NMHS33120 HDM:Emergencies+Critical Care

Academic Year 2023/2024

This module is concerned with equipping the student midwife with the necessary skills and knowledge to initiate specialised care for critically ill women. A cornerstone of this module is to prepare the student midwife to recognise obstetric emergency situations, and initiate appropriate treatment modalities. With the development of community midwifery services, the pivotal role played by midwives in the provision of skilled emergency care in the absence of immediate obstetric assistance, is addressed. The distinctive contribution of midwifery care in the context of the multidisciplinary team is identified, and developments in the scope of midwifery practice in the care of women with obstetric emergencies are explored. Key values of midwifery care such as partnership, holism, individualised and evidence-based care underpin the application of module content to practice. Relevant medication management will be incorporated throughout the module.

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Curricular information is subject to change

Learning Outcomes:

On completion of this module students should be able to:

Examine the midwife’s role and responsibilities in the diagnosis and specialised care and management of a critically ill woman.

Provide a rationale for the specialised care and management of critically ill women with reference to best available research evidence.

Initiate and demonstrate appropriate management for women experiencing obstetric emergency situations, which may jeopardise the life and/ or well-being of the mother, fetus or both, in the hospital and community setting.

Identify how the midwife can promote key concepts of midwifery care such as partnership and advocacy when providing care in collaboration with the health care team.

Integrate effective record keeping strategies in the provision of high quality midwifery care, giving consideration of record keeping in obstetric emergency situations.

Critically engage with the requirement for continuous professional development and the changing boundaries of emergency midwifery practice.

Indicative Module Content:

Indicative Content:
Recognising and initiating care and management in the deteriorating patient
Maternal Collapse
Placental abruption
Amniotic Fluid Embolism
Shoulder dystocia
Maternal Mortality
Cord presentation and Cord Prolapse
Eclampsia
HELLP Syndrome
Disseminated Intravascular Coagulopathy
Post-Partum Haemorrhage
Pulmonary Embolism
Septicaemia & Septic shock
Inverted uterus
Ruptured uterus
Cardiotocography
Psychological impact of adverse outcomes and trauma
Debriefing after a traumatic event for staff (2nd trauma)

Clinical Skills:
Cord prolapse
Shoulder Dystocia
APH
PPH
Maternal Collapse
Eclampsia
Sepsis

Student Effort Hours: 
Student Effort Type Hours
Conversation Class

12
Laboratories

12
Specified Learning Activities

24
Autonomous Student Learning

65
Online Learning

12
Total

125
Approaches to Teaching and Learning:
Lectures, online lectures, e-learning, clinical skills and simulations, summative quizzes 
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: An end of Trimester algorithm (50%) & OSCA video (50%) will be submitted online wherby the student will be assessed on two Obstetric emergencies. Unspecified n/a Standard conversion grade scale 40% Yes

100

Carry forward of passed components
Yes
 
Resit In Terminal Exam
Summer No
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

How will my Feedback be Delivered?

Practice MCQ questions will be provided during the trimester There will be clinical simulations in the clinical skills labs and students will be given feedback on their performance

Reading List:

- Core

Wylie, L. and Bryce, H. (2016) The midwives' guide to key medical conditions: pregnancy and childbirth. 2nd edn. Edinburgh: Elsevier.

Boyle, M. (2017) Emergencies around childbirth: a handbook for midwives. 3rd edn. Edinburgh:Elsevier.

Marshall, J.E. and Raynor, M.D. (eds.)(2020) Myles textbook for midwives, 17th edn, Churchill Livingstone, Edinburgh.

Johnson, R. and Taylor, W. (2022) Skills for midwifery practice. 5th edn. Edinburgh: Elsevier.

Rankin, J. (2017) Physiology in childbearing: with anatomy and related biosciences. 4th edn. Edinburgh: Elsevier.

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

Raynor, M., Marshall, J. and Jackson, K. (eds.) (2012). Midwifery practice: critical illness, complications and emergencies casebook. Maidenhead: Open University Press

- Recommended

Gibb, D.M.F. and Arulkumaran, S. (2017) Fetal monitoring in practice. 4th edn. Edinburgh: Butterworth-Heinemann/Elsevier.


Further up-to-date, topic-specific, research articles, national guidelines and other resources will be recommended to students throughout the delivery of the module.
Name Role
Dr Lorraine Carroll Lecturer / Co-Lecturer
Assoc Professor Barbara Coughlan Lecturer / Co-Lecturer
Ms Margaret Folan Lecturer / Co-Lecturer
Ms Ciara Kirwan Lecturer / Co-Lecturer
Timetabling information is displayed only for guidance purposes, relates to the current Academic Year only and is subject to change.
 
Autumn
      
Laboratory Offering 1 Week(s) - 1, 5 Thurs 11:00 - 12:50
Laboratory Offering 1 Week(s) - 2, 3, 4, 6 Thurs 11:00 - 12:50
Laboratory Offering 1 Week(s) - Autumn: Weeks 1-6 Thurs 14:00 - 14:50
Laboratory Offering 1 Week(s) - 1, 2, 3 Tues 11:00 - 12:50
Laboratory Offering 1 Week(s) - 4, 6 Tues 11:00 - 12:50
Laboratory Offering 1 Week(s) - 5 Tues 11:00 - 12:50
Autumn