Antenatal and Intrapartum Additional Care Needs

Learning Outcomes

Having successfully completed this module you will be able to:

• Examine the care required for women with specific health 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.
• Evaluate the evidence base for the care and management of the woman and her fetus/neonate where variations occur during the childbirth continuum.
• 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.
• 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.

This list of syllabus content is not exhaustive but will include: Gynaecological conditions such as polycystic ovarian syndrome, ectopic pregnancy, endometriosis, bleeding in early pregnancy, infertility and assisted conception Termination of Pregnancy Hydatidiform mole and cancer in pregnancy Recurrent miscarriage Maternal obesity Diabetes Other pre-existing conditions such as Cardiac disease, Asthma, Epilepsy, Acute Kidney Injury, Haemoglobinopathies Maternal infection – including sexual transmitted infections, sepsis Antenatal triage and red flags for non-pregnancy related medical conditions Care of the critically ill woman Pregnancy Related Conditions: Hypertensive disorders – pre eclampsia, pregnancy induced hypertension, essential hypertension, HELLP syndrome Cholestasis Anaemia Multiple pregnancy Placental and amniotic fluid abnormalities 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 Skills: Perineal repair theory - including 3rd and 4th degree tears, immediate postnatal care Cannulation and IV medicines administration Physiological breech Programme threads are linked throughout and include: Infant feeding principles Medicines management Reflection Mental health and well-being Values Based Enquiry Journey Leadership Coaching

Lectures Flipped Learning 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.

Formative self-marked practice exam

• 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:
• 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.