{
  "schema_version": 1,
  "kind": "condition",
  "id": "caesarean-section-stillbirth-record",
  "name": "Caesarean section delivery of a stillbirth",
  "category": "chronic",
  "sources": "Cesarean Delivery - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK546707/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class WD83.00 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Cesarean Delivery - disease-level clinical article (caesarean-section-stillbirth-record-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 338,
      "generic": "No drug therapy in primary care (Referral & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "This is a post-delivery outcome record following a stillbirth via C-section. Provide empathetic bereavement counselling, screen for maternal postpartum depression and post-traumatic stress, and evaluate physical wound and uterine scar healing. Refer the patient to specialized obstetric care for audit of the stillbirth cause and pre-conception counseling prior to any subsequent pregnancy.",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "This is a post-delivery outcome record following a stillbirth via C-section. Provide empathetic bereavement counselling, screen for maternal postpartum depression and post-traumatic stress, and evaluate physical wound and uterine scar healing. Refer the patient to specialized obstetric care for audit of the stillbirth cause and pre-conception counseling prior to any subsequent pregnancy.",
      "cautions": [
        "RED FLAG - Puerperal sepsis: assess urgently and refer.",
        "Recognise the risk to maternal mental health after stillbirth and screen for depression or trauma symptoms.",
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - Postpartum hemorrhage, wound infection, and endometritis are major early post-cesarean complications requiring clinical vigilance.",
        "RED FLAG - A history of a prior classical or T-shaped uterine incision necessitates repeat cesarean delivery in subsequent pregnancies."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "caesarean-section-stillbirth-record"
    }
  ]
}