Ms. Doe, 30, had a history of cesarean section, stillbirth and miscarriage. When she became pregnant again, she consulted with a maternal-fetal medicine specialist. A plan was put in place for a cesarean delivery at 39 weeks gestation.
During the 37th week of Ms. Doe’s pregnancy, she went to a hospital emergency room complaining of nausea, vomiting and abdominal pain. Although she was sent home, her pain persisted. Ms. Doe was admitted to the hospital two nights later.
The hospital’s hospitalist placed Ms. Doe on a fetal monitor, which changed from normal to indeterminate over a relatively short time span. Ms. Doe’s abdominal pain worsened, but she was discharged with instructions to follow up with her treating obstetrician in the morning.
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