 pp301-309

Bortin S. (1994). A feminist perspective on the study of home birth: application of a midwifery care framework . Journal of Nurse Midwifery 39 (3) pp 142-149

Cross R. (1996) Midwives and Management: A handbook Books for Midwives : London

Donnison.. J, (1977) Midwives and Medical Men Heinemann Educational Books LTD: London

Hunt. S, Symonds A. (1995) The Social Meaning of Midwifery Macmillan: Chippenham

Kirkam M. (1999) The culture of midwifery in the National Health Service Journal of Advanced Nursing 30 (3) pp 732-739

Miers M. (2002) Developing and understanding of gender sensitive care: exploring concepts and knowledge Journal of Advanced Nursing 40 (1) pp 69-77

Syrett. M, Hogg C. Eds.1992 Frontiers of Leadership : An Essential Reader Blackwell: Oxford


Andrist L .(1997) A feminist model for women’s health care Nursing Enquiry 4 pp 268-274

Belenky M. (1997) Women’s Way of Knowing: the development of self, voice and mind 2nd Ed Basic Books: New York.

Bowers T. (1996) The politics of Motherhood: British Writing and Culture 1680-1760 Cambridge University Press: Cambridge

Cosslett T. (1994) Women Writing Childbirth: Modern Discourses of Motherhood Manchester University Press: Manchester

Doering L. (1992) Power and Knowledge in Nursing: a postructuralist view Advances in Nursing Science 14 pp 24-33

Farganis S. (1994) Postmodernism and Feminism In Dickens D Fontana A Eds. Postmodernism and Social Enquiry University College Press: London

Higgs. J, Titchen A. (2001) Practical Knowledge and Expertise in the Health Profession Butterworth Heinermann: Oxford

Radcliffe W. (1967) Milestones in Midwifery John Wright and Sons LTD: Bristol

Journals and websites

British Journal of Obstetrics and Gynaecology
International Journal of Childbirth Education
International Journal of Leadership in Education
Journal of Advanced Nursing
Journal of Nursing Science
Journal of Gynecologic, Obstetric and Neonatal Nursing (JOGNN)
Journal of Midwifery and Women’s Health
Journal of Reproduction and Women’s Health
The British Journal of Midwifery
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