NPMS6013 Care and management associated with Obstetric and neonatal emergencies
This module builds upon the knowledge and skills base within the complex health and social care challenges for the woman/infant dyad module. It also draws on the sciences (anatomy, physiology and relevant pathophysiology of the human body, including pharmacology) from year 1 modules. By the end of this module you will have the knowledge and skills rehearsal to be an active team member, and where appropriate to lead, during obstetric emergencies within the clinical setting.
Aims and Objectives
Having successfully completed this module you will be able to:
- Critically reflect on the knowledge and skills required to recognise, respond and manage, including lead on the initiation of emergency care, within the midwife’s scope of practice, for maternal, fetal and neonatal deterioration and emergency situations
- Critically analyse the evidence base for care during emergency scenarios, drawing on relevant pathophysiology, pharmacology, and current guidelines and policies.
- Analyse the skills required for discussion/negotiation with other professionals and the organisational structures that may contribute to effective interprofessional working in acute/emergency situations
- Analyse the human factors that can impact during an emergency and consider evidence based as well as innovative ways to mitigate against these
- Debate the factors that influence, promote and hinder effective team-working in the best interests of women, fetus/neonate
Pharmacology and related Medicine management Emergent conditions in women, fetus and neonate Maternal • Post-partum Haemorrhage ( theory and practice ) • Abnormal placenta conditions; retained placenta, incomplete placenta; uterine inversion • Maternal collapse theory and skills rehearsal • Deteriorating patient/ shock • Eclamptic fit ( prevention of impending fit, and actual fit) theory and skill rehearsal • Perineal Suturing • Antepartum Haemorrhage i.e. abruption, placenta preavia, • Mal-presentation and mal-positions/ causes (pelviic variation, abnormal uterus, OP, Transverse lie) care • Debriefing for mental health wellness Fetal • Breech – theory and skills rehearsal • Shoulder dystocia – theory and skills rehearsal • Cord prolapse – theory • Fetal monitoring via Cardiotocograph Neonatal • Neonatal collapse and resuscitation skills rehearsal Human factors • The contribution of human and organisational factors to successful prevention and management of emergencies
This will be a skills rehearsal based module that will include reference to human factors. In addition to within group rehearsal opportunities, you will normally have the opportunity to attend Practical Obstetric Multi-Professional Training (PROMPT) (or equivalent) sessions within the local maternity service Princess Anne Hospital with the multi-disciplinary team. You will be required to organise this opportunity for yourself.
Learning and Teaching
Teaching and learning methods
Skill Rehearsal Group work Role play Self-directed learning Technology enhanced learning
|Completion of assessment task||70|
|Practical classes and workshops||21|
|Preparation for scheduled sessions||20|
|Wider reading or practice||20.5|
|Total study time||187.5|
Resources & Reading list
Kohen D (2010). Oxford Textbook of Women and Mental Health.
Access to the Faculty skills rooms and local Maternity Services for theoretical and skills rehearsal.
Downie G, Mackenzie J and Williams A (2011). High risk pregnancy; Management options.
Lewis G (2011). Saving Mothers’ Lives: Reviewing Maternal Deaths to Make Motherhood safer 2006-2008.
Downie G, Mackenzie J and Williams A (2010). Calculating Drug Doses Safely..
Blackburn S (2013). Maternal, fetal and neonatal physiology; A clinical perspective..
Chapman V and Charles C (eds) (2013). The Midwife’s Labour and Birth Handbook.
|Assignment (2000 words)||60%|
|Objective Structured Clinical Examination (15 minutes)||40%|
|Objective Structured Clinical Examination||%|
Repeat type: Internal & External
Costs associated with this module
Students are responsible for meeting the cost of essential textbooks, and of producing such essays, assignments, laboratory reports and dissertations as are required to fulfil the academic requirements for each programme of study.
In addition to this, students registered for this module typically also have to pay for:
Books and Stationery equipment
All texts key are available within the library or can be purchased online or within the bookshop located on campus. For the current costs you are requested to check on line. If purchased, this will be at your own expense.
Please also ensure you read the section on additional costs in the University’s Fees, Charges and Expenses Regulations in the University Calendar available at www.calendar.soton.ac.uk.