| CODE | MID4012 | |||||||||
| TITLE | Perineal Care and Repair for Midwives | |||||||||
| UM LEVEL | 04 - Years 4, 5 in Modular UG or PG Cert Course | |||||||||
| MQF LEVEL | 6 | |||||||||
| ECTS CREDITS | 4 | |||||||||
| DEPARTMENT | Midwifery | |||||||||
| DESCRIPTION | This study-unit is targeted for qualified, licensed and practising midwives to further their knowledge, skills, and experience concerning the physical and psychological implications of perineal trauma for women; means of preventing perineal trauma in the antenatal, intrapartum period and perineal care in the immediate postpartum period. The study-unit will revisit the anatomy and physiology of the perineum, pelvic floor and anal canal. It will also cover the indications for an episiotomy, when to suture and when not to suture and when to refer accordingly. Study-Unit Aims: The aim of the study-unit is to improve perineal assessment and suturing skills based on current evidence and to minimize postpartum morbidity. Learning Outcomes: 1. Knowledge & Understanding: By the end of the study-unit the student will be able to: - Understand the anatomy and physiology of the pelvic floor structures and their significance to trauma sustained during childbirth; - Discuss the role and responsibility of the midwife when completing perineal repair; - Describe the choice of anesthetic, and the procedure for perineal infiltration; - Identify current evidence for the choice of material and techniques when performing perineal repair; - Recognise and treat postpartum complications and refer when necessary; - Describe the documentation requirements of episiotomy and suturing; and - Discuss perineal and pelvic floor care women require during pregnancy and following childbirth. 2. Skills: By the end of the study-unit the student will be able to: - Apply measures to prevent perineal trauma in the antenatal and intrapartum period; - Provide perineal care in the immediate postpartum period; - Recognise, assess, and classify perineal trauma; - Recognise and refer 3rd and 4th degree perineal tears; - Repair 1st and 2nd degree perineal tears, episiotomy and labia tears; and - Competently perform episiotomy. Main Text/s and any supplementary readings: Main Texts: - Johnson,R. Taylor W. (2016). Skills for Midwifery Practice. (4th Ed.). Edinburgh: Elsevier. - Marshall, J, E., &Raynor, M, M. (2014). Myles' textbook for midwives (16th Ed.) Edinburgh: Elsevier. - Mander, R. (2011). Pain in childbearing and its control. London: Wiley Blackwell. Supplementary Readings: - https://www.rcm.org.uk/news-views-and-analysis/analysis/rsm-forum-are-you-sitting-comfortably-issues-around-perineal-trauma - https://www.rcm.org.uk/news-views-and-analysis/analysis/perineal-trauma-reducing-associated-postnatal-maternal-morbidity - https://www.rcm.org.uk/news-views-and-analysis/analysis/how-to-suture-correctly - https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg29/ - https://www.rcm.org.uk/sites/default/files/Care%20of%20the%20Perineum.pdf |
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| ADDITIONAL NOTES | Pre-requisite Qualifications: Qualified and licensed midwives | |||||||||
| STUDY-UNIT TYPE | Lecture, Independent Study & Tutorial | |||||||||
| METHOD OF ASSESSMENT |
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| LECTURER/S | Annalisa Agius Pauline Borg Olivia Anne Cassar Georgette Spiteri (Co-ord.) Carolyn Sultana |
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The University makes every effort to ensure that the published Courses Plans, Programmes of Study and Study-Unit information are complete and up-to-date at the time of publication. The University reserves the right to make changes in case errors are detected after publication.
The availability of optional units may be subject to timetabling constraints. Units not attracting a sufficient number of registrations may be withdrawn without notice. It should be noted that all the information in the description above applies to study-units available during the academic year 2023/4. It may be subject to change in subsequent years. |
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