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• Undergraduate study:
• Courses
• Order a prospectus
• How to apply
• Information for applicants
• Why choose Kingston University
• Disability and mental health support
• Accommodation
• Undergraduate fees
• Fees, funding and payments
• Access, participation and inclusion

Dimensions of Health and Midwifery Practice

• Module code: MW5007
• Year: 2018/9
• Level: 5
• Credits: 30
• Pre-requisites: None
• Co-requisites: None

Summary

This module will enable you to further develop your knowledge and skills in supporting and facilitating pregnancy and childbirth, recognising actual and potential complications for both the mother and the neonate.

Aims

• Protect and promote aspects of normality in a variety of contexts even where there may be deviation from the normal for the mother, fetus, neonate or both.
• Gain an understanding of the role of the midwife and participate in the shared responsibilities of caring for women with high risk pregnancies and their fetuses/neonates, alongside other members of the health care team when complications arise.
• Recognise actual and or potential complications that occur during childbearing and assess needs, plan, implement and evaluate appropriate care for women and their families.

Learning outcomes

On successful completion of the module, students will be able to:

• Discuss the impact on normal physiology when complications occur during pregnancy, birth and the postnatal period and demonstrate appropriate midwifery care
• Discuss the effects of obstetric conditions, including physical and mental health disorders during pregnancy and the midwife's role in providing care
• Explain normal physiology of the fetus / neonate when there are recognised disorders and or signs of compromise and refer appropriately
• Reflect on issues and ethical dilemmas, which may impinge upon midwifery practice when complications occur.

Curriculum content

• Midwifery philosophy of care and its integration with the medical model
• Integrated pathways - facilitating informed choice, risk assessment
• Surveillance and monitoring for optimal outcomes for the mother and neonate
• The appropriateness of interventions during childbearing eg. ARM, epidural, CTG, I.O.L, augmentation instrumental and C/S deliveries
• Transcultural awareness and understanding of normal childbirth in different cultures
• Application of the evidence and best practice to plan care
• Professional ethics in facilitating normal birth eg. HIV, Herpes
• The implications of defensive practice within a litigious society (to include SoM and record keeping)
• Normal physiology and pathophysiology in relation to hypertensive disease in pregnancy
• Malpresentations and positions
• Multiple pregnancy
• Preterm labour and birth
• Neonatal complications eg. HIE, birth injuries, pathological jaundice
• Understanding the effects of complexity on the woman's psychology
• Physiological process of haemostasis
• Physiological process of homeostasis
• Mental health associated with pregnancy
• Physiological response to infection - mother, fetus and neonate

Teaching and learning strategy

A variety of teaching and learning strategies will be utilised within this module. The use of lead lectures, time for directed reading, discussions and role play will enable students to explore topics in depth. Study space will be used to support the teaching and learning, relevant materials will be available within the module including power point presentations and other E-learning materials.

• Lecture / discussion
• Group work
• Reflection, video
• Skills teaching
• Role play-booking
• Use of study space/e-learning
• Tutorials
• Clinical experience

Breakdown of Teaching and Learning Hours

Assessment strategy

Formative Assessment

Present a draft care plan based on choice of summative scenario, Formative assessment of practice through PAD.

Summative Assessment

Care Plan and Essay (2000 words) (50%)

The assessment will be based on a choice of one of two scenarios prepared by the module leader. A plan of care (to be placed as an appendix and read in conjunction with the essay) will be devised by the student along with a 2000 word supporting essay with reference to the evidence which justifies the plan of care.

Summative assessment of practice through the PAD (50%)

Mapping of Learning Outcomes to Assessment Strategy (Indicative)

Elements of Assessment

Achieving a pass

It is a requirement that the elements of assessment are passed separately in order to achieve an overall pass for the module.

Bibliography core texts

Chandraharan, E. and Arulkumaran, S. (eds) (2013) Obstetric and Intrapartum Emergencies: a practical guide to management. Cambridge: Cambridge University Press.

Cloherty, J. P. (2012) Manual of neonatal care. 7^th (edn). London: Wolters. Kluwer Health/ Lippincott, Williams & Wilkins.

Griffith, R. (2010) Law and professional issues in midwifery. Exeter: Learning Matters.

Bibliography recommended reading

Powrie, R. O. (2010) De Swiet's Medical Disorders in Obstetric Practice. 5^{th edn.} Chichester: Wiley-Blackwell.

Greenstien, B. (2009) Trounce's Clinical pharmacology for nurses. 18th edn. Edinburgh: Churchill Livingstone.

Robson, S.E. & Waugh, J. (2008) Medical Disorders in Pregnancy: A manual for midwives. Oxford: Blackwell Publishing Ltd.