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Title
Code
Level
Credit rating
Pre-requisites
Type of module
Aims
Learning outcomes/objectives
Altered Health in Childbearing
MI 502
5
20
Meets progression requirements to Year 2 of
course.
Extensive
To help the student develop an understanding of
physical ill health, mental ill health and disabilities,
which may affect child bearing women and their
families.
On successful completion of the module students
will be able to:
1. Recognise and explain the signs and
symptoms of a range of conditions,
demonstrating knowledge and understanding of
the effect these may have on fetal, maternal
and neonatal physiology. This may include
o Physical ill health
o Mental ill health
o Disability
2. Demonstrate knowledge and understanding of
a range of conditions that may affect
childbearing women and recognise the impact
this may have on the woman, baby, and family.
This may include
o Physical ill health
o Mental ill health
o Disability
3. Demonstrate the ability to select relevant and
appropriate research and other evidence to
inform own practice in caring for the woman
and/or baby where there is altered health.
4. Demonstrate an understanding of the reasons
for referral when there is altered health and
discuss the role of the multidisciplinary team
when such referrals are made
Content
It is expected that the content will be delivered,
where appropriate, as themed days in conjunction
with module MI224. The intention is to utilise a case
scenario approach, which must include the
fetus/baby.
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Physical ill health in the mother and the effects this
may have on fetal, maternal and neonatal
physiology,
midwifery
care
and
medical
management. To include:
Cardiovascular disorders
Haematological disorders. To include:
 Anaemia
 Rhesus isoimmunisation
 Disseminated Intravascular Coagulation
 Thrombo embolic disorders
Infective disorders. To include:
 Human Immunodeficiency Virus
 Hepatitis
 Genital tract sepsis
Endocrine disorders. To include:
 Diabetes
Gynaecological disorders and infertility
Obesity/underweight
Other medical disorders: respiratory, immune,
renal, neurological and gastrointestinal
Neonatal hyperbilirubinemia
Intra Uterine Growth Retardation (IUGR)
Issues relating to high dependency care to permeate
throughout content where appropriate. To include:
fluid and electrolyte balance
maintaining effective oxygenation
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Mental ill health: To include
Substance misuse
Suicide
Postnatal depression
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Teaching and learning strategies
Disabilities: To include
Chromosomal disorders , genetic, metabolic and
antenatal detection
A wide variety of methods will be used to facilitate
the student learning experience. These will include:
lectures, seminars, EBL using case scenarios, users
of the service, small group working and guided
study. Experts in specific areas will deliver
appropriate content, e.g. mental health lecturer to
deliver mental ill health content.
Activity
Scheduled
Independent Study
Practice
Total
Hours
37.5
114.5
48
200
%
18.8
57.2
24
100
Learning support
Indicative reading:
Banister, C. 2004. The Midwife’s Pocket Formulary:
Commonly Prescribed Drugs for Mother and Child,
Drugs and Breastfeeding, Contra Indications and
Side Effects. Oxford: Books for Midwives
Blackburn, S. T. 2007. Maternal, Fetal and Neonatal
Physiology. A Clinical Perspective. 3rd ed. Missouri:
Saunders Elsevier
Coad, J. and M. Dunstall. 2011. Anatomy &
Physiology for midwives E-Book. Kindle edition.
London: Churchill Livingstone Elsevier
Fraser, D. & M. Cooper., eds. 2009. Myles Textbook
for Midwives. 15th ed. Edinburgh: Churchill
Livingstone Johnson, R. and W. Taylor. 2010. Skills
for Midwifery Practice E-Book. Kindle edition.
London: Churchill Livingstone.
Freshwater, D. 2003. Counselling Skills for Nurses,
Midwives and Health Visitors. Berkshire: Open
University Press
Johnson, R. and W. Taylor. 2010. Skills for
Midwifery Practice E-Book. Kindle edition. London:
Churchill Livingstone.
Jordan, S. 2010. Pharmacology for Midwives: The
Evidence Base for Safe Practice. 2nd ed. Hampshire:
Palgrave Macmillan
Macdonald, S. and J. Magill-Cuerden. 2011. Mayes’
Midwifery: A textbook for Midwives. 14th ed. London:
Baillière Tindall Elsevier.
McKay-Moffat, S. 2007. Disability in Pregnancy and
Childbirth. Oxford: Churchill Livingstone
Porth C., ed, 2004, Pathophysiology: Concepts of
Altered Health States. 6th ed. Philadelphia:
Lippincott-Raven
Price, S., ed. 2007. Mental Health in Pregnancy and
Childbirth. London: Churchill Livingstone Elsevier
Raynor, M. D. and C. England. 2010. Psychology for
Midwives: Pregnancy, Childbirth and Puerperium.
Berkshire: Open University Press.
Rubin, P. and M. Ramsay., eds. 2007. Prescribing in
Pregnancy 4th ed. Oxford: Blackwell Publishing BMJ
Books
Stables, D. and J. Rankin. 2010. Physiology in
childbearing Text and Evolve eBooks Package: With
Anatomy and Related Biosciences. 3rd ed. London:
Baillière Tindall.
Websites:
www.nmc.org.uk
www.cemach.org.uk
www.rcog.org.uk
Journals:
British Journal of Midwifery
British Journal of Obstetrics and Gynaecology
Midwifery
Assessment tasks
Seen invigilated written examination – 2 hours 15
minutes
Students will be given a selection of six questions
from which they must select three to answer under
examination conditions
Students must achieve a pass (minimum 40%) in
each question to achieve a pass in the module
Weighting 100%
Brief description of module content
and/or aims (maximum 80 words)
Area examination board to which
module relates
Module team/authors/ coordinator
Trimester offered, where appropriate
Site where delivered
Date of first approval
Date of last revision
Date of approval of this version
Version number
Replacement for previous module
Field for which module is acceptable
and status in that field
Course(s) for which module is
acceptable and status in course
School home
External examiner
This module builds upon the modules undertaken in
year
one,
and
introduces
concepts
of
pathophysiology and psychopathology, to help the
student develop an understanding of the changes to
physical and mental health that may arise from or
occur in pregnancy, and the impact these may have
on the woman, baby and family.
BSc (Hons) Midwifery
Annie Rimmer, Janice Wilson, Kim Hill and Jenny
Hassall
Trimester 1
Eastbourne
2nd May 2007
April 2009
16th May 2012
3
4
Midwifery
Mandatory
BSc (Hons) Midwifery – 3 year
Mandatory
School of Nursing and Midwifery
Denise Campbell 1/9/2010 – 31/8/2014