Moduletitle: AdaptationinPregnancy

Modulenumber: MW2202
Yearandterm: Year2MichaelmasandHilaryterms
Prerequisite: MW1201,MW1501,MW1502,MW1601,MW1701
Corequisite: MW2201
ECTS: 5Credits
Hours: 100hours
Classroom:Lecture 20hours
Classroom:Smallgrouplearning 10hours
Classroom:Examinations 3hours
Directedstudentlearning 45hours
Independentlearning 22hours
Practice: 0hour

AimandRationale
This module forms a significant part of the core knowledge necessary for all
midwives.Itfocusesonhowawomanadaptstopregnancyandparenthoodfroma
physiological and a psychological viewpoint. The aim of this module is to aid
midwiferystudentsinunderstandingthephysiologicalandpsychologicaladaptations
thatoccurduringpregnancy,labourchildbirth,puerperium,lactationandthebabys
adaptation to extrauterine life. Midwifery students will be facilitated in acquiring
knowledge that permits them to identify normal physiological and psychological
processessothattheycanconfidentlyrecognizeindividualanddifferingadaptations.

Outcomes
Attheendofthismodule,midwiferystudentswillbeableto:
Identifythedeterminantsoffertilityinmaleandfemalereproduction;
Describefertilisation,implantationandplacentaldevelopmentandfunction;
Discusstheimportanceofnutritionandthelifestylechoicesonhealthandoptimal
reproductivefunctioning;
Describe adaptations that occur in all other systems during pregnancy, labour,
childbirth,puerperiumandlactation;
Discuss the psychological adaptations which a woman may experience during her
pregnancy,labourandchildbirthandpostnatalexperiences;
Discuss factors that help (hinder) individual womens adaptation to pregnancy,
takingphysiologicalandpsychologicalissuesintoaccount;
Demonstrate accurate and factual knowledge of all anatomical and physiological
changesthatoccurduringpregnancy,labour,childbirth,puerperiumandlactation;
Relate confidently the anatomical, physiological and psychological changes that
occur during pregnancy, labour, childbirth, puerperium and lactation to the
informationandeducationneedsofindividualwomen;
Identifythemaindevelopmentalstagesoftheembryoandfetus;
Outline the normal physiology of the fetus and neonate including adaptations to
extrauterinelife;
Describethepsychologicaladaptationsthatoccurduringpregnancy;
Outline and begin to discuss the range of social issues that impact upon and
influenceawomansorfamilysadaptationtopregnancyandparenthood.

Assessment
1. Writtenexamination
2. AssessedwithMW2001aspartoftheAssessmentofMidwiferyPractice
Competence

ContentandProcess
The aim and learning outcomes shall be achieved by a variety of teaching and
learning strategies, which will include lectures, tutorial sessions, directed
independent learning and independent learning. Midwifery students will have the
opportunity to develop and apply their knowledge during their practice placements
whereobservationofprocessesofadaptationwillbefacilitated.
Indepthanatomyofthereproductivesystem;Menstrualcycle;Fertilization,
implantationandplacentaldevelopment;Embryonicandfetaldevelopment;
Adaptationtoextrauterinelife;Fetalwellbeing;Infantandchilddevelopment;
Physiologicaladaptationsinthebody(reproductiveandothersystems)during
pregnancy,childbirthandpuerperium;Psychologicalandsocialadaptationsduring
pregnancy,childbirth,puerperiumandparenting;Maternalandinfantattachment;
applicationto.

EssentialReading
CoadJ.&DunstallM.(2005)AnatomyandPhysiologyforMidwives,2
nd
edn.Mosby,
Edinburgh.

StablesD.&Rankin,J.(eds)(2005)PhysiologyinChildbearing:WithAnatomyand
RelatedBiosciences,2
nd
edn.BailliereTindall,Edinburgh.

FraserD.M.&CooperM.A.(eds.)(2009)MylesTextbookforMidwives,15
th
edn.
ChurchillLivingstone,Edinburgh.

HendersonC.&MacDonaldS.(eds.)(2004)MayesMidwifery:ATextbookfor
Midwives,13
th
edn.BailliereTindall,London.

MooreK.L.&PersaudT.N.(2007)TheDevelopingHuman:ClinicallyOriented
Embryology,8
th
edn.Saunders,London.

RaphaelLeffJ.(2005)PsychologicalProcessesofChildbearing,4
th
edn.Karnac,
London.

Tortora,G.J.(2001)IntroductiontotheHumanBody:TheEssentialsofAnatomyand
Physiology,5
th
edn.Wiley,Chichester.

VerrallsS.(2002)AnatomyandPhysiologyAppliedtoObstetrics,3
rd
edn.Churchill
Livingstone,Edinburgh.

WylieL.(2005)EssentialAnatomyandPhysiologyinMaternityCare,2
nd
edn.
ChurchillLivingstone,London.

Furthersuggestedreadings/sourcesofknowledgemaybeprovided.