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The University of Southampton

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

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

Learning Outcomes

Having successfully completed this module you will be able to:

  • Evaluate the risks of a range of both pre-existing and emergent conditions in women, fetus/neonate, including relevant pathology
  • Analyse the evidence base for the care and management of the woman and fetus/neonate where variations occur during the childbirth continuum.
  • 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.
  • Identify the challenges of initiating and supporting breastfeeding in complex situations and discuss management/care strategies.
  • Discuss the care provision required for women with co-morbidities.


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

Completion of assessment task63
Follow-up work15
Wider reading or practice30
Preparation for scheduled sessions30
Total study time188

Resources & Reading list

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

Powell C (2011). Safeguarding children and young people.. 

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

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

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

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

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

Boyle M (2005). Wound Healing in Midwifery. 

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. 

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

• 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. 

Johnson, R. and Taylor, W (2010). Skills for Midwifery Practice. 

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





MethodPercentage contribution
Evidence based plan of care  (1000 words) 50%
Evidence based plan of care  (1000 words) 50%


MethodPercentage contribution
Evidence based plan of care 100%

Repeat Information

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 a cost to you.

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

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