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Low Res MH Quality Account 2018 FINAL

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20 Monash Health<br />

A mother’s<br />

understanding<br />

The final weeks of many pregnancies can be<br />

uncomfortable and somewhat frustrating for expectant<br />

mothers, and so it proved to be for a mother who<br />

presented to Dandenong Hospital at 37 weeks.<br />

The patient was in discomfort and insisting on having<br />

labour induced rather than return home and wait for<br />

natural labour to occur. The doctor’s examination initially<br />

revealed an irregular fetal heart rate for a short time,<br />

however, a consistent rate returned and was observed<br />

for an hour.<br />

Through the help of an interpreter who spoke her native<br />

Dari language, the doctor was able to explain to the<br />

patient that her fetus was showing normal movement,<br />

reasonable size and a good heart rate. With no fluid<br />

leakage and a closed cervix, the doctor said that there<br />

was no medical reason for induction of labour and in<br />

fact, an emergency caesarean operation involved a<br />

number of risks.<br />

Having received a thorough explanation of the situation,<br />

the patient was satisfied with the information provided<br />

and was happy to return home and notify the hospital if<br />

there were changes to her condition.<br />

The interpreter played a vital<br />

role in helping the patient<br />

understand her situation,<br />

the risks involved, and<br />

ultimately her decision to<br />

avoid unnecessary medical<br />

intervention.

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