This module builds upon the knowledge and skills within previous modules and clinical experiences. It also draws on the sciences (anatomy, physiology and relevant pathophysiology of the human body, including pharmacology). 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:
- Demonstrate the skills and underpinning clinical knowledge for care during emergency scenarios, drawing on relevant pathophysiology, pharmacology, and current guidelines and policies
- Demonstrate a comprehensive understanding and ability to evaluate the human factors that can impact during an emergency and consider strategies to mitigate against these
- Systematically identify and critically review the skills required for discussion/negotiation with other professionals and that may contribute to effective interprofessional working in acute/emergency situations
- Critically analyse the evidence 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 reflect on your role and that of others that impact upon effective team-working in the best interests of women, fetus/neonate
Application of relevant pathophysiology, genetic /genomics, psychosocial, ethical, legal, pharmacological, aspects across the childbirth continuum for women centred high quality care (including for her fetus), to the topics listed below. Interprofessional /inter agency referral and working is encompassed throughout the module.
- Post-partum Haemorrhage; primary and secondary (theory and practice)
- Antepartum Haemorrhage (abruption and placenta preavia) ;
- Abnormal placenta conditions; retained placenta, incomplete placenta; uterine inversion
- Maternal collapse (Adult and maternal basic life support) theory and skills rehearsal
- Deteriorating patient, clinical assessment and monitoring (clinical observations of all systems) and midwifery and nursing care (including pressure area care, fluid management, including blood transfusions and blood products, Acute Kidney Injury and fluid balance)
- Interpreting blood results
- Shock; including hypovolemic, septic, anaphylactic, and cardiovascular
- Eclamptic fit (prevention of impending fit, and actual fit) theory and skill rehearsal
- Oxygen therapy
- Debriefing for mental health wellness
- Breech – theory and skills rehearsal
- Shoulder dystocia – theory and skills rehearsal
- Cord prolapse – theory
- Neonatal collapse and resuscitation skills rehearsal
- The contribution of human and organisational factors to successful prevention and management of emergencies
- Professional responsibilities of midwife during and immediately after any emergency
Programme threads are linked throughout and include:
- Baby Friendly principles
- Medicines management
- Mental health and well-being
- Values Based Journey
Learning and Teaching
Teaching and learning methods
Technology enhanced learning
Values Based Enquiry Tutorial
|Wider reading or practice||20.5|
|Practical classes and workshops||21|
|Completion of assessment task||70|
|Preparation for scheduled sessions||20|
|Total study time||187.5|
Resources & Reading list
Chapman V and Charles C (eds) (2013). The Midwife’s Labour and Birth Handbook. Chichester: John Wiley and Sons Limited.
Downie G, Mackenzie J and Williams A (2010). Calculating Drug Doses Safely. Edinburgh: Churchill Livingstone.
Winter C, Crofts J, Laxton C, Barnfield S, and Draycott T (2017). PROMPT; PRactical Obstetric Multi-Professional Training Course Manual. London: RCOG Press.
Kohen D (2010). Oxford Textbook of Women and Mental Health. Oxford: Open University Press.
Knight M, Kenyon S, Brocklehurst P, Neilson J, Shakepearce J, Kurinczuk JJ (2016). Saving Lives, Improving Mother’s care; lessons learned to inform maternity care from the Uk and Ireland Confidential enquiries intyo Maternal deaths and Morbidity 2009-2014. Oxford: National Perinatal Epidemiology Unit..
Queenan JT, Spong CY, Lockwood CJ (2015). Protocols for High Risk Pregnancies; an evidence based approach. Oxford: Wiley Blackwell.
Blackburn S (2013). Maternal, fetal and neonatal physiology; A clinical perspective. Amsterdam: Saunders.
James D, Steer P, Weiner C, and Gonik B (2011). High risk pregnancy; Management options. Philadelphia: Elsevier.
This is how we’ll give you feedback as you are learning. It is not a formal test or exam.Skills rehearsal
This is how we’ll formally assess what you have learned in this module.
|Objective Structured Clinical Examination||40%|
This is how we’ll assess you if you don’t meet the criteria to pass this module.
|Objective Structured Clinical Examination||40%|
Repeat type: Internal