Midwifery Care for the Women/Neonatal dyad with Concurrent Health Challenges | NPMS2033

Module overview

This module enables you to apply knowledge and skills developed within year one modules to the provision of safe and effective care for mothers and their fetus/neonate, with complex health challenges during the antenatal, intrapartum and postpartum period. This module will integrate the ethical, psychological and mental capacity concepts outlined within the Developing Safe and Compassionate Care module.

Maximum capacity 40 balanced across MSc and BSc programmes subject to placement capacity and commissions. Current commissions from Health education Wessex are 23 between the Bachelors and Masters programmes

Aims and Objectives

Learning Outcomes

Having successfully completed this module you will be able to:

Analyse the evidence base for the care and management of the woman and fetus/neonate where variations occur during the childbirth continuum.
Evaluate the risks of a range of both pre-existing and emergent conditions in women, fetus/neonate, including relevant pathology
Identify the challenges of initiating and supporting breastfeeding in complex situations and discuss management/care strategies.
Examine the care required for babies with specific health or social needs and know how to effectively refer to other professionals or agencies where appropriate.
Discuss the care provision required for women with co-morbidities.

Syllabus

This list is not exhaustive but will include:

Epidemiology of pregnancy, birth and postnatal

Pharmacology and related Medicine management

Pre-conceptual care

Genetics/genomics

Infertility and assisted conception
Obesity
Polycystic ovaries
Endometriosis
Family spacing
Unplanned pregnancy/TOP/Miscarriage/ectopic pregnancy
Bleeding in early pregnancy

Medical and surgical conditions (pathological and co-morbidities)

Diabetes
Haemoglobinopathies
Asthma
Epilepsy
Maternal infection – STI, HIV, sepsis, Hep A B C
Caesarean Section
Preterm labour - diagnosis and management and post term labour/induction of labour/augmentation of labour
Mental health
Pelvic inflammatory disease
Endocrine disorders – maternal
Hydatidiform Mole
Hyperemesis gravidarum
Hypertensive disorders – pre eclampsia, Pregnancy induced hypertension, essential Hypertension, HELLP syndrome
Liver –fatty liver syndrome, cholestasis
Anaemia
Multiple pregnancy
Antiphospholipid syndrome
Maternal/fetal/neonatal blood results

Infant feeding for mothers and infants with associated complications

Fetal/neonatal

Pre-term infant
Care of sick neonate
Low birth weight infant
IUGR
Neonatal abnormalities

Learning and Teaching

Teaching and learning methods

Lectures

Group work

Role play

Self-directed learning

Technology Enhanced Learning

Study time
Type	Hours
Completion of assessment task	63
Seminar	6
Follow-up work	15
Preparation for scheduled sessions	30
Lecture	40
Wider reading or practice	30
Workshops	4
Total study time	188

Resources & Reading list

General Resources

• Access to the local maternity services for theoretical and skills rehearsal • Elsevier Clinical Skills Package (or equivalent) – continued from module 1 • Anatomy TV • Marieb Learning or equivalent resources.

Textbooks

Powell C (2011). Safeguarding children and young people.. Open University Press.

Robson S and Waugh J (2013). Medical Disorders in Pregnancy. A Manual for Midwives.. John Wiley and Sons.

Johnson R and Taylor.W (2010). Oxford Textbook of Women and Mental Health. Open University Press.

Downie G, Mackenzie J and Williams A (2010). Calculating Drug Doses Safely.. Churchill Livingstone..

Knight M, Kenyon S, Brocklehurst P, Neilson J, Shakepearce J, Kurinczuk JJ (editors) (2014). Saving Lives, Improving Mother’s care; lessons learned to inform future maternity care from the UK and Ireland Confidential Enquiries into Maternal deaths and morbidity 2009-2012. National Perinatal Epidemiology Unit.

Chapman V and Charles C (eds (2013). The Midwife’s Labour and Birth Handbook. John Wiley and Sons Limited.

Mander R (2006). Loss and Bereavement in Childbearing. Routledge.

Johnson, R. and Taylor, W (2010). Skills for Midwifery Practice. Edinburgh: Churchill Livingstone.

Boyle M (2005). Wound Healing in Midwifery. Radcliffe Publishing Ltd.

Speroff L and Darney PD (2010). A Clinical Guide for Contraception. Lippincott Williams and Wilkins.

Williamson A and Crozier K (2008). Neonatal Care: A Textbook for Student Midwives and Nurses. Lantern Publishing Ltd..

Stables D and Rankin J (eds) (2010). Physiology in Childbearing. Elsevier.

Assessment

Formative

This is how we’ll give you feedback as you are learning. It is not a formal test or exam.

Presentation

Summative

This is how we’ll formally assess what you have learned in this module.

Breakdown
Method	Percentage contribution
Evidence based plan of care	50%
Evidence based plan of care	50%

Referral

This is how we’ll assess you if you don’t meet the criteria to pass this module.

Breakdown
Method	Percentage contribution
Evidence based plan of care	100%

Repeat Information

Repeat type: Internal & External