Module overview
This module builds upon the knowledge and skills base within the Additional care needs; Antenatal and Intrapartum module for you to be able to engage clinically with Enhanced Postnatal and Neonatal Care. This module also links with the Obstetric and Neonatal Emergencies module whereby you are encouraged to consider the impact on both neonatal and maternal complications and apply effective communication and compassionate care throughout. By the end of this module you will have the knowledge and skills to enable you to contribute effectively to the provision of safe and effective care for mothers and their neonates, with complex health challenges with a particular focus on the puerperium.
Aims and Objectives
Learning Outcomes
Learning Outcomes
Having successfully completed this module you will be able to:
- Using a comprehensive understanding of the physiology of lactation, explore how the challenges of initiating and supporting breastfeeding in complex situations can be overcome to achieve the public health benefits of breast feeding.
- Critically evaluate the risks of a range of both pre-existing and emergent conditions in women from a range of ethnic /social backgrounds, including relevant pathology, pharmacology and related bio-sciences, across postpartum physical and mental health.
- Compare and contrast the evidence base for the care and management of the woman and neonate where variations occur during the puerperium.
- Demonstrate an understanding of the Newborn physical examination screening, including consideration of the supporting evidence base for neonatal screening.
- Debate and innovatively explore the role of the midwife within the interprofessional /multi-agency team in the provision of care for women with co-morbidities to the end of the puerperium.
Syllabus
Application of relevant epidemiology, pathophysiology, genetic /genomics, psychosocial, ethical, legal, pharmacological, aspects with particular focus on postpartum period for women and their neonates to the topics listed below. Interprofessional /inter agency referral and working is encompassed throughout the module.
This list is not exhaustive but will include:
Medical and surgical conditions (pathological and co-morbidities)
Haemoglobinopathies
Preconceptual Issues
Postpartum and Gynaecological conditions
Pelvic inflammatory disease and gynaecological disorders
Perineal trauma - ,-theoretical consideration of suturing, immediate postnatal care, complications and long term sequaele (practical skill in third year)
Maternal/fetal/neonatal blood results
Blood transfusion and blood products
Sexually transmitted infections
Mental Health Condition
Pre-existing Mental health and impact during childbearing continuum
Postnatal depression
Postnatal psychosis
Postnatal, post-traumatic stress disorder
Impact of mental health conditions and drugs on breast feeding
Neonatal Conditions (includes support of the mother and family)
Care of sick of the Pre-term infant
Care of sick neonate
Low birth weight infant
Neonatal hypothermia and Neonatal hypoglycaemia
Neonatal sepsis
Neonatal observations
Neonatal orthopaedics
Neonatal screening
Neonatal skin
Neonatal abnormalities
Care of the neonate withdrawing from any maternal medication /drug
History taking and communication
Infant feeding, including supporting breast feeding where mother and/ or neonate have complications
Newborn physical Examination Screening theory
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
Learning and Teaching
Teaching and learning methods
Lectures
Group work
Presentations
Scenarios and Role play
Self-directed learning
Structured reflection
Quizzes
Technology Enhanced Learning
| Type | Hours |
|---|---|
| Practical classes and workshops | 6 |
| Revision | 30 |
| Lecture | 20 |
| Tutorial | 4 |
| Preparation for scheduled sessions | 20 |
| Wider reading or practice | 67.5 |
| Completion of assessment task | 40 |
| Total study time | 187.5 |
Resources & Reading list
Internet Resources
Caring for women with mental health problems.
https://www.e-lfh.org.uk/programmes/nhs-screening-programmes/.
NMC Standards of proficiency for midwives.
Unicef UK Baby Friendly Initiative University Standards.
Perinatal Institute for maternal and child health: Postnatal notes for baby Version 18.1B.
Textbooks
Knight M, Kenyon S, Brocklehurst P, Neilson J, Shakepearce J, Kurinczuk JJ (2016). Saving Lives, Improving Mother’s care; lessons learned to inform future maternity care from the UK and Ireland Confidential Enquiries into Maternal deaths and morbidity 2009-2014. Oxford: National Perinatal Epidemiology Unit.
Hollins C and Forrest E (2013). Bereavement Care for Childbearing women and their Families: An Interactive workbook. Abingdon: Routledge.
Downie G and Mackenzie J (2010). Calculating Drug Doses Safely. Edinburgh: Churchill Livingstone.
Campbell, D and Dolby, L. (2018). Physical Examination of the Newborn at a Glance. Wiley Blackwell.
Lomax, A. (2015). Examination of the Newborn, An Evidence-Based Guide. Wiley Blackwell.
James DK; Steer PJ; Weiner CP; Gonik B (2013). Medical Disorders in Pregnancy. A Manual for Midwives. Chichester: John Wiley and Sons.
Jones, T. (2020). The Student Guide to the Newborn Infant Physical Examination. Routledge.
Assessment
Assessment strategy
You are required to pass both summative assessments at a minimum of 40% in each part. If you refer one of the summative assessments you will refer the module, but you are only required to retake the part that you have been unsuccessful in.
Formative
This is how we’ll give you feedback as you are learning. It is not a formal test or exam.
Presentation & Peer Discussion
- Assessment Type: Formative
- Feedback: At the time of the presentation feedback will be provided by peers and academics.
- Final Assessment: No
- Group Work: No
Baby Friendly Initiative (BFI) Practical Skills and simulation exercise
- Assessment Type: Formative
- Feedback: you will be offered the opportunity to discuss your feedback with a member of the programme/module team as appropriate. If you do not achieve a minimum pass of 80% you will be provided with a learning contract to achieve a successful outcome
- Final Assessment: No
- Group Work: No
Summative
This is how we’ll formally assess what you have learned in this module.
| Method | Percentage contribution |
|---|---|
| Case study | 50% |
| Assessed Practicals | 50% |
Referral
This is how we’ll assess you if you don’t meet the criteria to pass this module.
| Method | Percentage contribution |
|---|---|
| Assessed Practicals | 50% |
| Case study | 50% |
Repeat Information
Repeat type: External