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92375 Midwifery Practice 1

Warning: The information on this page is indicative. The subject outline for a particular session, location and mode of offering is the authoritative source of all information about the subject for that offering. Required texts, recommended texts and references in particular are likely to change. Students will be provided with a subject outline once they enrol in the subject.

Subject handbook information prior to 2020 is available in the Archives.

UTS: Health
Credit points: 6 cp

Subject level:

Postgraduate

Result type: Grade and marks

There are course requisites for this subject. See access conditions.

Description

This subject has a pre-session, preparation for practice component. Students then commence clinical practice and return at the beginning of session for the second part of the subject.

The subject provides the theoretical underpinnings to enable students to acquire the requisite knowledge, skills and attitudes for midwifery practice. The primary focus of this subject is on women experiencing a normal childbearing period. Professional practice placements are a compulsory requirement and are assessed within this subject.

Subject learning objectives (SLOs)

Upon successful completion of this subject students should be able to:
A. Demonstrate appropriate competency in midwifery practice in providing care to a woman and her baby in pregnancy, labour, birth and the postnatal period. (NMBA Standards 1 and 6)
B. Engage with women in order to obtain, interpret and record a detailed history; perform a comprehensive psychological and social assessment; and accurately assess and evaluate findings. (NMBA Standards 3 and 4)
C. Apply knowledge of anatomy and physiology related to pregnancy, childbirth, the puerperium and lactation, and to midwifery care provision. (NMBA Standard 4)
D. Communicate effectively, reflect on practice and document accurately. (NMBA Standards 1 and 5)
E. Use evidence to inform practice in provision of midwifery care. (NMBA Standards 1 and 7)
F. Work in partnership with women and other members of the health care team. (NMBA Standard 2)
G. Apply legal, ethical and professional responsibilities to midwifery practice. (NMBA Standards 2 and 3)

Course intended learning outcomes (CILOs)

This subject also contributes specifically to the following graduate attributes:

  • Practise woman-centred care (1.0)
  • Are professionally competent midwives who provide safe and effective midwifery care using intelligent kindness (2.0)
  • Have a sound and thorough knowledge base about anatomy and physiology (2.1)
  • Demonstrate critical thinking and sound clinical judgment that is based on evidence and reflects appropriate reasoning within the relevant professional codes and guidelines (2.2)
  • Work collaboratively in order to provide excellence in maternity care (3.0)
  • Are resilient, emotionally competent midwives who foster human flourishing (4.0)
  • Are socially responsible citizens who value the diversity of people (5.0)
  • Are professionally engaged critical thinkers who take a lively and questioning approach and embrace lifelong learning (6.0)
  • Graduates have professional cultural competency which contributes to the health and wellbeing of Indigenous Australians, inclusive of physical, social, emotional and spiritual wellness (7.0)

Teaching and learning strategies

In this subject, students participate in a range of teaching and learning strategies that are designed to encourage them to engage with contemporary, evidence-based midwifery care and practice.

ONLINE LEARNING MODULES
The subject includes the provision of online learning modules as preparation for in-class learning activities. Students are introduced to the online and YouTube resources available through UTSOnline and these are incorporated in the subjects throughout their course. Resources from UTSOnline that display mechanisms of labour, the fetal skull and physiology of childbearing are used to engage students and assist with learning. These activities are supported by follow-up in class activities or in online forums to share learning, experiences and reflections.

Students are introduced to the mindfulness materials that are available on the internet and encouraged to start using these in their day-to-day life.

TUTORIALS
Face-to-face tutorials enable students to clarify, discuss and develop subject concepts. The tutorials are supported by the online learning activities and followed up in class activities.

CLINICAL SKILLS, COMMUNICATION AND SIMULATION
Students participate in simulated practice of clinical skills used in midwifery practice, including the care of women and their families through an uncomplicated pregnancy, birth and postnatal period. Activities include the use of mannequins, teaching staff or other students as simulated women. Students learn and practise clinical and interpersonal skills with case scenarios in the class room. These practice scenarios incorporate the development of professional communication skills including consultation and referral to medical colleagues. Students' development of clinical skills in providing midwifery care for women includes antenatal, labour, birth and postnatal care in simulated practice. Assessment of anatomy and physiology in relation to the childbearing woman is assessed through the satisfactory completion of a workbook. Readiness for practice is assessed through the Professional Experience Placement Portfolio (PEP) and the satisfactory completion of the Australian Midwifery Skills Assessment Tool (AMSAT).

In this subject students undertake concurrent employment of 32 hours per week in the clinical setting. Under supervision, students provide midwifery care to women and their families within multi-disciplinary teams to develop and consolidate their knowledge, skills and attributes.

