Module code: NUR2122

Module Overview

Appreciating Complex Midwifery Care explores deviations from the normal where the midwife makes the initial decisions in conjunction with the mother or provides the evidence for the woman to choose. Safe practice relies on accurate assessment, recognising the deviation from normal and referring when necessary but is much more about weighing up options and understanding evidence for best practice than learning protocols. All the topics in this module are important for gaining competence in practice.

Module provider

School of Health Sciences

Module Leader

HARRIS Louise (Health Sci.)

Number of Credits: 15

ECTS Credits: 7.5

Framework: FHEQ Level 5

Module cap (Maximum number of students): N/A

Overall student workload

Independent Learning Hours: 105

Seminar Hours: 6

Tutorial Hours: 2

Guided Learning: 2

Captured Content: 35

Module Availability

Semester 1

Prerequisites / Co-requisites

Completion of first year modules or equivalent

Module content

  • Indicative content includes:

  • fetal abnormality

  • intra-uterine death

  • abnormal CTG

  • diabetes in pregnancy

  • LBW baby

  • Breastfeeding difficulty

  • Recognising sick babies and supporting parents

  • Hypoglycaemaia and jaundice

  • Labour delay and assisted delivery

  • Perineal trauma

  • Nutrition in pregnancy


Assessment pattern

Assessment type Unit of assessment Weighting

Alternative Assessment

None (as all are core to meet NMC Standards)

Assessment Strategy

The assessment strategy is designed to provide students with the opportunity to demonstrate

All the learning outcomes


Thus, the summative assessment for this module consists of:

  • An exam testing knowledge through a case study

The student can take a reference list to be taken into the appreciating complex midwifery care exam and submit with the  exam paper. Ten references only, in the Harvard style of referencing, should be written on one side of A4 paper, using size 12 font.


Formative assessment

Through undertaking workbooks



Through workbook preparation and following the exam

Module aims

  • This module will enable you to begin to examine situations where normal midwifery care becomes complex or abnormal and analyse the evidence for best practice. In particular you will discuss certain medical conditions in pregnancy, e.g. diabetes and their impact on perinatal health, the concept of delay in the initiation and progress of labour and management options for this. The module will also examine perinatal morbidity and mortality from early pregnancy causes through to care in neonatal units. You will improve your ability to present arguments and to verbalise decision making as you discuss complex prenatal issues and scenarios related to neonatal care. You will develop your knowledge of breast feeding to be able to assist women and babies experiencing problems with infant nutrition.

Learning outcomes

Attributes Developed
1 Demonstrate an ability to assess maternal, fetal and neonatal wellbeing and detect signs of deviation from normal status, development and behaviour in relation to subjects discussed within the module and demonstrate an ability to make decisions about future plans of care based on these assessments
2 Educate parents about possible fetal and neonatal problems, including prevention, detection, diagnostic tests and options for ongoing care
3 Begin to discuss the psychological, social and ethical issues related to extreme prematurity and fetal loss
4 Evaluate the evidence available for best practice in relation to module content and the importance of collaborative working with other care givers
5 Identify babies who require a managed approach to feeding and describe appropriate care, demonstrating a knowledge of alternative methods of infant feeding which will enhance the likelihood of a later transition to breastfeeding if possible  and produce care plans to support mothers who are separated from their babies or experiencing complications of breastfeeding, to initiate and /or maintain their lactation and to feed their babies optimally (Study will relate to parts of BFI outcomes 5-10 and 13-14)

Attributes Developed

C - Cognitive/analytical

K - Subject knowledge

T - Transferable skills

P - Professional/Practical skills

Methods of Teaching / Learning

The learning and teaching strategy is designed to:

Enable successful completion of the learning outcomes


The learning and teaching methods include:

•           Practicals

•           workbooks

•           Classroom based lectures and seminars

Indicated Lecture Hours (which may also include seminars, tutorials, workshops and other contact time) are approximate and may include in-class tests where one or more of these are an assessment on the module. In-class tests are scheduled/organised separately to taught content and will be published on to student personal timetables, where they apply to taken modules, as soon as they are finalised by central administration. This will usually be after the initial publication of the teaching timetable for the relevant semester.

Reading list
Upon accessing the reading list, please search for the module using the module code: NUR2122

Please note that the information detailed within this record is accurate at the time of publishing and may be subject to change. This record contains information for the most up to date version of the programme / module for the 2025/6 academic year.