NMHS10390 Essence of Midwifery Practice

Academic Year 2022/2023

The aim of this module is to introduce the student to the profession of midwifery, its history, philosophy and the factors that impact on the role of the midwife: education, legislation and practice. The module is designed to introduce students to the key concepts upon which midwifery is based-compassionate, woman-centred care. It will enable midwifery students to begin to develop and acquire the knowledge, skills and professional behaviours required for safe and effective midwifery practice. The student will also gain understanding and knowledge of the role of the midwife in the provision of antenatal care during pregnancy. Relevant anatomy and physiology applied to pregnancy and birth will also be explored.

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Curricular information is subject to change

Learning Outcomes:

On successful completion of this module students should be able to:
● Demonstrate a clear understanding about the nature of midwifery and the concept of woman centred care.
● Outline the historical development of midwifery and legislation that influences midwifery practice.
● Demonstrate knowledge and understanding of the core professional and regulatory documents that impact on midwifery
practice in Ireland.
● Develop an understanding of the anatomy and physiology associated with midwifery practice.
● Integrate knowledge of physiological changes of pregnancy to midwifery practice.
● Apply the knowledge gained in this and supporting modules to provide holistic midwifery care for women, their partners and
families.
● Identify and demonstrate the principles of infection prevention and control in the maternity services.
● Demonstrate the skills required in providing safe midwifery care to a woman during pregnancy, labour and following birth

Indicative Module Content:

Indicative Content

Professional and Personal Issues
- History of Midwifery
- Philosophy of Midwifery
- Role and Functions of the Nursing, Midwifery Board of Ireland (NMBI)
- Professional conduct and accountability
- Domains of Competence
- Scope of Midwifery Practice
- NMBI documents and guidance
- Midwifery Values- Compassion, Care and Commitment

Anatomy and Physiology associated with midwifery care
- Menstrual Cycle
- Fertilisation
- Normal growth and development of the fetus
- Physiological changes in pregnancy
- Maintaining health and well-being and managing common disorders arising from adaptations to pregnancy

Midwifery Practice
- Terms & Abbreviations used in Midwifery Practice
- Signs & Symptoms of Pregnancy
- Diagnosis of Pregnancy
- Calculating Expected Date of Delivery (EDD)
- Infection Control and Prevention

Assessment of Fetal Well-being
- Abdominal Palpation and Auscultation
- Auscultation using a pinard stethoscope and doptone
- Methods of Fetal assessment and monitoring-auscultation, amniotic fluid, ultrasound
- Introduction to electronic fetal monitoring

Assessment of Maternal Well-being
- Vital signs in Midwifery Practice
- ISBAR Communication Tool
- Collecting urine specimens & urinalysis
- Documentation in midwifery practice-IMEWS, intake and output

Introduction to maternity services in Ireland
- The Booking visit and subsequent care
- Bloods and schedule of care
- Scope of midwifery practice/aim of midwifery care/aims of antenatal care

Postnatal
- Introduction to physiology of puerperium
- Postnatal examination of mother

Infant Care Practices
- Introduction to Breastfeeding
- Introduction to Bottle feeding
- Infant care practices-bathing, eye care, umbilical cord care, nappy care


Clinical Skills:
- Hand Hygiene
- Application of Personal Protective Equipment
- Sharps Handling and Disposal
- Linen and Waste Management
- Enabling/helping clients to achieve activities of daily living – Dressing, Washing, Vulva toileting, Bowel care, and pressure area
care, commode, bedpan
- Abdominal examination and auscultation
- Clinical Skills for taking and documentation of vital signs
- Collection of urine samples and urinalysis
- Postnatal examination of the mother
- Infant care practices-bathing, eye care, umbilical cord care, nappy care
- Breastfeeding
- Bottle-feeding

Student Effort Hours: 
Student Effort Type Hours
Lectures

30

Practical

15

Specified Learning Activities

24

Autonomous Student Learning

153

Placement/Work Experience

8

Online Learning

20

Total

250

Approaches to Teaching and Learning:
Interactive lectures
Directed learning activities
Interactive small group simulated clinical skill laboratories
Group work
Online quizzes
E-learning activities
HSEland certification

 
Requirements, Exclusions and Recommendations

Not applicable to this module.


