Recognising and Managing Maternal Complications
Identify maternal deterioration and begin urgent first-line care within competence.
How to prepare for the NMC Midwifery CBT
Combine unit-safe calculation with newly qualified midwife judgement grounded in the Code, informed choice, continuity, physiology, timely escalation and collaborative care.
Core concepts
Concept 1
Escalation is driven by the whole clinical picture, trend and concern, not one score alone.
Exam cue: Use an ABCDE approach when acutely unwell.
Concept 2
First-line actions run in parallel: summon help, assess systematically and start indicated care.
Exam cue: State the emergency and required response clearly.
Risk pitfalls and guardrails
Waiting for complete certainty before escalation.
Guardrail: Do not choose a familiar task if it ignores deterioration, consent, medicines risk, scope, communication or follow-up.
Documenting before beginning urgent care.
Guardrail: Do not choose a familiar task if it ignores deterioration, consent, medicines risk, scope, communication or follow-up.
Memory anchors
What is the first deterioration principle?
Recognise, call for help, assess and act without delay.
What structures acute assessment?
ABCDE with repeated reassessment.
Why use trends?
Deterioration may be visible before an isolated threshold.
What should escalation communicate?
Identity, situation, findings, concern and required response.
What closes emergency care?
Reassess response, document and support the woman and family.
Checkpoint rule
Do the check-up only after you can summarize each concept in one sentence and identify one dangerous pitfall from memory.
Knowledge Check (after reading)
Short check-up to confirm understanding of this module.
Check-up Questions
A pregnant woman has a severe headache, visual disturbance and epigastric pain. What is the priority?
A woman at 35 weeks has blood pressure 164/112 mmHg. What should the midwife do?
Answer all questions to submit.
Next step personalized recommendations
Continue learning
Move forward only after this module is stable.
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