Neonatal and Obstetric Emergencies

Learning Outcomes

Having successfully completed this module you will be able to:

• Analyse the skills required for discussion/negotiation with other professionals and the organisational structures that may contribute to effective interprofessional working in acute/emergency situations
• Analyse the human factors that can impact during an emergency and consider evidence based as well as innovative ways to mitigate against these
• Demonstrate and be able to critically reflect on, and evaluate the knowledge and skills 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
• Demonstrate and critically analysis the role of the midwife in the provision of effective communication to the woman and her family during and after an emergency.
• Critically reflect on your role and that of others, on the factors that influence, promote and hinder effective team-working in the best interests of women, fetus/neonate
• Critically analyse the evidence base for care during emergency scenarios, drawing on relevant pathophysiology, pharmacology, and current guidelines and policies

Application of relevant pathophysiology, genetic /genomics, psychosocial, ethical, legal, pharmacological, aspects across the childbirth continuum, for women or neonate 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)
• 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

Interpreting blood results

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 and to consider factor to enhance future practice for self and team

Inter-professional working

Programme threads are linked throughout and include:

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

Teaching and learning methods

Skill Rehearsal

Group work

Role play

Self-directed learning

Technology enhanced learning

Values Based Enquiry Tutorials

Resources & Reading list

Textbooks

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

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

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

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

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

Kohen D (2010). Oxford Textbook of Women and Mental Health. Oxford: Open University Press.

Chapman V and Charles C (eds) (2013). The Midwife’s Labour and Birth Handbook. Chichester: John Wiley and Sons Limited.

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..

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