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NPMS3038 Obstetric Emergencies

Module Overview

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

Module Aims

To consolidate and build upon theoretical knowledge gleaned from previous modules and within clinical placement experiences to develop your knowledge and skills, and to critically evaluate the care required in obstetric and neonatal emergencies within a range of settings. To have the knowledge and skill to effectively initiate, be an active member, or where appropriate lead the interprofessional team in response to an obstetric emergency.

Learning Outcomes

Syllabus

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. Maternal • 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 Fetal • Breech – theory and skills rehearsal • Shoulder dystocia – theory and skills rehearsal • Cord prolapse – theory • Neonatal collapse and resuscitation skills rehearsal Human factors • The contribution of human and organisational factors to successful prevention and management of emergencies • Professional responsibilities of midwife during and immediately after any emergency Inter-professional working Programme threads are linked throughout and include: • Baby Friendly principles • Medicines management • Mental health and well-being • Values Based Journey

Special Features

This module includes a significant amount of skills rehearsal activities You will have the opportunity to attend a clinical skills rehearsal workshop, covering the knowledge, skills and attitudes required to provide immediate management in obstetric emergencies. Where possible this will follow the format of, or be within a local maternity service with the Inter-professional team; for example following the Practical Obstetric Multi-Professional Training PROMPT course (Winters et al 2017).

Learning and Teaching

Teaching and learning methods

Skill Rehearsal Group work Role play Self-directed learning Technology enhanced learning Values Based Enquiry Tutorial

TypeHours
Revision20
Completion of assessment task70
Practical classes and workshops21
Lecture30
Wider reading or practice20.5
Preparation for scheduled sessions20
Tutorial6
Total study time187.5

Resources & Reading list

Kohen D (2010). Oxford Textbook of Women and Mental Health. 

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

James D, Steer P, Weiner C, and Gonik B (2011). High risk pregnancy; Management options. 

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

Winter C, Crofts J, Laxton C, Barnfield S, and Draycott T (2017). PROMPT; PRactical Obstetric Multi-Professional Training Course Manual. 

Blackburn S (2013). Maternal, fetal and neonatal physiology; A clinical perspective. 

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. 

Queenan JT, Spong CY, Lockwood CJ (2015). Protocols for High Risk Pregnancies; an evidence based approach. 

Assessment

Formative

Skills rehearsal

Summative

MethodPercentage contribution
Objective Structured Clinical Examination  (15 minutes) 40%
Reflective essay  ( words) 60%

Referral

MethodPercentage contribution
Objective Structured Clinical Examination  (15 minutes) 40%
Reflective essay  ( words) 60%

Repeat Information

Repeat type: Internal

Costs

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:

Anything else not covered elsewhere

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.

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