Module Requisites and Incompatibles
Not applicable to this module.
 
Assessment Strategy  
Description Timing Open Book Exam Component Scale Must Pass Component % of Final Grade
Practical Examination: Objective Structured Clinical Examination Video Submission-Midwifery skills Throughout the Trimester n/a Alternative linear conversion grade scale 40% Yes

40

Practical Examination: Objective Structured Clinical Examination Video submission (Vital signs 2) Throughout the Trimester n/a Alternative linear conversion grade scale 40% Yes

20

Continuous Assessment: Three Online Graded Multiple Choice Questionnaire
E-learning activities
Throughout the Trimester n/a Alternative linear conversion grade scale 40% Yes

20

Practical Examination: Objective Structured Clinical Examination Video submission (Vital Signs 1) Throughout the Trimester n/a Alternative linear conversion grade scale 40% Yes

20


Carry forward of passed components
Yes
 
Remediation Type Remediation Timing
In-Module Resit Prior to relevant Programme Exam Board
Please see Student Jargon Buster for more information about remediation types and timing. 
Feedback Strategy/Strategies

• Feedback individually to students, on an activity or draft prior to summative assessment
• Feedback individually to students, post-assessment
• Group/class feedback, post-assessment
• Online automated feedback
• Self-assessment activities

How will my Feedback be Delivered?

You will receive automated feedback for Online Quizzes after the submission date You will receive class feedback and individual feedback via Rubrics after the assessment period is over

NMBI (2015) Recording Clinical Practice: Guidance to Nurses and Midwives, Nursing and Midwifery Board of Ireland, Dublin.

NMBI (2020) Guidance for Registered Nurses and Midwives on Medication Administration, Nursing and Midwifery Board of Ireland, Dublin.

Coad, J. and Dumstall, M. (2019) Anatomy and Physiology for Midwives, 4th Edition. Elsevier.

Fealy, G.M. (ed) (2005) Care to Remember: Nursing & Midwifery in Ireland . Cork: Mercier Press.

Bowen R. and Taylor W. (2022) Skills for Midwifery Practice, 5th Edition, Elsevier, London

Marshall, J. and Raynor, M (2020) Myles Textbook for Midwives, 17th Edition. London, Elsevier.

McDonald, S. & Johnson, G. (ed) (2017) Mayes Midwifery: A Textbook for Midwives. (15thed). London: Balliere Tindall.

Davey, L. and Houghton, D. (2020) The Midwife's Pocket Formulary. 4th edn. Edinburgh, Elsevier.

Baston, H. and Hall, J. (2017) Midwifery essentials: Labour. 2nd edn. Edinburgh, Elsevier Health Sciences.

Baston, H. and Hall, J. (2018) Midwifery essentials: Antenatal. 2nd edn. Edinburgh, Elsevier Health Sciences.

Nursing and Midwifery Board of Ireland (2014) Code of Professional Conduct and Ethics for Registered Nurses and Midwives. Dublin: Nursing and Midwifery Board of Ireland

Nursing and Midwifery Board of Ireland (2022) Practice Standards for Midwives. Dublin: Nursing and Midwifery Board of Ireland.

Nursing and Midwifery Board of Ireland (2015) Scope of Nursing and Midwifery Practice Framework. Nursing and Midwifery Board of Ireland, Dublin.

Rankin, J. (2017) Physiology in Childbearing: With Anatomy and Related Biosciences. Balliere-Tindall.
Name Role
Dr Carmel Davies Lecturer / Co-Lecturer
Ms Jennifer Dempsey Lecturer / Co-Lecturer
Dr Aoife Claire MacCormac Lecturer / Co-Lecturer
Mrs Denise Mc Guinness Lecturer / Co-Lecturer