Content (topics)

Philosophy of midwifery practice

  • Midwifery competencies and codes of practice
  • Australian College of Midwives (ACM) philosophy of midwifery practice

Reflection in midwifery practice

  • Reflection on students’ developing midwifery practice through the PEP portfolio and in-class or online discussions
  • Exploration and application of reflective practice tools to midwifery practice scenarios

Anatomy and physiology

  • Extension of the knowledge of anatomy and physiology during pregnancy, birth and the postpartum period from the pre-seession workshop for Midwifery Practice 1
  • Application of students’ understanding of the anatomy and physiology related to pregnancy, childbirth, the postpartum period (including lactation) and for the neonate while on clinical practice
  • Deeper understanding of the maternal and fetal adaptations in childbirth

Knowledge and skills

  • Application of knowledge and skills when providing care during the antenatal period, in labour and birth (including assessment of fetal wellbeing and electronic fetal monitoring), postnatal and newborn care; social and emotional assessments; peri-operative care; safe administration of medications
  • Focus on the provision of care – ‘being with’ women especially in labour will be a specific highlight

Communication skills

  • Active listening
  • Strengths-based approaches to working with women and families
  • Difficult questions – asking them and listening to difficult answers
  • Self-care for midwives – being mindful and asking for support when needed

Assessment

Assessment task 1: PROFESSIONAL EXPERIENCE PLACEMENT (PEP) PORTFOLIO

Intent:

The primary focus of this subject is on women experiencing a normal childbearing period. Students will record their antenatal, labour, birth, postnatal and other professional experiences in their professional experience placement (PEP) portfolio. The students will aim to complete around half the clinical experiences in the PEP portfolio and have met at least half of the women as part of the midwifery continuity of care experience by the end of semester. Midwifery continuity of care means after meeting a women and gaining consent you will provide midwifery care for her throughout her pregnancy, be available (on call) for her birth and provide care in the postnatal period. You will have at least 5 points of contact with the woman, with an aim of buidling a professional relationship. It is anticipated that students will be introduced to the complexities in pregnancy, birth and the puerperium and these experiences should be recorded in the PEP portfolio- although the main focus is on the normal childbearing period. Students will complete these clinical experiences under the supervision of a registered midwife at all times and the registered midwife will sign each experience recorded in the PEP portfolio.

Objective(s):

This assessment task addresses subject learning objective(s):

This assessment task contributes to the development of graduate attribute(s):

1.0, 2.0, 3.0, 4.0 and 6.0

Type: Portfolio
Groupwork: Individual
Length:

As required.

Assessment task 2: AUSTRALIAN MIDWIFERY STANDARDS ASSESSMENT TOOL

Intent:

The primary focus of this subject is on women experiencing a normal childbearing period. Professional practice placements are a compulsory requirement and are assessed within this subject. Midwifery students will demonstrate appropriate competency in midwifery practice in providing care of a woman and her baby in pregnancy, labour, birth and the postnatal period and this will be assessed by their hospital educator using the Australian Midwifery Skills Assessment Tool (AMSAT) at the end of semester. The competency standards assessed are from the Nursing and Midwifery Board of Australia (NMBA) Midwife Standards for Pactice. The standards ar as follows:

  • Standard 1: Promotes health and wellbeing through evidence-based midwifery practice
  • Standard 2: Engages in professional relationships and respectful partnerships
  • Standard 3: Demonstrates the capability and accountability for midwifery practice
  • Standard 4: Undertakes comprehensive assessments
  • Standard 5: Develops plans for midwifery practice
  • Standard 6: Provides safety and quality in midwifery practice
  • Standard 7: Evaluates outcomes to improve midwifery practice
Objective(s):

This assessment task addresses subject learning objective(s):

This assessment task contributes to the development of graduate attribute(s):

1.0, 2.0, 3.0, 4.0, 5.0, 6.0 and 7.0

Type: Laboratory/practical
Groupwork: Individual
Length:

As required.

Assessment task 3: WORKBOOK

Intent:

The primary focus of this subject is on women experiencing a normal childbearing period. The workbook will build on the anatomical and physiological changes women experience throughout pregnancy, labour, birth and the puerperium.

Objective(s):

This assessment task addresses subject learning objective(s):

This assessment task contributes to the development of graduate attribute(s):

2.0, 2.1, 2.2 and 6.0

Type: Exercises
Groupwork: Individual
Weight: 10%
Length:

As required.

Assessment task 4: LITERATURE REVIEW

Intent:

This assessment is designed to give the student the opportunity to complete a literature search and further develop their academic skills in searching the literature and writing. The opportunity to explore one particular issue in relation to midwifery practice also enables the student to further understand that issue. The student is required to explore the current evidence based research in relation to the midwifery question. The literature review will enable you to begin searching for evidence based care for women throughout the childbearing experience and will influence your midwifery practice.

