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MID2035 Developing Midwifery Care
ES1 Essay Assessment Guidelines
Aim:
The aim of this assessment is for the student to demonstrate how their knowledge of
pathophysiology supports the provision of safe and effective midwifery care for service users
with additional care needs, across the childbirth continuum. Students will consider
psychosocial and cultural influences affecting those with complex needs when developing a
person-centred care plan. Students will also need to identify the potential influence of legal
issues and human factors when applied to care planning for the woman or birthing person
and their newborn.
Learning Outcomes
A) Make connections between pathophysiology and the provision of safe and effective
midwifery care across the childbirth continuum for those service users with
additional care needs.
B) Use information from a range of sources to develop a person-centred care plan for
those with complex needs considering the service user’s psychosocial and cultural
beliefs.
C) Identify the potential influence of legal issues and human factors when applied to
care planning for the woman or birthing person and their newborn.
In addition to meeting the learning outcomes the student must adopt a professional
approach in terms of terminology and the use of professional language. They must also
demonstrate appropriate command of academic writing and conventions appropriate to
level 5.
Assessment Process:
Essay title: Care planning for service users with additional care needs
This 3000 word care plan essay will enable the student to demonstrate their knowledge of
midwifery care planning for service users with additional care needs when complications
arise.
In the care plan you need to demonstrate the following:
o The ability to make connections between the pathophysiology and how these impact
on the provision of safe and effective care across the childbirth continuum when
service users have additional needs.
o The ability to plan care that is person-centred and considers service users cultural
beliefs when complications arise in the context of the case study provided.
o The ability to plan care that is person-centred and considers service users cultural
beliefs when complications arise in the context of the case study provided.
o Knowledge of human factors and how these are applied to midwifery care planning
when complications arise in the context of the case study provided.
o Knowledge of legal issues and how these applied to midwifery care planning when
complications arise in the context of the case study provided.
Suggested structure:
Introduction (up to 10% of word count)
o This will be an introduction to additional midwifery are when complications arise and
signpost the reader to the purpose of the essay.
Main body
o Discuss the importance of individualised, person centred care planning in midwifery
when complications arise for mothers or birthing people and their babies and link
this to the professional values identified in the Nursing and Midwifery Council (NMC)
Code (2018).
o Identify one clinical complication relating to the mother or parent that is evident in
the case study and then discuss knowledge of relevant underpinning
pathophysiology and how this relates to safe and effective midwifery care provision.
o Identify one clinical complication relation to the baby that is evident in the case study
and then discuss knowledge of relevant underpinning pathophysiology and how this
relates to safe and effective midwifery care provision.
o Discuss a person-centred care plan that considers relevant psychosocial and cultural
issues identified in the case study and promotes maternal/parental, fetal and
neonatal wellbeing.
o Discuss legal issues that influence the care planning for the woman or birthing
person and the newborn when complications arise. Apply this to the case study and
consider the role of the midwife in promoting maternal and neonatal wellbeing.
o Discuss the role of the midwife and how human factors influence care planning for
the woman or birthing person and the newborn when complications arise. Apply this
to the case study and identify strategies to promote maternal or parental and
neonatal wellbeing.
Conclusion (up to 10% of word count)
o The conclusion summarises the findings that have been presented.
o Sum up or restate the main topics or issues.
o What do you know now that you did not know before? This should show that you
have achieved the purpose that you set out in the introduction.
o Do not introduce any new material. It is very tempting to list all the things that you
haven’t discussed but you should avoid this.
Presentation of assignments
o This is a piece of academic writing and not a reflective account. You MUST write in
the third person and use an academic style throughout.
o Please do not add your student identification number as marking is anonymous.
o You MUST use reference throughout to support your discussion and ensure that a
correct reference list as per the University of Northampton Harvard guidelines is
provided. For a 3000 word essay a typical number of references would be 30. These
should be from a variety of authoritative and credible sources (e.g. peer-reviewed
journals, text books, regulatory bodies, policy documents, guidelines). Please do not
rely on simple internet searches. You must critically evaluate the appropriateness
and quality of your evidence before deciding whether it can support your
discussion. You may wish to seek additional support from the academic librarian
with literature searching.
o Essays will be marked using the UMF grading criteria.
o Whilst this is a fictitious scenario, please ensure that you maintain confidentiality
throughout and if using Local Trust guidelines/policies to support your work, consider
whether these can be replaced with national guidelines (e.g. NICE, RCOG etc..) and
they must be referenced appropriately. Breach of confidentiality will result in an
automatic referral.
o The word count for the care study is 3000 words. In line with the University of
Northampton guidelines, any writing in excess of 10% above this limit will be
disregarded. References lists are not included in the word count.
o Ensure that you submit via TURNITIN in good time to meet the submission deadline
considering any potential delays in processing due to high demands on the system.
Formative feedback:
You are invited to submit a section of work for formative feedback from the module
leader to support your development. Complete drafts will not be read. You can either
submit an essay plan up to a maximum of 300 words or 300 words from a section of your
written work.
This work can be submitted via the relevant submission point under the ‘Submit your
work’ tab.
The deadline for submitting formative work will be 13th October 2023.
Feedback will be returned by 20th October 2023.
Case Study
Jothi is a 25-year old woman expecting her first baby. She presents at 20 weeks gestation
for her initial booking appointment accompanied by her husband. Jothi and her husband
are first cousins. Jothi entered the UK 3 months ago as an asylum seeker and was
referred to midwifery services by her social worker. She has difficulty reading and
speaking English although her husband reports being more confident and is keen to
assist. The booking appointment h as an extended timeframe, and an interpreter was
pre-booked.
During the booking appointment she discloses a close family member suffered a seizure
during childbirth, she is unsure of the cause. She reports no significant medical history in
relation to physical health but expresses feeling worried about accessing maternity
services for fear of being charged.
As Jothi’s pregnancy progresses, she attends some antenatal appointments,
accompanied by her husband. During the appointments the midwife is able to perform
they typical antenatal checks including blood pressure measurement, urinalysis,
abdominal examination and obtaining blood samples where indicated.
At her 37 week appointment Jothi presents with high blood pressure, proteinuria,
swollen hands and feet and vomiting. The next day Jothi gives birth to her son following
a precipitate labour and shortly after treatment with Magnesium Sulphate is
commenced. Jothi’s baby is born with an Apgar score of 9 at 1 minute and 9 and 10
minutes of age, he weighs 2.4 kg which is below the 10th centile.
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