2017/18 Undergraduate Module Catalogue

HECS2190 Midwifery Theory and Practice 2

40 creditsClass Size: 60

Module manager: TBC (from September 2017)
Email: tbc

Taught: Semester 2 (Jan to Jun) View Timetable

Year running 2017/18

Pre-requisite qualifications

Successful completion of year 1 of the programme

Pre-requisites

HECS2189

Midwifery Theory and Practice 1

Module replaces

Partially replaces HECS 2110, HECS 2111, HECS 2112, HECS 2114 and HECS 2115 by 2013-4

This module is not approved as a discovery module

Module summary

Application of ethical theory and dilemmas to midwifery practice. Care of women when childbearing is more complex, emotional wellbeing and support of women who have experienced abuse. The mortality and morbidity of women and their babies will be explored.

Objectives

This is a theory and practice module that builds on the theory and practice of normal childbearing in HECS 2189. There will be a focus on complexities in labour. Some of these conditions can cause longer term morbidity for mother and baby. The theme of vulnerability will be continued addressing the needs of women who are experiencing abuse and those who may have lingering issues from previous sexual abuse. Students will develop skills in recognising and responding to women’s emotional needs and the detection and support of those with mental health issues. Service improvement will focus on analysis of key documents that drive service provision in preventing the deaths of women and their fetus/baby. In tandem with this ethical theory and applied principles in midwifery practice and research. Medicines management will be developed by students considering how women can safely self administer drugs.

Learning outcomes
At the end of the module the student will be able to:

1. Identify and examine ethical dilemmas in the context of midwifery practice, current legislation and its relevance to ethical decision making.

1. Demonstrate understanding of ethical theory and its application to dilemmas in midwifery practice.

2. Evaluate the structure and use of argument in ethical debate.

3. Debate ethical issues around research processes in particular relating to pregnancy and childbirth.

4. Identify and discriminate the quality of evidence using a critical appraisal tools.

5. Apply the altered physiology of labour to the assessment and interpretation of progress when labour is more complex.

6. Discuss the causes, recommendations and implications for practice from audit of maternal and fetal/infant mortalities.

7. Consider and provide emotional support that women may require throughout the childbearing continuum especially those with mental health issues.

8. Address the needs of women who are vulnerable to a range of abuse from partners and wider family members including current and past events.

9. Take a medicine history under supervision.

10. Meet selected performance and skills outcomes in the level 2 Common Assessment Document.

Skills outcomes
Midwifery care within Delivery Suite, the antenatal ward or postnatal ward.

Syllabus

Service users
Domestic abuse and previous sexual abuse as a child, female genital mutilation.
Role of Fathers / Partners, 'Pregmancy' and couvard
Financial capability
Personal growth knowledge and skills
Introduction to ethics, ethical principles, ethical theory and ethics of care
Rights and obligations, the law, informed consent, beginning and end of life
Assessment of the wellbeing and normality of the baby
Abnormal progress in labour to include induction, augmentation, cascade of intervention, ruptured uterus APH, PPH, shoulder dystocia
Care of women when the fetus presents abnormally eg breech, OPP, shoulder, face, brow, mechanisms.
Multiple births
Breast feeding more than one baby
Antenatal and postnatal depression, psychosis
Care of women who are obese
Thromboembolic disorders eg DVT pulmonary embolism
Maternal complications in the postnatal period, secondary post partum haemorrhage, infection
Physiology of the pelvic floor and perineal trauma
Physiology of wound healing promoting healing and pressure area care
Developing skills in locating, sifting, retrieving and appraising a range of evidence.
Process and systems
Local processes and systems which midwives utilise to ensure safety of mothers and their fetus/baby
Congenital abnormalities, structural defects, birth trauma, genetics
Screening
Self administration of drugs and the taking of medicine history
Practice development
Evidence that supports current guidelines aimed at reducing the risk of sudden infant death, maternal death or morbidity
Global perspectives on the health and wellbeing of mothers and their babies eg Global safe motherhood initiative
Origin of errors in decision making and their consequences

Practice: In this module there are 270 hours of clinical practice spread over semester 2a. Students will be placed in either Delivery Suite, or antenatal ward or postnatal ward. Students on the Delivery Suite will be required to demonstrate competence in calculating common dosages of medicinal products used in normal midwifery practice (NMC requirement).

Teaching methods

Delivery type	Number	Length hours	Student hours
Clinical Practice	270	1.00	270.00
Lecture	10	2.00	20.00
Practical	5	2.00	10.00
Seminar	5	2.00	10.00
Tutorial	10	2.00	20.00
Independent online learning hours			20.00
Private study hours			170.00
Total Contact hours			330.00
Total hours (100hr per 10 credits)			520.00

Private study

The 170 hours of private study will be used to:
Complete the 2,500 word essay and prepare for the unseen examination.
Independent online learning will include resources for ethics, professional and regulatory framework and breast feeding.
Preparation for inquiry based learning activities
Background reading.

Opportunities for Formative Feedback

Theoretical progress will be monitored through participation in inquiry based learning within the tutorials. A typical example would be around the care of women with more complex labour and social contexts. The example below also illustrates how key programme themes will be introduced and developed with the themes relating to research skills, decision making skills and ethics and law being fundamental to this approach. It is intended that the case scenarios are developed with input from clinical midwives to represent current practice issues.

Clinical Progress
Students will be assessed using the appropriate learning outcomes within the Midwifery Common Assessment Document for level 2 and their performance will be graded by their sign-off mentor in the last two weeks of their placement.

Reflective sessions throughout the clinical placement will assist students to make links between theory and practice.

Methods of assessment

Coursework

Assessment type	Notes	% of formal assessment
Essay	Essay 2,500 words	30.00
Placement Assessment	Grading of Practice	40.00
Written Work	Common Assessment Document	0.00
Total percentage (Assessment Coursework)		70.00

The essay will apply ethical theory or the law to an issue raised in midwifery practice. No compensation is permitted between the essay and the exam. No compensation is permitted between the two theory elements and the grading of clinical practice.

Exams

Exam type	Exam duration	% of formal assessment
Standard exam (closed essays, MCQs etc)	2 hr	30.00
Total percentage (Assessment Exams)		30.00

This unseen examination will assess their knowledge of complex midwifery issues covered in the module.

Reading list

The reading list is available from the Library website

Last updated: 09/06/2017

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