Midwifery Ongoing Record of Achievement (MORA)

2 - Portfolio - 40

Oral Practice Exam

1 - Oral assessment and presentation - 60

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<ul><li>Human Factors in maternity settings, effective multi-professional team working and communication, supporting and advocating women in complex and acute maternity situations, holistic assessment.  </li></ul>
<ul><li>Promoting autonomy, justice, beneficence and non-malificence, recognising and eradicating discriminatory practice, promoting optimal birth whilst working with increasing complexities.  </li></ul>
<ul><li>Managing and leading in acute maternity situations such as postpartum haemorrhage, shoulder dystocia, newborn life support and maternal collapse. </li></ul>
<ul><li>The recognition of fetal hypoxia, holistic intrapartum assessment, working in partnership with women and colleagues. </li></ul>
<ul><li>Perineal protection, assessment and repair (perineal suturing). Intravenous cannulation and fluid resuscitation. </li></ul>

Feedback is provided in a number of ways throughout your module. This includes feedback you receive during teaching from both peers and lecturers and that provided for formative assessment. Following an assessment, you will be given your marks and feedback in line with the assessment regulations and policy. More information on the timing and type of feedback that will be provided for each assessment will be available from the module leader. <a href='https://www.citystgeorges.ac.uk/about/governance/policies/student-policies-and-regulations'>https://www.citystgeorges.ac.uk/about/governance/policies/student-policies-and-regulations</a>

This module will support the development of all the graduate attributes. Your module leader will provide you with information about how your learning, teaching and assessment activities support your development of these attributes. The graduate attributes are: - Always learning - Engaged in the world - Technical and digital - Connected Professional - Creating Impact

Synchronous online - 

In-Person - 

Placement - 

Hybrid - 

Self-directed - 

Directed Asynchronous - 

Let Birth Be Born Again: Rediscovering and Reclaiming our Midwifery Heritage

Evidence-based Care for Normal Labour and Birth: A Guide for Midwives

The Midwife’s Labour and Birth Handbook

The Politics of Birth

Guide to Effective Care in Pregnancy and Childbirth

Evidence and skills for normal labour. A guide for midwives

Normal Childbirth: Evidence and Debate

The Practising Midwife Journal 

Volume 4

Midwifery Best Practice

AIMS Journal

Practice The New Midwifery: Science and Sensitivity

Skills for Midwifery Practice

MW3011 - The Midwife as Skilled Practitioner 3: Consolidating Principles and Practice

