Hi Anne
Nothing further to add to Andreas comments except I am so glad to hear there is
a debriefing opportunity for this case. Congrats on your great work up North.
Wendy
----- Original Message -----
From: Anne Smith
To: ozmidwifery@acegraphics.com.au
Cc: Anne Smith
Sent: Monday, January 08, 2007 2:16 PM
Subject: [ozmidwifery] Pregnancy testing
I have a question for you wise women - will give you some background first.
Young woman with a concealed or unacknowledged pregnancy at 26 weeks
presented with acute abdominal pain to a remote area health clinic. No midwife
was present and doctor had not practiced obstetrics for "years".
The woman did not appear pregnant at all. They did a pregnancy test and it
was negative. They thought that renal colic may have been the cause. No one
could palpate contractions but eventually the doctor did a VE and discovered
"something there".
A very experienced nurse then "delivered" (and I use the word advisedly), the
baby which was in a breech position. Traumatic for everyone especially the
woman, who was then transferred by plane to the nearest hospital. I will be
attending a debriefing session on Friday and would like to be able to at least
explain the negative pregnancy test.
Was this due to the demise of the baby (perhaps up to a week previously) or
have the hormones altered so much that the test will not react -
a. because of FDIU or
b. advanced pregnancy or
c. was there a technical problem with the test itself
Your input would be much appreciated.
Keep up the discussions on why women don't choose or don't know to choose
more wisely when contemplating pregnancy because we do have a responsibility as
midwives for disseminating this knowledge.
Many thanks
Anne (in the NT)
------------------------------------------------------------------------------
No virus found in this incoming message.
Checked by AVG Free Edition.
Version: 7.1.410 / Virus Database: 268.16.7/619 - Release Date: 1/7/2007
