The University of Southampton
Courses

NPMS6008 Complex Health and social challenges in care for the woman/neonate dyad

Module Overview

This module will build on the underpinning sciences from year one, for example the anatomy, physiology and relevant pathophysiology of the human body, including pharmacology. The module will also integrate /consolidate the ethical, psychological and mental capacity concepts outlined within the Compassionate and Safe Care for maternal and neonatal health 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

Module Aims

This module enables you to consolidate and build on the knowledge and skills developed within year one modules for the provision of safe and effective care for mothers and their foetus/neonate, with complex health challenges during the antenatal, intrapartum and postpartum period.

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 from a range of ethnic /social backgrounds, including relevant pathology, pharmacology and related bio-sciences, across physical and mental health.
  • Critically analyse the care required for foetuses/neonates with specific health or social needs and know how to effectively refer to other professionals or agencies where appropriate.
  • Critically analyse the evidence base for the care and management of the woman and foetus/neonate where variations occur during the childbirth continuum.
  • 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, from pregnancy planning, through to the end of the puerperium.

Syllabus

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, Cytomegalovirus (CMV) and other infections • Ectopic pregnancy • Caesarean Section • Preterm labour - diagnosis and management and post term labour/induction of labour/augmentation of labour • 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

Special Features

Completion of online educational package on fetal monitoring during labour is required. • Anatomy and physiology online learning resources • Elsevier Clinical Skills Package – continued from module 1 or equivalent resources • Anatomy TV or equivalent resources • Marieb Learning or equivalent resources

Learning and Teaching

Teaching and learning methods

Lectures Seminar Group work Role play Self-directed learning Technology enhance learning, including use of various communication methods eg discussion boards

TypeHours
Lecture56
Preparation for scheduled sessions25
Completion of assessment task50.5
Seminar6
Follow-up work15
Tutorial13
Wider reading or practice22
Total study time187.5

Resources & Reading list

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

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

Hall M, Noble A, and Smith S (2009). A foundation for neonatal care; a multidisciplinary approach. 

Billington M and Stevenson M (2007). Critical care in Childbearing for midwives. 

Lewis G (2011). Saving Mothers’ Lives: Reviewing Maternal Deaths to Make Motherhood safer 2006-2008. 

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

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

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

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

Boyle M (2005). Wound Healing in Midwifery. 

Jordan S (2010). Pharmacology for midwives; the evidence base for safe practice. 

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

• Access to the local Maternity Services for theoretical and skills rehearsal, and case reviews • Online learning resources e.g. K2, • Access to web for online learning – e.g. National pregnancy and Newborn screening programme • Access to a . 

KohenD (2010). Oxford Textbook of Women and Mental Health. 

Assessment

Formative

Reflection

Summative

MethodPercentage contribution
Evidence based plan of care  (1500 words) 50%
Evidence based plan of care  (1500 words) 50%

Referral

MethodPercentage contribution
Evidence based plan of care %

Repeat Information

Repeat type: Internal & External

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:

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 the cost to you. Travel between University study sites should be expected as part of the programme.

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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