MW3011-PRD1-BLE-ALV1

This module’s contact hours will be delivered using a number of different approaches. As an example, you may have a combination of in-person sessions (i.e. face to face on campus), and/or online synchronous sessions (participants are engaged at the same time online) and online asynchronous guided activities (you need to plan time to engage with these so you are prepared for the in person and synchronous sessions. These may include viewing recorded lectures and/or other online resources, reading materials, undertaking quizzes, completing exercises and chatting on forums.) In addition to these teaching delivery approaches, you will undertake your own independent study, which may involve wider reading, independent research, skills practice and preparation for assessment. Please see this module’s Moodle page and/or handbook for further information. 
Lectures 
Lectures are used to communicate core material and as a foundation for further reading. A lecture can help you to feel secure in the foundational knowledge required and point you to significant areas for further study. Lectures provide a basis for discussion in seminars or tutorials. Lecture notes are provided on the virtual learning environment Moodle. However, you are expected to take your own notes too. Lectures may be on campus (in person) or online. Online lectures may be synchronous (in ‘real time’) or directed asynchronous (pre-recorded) and watched in your own time. Interaction in synchronous lectures (online or on campus) is encouraged. Lectures will usually be delivered by university staff, and there will also be a range of external experts and service users who will provide their unique perspectives on the topics covered in the lectures.
Tutorials
Tutorials will encourage you to apply theory to practice and extend the depth and breadth of your knowledge, providing opportunities for debate, exploration of personal thoughts and ideas and practice experiences. Tutorials provide you with the opportunity to work on problems and exercises connected with the course material. Tutorials develop problem-solving skills in an environment that encourages an interactive approach to learning. Tutorials may be distinguished from seminars for the stronger emphasis that they place on the role of the tutor in giving direction or feedback. Tutorials can happen virtually as well as face-to-face. Tutorial work may entail: giving a presentation, to demonstrate that you have achieved a set task, engaging in a debate which will encourage you to develop group discussions around contemporary issues or inspire you to pursue specific lines of enquiry.
Learning through practical classes and simulation
You will learn via low and high fidelity simulated scenarios using models, role play and a simulated birth setting and clinicals environments. This will enable you to undergo experiential learning in a safe setting. You will further enhance and deepen your knowledge on effective team management of a variety of maternity situations as well as develop the associated practical skills. Practical classes and workshops might incorporate elements of teaching or guided learning, and they are at least likely to be supervised or observed. These sessions are more likely to take place in person but, depending on the nature of the subject, may also be conducted remotely. The size of a practical class or workshop will depend upon the nature of the activity.
Learning through simulation will be supported both in the university and placement settings. It will be supported by the teaching team made up of practice supervisors, midwifery academics and clinical practice facilitators.
Self-directed learning
Your studies will involve a number of hours of self-directed learning. This time will be spent reading course material and recommended books, articles or other sources and time spent on your personal study-skills development. The Module Leaders will direct you to the relevant teaching materials available on Moodle for you to prepare for lectures, seminars, and tutorials. Reading lists are provided on module specifications and on Moodle. You will be expected to access the resources before the teaching in order to maximise your learning. During self-directed learning you should explore areas of interest, read widely, and prepare for assessments. Whilst this time counts towards the total hours allocated to the programme, it will be up to you to decide exactly how you spend this time and which areas of learning you wish to pursue.
Guided independent study
Higher education emphasises independent learning, with students engaging in both scheduled sessions and guided independent study. Guided independent study provides structure and support for activities such as preparing for sessions, consolidating learning, completing assessments, and wider reading. We expect you to take responsibility for your own learning and the programme offers resources and guidance, including study skills support, feedback, and access to learning spaces (HESA, 2016). While self-directed learning allows you to choose how to spend your study time and explore areas of personal interest, guided independent study provides more structure and direction to support your learning. In guided independent study, you are encouraged to prepare for scheduled sessions, consolidate your learning, complete assessments, and engage in wider reading, with guidance and resources provided by the programme to help them make effective progress.
Moodle and other digital platforms
Moodle is City St George’s Online Learning Environment. You will use Moodle and other digital platforms as central tools to support your learning, engagement, and progression throughout the programme. These platforms will provide access to core teaching materials, recorded lectures, discussion forums, and interactive resources, enabling you to engage with content at your own pace. They will facilitate communication with academic staff and peers through announcements, messaging, and collaborative activities, supporting active participation and community building. Digital platforms will also allow you to submit assignments, receive formative and summative feedback, and track your academic progress, ensuring they remain informed of learning outcomes and programme requirements. By integrating these technologies into daily learning, you will develop digital literacy skills essential for independent study and professional practice.
Placement Experience (direct and indirect supervision) 
The aim of supervised clinical practice experience is for you to observe, participate in and practice providing care to women, their babies, and their families, in a variety of contexts. Through the development of knowledge and skills, this experience will facilitate the integration of theory and practice in both maternity and other related health care settings. As your experience develops, you will require less observation and direct supervision but will always have indirect supervision and support available. You will consolidate your progression will include delivering high quality care as one to one care in the intrapartum period to caring for groups of women in other contexts such as antenatal and postnatal care. Other experience will include providing care as part of a continuity model as well as to women, babies, and their families with identified additional needs and complexities. As you develop your autonomy and prepare for entry onto the midwifery professional register, you will undertake activities to further develop your understanding of inter-professional practice.

Please note: the number of learning hours exceed the normal calculation for professional body purposes.  The number of clinical placement hours may differ from what is noted in this module specification. The total number of clinical placement hours required for your programme will be completed over the duration of the programme.
400 further practice hours to meet PRSB requirement

The Midwife as Skilled Practitioner 3: Consolidating Principles and Practice

Contribute to the audit of practice to review and optimise the care of women, babies and their families (K1, K2, K3, K5, S2, S4, S5, S8) (NMC 2019: 1.6,  5.5, 5.6, 5.9, 51.2, 5.13, 5.15) 

Knowledge

Demonstrate the skills required to practice safely and effectively and develop high quality relationships with women (K1, K2, K3, K4, K5, S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3,) (NMC 2019: 1.1,  1.10, 1.11, 1.12, 1.13, 1.14, 1.15, 1.16, 1.18, 1.19, 1.20, 1.21, 1.22, 1.23, 1.24, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.4, 3.6, 3.7, 3.11, 3.12, 3.23, 3.24, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11, 5.3, 5.4, 5.5, 5.6, 5.7, 5.8, 5.10, 5.11, 5.12) 

Skills

Independent recognition of deterioration and the need for referral or escalation (with distant supervision) (K1, K2, K3, K4, K5, S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3,) (NMC 2019:  1.10, 1.11, 1.12, 1.13, 1.14, 1.15, 1.16, 1.18, 1.19, 1.20, 1.21, 1.22, 1.23, 1.24, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.4, 3.6, 3.7, 3.11, 3.12, 3.23, 3.24, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Apply midwifery expertise to obstetric and neonatal care in complex situations arising during pregnancy, intrapartum and the period following birth in relation to physical, psychological and social needs (K1, K2, K3, K4, K5, S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3,) (K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3, V4) K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3, V4) (NMC 2019: 1.1, 1.2, 1.3 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.21, 3.24, 3.25, 3.26, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Demonstrate competency in acting in a timely manner especially in acute situations (K1, K2, K3, K4, K5, S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3,)  

