MAJOPRA1 Midwifery Care During Childbirth and the Post-Partum Period Part 1 Course description

The course consists of clinical training relating to the course MAJO4000 Midwifery Care during Childbirth and Starting a Family 1. Students will develop their clinical skills and ability to make clinical assessments in connection with midwifery practice in labour and delivery/maternity. Particular emphasis is placed on the students' further development of theory, reflection and clinical assessment as a basis for caring for women/families and children during the birth process and the post-partum period.

Clinical training in the course takes place over a period of 13 weeks, including the introduction and follow-up work. The content of the course will vary in line with the activities at the institution where the clinical training takes place, and will therefore offer varied arenas for clinical training in terms of complexity. The course is taught over a twenty-week period at in parallel to MAJOPRA2. This is adapted to each clinical training institution.

Hensikten med dette emnet er at studenten videreutvikler kunnskap, forståelse og mestring av ferdigheter fra de foregående emnene og får en fortrolighet med yrkesutøvelsen på et helhetlig og avansert nivå. Ved studiets slutt skal studenten kunne ta selvstendig ansvar for jordmorfaglig yrkesutøvelse. Praksisstudier i dette emnet har en varighet på 7 uker.

Alle emner unntatt MAJO5900 Mastergradsoppgaven må være bestått.

The work and teaching methods are simulator training in the skills laboratory and user-oriented clinical training, studying relevant specialist and research literature individually and in study groups, and individual regularly written logs describing students' progress and focus areas for further learning.

Supervision

Students will be supervised by a team consisting of a university supervisor and a midwife from the clinical field (clinical supervisor). The clinical supervisor is responsible for facilitating and supervising learning situations in the professional field. It is the students' responsibility to actively seek supervision and be prepared for all meetings with supervisors and assessment interviews. The clinical supervisor will take part in the expectation clarification meeting, and the midway and final assessments. The university supervisor will take part in the expectation clarification meeting and the midway assessment. The university supervisor will take part in the final assessment if necessary. The expectation clarification meeting can be conducted individually or in groups. The university supervisor will also initiate up to two group supervision sessions, where students can analyse and reflect on concrete situations from their clinical training. The students must prepare for the group supervision in cooperation with the university supervisor. Group supervision is adapted to each institution where clinical training takes place.

The following required coursework must be completed and approved before a student can take the exam:

1. Demonstrating midwifery skills in simulated situations. Among other things, the student must demonstrate midwifery skills in the skills laboratory. The purpose of this exercise is for the student to acquire in-depth knowledge of basic midwifery skills as a basis for clinical training. Criteria for approval will be prepared. If a student is assessed as 'not approved', he/she will have two more attempts to demonstrate adequate skills.

2. Plan for clinical training: The student must prepare a plan for clinical training based on the learning outcomes defined for the course and the available learning situations. The plan for clinical training forms the basis for the expectation clarification meeting that is held during the first weeks of the clinical training period. The plan is used in the continuous supervision of the student. The purpose of the plan for clinical training is to clarify and describe expected competence and to give the student the opportunity to plan his/her own learning process. The plan for clinical training must be submitted to the clinical supervisor and in the folder created in Canvas at least two working days before the meeting in question.

3. Individual academic assignment of up to 1,500 words. The purpose of the assignment is for the student to become more aware of his/her own experiences during clinical training and be able to relate them to research literature. The university supervisor will supervise the student's work on the assignment.

4. An academic assignment of up to 2,500 words. The purpose of this assignment is to allow the student to practise using the steps in evidence-based practice, and to develop dissemination skills by writing an academic text. The assignment is written in groups of up to three students.

5. Documentation of completed clinical learning situations: Supervising and caring for at least 15 women in labour during the dilation phase, at least 10 women with high-risk pregnancies, at least 35-40 women who have just given birth and their healthy newborns, delivering at least 12 to 15 babies, and conducting at least two post-delivery interviews. The purpose of this requirement is to ensure that the student attains a sub-goal so that he/she will meet the quantitative requirements for applying for authorisation as a midwife on completing the programme. Students who are assessed as 'not approved' are responsible for securing extra clinical training time to meet the quantitative criteria described above for the course.

Emnet har fokus på fødsel, familiedannelse og det nyfødte barnet. Familiedannelse er et vidt begrep som også omfatter svangerskap og barseltid. Studenten skal tilegne seg ulik type kunnskap som grunnlag for utvikling av egen jordmorfaglig kompetanse, samt bli bevisst klinisk praksis som en viktig arena for kunnskaps- og fagutvikling. Dette krever at studenten får innblikk i og mulighet til kritisk refleksjon både i dybden og bredden innen jordmors funksjons- og ansvarsområder.

Jordmorvirksomhet i skjæringspunktet mellom normalitet og risiko er også et viktig fokus. Ulike tema blir diskutert i lys av mangfold. Å være opptatt av det normale innebærer et ansvar for å oppdage og respektere grensene for det kompliserte.

Læringsaktiviteten i temaet er organisert i følgende tema: anatomi og fysiologi, normalt svangerskap, normal fødsel og barselperiode, patologisk svangerskap, fødsel og barselperiode, barnet (intrauterint og nyfødt) og støttefag (kommunikasjon, juss, etikk, ernæring og fysisk aktivitet, psykososiale aspekter ved familiedannelse).

Studenten må være tatt opp på mastergradsstudiet i jordmorfag.

Etter gjennomført emne har studenten følgende læringsutbytte definert i kunnskap, ferdigheter og generell kompetanse: 

Kunnskap

Studenten

• kan analysere faglige problemstillinger knyttet til anatomi, fysiologi og patofysiologi under svangerskap, fødsel og i barselperiode
• kan gjenkjenne normale og avvikende prosesser og identifisere mors, barns og familiers behov for oppfølging i svangerskap, fødsel og barselperiode
• kan drøfte betydningen av sosiokulturelle aspekter som har betydning for individuell tilnærming til kvinnen under svangerskap, fødsel og i barselperiode
• kan drøfte jordmors funksjon og ansvar og den lovgivning som regulerer jordmorvirksomheten

Ferdigheter

Studenten

• kan drøfte jordmorfaglige problemstillinger i lys av teoretisk kunnskap
• kan analysere kunnskapsgrunnlaget for jordmorfaglige ferdigheter

Generell kompetanse

Studenten

• kan analysere sammenhenger mellom fysiske, psykososiale og kulturelle aspekter og utvikling av svangerskap, fødsel og familiedannelse
• kan bidra til nytenkning og videreutvikling av tverrfaglig samarbeid under svangerskap, fødsel og barselperiode
• kan anvende kunnskap og ferdigheter i et forebyggende og helsefremmende perspektiv overfor den nye familien

Emnet vil benytte varierte, studentaktive arbeidsformer. Arbeids- og undervisningsformene omfatter forelesninger organisert som blandet læring («blended learning»), omvendt undervisning («flipped classroom»), gruppeoppgaver digitalt og på seminar, selvstudier og arbeidskrav.