Inexperience

I still think about the baby whose medical termination I was a part of.

I finally got the chance to start reading the policy which lists out the things you need to do for the women and their baby in this situation.

And already I'm picking up things I may have missed.

Firstly, 10U oxytocin to be given in 3rd stage for active management: i honestly cannot remember giving that to my lady.

She ended up having a retained placenta due to cervix only opening 5cm (but the baby still managing to birth through that). It was 14+5 so super borderline in terms of 2nd trimester.

I forgot the anti- breastmilk hormone tabs also (carbergoline). But those are for women >18 weeks gestation. Good to know. Give with food and within 12 hours post birth for maximal efficacy. Unless the woman has: severe preeclampsia, uncontrolled severe hypertension SBP >150 or DBP>100, sensitivity to regot preparations, ischemic heart disease, severe preipheral vascular disease, raynauds syndrome.


And anti-D if the woman is Rh negative. Well of course.

diclofenac 50mg PO TDS PRM :liberal NSAID early in the induction process significantly reduces the need for subsequent narcotics. Good to know.
But also
OXYCODONE 5-10MG PO QID PRN

TBC