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Prototype — not for clinical use

Do not enter real patient information. All patients, medicines, guidance and calculations are fictional demonstration data.

Research concept — simulated data — not for clinical use
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Room 5 · trauma-informed birth plan

Emma Reed

All birth plans

Important patient care context

Room 5 · Emma Reed
Previous traumatic birth
RECORDED
Trauma-informed care plan
ACTIVE
Current birth preference
Patient requests Caesarean discussion
Mode-of-birth discussion
Complete
Patient concern
Resolved
Named owner
Dr Alex Morgan
Carried into handover so the patient is not asked to explain again.

Previous birth trauma recorded

This patient has reported a previous traumatic birth experience.

Patient-described impact
Moderate
Current care preference affected
Yes
Patient requests trauma-informed planning
Yes

The patient’s own account is preserved as care context. This is not a psychiatric diagnosis and does not determine mode of birth. Recorded 14 weeks (simulated).

Birth preference & decision workflow

Illustrative states only
  1. PREFERENCE RECORDEDRecorded
  2. CLINICIAN REVIEW REQUIREDRecorded
  3. SENIOR DISCUSSIONRecorded
  4. OPTIONS EXPLAINEDRecorded
  5. RISKS / BENEFITS DISCUSSEDRecorded
  6. PATIENT PREFERENCE CONFIRMEDRecorded
  7. CLINICAL DECISION RECORDEDRecorded
  8. RATIONALE DOCUMENTEDRecorded
  9. AGREED PLAN RECORDEDRecorded
  10. PATIENT INFORMEDRecorded
  11. COMPLETERecorded

The workflow remains open until an appropriate discussion and a documented plan exist. Pathscription does not determine the final mode of birth — that is a clinical and shared decision between the woman and her clinicians.

Trauma-informed care plan

ACTIVE

Patient priorities

  • Clear communication before interventions
  • Explain changes in plan
  • Birth partner involved in discussions
  • Emotional wellbeing support

Recorded preferences (simulated — selectable)

Avoid repeated retelling: YesOwner: Anna Lewis

Patient-stated preferences — not clinical instructions.

Care plan change in progress

OPEN
Previously agreed plan
Planned Caesarean (documented at 29 weeks)
Proposed change
Different management being considered
Reason documented
Not documented
Clinician review
Outstanding
Patient discussion
Not yet held
Patient preference on record
Previously confirmed — planned Caesarean
Updated plan
Not recorded

Required before the change is complete

  • Reason for change documented
  • Appropriate clinician review
  • Patient informed
  • Risks / benefits discussed
  • Patient questions addressed
  • Updated preference recorded
  • Updated plan documented

Plans can legitimately change for clinical reasons. Pathscription only makes sure the previous agreement, the reason and the patient conversation are visible and recorded.

Birth decision timeline

Fictional and illustrative
  1. 14 weeksPatient reports previous difficult birthPatient input
  2. 14 weeksPreference recordedPatient input
  3. 26 weeksConsultant review requestedWorkflow pathway
  4. 29 weeksConsultant discussion completedClinician
  5. 29 weeksOptions and risks discussedClinician
  6. 29 weeksPatient preference confirmedPatient input
  7. 29 weeksAgreed plan documentedClinician
  8. AdmissionProposed change to plan recordedClinician
What was requested
Patient requests Caesarean discussion
When
First 14 weeks · most recent 26 weeks
Who saw it
Consultant review completed
Who owned it
Dr Alex Morgan
What decision was made
Recorded following shared discussion
Why
Documented in simulated consultation record
Was the patient informed
Yes · 29 weeks

Antenatal completion check

Complete
  • Previous birth history reviewedComplete
  • Patient concerns recordedComplete
  • Mode-of-birth preference discussedComplete
  • Senior review completed where clinically requiredComplete
  • Agreed plan documentedComplete
  • Patient understands planComplete
  • Emotional wellbeing consideredComplete
  • Outstanding questions recordedComplete
  • Named owner assignedDr Alex Morgan

A workflow prompt only — clinicians decide what is appropriate for this pregnancy.

Continuity across care stages

The same care context is shown at every simulated stage, so the woman is not asked to explain her history again.

Booking appointmentAntenatal reviewConsultant reviewAdmissionLabour wardHandoverPre-operative reviewPostnatal recovery

Simulated patient information. All decision rules shown are illustrative only. Pathscription does not decide mode of birth, does not state that previous trauma requires a Caesarean and does not replace informed consent.