NMHS32340 Maternal and Foetal wellbeing

Academic Year 2024/2025

This module introduces students to the concepts of maternal, fetal and neonatal care in the maternity health care setting. Students will engage with the anatomy and physiology knowledge that underpins maternity care, as well as the pathophysiology that can result in some of the key complications and emergencies that can arise during pregnancy, labour, birth and the immediate postnatal period.

This module will be delivered in a blended learning format, comprising of lectures, classroom discussions, pre-recorded lectures, directed readings and web-based learning activities.

The learning outcomes will be assessed by formative online quizzes and learning activities throughout the trimester, and summatively with a MCQ examination.

Show/hide contentOpenClose All

Curricular information is subject to change

Learning Outcomes:

On completion the students will be able to:
• Discuss the key general principles and concepts that underpin maternity care, including informed consent and woman-centred care.
• Identify and describe the key physiological changes that occur during pregnancy, labour, birth and the postnatal period.
• Discuss the provision of preconceptual care, including infertility and artificial reproductive technologies.
• Discuss the provision of antenatal, intrapartum and postnatal care for the woman, fetus and neonate.
• Identify and describe the key maternal and fetal complications that can arise during pregnancy, labour and birth.
• Identify and describe the key maternal and neonatal complications that can arise during the immediate postnatal period.

Indicative Module Content:

UNIT ONE: PRECONCEPTION, CONCEPTION AND EARLY PREGNANCY

1.1 Related anatomy and physiology: The menstrual cycle; Embryology and fetal development including multiple pregnancy and fetal circulation; Placenta, membranes and umbilical cord; Physiology of pregnancy

1.2 Preconception care; Preparing and planning for pregnancy; Artificial reproductive technology; Diagnosis of pregnancy

1.3 Complications and obstetric emergencies: Bleeding in early pregnancy; Pregnancy loss <12 weeks; Ectopic pregnancy; Critical illness in pregnancy

UNIT TWO: ANTENATAL

2.1 Physiological pregnancy: Physiology of pregnancy; Care and management during pregnancy; Supporting women during pregnancy

2.2 Supported and specialised care during pregnancy; Prenatal diagnosis and fetal assessment in complex pregnancy; Obesity; Diabetes mellitus; Haemotological disorders; Autoimmune disorders; Neurological disorders; Infections; Cardiovascular disease

2.3 Complications and obstetric emergencies; Pregnancy loss > 12 weeks; Antenatal haemorrhage; Hyperemesis gravidarum; Hypertensive disorders of pregnancy + HELLP syndrome; Maternal-fetal blood incompatibility; Premature, preterm rupture of membranes

UNIT THREE: INTRAPARTUM

3.1 Physiological labour and birth: Physiology of first, second and third stage of labour; Care and management during the first, second and third stage of labour; Supporting women during the first, second and third stage of labour

3.2 Supported and specialised care in labour and birth: Pharmacological analgesia and anaesthesia; Operative birth (instrumental and caesarean section) + episiotomy; Induction of labour; Delay in labour incl. amniotomy, malposition, malpresentations, and treatments to accelerate labour; Electronic fetal monitoring; Preterm labour and birth; Multiple birth

3.3 Complications and obstetric emergencies of labour and birth: Shoulder dystocia; Uterine rupture; Breech birth; Cord Prolapse; Primary postpartum haemorrhage; Retained placenta; Uterine inversion

UNIT FOUR: POSTNATAL

4.1 Physiological Puerperium and transition to extrauterine life: Physiology of puerperium; Physiology of transition from fetus to neonate; Care and management during the immediate postnatal period; Supporting families during the immediate postnatal period

4.2 Supported and specialised care during the postnatal period: Care after operative birth; Supporting recovery of the damaged pelvic floor after birth; Supporting those with a history of mental disorders; The high-risk newborn: preterm, large/small for gestational age, diabetic mother, drug-exposed

4.3 Complications and obstetric and neonatal emergencies: Secondary postpartum haemorrhage; Puerperal infection and sepsis; Thromboembolic disorders; Recognising illness in the neonate; Pathological jaundice

Student Effort Hours: 
Student Effort Type Hours
Specified Learning Activities

22

Autonomous Student Learning

57

Lectures

20

Laboratories

4

Online Learning

22

Total

125

Approaches to Teaching and Learning:
Blended-learning, flipped classroom approach: synchronous lectures, asynchronous lectures, web-based learning activities, directed readings, class discussions, clinical skills. 
Requirements, Exclusions and Recommendations
Learning Requirements:

Students considering taking this module (elective or international) should be in at least Stage 3 of an undergraduate nursing programme. Please contact the module co-ordinator for further information


Module Requisites and Incompatibles
Additional Information:
Students taking this module (elective or international) should be in at least Stage 3 of an undergraduate nursing programme.


 
Assessment Strategy  
Description Timing Open Book Exam Component Scale Must Pass Component % of Final Grade
Exam (In-person): 50-item multiple choice question (MCQ) examination. n/a Alternative linear conversion grade scale 40% No

50

Participation in Learning Activities: Participation in online learning activities will demonstrated by the successful achievement of all module awards. Module awards demonstrate completion of assigned online learning activities. n/a Pass/Fail Grade Scale No

10

Quizzes/Short Exercises: Combination of multiple choice questions, short questions and tasks to assess knowledge and problem solving.
Online, open-book, formative assessment.
n/a Alternative linear conversion grade scale 40% No

10


Carry forward of passed components
Yes
 
Remediation Type Remediation Timing
Repeat Within Two Trimesters
Please see Student Jargon Buster for more information about remediation types and timing. 
Feedback Strategy/Strategies

• Online automated feedback
• Self-assessment activities

How will my Feedback be Delivered?

Feedback on the 4 online quizzes will be made available within 20 days after due date. Students will be able to view their answers, and whether they were correct or not, and also an explanation.

Core Text

Murray, S., McKinney, E.S., Holub, K., Jones, R. and Scheffer, K.L. (eds.)(2023) Foundations of Maternal-Newborn and Women's Health Nursing, 8th edn. Missouri: Elsevier.

Recommended Reading

TBD




Name Role
Ms Elizabeth Greene Lecturer / Co-Lecturer
Ms Sally Horton Lecturer / Co-Lecturer
Ms Ciara Kirwan Lecturer / Co-Lecturer
Dr Aoife Claire MacCormac Lecturer / Co-Lecturer