MID524 Challenges in Midwifery Practice (8)

MID524 provides the student with the opportunity to explore topics that impact on the health and well-being of the woman and the fetus/newborn; including alcohol, tobacco and other substance misuse, environmental and occupational risk factors. Ethical challenges and legal issues in midwifery practice, having been briefly explored in previous subjects are a focus of this subject. Midwifery care of the unwell neonate and their family is explored in depth. Breastfeeding when difficulties are experienced by the woman or baby and formula feeding are covered in this subject. The subject concludes with an exploration of the benefits and risks of over the counter medications and an introduction to complementary therapies. Students are encouraged to apply knowledge gained in this subject to their practice as a midwife.

Subject Outlines
Current CSU students can view Subject Outlines for recent sessions. Please note that Subject Outlines and assessment tasks are updated each session.


Session 1 (30)
Wagga Wagga Campus
Session 2 (60)
Wagga Wagga Campus

Continuing students should consult the SAL for current offering details: MID524. Where differences exist between the Handbook and the SAL, the SAL should be taken as containing the correct subject offering details.

Subject Information

Grading System



One session


School of Nursing, Midwifery and Indigenous Health

Enrolment Restrictions

Available to students enrolled in the Graduate Diploma of Midwifery course as a compulsory subject for pre-registration midwifery students. Available as an elective to currently practising, registered midwives enrolled in the Graduate Diploma of Midwifery, Master of Midwifery, Bachelor of Nursing Science or Master of Nursing courses.


MID441 and MID452 and ( MID443 or MID444 )

Learning Outcomes

Upon successful completion of this subject, students should:
  • Be able to outline the theoretical underpinning to providing woman-centred midwifery care when the childbearing woman uses alcohol, tobacco, over the counter pharmacological and other non-prescribed drugs;
  • Be able to identify environmental and occupational risk factors during pregnancy and postpartum;
  • Be able to recognise ethical dilemmas in midwifery and suggest methods / strategies to help resolve them in order to base midwifery practice on ethical decision making;
  • Be able to analyse national and international midwifery codes of ethics to enhance critical thinking and moral reasoning;
  • Be able to function in accordance with legislation and common law affecting midwifery practice, accepting accountability and responsibility for own actions within midwifery practice;
  • Be able to assess, plan, provide and evaluate safe and effective midwifery care for the newborn with complex needs, providing woman-centred (by definition includes those who the woman identifies as being significant to her) midwifery care when the newborn has complex needs;
  • Be able to assess, plan, provide and evaluate safe and effective midwifery care when the baby is stillborn or dies soon after birth;
  • Be able to demonstrate the theoretical underpinning of how to optimise nutrition when the newborn is formula fed;
  • Be able to critically appraise the use of complementary therapies in midwifery practice.


This subject will cover the following topics:
  • Module 1: Risk factors related to the environment, occupation and substance use
  • Module 2: Ethical challenges and legal issues in midwifery practice
  • Module 3: Midwifery care of the unwell neonate
  • Module 4: Newborn nutrition in complex situations
  • Module 5: Complementary therapies


Current Students

For any enquiries about subject selection or course structure please contact Student Central or ask@csu.edu.au or phone on 1800 275 278.

Prospective Students

For further information about Charles Sturt University, or this course offering, please contact info.csu on 1800 275 278 (free call within Australia) or enquire online.

The information contained in the 2018 CSU Handbook was accurate at the date of publication: August 2018. The University reserves the right to vary the information at any time without notice.