Enhanced Postnatal and Neonatal Care

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

• Demonstrate an understanding of the national newborn and infant physical examination, including critical consideration of the supporting evidence base for neonatal screening of particular conditions.
• Critically evaluate the risks of a range of both pre-existing and emergent conditions in women from a range of ethnic /social backgrounds, including relevant pathology, pharmacology and related bio-sciences, across postpartum physical and mental health.
• Critically analyse the evidence base for the care and management of the woman and neonate where variations occur during the puerperium.
• Using a comprehensive understanding of the physiology of lactation, critically explore how the challenges of initiating and supporting breastfeeding in complex situations can be overcome to achieve the public health benefits of breast feeding.
• Debate and innovatively explore the role of the midwife within the interprofessional /multi-agency team in the provision of care for women with co-morbidities to the end of the puerperium.

Application of relevant epidemiology, pathophysiology, genetic /genomics, psychosocial, ethical, legal, pharmacological, aspects with particular focus on postpartum period for women and their neonates to the topics listed below. Interprofessional /inter agency referral and working is encompassed throughout the module.

This list is not exhaustive but will include:

Medical and surgical conditions (pathological and co-morbidities)

• Haemoglobinopathies
• Thromboembolic conditions and their sequelae
• Antiphospholipid syndrome

Postpartum and Gynaecological conditions

• Pelvic inflammatory disease and gynaecological disorders
• Perineal trauma (including 3rd and 4th degree trauma), suturing, immediate postnatal care, complications and long term sequaele
• Maternal/fetal/neonatal blood results
• Blood transfusion and blood products
• Care of woman post operatively, including wound care

Mental Health Condition

• Pre existing Mental health and impact during childbearing continuum
• Postnatal depression
• Postnatal psychosis
• Postnatal, post traumatic stress disorder
• Impact of mental health conditions and drugs on breast feeding

Neonatal Conditions (includes support of the mother and family)

• Care of sick of the Pre-term infant
• Care of sick neonate
• Low birth weight infant
• Neonatal abnormalities
• Care of the neonate withdrawing form any maternal medication /drug

Infant feeding, including supporting breast feeding where mother and/ or neonate have complications

Newborn and Infant Physical Examination theory

Programme threads are linked throughout and include:

• Baby Friendly principles
• Medicines management
• Mental health and well-being
• Values Based Journey

Teaching and learning methods

Lectures

Group work

Role play

Self-directed learning

Technology Enhanced Learning

Resources & Reading list

Internet Resources

Caring for women with mental health problems.

Textbooks

James DK; Steer PJ; Weiner CP; Gonik B (2011). High Risk Pregnancy: Management Options. London: Saunders.

Knight M, Kenyon S, Brocklehurst P, Neilson J, Shakepearce J, Kurinczuk JJ (2016). 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 2009-2014.. Oxford: National Perinatal Epidemiology Unit.

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

Downie G and Mackenzie J (2010). Calculating Drug Doses Safely.. Edinburgh: Churchill Livingstone..

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

Assessment strategy

To pass this module you must achieve a weighted mean average of 40 % or more AND also you must pass the both components at 40% or more.

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: Internal & External