Additional Care Needs - Antenatal and Intrapartum

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

• Discuss the policies (local, national and international as appropriate) and maternity services systems that influence the provision of maternity care to women with complex needs
• Demonstrate a comprehensive and systematic understanding of the physiology and pathophysiology and the psychosocial factors that predispose the woman to an increased risk of complexity during pregnancy and birth
• Analyse the evidence base for the care and management of the woman and her fetus/neonate where variations occur during the childbirth continuum
• Examine the care required for women with specific health or social needs and know how to effectively refer to other professionals or agencies where appropriate
• Evaluate the role of the midwife, in facilitating holistic woman centred care and transition to motherhood for women with complex pregnancies and diverse needs

A range of pre-existing, current or emerging conditions will be covered. Students will explore how additional care needs relate to physical, psychological, social, cultural, and spiritual factors. Interprofessional/inter agency referral and working is encompassed throughout the module. This list of syllabus content is not exhaustive but will include: Infertility and assisted conception Obesity Polycystic ovaries Endometriosis Unplanned pregnancy/Termination of Pregnancy / Miscarriage/ectopic pregnancy Hydatiform mole Bleeding in early pregnancy Medical and surgical conditions (pathological and co-morbidities) Diabetes and other endocrine disorders such those of the thyroid Other pre-existing conditions such as Cardiac disease, Asthma, Epilepsy, Acute Kidney Injury, Haemoglobinopathies Maternal infection – Sexual Transmitted Infection, human immunodeficiency virus, sepsis, Hepatitis A B C, Covid-19 Red flags for non-pregnancy related medical conditions Pregnancy Related Conditions Hyperemesis gravidarum Hypertensive disorders – pre eclampsia, Pregnancy induced hypertension, essential Hypertension, HELLP syndrome Cholestasis/ Fatty Liver disease Anaemia Multiple pregnancy Abnormal placental implantation DVT / VTE assessment Intrapartum Conditions Mal-presentation, Mal-position Pre-term labour - diagnosis and management Post term labour/induction of labour/augmentation of labour Fetal distress and fetal heart monitoring / CTG interpretation Caesarean Section and Instrumental birth End of life care and bereavement support Skills Perineal repair Cannulation Physiological breech Programme threads are linked throughout and include: Infant feeding principles Medicines management Mental health and well-being Values Based Enquiry Journey Making every contact count Continuity of carer Leadership Coaching

Lectures Group work Practical /skills workshops Self-directed learning Technology Enhanced Learning Online education using both synchronous and asynchronous sessions

Formative

This is how we’ll give you feedback as you are learning. It is not a formal test or exam.

Short answer questions

• Assessment Type: Formative
• Feedback: Formative written paper feedback will be via model answers for self-directed learning, or via peers and tutor after peer assessed formative questions.
• Final Assessment: No
• Group Work: No

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.