Additional Care Needs - Antenatal and Intrapartum

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

• Discuss the policies (local, national and international as appropriate) and maternity services systems that influence the provision of maternity care to women with complex needs
• Examine the care required for women with specific health or social needs and know how to effectively refer to other professionals or agencies where appropriate
• Evaluate the role of the midwife, in facilitating holistic woman centred care and transition to motherhood for women with complex pregnancies and diverse needs
• Demonstrate a comprehensive and systematic understanding of the physiology and pathophysiology and the psychosocial factors that predispose the woman to an increased risk of complexity during pregnancy and birth
• Analyse the evidence base for the care and management of the woman and her fetus/neonate where variations occur during the childbirth continuum

A range of pre-existing, current or emerging conditions will be covered. Students will explore how additional care needs relate to physical, psychological, social, cultural, and spiritual factors. Interprofessional/inter agency referral and working is encompassed throughout the module.

This list of syllabus content is not exhaustive but will include:

Infertility and assisted conception

Obesity

Polycystic ovaries

Endometriosis

Unplanned pregnancy/Termination of Pregnancy / Miscarriage/ectopic pregnancy

Hydatiform mole

Bleeding in early pregnancy

Medical and surgical conditions (pathological and co-morbidities)

Diabetes and other endocrine disorders such those of the thyroid

Other pre-existing conditions such as Cardiac disease, Asthma, Epilepsy, Acute Kidney Injury, Haemoglobinopathies

Maternal infection – Sexual Transmitted Infection, human immunodeficiency virus, sepsis, Hepatitis A B C, Covid-19

Red flags for non-pregnancy related medical conditions

Pregnancy Related Conditions

Hyperemesis gravidarum

Hypertensive disorders – pre eclampsia, Pregnancy induced hypertension, essential Hypertension, HELLP syndrome

Cholestasis/ Fatty Liver disease

Anaemia

Multiple pregnancy

Abnormal placental implantation

Intrapartum Conditions

Mal presentation

Mal Position

Pre-term labour - diagnosis and management

Post term labour/induction of labour/augmentation of labour

Fetal distress and fetal heart monitoring / CTG interpretation

Caesarean Section and Instrumental birth

Fitting anti embolic stockings

DVT / VTE assessment

Pressure area care

Glucose monitoring

Blood transfusion and Anti D

End of life care and bereavement support

Skills

Perineal repair

Cannulation

Physiological Breech

Programme threads are linked throughout and include:

Infant feeding principles

Medicines management

Mental health and well-being

Values Based Enquiry Journey

Making every contact count

Continuity of carer

Leadership

Coaching

Teaching and learning methods

Lectures

Group work

Practical /skills workshops

Self-directed learning

Technology Enhanced Learning

Online education using both synchronous and asynchronous sessions

Resources & Reading list

Internet Resources

RCOG guidelines.

NICE guidelines.

MMBRACE reports.

Textbooks

Lapham R (2015). Drug Calculations for Nurses: A step-by-step approach. Routeledge.

Hollins C and Forrest E (2013). Bereavement Care for Childbearing women and their Families: An Interactive workbook. Abingdon: Routledge .

Rankin J (2017). Physiology in Childbearing. Edinburgh: Elsevier .

James DK; Steer PJ; Weiner CP; Gonik B (2018). High Risk Pregnancy: Management Options. London: Saunders.

Jackson K and Wightman H (2017). Normalizing Challenging or Complex Childbirth . London: McGraw Hill.

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

Formative

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

Summative

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

Referral

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

Repeat Information

Repeat type: External