Critically appraise the evidence that informs clinical guidance and apply this to practice (K1, K2, K3, K4, K5, S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3,) (NMC 2019:  1.10, 1.11, 1.12, 1.13, 1.14, 1.15, 1.16, 1.18, 1.19, 1.20, 1.21, 1.22, 1.23, 1.24, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.4, 3.6, 3.7, 3.11, 3.12, 3.23, 3.24, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Act collaboratively to provide evidence-based care in acute maternity situations (K1, K2, K3, K4, K5, S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3,) (NMC 2019: 1.1,  1.10, 1.11, 1.12, 1.13, 1.14, 1.15, 1.16, 1.18, 1.19, 1.20, 1.21, 1.22, 1.23, 1.24, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.4, 3.6, 3.7, 3.11, 3.12, 3.23, 3.24, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11, 5.3, 5.4, 5.5, 5.6, 5.7, 5.8, 5.10, 5.11, 5.12) 

Demonstrate critical thinking in relation to midwifery practice where you apply theory to practice so delivering competent and respectful care to women/parents and their families throughout the maternity journey (K1, K2, K3, K4, K5, K6, K7S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3,) (NMC 2019: 1.6, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.21, 3.24, 3.25, 3.26, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Values and attitudes

Demonstrate competency in following the correct referral pathways (K1, K2, K3, K4, K5, S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3,) (NMC 2019: 1.6,  5.5, 5.6, 5.9, 51.2, 5.13, 5.15) 

Act autonomously, confidently and flexibly in applying appropriate knowledge and skills following adverse outcomes (K1, K2, K3, K4, K5, S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3,V4) (K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3, V4) K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3, V4) (NMC 2019: 1.1, 1.2, 1.3, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.21, 3.24, 3.25, 3.26, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Practise in accordance with relevant legislation and regulation - NMC Code of Conduct (S2, S4) (NMC 2019: 1.1,  1.10, 1.11, 1.12, 1.13, 1.14, 1.15, 1.16, 1.18, 1.19, 1.20, 1.21, 1.22, 1.23, 1.24, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.4, 3.6, 3.7, 3.11, 3.12, 3.23, 3.24, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11, 5.3, 5.4, 5.5, 5.6, 5.7, 5.8, 5.10, 5.11, 5.12) 

Discuss the strategies adopted to ensure the provision of equitable care in a midwifery setting (K1, K2, K3, K4, K5, K6, K7S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3,) (NMC 2019: 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.21, 3.24, 3.25, 3.26, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Independent initiation of documentation including pro formas and incident reporting (with distant supervision) (K1, K2, K3, K4, K5, S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3,) (NMC 2019: 5.5, 5.6, 5.9, 51.2, 5.13, 5.15) 

Analyse and evaluate health care provision as a multi-professional, multi-agency activity that involves effective collaboration and communication between all sectors, including user groups. (K1, K2, K3, K4, K5, K6, K7S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3, V4) (NMC 2019: 1.1, 1.2, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.21, 3.24, 3.25, 3.26, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Discuss the role of the midwife in the provision of a fair, accessible and equitable service (K1, K2, K3, K4, K5, K6, K7S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3, V4) (NMC 2019: 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.21, 3.24, 3.25, 3.26, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Discuss critically the value and relevance of making links between theory and practice (K1, K2, K3, K5, S2, S4, S5, S8, V1, V2, V3, V4)) (NMC 2019: 1.7, 1.8, 1.9, 1.105.5, 5.6, 5.9, 51.2, 5.13, 5.15) 

Critically evaluate your personal role, responsibility and accountability in relation to the professional code of conduct as well as the legal framework within which midwifery is located (K1, K2, K3, K4, K5, K6, K7S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3,) (NMC 2019: 1.1, 1.2, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.21, 3.24, 3.25, 3.26, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11 , 5.5, 5.6, 5.9, 51.2, 5.13, 5.15) 

Discuss different styles of leadership, and your emerging personal leadership style and approach. 

Act autonomously to assess, plan, implement and critically evaluate care to facilitate the woman throughout her maternity journey (K1, K2, K3, K4, K5, S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3,) 

Practice in a way which respects, promotes and supports individuals’ rights, interests, preferences, beliefs and cultures (K1, K2, K3, K4, K5, K6, K7S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3,) (NMC 2019: 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.21, 3.24, 3.25, 3.26, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Recognise and discuss the role of the midwife as part of the multi-professional team and your personal approach to effective team working (K2, K3, S2, V1, V2, V3)_ (NMC 2019: 1.6, 5.5, 5.6, 5.9, 51.2, 5.13, 5.15) 

Discuss critically the Human Factors relating to maternity care and the links to outcomes (K2, D3, S2, S4, V1, V2, V3, V4) (NMC 2019: 5.4, 5.5, 5.6, 5.9, 51.2, 5.13, 5.15)

Demonstrate competency in speaking up and raising concerns in relation to safe practice and the protection of women and their babies. (K1, K2, K3, K4, K5, S1, S2, S3, S4, S5, S6, S7, S8, V1, V2, V3,) (K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3, V4) K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3, V4) (NMC 2019: 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.21, 3.24, 3.25, 3.26, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 