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92785 Midwifery in Complex Situations

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 prepares students to assess, plan, implement and evaluate midwifery care for women and babies who have complex needs. Anatomy and physiology knowledge, from 92873 Midwifery Practice 1 and 92893 Midwifery Practice 2, is built on, particularly in relation to complexities of pregnancy, birth and the puerperium. Students are introduced to the medications and other treatments used to treat commonly occurring complexities in pregnancy, birth and the puerperium. The legal, ethical and professional responsibilities of the midwife are examined in relation to the provision of care for these women and their families.

Subject learning objectives (SLOs)

Upon successful completion of this subject students should be able to:
A. Identify, describe and explore the evidence in relation to complex situations in the antepartum, intrapartum and postpartum/neonatal period that may be encountered by the woman and her family (NMBA 2.1, 2.3, 6.1, 14.1, 14.2).
B. Explain the patho-physiology of frequently occurring complexities for both the woman and her baby (NMBA 6.1).
C. Describe the action and safe administration of medications that may be prescribed to women and babies with complex needs (NMBA 5.5).
D. Assess, plan, implement and evaluate midwifery care for the woman and her family who have complex needs (NMBA 6.1, 6.2).
E. Assess, plan, implement and evaluate midwifery care for the unwell neonate (NMBA 6.1, 6.2).
F. Demonstrate effective communication skills in order to consult, refer and provide a comprehensive and accurate handover in complex situations (NMBA 3.1, 8.1, 8.2).
G. Apply legal, ethical and professional responsibilities to midwifery practice (NMBA 11.1).

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)
  • Work collaboratively in order to provide excellence in maternity care (3.0)
  • Are resilient, emotionally competent midwives who foster human flourishing (4.0)
  • Are professionally engaged critical thinkers who take a lively and questioning approach and embrace lifelong learning (6.0)

Teaching and learning strategies

In this subject, you will participate in a range of teaching and learning strategies that are designed to build on your knowledge of anatomy and physiology in relation to pregnancy, birth and the puerperium. You will build on your foundational knowledge and skills to provide midwifery care in partnership with women who experience complexity through pregnancy, birth and/or the puerperium.

Online learning activities
Students access online learning resources including podcasts, videos and professional literature prior to face to face attendance. Other online resources enable students to clarify concepts and terminology.

In class activities
Face to face lectures are provided to enable students to clarify, discuss and develop subject concepts, including the online learning modules. Activities include case studies and stories from practice when working with women in pregnancy, birth and the puerperium.

Clinical skills, communication and simulation
Students will participate in simulated practice of clinical skills used in midwifery practice, including assessment and interventions for women with a complexity of their pregnancy, birth and/or the puerperium. Activities include the use of manikins, teaching staff or other students as simulated women. Students learn and practice 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.

Clinical placement
Students complete 32 hours per week of concurrent employment in a midwifery setting. Students provide midwifery care within inter-professional teams to develop and consolidate their knowledge, skills and attributes relevant to midwifery practice.

Assessment

Assessment task 1: Information Sheet for Women experiencing a complexity in their pregnancy, birth and/or the puerperium

Intent:

When discussing complexities in pregnancy, birth and/or the puerperium it is useful to provide the woman with written information. The aim of this assessment item is to use contemporary evidence based information to produce an information sheet women can refer to after the conversation with the midwife.

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

Weight: 40%
Length: 800-1000 words

Assessment task 2: Written case study examination

Intent:

Pregnancy, birth and the transition to parenthood are a significant life events for women and their families. Midwifery students will demonstrate an understanding of the physiology the woman is experiencing during the childbearing period. Through critical thinking the midwifery student will be assessed through completion of the case study examination that covers all midwifery care for women throughout pregnancy, birth and the early parenting period. Midwifery students will demonstrate the need to recognise complexities in pregnancy, birth and the early parenting period consulting and referring as necessary.

Objective(s):

This assessment task addresses subject learning objective(s):

A, B, C, D, E, F and G

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

1.0, 2.0 and 6.0

Weight: 60%
Length: 2 hours (0900-1100hrs)
Criteria:

The purpose of this written case study examination is to assess the knowledge that you have gained over the course of your studies so far. The examination will have a mixture of short and longer answer responses.

The pass mark for this examination is 60%.

Required texts

Catling, C., Cummins A. & Hogan, R. 2016, Stories in Midwifery: Reflection, enquiry, action, Elsevier Sydney

Gray, J. Smith, R. & Homer, C. 2008, Midwifery essentials, Butterwoth Heineman, Sydney.

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

Pairman, S., Pincombe, J. Thorogood, C. & Tracy, S. 2015, Midwifery: preparation for practice, 3rd edn, Elsevier
Australia, Sydney.

Recommended texts

Gilbert, E. 2011, Manual of high risk pregnancy and delivery, 5th edn, Mosby, St Louis.

References

Boyle, M. 2011, Emergencies around childbirth: A handbook for midwives, 2nd edn, Radcliffe Medical Press, London.

Gilbert, E. 2011, Manual of high-risk pregnancy and delivery, 5th edn, Mosby, St Louis.

MacDonald, S. Magill-Cuerden, J. Warwick, C. 2011, Mayes' midwifery: A textbook for midwives, 14th edn, Bailliere Tindall, New York.

Stables, D. & Rankin J. 2011, Physiology in childbearing: with anatomy and related biosciences, 3rd edn, Elsevier, Edinburgh.

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.