NMC Midwifery OSCE case studies
NMC Midwifery OSCE · Put your knowledge to work in context.
The NMC Midwifery OSCE is the practical, simulated clinical examination that internationally trained midwives may be required to complete as part of applying to join the Nursing and Midwifery Council register in the UK. Rather than testing recall through written papers, it places candidates in a series of timed stations where they must demonstrate midwifery care with a simulated mother, baby, or colleague, and with an assessor observing against a checklist. The NMC Midwifery OSCE case studies are 5 cases and about 5,211 words.
1Headache and visual disturbance at a midwife-led unit 40 minutes from the obstetric hospital
Amara is 34, G2P1, 36+2 weeks, booked for midwife-led care. She attends the alongside birth centre, which is 40 minutes by road from the obstetric unit, for a routine 36-week appointment.
989 words, about 5 min2Domestic abuse disclosure and a request for secrecy at 22 weeks
Leanne is 29, 22 weeks pregnant, with a 4-year-old daughter at school. During a home visit her partner leaves the room to take a call.
1,085 words, about 5 min3Grunting newborn at 90 minutes on a midwife-led unit
Baby Ivy was born at 39+4 by spontaneous vaginal birth on the midwife-led unit 90 minutes ago, birthweight 3.42 kg, Apgars 8 and 9. Membranes ruptured 6 hours before birth with clear liquor, maternal temperature 37.4°C in labour, and GBS status is not known.
1,014 words, about 5 min4Request for vaginal seeding after caesarean birth
Priya is 32, G1, on day 3 after an emergency caesarean at 39+2 for failure to progress after 14 hours; she received four hours of intravenous antibiotics in labour. She was GBS positive on a swab at 36 weeks.
1,076 words, about 5 min5Previous obstetric anal sphincter injury: counselling at 34 weeks
Sophie is 31, 34+0 weeks, G2P1. Her first birth 20 months ago was a ventouse birth of a 3.86 kg baby after a two-hour second stage, with a 3b perineal tear repaired in theatre by a registrar.
1,047 words, about 5 min