{
  "schema_version": 1,
  "kind": "condition",
  "id": "forceps-delivery-stillbirth-record",
  "name": "Forceps delivery of a stillbirth",
  "category": "chronic",
  "sources": "Forceps Delivery - StatPearls - NCBI Bookshelf (NBK538220) - https://www.ncbi.nlm.nih.gov/books/NBK538220/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class WD83.02 - 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",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 748,
      "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 an operative vaginal delivery of a stillborn infant. Provide comprehensive, compassionate bereavement support, active screening for postpartum depression, anxiety, and post-traumatic stress disorder, and evaluate physical perineal healing and pelvic floor integrity. Refer the patient for multidisciplinary investigation into the cause of stillbirth (placental pathology, thrombophilia screening, genetic evaluation) and structured 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 an operative vaginal delivery of a stillborn infant. Provide comprehensive, compassionate bereavement support, active screening for postpartum depression, anxiety, and post-traumatic stress disorder, and evaluate physical perineal healing and pelvic floor integrity. Refer the patient for multidisciplinary investigation into the cause of stillbirth (placental pathology, thrombophilia screening, genetic evaluation) and structured pre-conception counseling prior to any subsequent pregnancy.",
      "cautions": [
        "RED FLAG - Puerperal sepsis (foul lochia, uterine tenderness, high fever): 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."
      ],
      "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": "forceps-delivery-stillbirth-record"
    }
  ]
}