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92893 Midwifery Practice 2

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 2019 is available in the Archives.

UTS: Health
Credit points: 6 cp

Subject level:

Postgraduate

Result type: Pass fail, no marks

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

Description

This 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 maternity emergencies that require the midwife to recognise, react and respond appropriately. 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 emergency situations. (NMBA 6.2)
B. Apply knowledge of pathophysiology in maternity and neonatal emergencies. (NMBA 6.1)
C. Communicate effectively, reflect on practice and document accurately in urgent and emergency situations including using incident reporting systems. (NMBA 2.5, 3.1, 8.1, 8.2)
D. Use evidence to inform practice in provision of midwifery care. (NMBA 14.1)
E. In a simulated environment, demonstrate effective teamwork. (NMBA 8.2, 13.2)
F. Explain clinical risk management strategies in maternity care. (NMBA 2.1, 2.2, 2.3, 13.1)
G. Recognise, interpret and respond appropriately to non-reassuring fetal heart rate patterns. (NMBA 6.1, 6.2)
H. Critique what it means to be a midwife in relation to regulation, professional codes of practice and frameworks for support and continuing professional development. (NMBA 1.4, 2.4, 13.1,13.2)
I. 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. Students will focus on the early recognition and immediate response to women experiencing maternity emergencies.

Online learning activities
Students are required to complete online Blood e-safe learning package in preparation for working with women who experience haemorrhage. Students are also required to complete the K 2 fetal welfare packages to learn about fetal physiology and fetal welfare assessment tools. Other podcasts, videos and professional literature will be available to students prior to face to face attendance.

In class activities
Face to face workshops 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 the early recognition and response to women experiencing maternity emergencies . 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 and contemporaneous documentation in the case of maternity emergencies.

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

Assessment

Assessment task 1: Midwifery Practice Progress Review

Intent:

The primary focus of this subject is on women experiencing a maternity emergency. During your professional practice placement you will need to identify and respond to maternity emergencies, these events should be recorded in your professional practice portfolio. Simulated emergency situations, identification, early recognition and response should also be recorded in the professional practice portfolio. Students will demonstrate appropriate competency in midwifery practice in providing care of a woman and her baby in emergency situations.

Objective(s):

This assessment task addresses subject learning objective(s):

A, B and I

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

1.0 and 2.0

Type: Portfolio
Weight: Mandatory task that does not contribute to subject mark
Length: As required
Criteria:

Peer feedback will be provided on the day of the review.

Assessment task 2: Midwifery Practice Performance Summary

Intent:

The primary focus of this subject is on women experiencing a maternity emergency. 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 maternity emergency situations and this will be recorded in their midwifery professional experience portfolio that will be assessed and signed off by the hospital clinical facilitator on the Midwifery Practice Performance Summary at the end of semester. 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. The competency standards assessed are from the Nursing and Midwifery Board of Australia (NMBA) competency standards for the midwife. The four domains assessed are, legal and professional practice, midwifery knowledge and practice, midwifery as primary health care and reflective and ethical practice.

Objective(s):

This assessment task addresses subject learning objective(s):

A, C, D, H and I

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

1.0, 2.0, 4.0 and 6.0

Type: Portfolio
Weight: Mandatory task that does not contribute to subject mark
Length: As required
Criteria:

You must receive a satisfactory Midwifery Practice Performance Summary in order to receive a satisfactory grade in this subject

Assessment task 3: Clinical Viva Maternity Emergency

Intent:

Students will be able to understand the importance of timely recognition and response in relation to maternity emergencies such as shoulder dystocia, maternal collapse, post partum haemorrhage, breech, cord prolapse and eclampsia. This includes recognising and responding to a woman or baby whose condition is deteriorating.

Students will demonstrate their competence in a simulated environment, including a discussion of risk factors, effective teamwork and documentation including incident monitoring systems and frameworks.

Objective(s):

This assessment task addresses subject learning objective(s):

A, C, D, E and F

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

2.0, 3.0, 4.0 and 6.0

Type: Laboratory/practical
Groupwork: Group, group assessed
Weight: Mandatory task that does not contribute to subject mark

Assessment task 4: Completion of online fetal welfare assessment package

Intent:

Completion of the online fetal welfare package provides students with online learning opportunities and online case studies to understand the need for fetal welfare assessment, interpret the findings and respond to non-reassuring fetal heart rate patterns in a virtual case study/scenario based quiz

Objective(s):

This assessment task addresses subject learning objective(s):

A, B, C, G and I

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

1.0, 2.0, 3.0 and 6.0

Type: Quiz/test
Criteria:

Successful completion of the fetal physiology and intrapartum cardiotocography packages.

Required texts

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

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

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.

MacDonald, S. Magill-Cuerden, J. Warwick, C. 2011, Maye's 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.

References

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

MacDonald, S. Magill-Cuerden, J. Warwick, C. 2011, Maye's 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.