Objective(s):

This assessment task addresses subject learning objective(s):

This assessment task contributes to the development of graduate attribute(s):

1.0, 2.0, 5.0 and 6.0

Type: Essay
Groupwork: Individual
Weight: 40%
Length:

1500 words.

Assessment task 5: CASE STUDY EXAMINATION

Intent:

This assessment piece is designed to evaluate student's comprehension of midwifery knowledge and theory integration including the anatomical and physiological changes that occur to a woman during pregnancy, birth and the puerperium. It also assesses the student's beginning understanding of the transitional period of early parenthood and the role of the midwife when working with women and their families during the childbearing period.

Objective(s):

This assessment task addresses subject learning objective(s):

A, B, C, D, F and G

This assessment task contributes to the development of graduate attribute(s):

1.0, 2.0, 3.0, 4.0 and 6.0

Type: Examination
Groupwork: Individual
Weight: 50%
Length:

2 hours.

Required texts

Catling, C., Cummins, A. & Hogan, R. 2016 Stories in Midwifery, Elsevier Australia, Sydney.

Gray, J. & Smith, R. 2018, Midwifery essentials, Elsevier Australia, Sydney.

Gray, J., Smith, R. & Homer, C. 2018, Illustrated dictionary of midwifery, Elsevier Australia, Sydney.

Hoffmann, T., Bennett, S. & Del Mar,C. 2017, Evidence-based practice across the health professions, 3rd edn. Churchill Livingstone, Chatswood, Australia.

Marshall, J.E. & Raynor, M.D. 2014, Myles Textbook for Midwives, 16th edn, Elsevier Health Sciences

OR

Macdonald, S. and Johnson, G. (eds), 2017, Mayes Midwifery, 15th edn, Elsevier, London.

Recommended texts

Cochrane database, www.cochrane.org

Leap, N. & Hunter, B. 2016, Supporting women for labour and birth, Taylor & Fancis Ltd., London.

Walsh, D. 2011, Evidence and skills for normal labour and birth: a guide for midwives, 2nd edn, Routledge, London.

Byrom, S. and Downe, S. (eds), 2015, The Roar behind the Silence: Why kindness, compassion and respect matter in maternity care, Pinter and Martin, London.

References

Gray, J. & Smith, R. 2018, Midwifery essentials, Elsevier Australia, Sydney.

Gray, J., Smith, R. & Homer, C. 2018, Illustrated dictionary of midwifery, Elsevier Australia, Sydney.

Pairman, S., Pincombe, J., Thorogood, C., & Tracy, S., 2014, Midwifery : preparation for practice, 3rd edn, Elsevier Australia, Sydney.

Stables, D. & Rankin, J. 2017, Physiology in childbearing : with anatomy and related biosciences, 4th edn, Baillière Tindall, Edinburgh.

Walsh, D. 2011, Evidence and skills for normal labour and birth : a guide for midwives, Routledge, London.

Other resources

UTS Student Centre
Building 10

Monday to Friday: 9am - 5pm
Tel: 1300 ASK UTS (1300 275 887)

Details for student centres: www.uts.edu.au/current-students/contacts/general-contacts

For other resources/ information refer to the Faculty of Health website (www.uts.edu.au/about/faculty-health), the Health Student Guide (www.uts.edu.au/sites/default/files/uts-health-student-guide.pdf) and UTSOnline at: https://online.uts.edu.au/webapps/login/

UTS Library
The Library has a wide range of resources, facilities and services to support you including textbooks, subject readings, old exam papers, academic writing guides, health literature databases, workshops, a gaming room and bookable group study rooms. There is also a team of librarians to help you with all your questions. W: lib.uts.edu.au, Facebook: utslibrary, Twitter: @utslibrary Tel: (02) 9514 3666

Improve your academic and English language skills
Marks for all assessment tasks such as assignments and examinations are given not only for what you write but also for how you write. If you would like the opportunity to improve your academic and English language skills, make an appointment with the HELPS (Higher Education Language & Presentation Support) Service in Student Services.

HELPS (Higher Education Language & Presentation Support)
HELPS provides assistance with English language proficiency and academic language. Students who need to develop their written and/or spoken English should make use of the free services offered by HELPS, including academic language workshops, vacation intensive courses, drop-in consultations, individual appointments and Conversations@UTS (www.ssu.uts.edu.au/helps). HELPS staff are also available for drop-in consultations at the UTS Library. Phone (02) 9514 9733

Please see www.uts.edu.au for additional information on other resources provided to students by UTS.