Case 3 – Last holiday before the baby comes along
Dr B received a form in her pigeon hole regarding Mrs F, a new patient to the practice who was 30 weeks pregnant. She had never met this patient before. In fact, her only medical record entry was when she became pregnant. She saw Dr B’s partner and was referred to the midwife.
The form was for medical confirmation of fitness to fly. It asked the doctor or midwife completing the form to state that the pregnancy was uncomplicated, providing the estimated delivery date and confirming that the patient was “fit to fly”.
The following day, Mrs F had a telephone consultation with Dr B. She told her that she had booked a long weekend in Prague with her husband, as they felt it was important to have a holiday before the baby arrived. She would be 32 weeks pregnant at the time of the trip.
Dr B discussed her concern about signing a form to state that Mrs F was “fit to fly” without seeing her. Mrs F fully appreciated her dilemma
Dr B took a history from Mrs F. It appeared she was fit and well and had had no problems during her pregnancy at all. This was her first pregnancy and she had been seeing the midwife regularly.
Dr B felt that before she could complete the form, she would like to see Mrs F for a face-to-face appointment and review her maternity notes. Mrs F was not keen to do this, as she was still working full-time and had already taken time off work to see the midwife the following day.
Dr B discussed her concern about signing a form to state that Mrs F was “fit to fly” without seeing her. Mrs F fully appreciated her dilemma.
After a discussion, they decided that it would be most appropriate for the midwife to complete the form for Mrs F, as she had been regularly seeing her throughout her pregnancy.
The following week Dr B received a message from Mrs F to let her know that her midwife had completed the form and she was off to Prague.