MIDI2106Women with complex pregnancies

Course handbook

Description

The course formally introduces students to the concept that specific conditions in pregnancy affect a woman’s body systems and fetal development and growth, and vice versa, in the intricate linking of maternal/fetal physiology. In this course ‘complex’ is used to describe situations consisting of many different, connected parts that interact with each other in multiple ways. Keeping the woman firmly in the centre, the course uses best evidence to understand best care for women and their unborn babies when they meet challenges in their pregnancies. Using midwifery, medical, pharmacological, neurophysiological and sociological theory students increase their understanding and capabilities in assessment and planning and the provision of safe midwifery care, and in evaluation, through 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 with complex pregnancies and their unborn babies

2. Present quality evidence to inform the care of women with complex pregnancies

3. interpret diagnostic testing/screening results for assessing maternal and fetal wellbeing in complex pregnancy

4. develop and apply knowledge of safety in medication administration in the context of complex midwifery care

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

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

Content

• woman-centred, rights based approach to healthcare for pregnant women in complexity
• Women’s coping, midwives’ communication and particular needs in complex pregnancies
• Gynaecological/early pregnancy problems/genetic issues
• Assessment of fetal wellbeing
• Women with

1. hypertensive conditions
2. diabetes in pregnancy
3. high BMI
4. infections in pregnancy
5. thrombosis and embolus
6. cardiac, haematological, and other complicating conditions

• Women who bleed: Antepartum haemorrhage
• Multiple pregnancy
• Mal positions: Breech and ECV
• Mal lie: transverse, oblique and unstable
• Threatened premature labour/premature rupture of membranes
• Intrauterine growth restriction
• Substance use
• Fetal death in utero, stillbirth and maternal resuscitation in pregnancy
• Consultation, referral, and collaboration: working respectfully in the interdisciplinary team
• Research: Quality improvement initiatives, quantitative research designs, systematic reviews
• Ethics and law: Professional negligence, vicarious liability, legal and moral considerations
• Midwifery: making a difference in complex pregnancies

Requisite

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

Assumed knowledge

MIDI1101 Midwifery Professional Experience 1, MIDI1105 Midwife: ‘with woman’, MIDI1106 Women in pregnancy, MIDI1203 Women and their babies in the postnatal time, MIDI1205 Women in labour, MIDI1207 Midwifery Professional Experience 2, 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.

Online Learning Activity: Online Discussion
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

• MIDI2106 - Semester 1, 2024 (All) (PDF, 280.3 KB)