Antenatal care
This task assesses the following clinical skills: … ● Patient safety ● Communication with patients and their relatives ● Information gathering ● Applied clinical knowledge … Mrs Yvonne Williams is 29- year- old nulliparous woman with Type 1 diabetes and BMI of 39 and has been referred by her GP to the hospital clinic for pre- pregnancy counselling and advice. Her diabetes is poorly controlled and she is planning a pregnancy in the near future. Following discussions with her community midwife. Mrs Williams is aware that with her health condition, pregnancy and delivery carries a higher risk but she would welcome an opportunity to discuss her concerns with an obstetrician. Mrs Williams will be asking you certain questions which you should try to answer and explain, for example: … ● What are the risks? ● What measures can be taken to reduce risk? ● What measures will be taken during pregnancy? … You have 10 minutes for this task (+ 2mins initial reading time). This task assesses the candidate’s ability to conduct a pre- pregnancy counselling. It tests their communication skills and application of knowledge regarding diabetes in pregnancy Record your overall clinical impression of the candidate for each domain (e.g. should this performance be pass, borderline, or a fail). You are Mrs Yvonne Williams is 29- year- old and have never been pregnant before. You have diabetes since childhood and you also struggle with your weight. You were last time told that your BMI is 39. You have been referred by her GP to the hospital clinic for pre- pregnancy counselling and advice. Your diabetes is poorly controlled and you are planning a pregnancy in the near future. Following discussion with your community midwife, you are aware that with her health condition pregnancy and delivery carries a higher risk but you welcome an opportunity to discuss your concerns with an obstetrician. You should ask the following questions to the candidate. … ● What are the risks? ● What measures can be taken to reduce risk? ● What measures will be taken during pregnancy?