So...what you're saying is that there's a risk of stillbirth so that's why you recommend getting labour started now?
This was after a thirty minute discussion on cholestasis of pregnancy which is associated with a 1-3% risk of stillbirth at term. The poor woman came in as itchy as a bed bug infested child, going a bit nuts scratching her skin off. There's no need for an urgent induction, but we do tend to recommend proceeding with a birthday party if the baby is already fully cooked in there.
Well, this is a miracle baby you know, it was an IVF pregnancy and we're really quite nervous about it...but...its just...well...
Understanding where people are coming from is crucial, we get taught to ask how people feel about treatments, what their perceptions are yada yada yada, but I couldn't quite get inside this woman's head.
We had tickets for the Lion King this weekend, couldn't we have the baby next week instead?
Then it all made sense. We're not in Uganda any more kid, there's more important things than life and death you know, there's the Lion King. [Insert irony here.]
