ABSTRACT
CASE 3.1 – I am 38 weeks pregnant and bleeding vaginally. A 24-year-old woman attends the midwife at 38 weeks’ gestation. She has had two previous uncomplicated deliveries, and she is concerned that over the past few days she has been having a small amount of fresh vaginal bleeding intermittently. She has no abdominal pain and the baby is active.
CASE 3.2 – I have not felt my baby move since yesterday. A 30-year-old parous woman at 36 weeks’ gestation has not felt any fetal movements on the day when she presents to the doctor. Fetal movements had been becoming less frequent over the last few days, but she had not been recording them. She previously had two normal deliveries at term of babies of normal weight. In this pregnancy her scans showed a singleton fetus consistent with menstrual dates at 12 weeks and with no fetal anomaly at 20 weeks. Her screening for Down’s syndrome was reported as low risk. She has been managed as a low-risk patient, because her pregnancy has progressed without any problems.
