MIDI2203Women with complex labours and/or births

Course handbook

Description

Keeping the woman firmly in the centre, this course uses evidence to underpin best care for women and their unborn/newly born babies when they meet challenges during the first, second and/or third stage of labour. In this course ‘complex’ is used to describe situations consisting of many different parts that interact with one other in multiple ways. Complex labour and/or birth may bring with it the possibility of unwanted, unexpected, and/or difficult processes, tests, interventions, and/or outcomes which can affect short and long term maternal and fetal/neonatal wellbeing. Using midwifery, medical, neurophysiological, pharmacological, and sociological theory, students increase their understanding of causes and possible outcomes of complex labour and/or birth for both women and their babies, further understand the provision of safe midwifery care and care from the multidisciplinary team and analyse necessary professional relationships and respectful partnerships.

Availability2024 Course Timetables

Learning outcomes

On successful completion of the course students will be able to:

1. identify the ways in which midwifery promotes health and prevents harm for women and their babies in complex labours and/or births

2. Describe techniques and tests for assessing maternal and fetal wellbeing in complex labour and/or birth

3. Present evidence-informed care, and evaluation of care, for women with complex labours and/or births

4. identify ways midwives actively support women's choices during labour and/or birth

5. Apply legal, ethical, professional and policy frameworks for midwifery work with labouring women

6. Demonstrate critical thinking, academic reading and writing, and the use of digital technology

Content

Module 1: Safety

1. Safety through a woman-centred, rights-based approach to healthcare for women with complicated labours
2. Consultation, referral, and collaboration: working respectfully in the interdisciplinary team
3. Midwifery: making a difference in complexity

Module 2: Assessment and therapies

1. Progress: Assessment of maternal wellbeing/assessment of fetal wellbeing/fetal compromise
2. Pain and pain relief
3. Drug therapy, diagnostic testing and interpreting laboratory results during a woman’s labour

Module 3: Working with women/babies who have medical conditions

1. hypertension
2. diabetes
3. infections
4. cardiac disease
5. haematological, respiratory, epilepsy and/or other diseases
6. depression

Module 4: Working with women/babies who have maternity Issues

1. post-term pregnancy, induction and augmentation of labour
2. premature labour and birth
3. mal lie: transverse, oblique and unstable
4. mal presentations: breech, face, shoulder and brow
5. cord presentation and prolapse
6. prolonged labour and precipitate labour and disturbances in uterine action
7. instrumental birth
8. shoulder dystocia
9. intrapartum/ postpartum haemorrhage
10. retained placenta
11. genital tract trauma, perineal repair and episiotomy
12. Caesarean section
13. vaginal birth after Caesarean
14. embolism: amniotic fluid, pulmonary
15. a history of substance use
16. intrauterine growth restriction
17. fetal death in utero/stillbirth

Module 5: Emergencies

1. Maternal and neonatal resuscitation

Module 6: Ethics and law

1. The use of technology, life and death, termination of pregnancy, end of life decision making; and documentation

Requisite

Students must be active in the Bachelor of Midwifery [40297] or [12200] program to enrol in this course.

Assumed knowledge

MIDI1105 Midwife: ‘with woman’, MIDI1106 Women in pregnancy, MIDI1101 Midwifery Professional Experience 1, MIDI1205 Women in labour, MIDI1203 Women and their babies in the postnatal time, HUBS1406 Human Bioscience for Nursing and Midwifery.

Assessment items

Written Assignment: Scenario Based Learning Package
Compulsory Requirement: Submit assessment item - Must submit this assessment to pass the course.

Exhibition / Poster: Poster/Presentation in Clinical Area
Compulsory Requirement: Submit assessment item - Must submit this assessment to pass the course.

Contact hours

Semester 1 - 2024 - Callaghan

Semester 1 - 2024 - Gosford

Semester 1 - 2024 - Manning Base Hospital

Course outline

• MIDI2203 - Semester 1, 2024 (All) (PDF, 293.2 KB)