Clinic day #16

Had clinic rescheduled due to long haul birth. Also had 4 home visits rescheduled for afternoon.

Second last appointment brought in a woman bleeding. She is at the end of her pregnancy, and from the amount I was pretty sure it was from her cervix changing and some intercourse, but her abdomen was firmer than usual and she described some achiness in her uterus, so I decided that a non-stress-test was in order. So we went to University hospital and I put her on the monitor: she had a very active baby with beautiful accelerations in the heartbeat and 2 contractions in an hour. I also did a vag exam and found her to be 1 cm and a soft cervix that almost felt friable, as if if I pulled on it too hard it would tear. Lots of bloody show on my glove.

Sent her home with instructions to page if increased bleeding or decreased baby movements. Or of course labour.

Oops, just got a call, must run!