Complex Midwifery Needs

Title COMPLEX MIDWIFERY NEEDS Code MI 321 Level 6 Credit rating 20 credits Pre-requisites Students will be undertaking a programme leading to registration as a midwife Type of module Extensive semesters 2 & 3 of Stage 2 of the 18 month course Aims To draw together the knowledge and understanding of Midwifery Practice gained from modules undertaken in stage one and to introduce concepts of pathophysiology and deviations from normal in childbearing. Learning outcomes/objectives On completion of the module students will be able to: 1. Make an appropriate assessment of the care needs of the mother and/or baby and to plan, implement, evaluate and critically analyse care. 2. Demonstrate a critical understanding of the factors that contribute to, and those, which adversely affect the physical, psychological, emotional, social and spiritual well being of the mother and baby 3. Recognise, explain and critically discuss the deviations from normal in the woman and/or neonate that might occur during childbearing and their significance and implications for care 4. Select and critically analyse research and other evidence to inform own practice in caring for the woman and/or baby where there are deviations from the normal to ensure appropriate and safe standards of care. 5. Explain and discuss the reasons for referral when there is a deviation from normal and critically analyse the role of the multidisciplinary team when such referrals are made 6. Demonstrate and critically analyse the diagnostic skills used by the midwife in order to prioritise action where there is a deviation from normal Content Altered physiology in systems of the body in childbearing and their relationship to: Pre-eclampsia, HELLP and DIC ; Thrombo-embolic disorders; Diabetes in pregnancy; Medical disorders in pregnancy and Congenital and Chromosomal abnormalities. The needs, treatment and management of small and ill neonates Anaemia and Haemoglobinopathies Operative delivery/VBAC Malpresentations/Malposition Multiple pregnancies Premature Labour Prolonged pregnancy Induction of Labour

1 Postnatal depression, puerperal psychosis and other mental health issues in childbearing Screening and testing of mother and baby Factors associated with the social, sexual and spiritual wellbeing of mother and baby – including loss and bereavement Child protection and domestic violence Perineal trauma & management of perineum Teaching and learning strategies Lectures, enquiry based learning using scenarios taken from clinical practice, small group working Use of service users and specialist speakers

Direct taught hours 50 Student directed activities 150 Total hours 200 hours Learning support CEMACH 2004 Confidential Enquiry into Maternal and Child Health. Why Mothers Die 2000 – 2002 (2004). London: RCOG Press CEMACH 2005 Confidential Enquiry into Maternal and Child Health. Stillbirth, Neonatal and Post Neonatal mortality 2002 – 2003, England, Wales and Northern Ireland. London: RCOG Press De Swiet M 2002 Medical disorders in obstetric practice 4th Ed. Oxford Blackwell Hunt S C & A M Martin 2001. Pregnant Women – Violent Men: What Midwives need to know, Oxford, books for Midwives. Blackburn, S 2007 Maternal, Fetal and Neonatal Physiology – A Clinical Perspective McMay-Moffat S (ed) 2007.Disability in pregnancy and Childbirth. Edinburgh, Churchill Livingstone Sherr L 2005 The Psychology of Pregnancy and Childbirth. London Blackwell Science Ltd Wylie L Bryce H. 2008. The Midwives Guide to Key Medical Conditions: Pregnancy and Childbirth. Edinburgh, Churchill Livingstone

Websites: www.rcog.org.uk www.nice.org.uk www.nmc-uk.org

Journals: British Journal of Midwifery BJOG Midwifery Assessment tasks The assessment is made up of two parts: part one and part two. Both parts must be passed in order to pass the module.

Part one: 90% of the marks will be awarded for an essay of 2000 words. The essay takes the form of a care review, focussing on the critical analysis of care provision for high risk mothers and their babies.

Part two: 10% of the marks will be awarded for the student’s contribution to one of the module blogs, selected by them. These blogs will allow the students to further research common conditions – for example Diabetes in pregnancy or Pre-eclampsia.

2 Brief description of module This module takes the student on the journey from caring for content and/or aims (maximum women and babies within the normal parameters of health and 80 words) well-being to caring for those at risk to develop a greater knowledge and understanding of the complex nature of this role transition. The focus will be on understanding the midwives role in the prevention, recognition and management of emergencies and deviations from the normal in childbearing and the interprofessional collaboration in such cases School of Nursing and Midwifery, Pre-registration Division, Area examination board to which Midwifery Examination Board. module relates Module team/authors/ co- Janice Wilson, Annie Rimmer , Cathy O’Callaghan, Thelma ordinator Lackey and Julie Sinden

Semester offered, where Semester 2 & 3 appropriate Site where delivered Eastbourne Date of first approval February 2009 Date of last revision February 2009 Date of approval of this version April 2010 Version number 2 Replacement for previous MI 311 module Field for which module is Midwifery acceptable and status in that field Course(s) for which module is 18 month BSc (Hons) Midwifery acceptable and status in course Mandatory/Compulsory School home School of Nursing and Midwifery External examiner Bernadette Norman Sept 2010 to August 2014