Module Aim: To support students to develop a critical understanding of the relevant pathophysiology related to medical and obstetric disorders which can impact both mother and baby during pregnancy and childbirth.
Module Content: This module will develop an understanding of a contemporary range of obstetric and medical complications to provide respectful high-risk care for women and their babies. Students will consider and critically appraise the recommendations within a variety of policy documents including the MBRRACE Report and The Best Start a Five-Year Plan for Maternity and Neonatal Care. This will allow them to consolidate this knowledge during future practice learning placements in a variety of maternity and neonatal settings and evaluate the care from a holistic perspective for childbearing women and infants with complications.
The module will include the following theory and skills:
- Maternal
• Risk management
• Fetal monitoring
• Polyhydramnios; oligohydramnios
• Malpresentation; malposition; cephalopelvic disproportion
• Obstructed and prolonged labour
• Instrumental delivery
• Diabetes
• Cardiac disease
• Early pregnancy bleeding and loss
• Antepartum haemorrhage (abruption/praevia)
• Clotting Mechanisms (Disseminated intravascular coagulation; thromboembolic disorders)
• Deep venous thrombosis; pulmonary embolism; amniotic fluid embolism
• Multiple Pregnancy; breech; preterm labour
• Sepsis
• Hypertension; pre-eclampsia; eclampsia
Neonatal
• SANDS
• Respiratory conditions
• Family Integrated care; developmental care; transitional care
• Vulnerable groups (Neonatal abstinence syndrome; fetal alcohol spectrum disorders)
• Birth injury; trauma; pain
• Congenital abnormalities
• Late preterm
• Infection
• Nutrition; insulin dependant diabetic mother; hypoglycaemia
• Preterm breastfeeding
• Cleft lip and palate
• Cardiac disease
• Bleeding disorders; jaundice
• Thermoregulation; skin care
- The holistic promotion, support and maintenance of breastfeeding will be reviewed and assessed in relation to an overall, comprehensive and detailed knowledge and understanding of UNICEF UK Baby Friendly Initiative University Standards (UNICEF, 2019) – Theme 1: Understand breastfeeding; Theme 2: Support infant feeding; Theme 3: Support close and loving relationships; Theme 4: Manage the challenges; Theme 5: Promote positive communication.
This module will support students to develop characteristics which can contribute to the UWS graduate attributes which are Universal (critical thinking, analytical thinking, inquiring, culturally aware, emotionally intelligent, ethically minded, collaborative, research-minded and socially responsible); Work ready (knowledgeable, digitally literate, effective communicator, motivated, potential leader) and Successful (autonomous, incisive, creative, resilient and daring).
Module content maps to MSc Midwifery with Registration Programme Educational Framework (adapted from Framework for Quality Maternal and Newborn Care (Renfrew et al., 2014) to levels:
• Educational Content - Professional and Personal Development; Health and Wellbeing; Midwifery Knowledge and Practice; Complex Care; Additional Needs.
• Teaching and Learning Strategies.
• Student Values.
• Programme Philosophy.
• Students.
NMC (2019) Proficiencies: 1.7, 1.14, 1.23, 2.6, 3.6, 3.9, 3.13.3, 3.13.4, 3.16.2, 4.1, 4.2, 4.3, 4.4.1, 4.4.2, 4.4.3, 4.4.4, 4.4.5, 4.6, 4.8, 4.10, 4.11, 5.8.
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