NMHS33410 Complexities in Labour & Birth

Academic Year 2022/2023

This module will focus on the most frequently occurring complexities that women may experience during labour and birth. Students completing this module will develop the knowledge and skills required to identify, plan, collaborate and provide care as part of the healthcare team to women who experience complex labour and birth. The psychological impact of adverse outcomes/trauma on women in pregnancy, labour 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:
1. Appraise the identification, referral and subsequent evidence based care of women who experience common deviations from
normality during labour and birth
2. Review and apply relevant literature and research in relation to the provision of midwifery care to women experiencing
common deviations during labour and birth
3. Examine the use of technology and interventions for more complicated labours
4. Distinguish how the midwife can promote key concepts in midwifery care when planning and providing care in collaboration
with the health care team

Indicative Module Content:

Prolonged pregnancy
Induction of Labour
Preterm labour and birth
Multiple pregnancy and birth
Revision of fetal skull, gynaecoid pelvis & mechanism of labour
Occipito- posterior position
Oblique lie
Unstable lie
Brow and face presentation
Breech presentation
Active Management of Labour
Safe use of Oxytocin
Obstructed labour
Precipitate labour
Instrumental Birth-Ventouse, Forceps
Caesarean Section
Vaginal Birth after Caesarean Section
Manual removal of placenta-retained placenta
Severe Perineal Trauma
Assessment of Fetal Well-being
CTG workshop
Physiology of fetal monitoring
Fetal acid base
Interpretation of Fetal blood sampling


Clinical Skills Workshops
Breech Birth
Twin Labour and Birth
Caesarean Section
Artificial rupture of membranes
Application of fetal scalp electrode
Review of Vaginal examinations (malpositions/malpresentations)

Student Effort Hours: 
Student Effort Type Hours
Lectures

22
Practical

4
Autonomous Student Learning

81
Online Learning

18
Total

125
Approaches to Teaching and Learning:
Interactive lectures
Group work and group presentations
Scenario based learning
Online learning via K2 Perinatal Training Programme
HSEland certification
Clinical skills 
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
Group Project: Attendance and participation in three assigned group activities and presentations throughout the trimester. Attendance and participation in all three group activities will be monitored. Throughout the Trimester n/a Pass/Fail Grade Scale No

10
Assignment: Development of Flow-chart on a chosen scenario Coursework (End of Trimester) n/a Standard conversion grade scale 40% Yes

40
Presentation: Submission of recorded video presentation of flow chart Coursework (End of Trimester) n/a Standard conversion grade scale 40% Yes

40
Continuous Assessment: Completion of directed e-learning activities (K2 Perinatal Training System) and achievement of five digital badges throughout the trimester Throughout the Trimester n/a Pass/Fail Grade Scale No

10

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
• Group/class feedback, post-assessment
• Online automated feedback

How will my Feedback be Delivered?

Not yet recorded.

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

Gauge, S. (2012) CTG Made Easy (4th Edition). London: Churchill Livingstone.

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

Leap, N. and Hunter, B. (2016) Supporting Women for Labour and Birth A Thoughtful Guide, Routledge.

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

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

Nursing and Midwifery Board of Ireland (2021) Code of Professional Conduct and Ethics for Registered Nurses and Registered 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.

Rankin, J. (2017) Physiology in childbearing: with anatomy and related biosciences. 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.

Robson, S.E. and Waugh, J. (2013) Medical disorders in pregnancy: a manual for midwives. 2nd ed. London: Wiley- Blackwell.

Wylie, L. and Bryce, H. (2016) The Midwives’ Guide to Key Medical Conditions. London: Elsevier

Further readings, research articles, national and international guidelines, confidential enquiries and other resources will be recommended to students throughout the module.
Name Role
Ms Orla Daly Lecturer / Co-Lecturer
Mrs Elizabeth Greene Lecturer / Co-Lecturer
Ms Elizabeth Greene Lecturer / Co-Lecturer
Dr Aoife Claire MacCormac Lecturer / Co-Lecturer