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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 7 · trauma-informed birth plan

Sophie James

All birth plans

Important patient care context

Room 7 · Sophie James
Previous traumatic birth
RECORDED
Trauma-informed care plan
ACTIVE
Current birth preference
Patient requests Caesarean discussion
Mode-of-birth discussion
Outstanding
Patient concern
Open
Named owner
No owner assigned
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
High
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 12 weeks (simulated).

Repeated patient request

Caesarean discussion requested · 3 times

First request
12 weeks
Most recent request
28 weeks
Decision discussion completed
No
Owner
No owner
Status
Requires review

Workflow concern: repeated unresolved patient request. Requests are not medically prioritised on count.

Birth preference & decision workflow

Illustrative states only
  1. PREFERENCE RECORDEDRecorded
  2. CLINICIAN REVIEW REQUIREDRecorded
  3. SENIOR DISCUSSIONOutstanding
  4. OPTIONS EXPLAINEDOutstanding
  5. RISKS / BENEFITS DISCUSSEDOutstanding
  6. PATIENT PREFERENCE CONFIRMEDOutstanding
  7. CLINICAL DECISION RECORDEDOutstanding
  8. RATIONALE DOCUMENTEDOutstanding
  9. AGREED PLAN RECORDEDOutstanding
  10. PATIENT INFORMEDOutstanding
  11. COMPLETEOutstanding

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
  • Avoid repeated retelling of previous trauma
  • Senior discussion regarding mode of birth
  • Birth partner involved in discussions
  • Emotional wellbeing support
  • Patient wants time to ask questions

Recorded preferences (simulated — selectable)

Avoid repeated retelling: YesOwner: No owner assigned

Patient-stated preferences — not clinical instructions.

Birth decision timeline

Fictional and illustrative
  1. 12 weeksPatient reports previous traumatic birthPatient input
  2. 12 weeksPreference for planned Caesarean discussion recordedPatient input
  3. 16 weeksMidwife acknowledgementClinician
  4. 20 weeksPatient raises concern againPatient input
  5. 20 weeksConsultant review requestedWorkflow pathway
  6. 22 weeksReview not yet scheduledWorkflow pathway
  7. 28 weeksPatient raises request againPatient input
  8. 28 weeksWorkflow escalatedWorkflow pathway
What was requested
Patient requests Caesarean discussion
When
First 12 weeks · most recent 28 weeks
Who saw it
Midwife acknowledgement recorded
Who owned it
No owner assigned
What decision was made
No decision documented
Why
Rationale not documented
Was the patient informed
Not recorded

Antenatal completion check

5 outstanding
  • Previous birth history reviewedComplete
  • Patient concerns recordedComplete
  • Mode-of-birth preference discussedOutstanding
  • Senior review completed where clinically requiredConsultant discussion outstanding
  • Agreed plan documentedOutstanding
  • Patient understands planOutstanding
  • Emotional wellbeing consideredComplete
  • Outstanding questions recordedComplete
  • Named owner assignedOutstanding

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.