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OSCEs are a familiar component of postgraduate examinations worldwide, simulating clinical scenarios to assess a candidate's clinical skills and a range of competencies. This book will combine comprehensive knowledge and evidence-based practice standards in obstetrics and medical complications of pregnancy into a patient-centered approach using standardized OSCE scenarios. Taking an innovative, unique approach to diverse common clinical scenarios, it will be useful to trainees preparing for high-stakes certification examinations, and all healthcare workers providing obstetrical care. By using the provided clinical cases for self-assessment or peer-review practice, important aspects of focused history taking and patient management are elucidated. For those working in obstetrical care, this book is an essential teaching tool for all levels of training. The book will therefore serve as a key teaching tool at various levels. Readers can use the clinical cases for self-assessment or peer-review practice, to elucidate important aspects of focused history-taking and evidence-based patient management.
A patient is referred by her primary care provider for consultation and transfer of care to your high-risk obstetric unit at a tertiary center. She is a 32-year-old primigravida at 15+3 weeks’ gestation with new abnormalities on chest X-ray and a positive sputum smear for acid-fast bacilli, performed as part of investigations for a four-week history of cough and night sweats. You have arranged to see her at the end of your clinic, with appropriate infection precautions. Referral to an infectious disease expert has also been instigated. A copy of the routine maternal prenatal investigations is unavailable at this time. First-trimester sonogram and aneuploidy screen were unremarkable. She has no obstetric complaints.
A 29-year-old primigravida with sickle cell anemia (SCA) is referred by her primary care provider to your tertiary center’s high-risk obstetrics unit for prenatal care of a sonographically confirmed single viable intrauterine pregnancy at 8+2 weeks’ gestation. She has no obstetric complaints.
You are seeing a 29-year-old G2P1 with a singleton pregnancy at 34+6 weeks’ gestation for a routine prenatal visit. Pregnancy dating was confirmed by first-trimester sonography. She reports normal fetal activity and has no clinical complaints. Your colleague following her obstetric care is now on a two-month leave. Although mode of delivery was addressed early in prenatal care, your colleague left you a note to discuss a trial of vaginal birth after Cesarean delivery (VBAC) with the patient.