Julie's tutorial needs some homework to get most from it. She uses a flowchart and a number of exam-style questions. Send me an email if you don't have them.
21 September 2023.
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54 |
Julie Morris. Statistics |
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55 |
Role-play. Fetal death in utero |
Make sure to download the
flowchart and questions that Julie will use – attempt to answer the questions
before the tutorial without preparation – guess if you don’t know.
55. Role-play.
Fetal death in-utero.
Candidate’s instructions.
You
are an SpR and were successful in a consultant interview last week. You are now
working your notice period before taking up your new post, which has a
particular role in labour ward management.
Anne
West is a 25-year-old primigravida who delivered a stillborn baby in the night.
Her husband works in Saudi Arabia and won’t be able to get home until tomorrow.
She has opted to stay in hospital until then. The pregnancy was normal. She
noted reduced fetal movements the day before yesterday. There were no movements
when she awoke, so she phoned the labour ward and was advised to attend. Fetal
heart activity could not be detected and an ultrasound scan confirmed fetal
death in utero. A detailed scan was not done because of her distress, but no
gross abnormality was seen and the liquor volume looked reduced but in the
normal range. The cervix was noted to be effaced and 2 cm. dilated. She opted
to have labour induced immediately and arranged for her sister to be with her.
The labour and delivery were normal.
Your
consultant has said that it will be good experience to take responsibility for
talking to her about bereavement and permission for post-mortem examination.
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