page20 (1/2)

‘But if there is a problem, where’s it likely to be?’ Madison asked

‘Are you asking as a doctor or as a mum?’ Sanjay asked

‘Doctor,’ Theo said

‘Kidneys,’ Sanjay said ‘Absent, enlarged, or not developing properly’

‘Or it could be a blocked urinary tract, or a congenital heart defect,’ Nita added

Theo smiled ‘Excellent You two really know your stuff’

‘Thanks to Maddie,’ Sanjay said ‘She’s been brilliant at spending tinoses’

Madison glanced at her watch ‘Thanks for the co short on time Now, you’ve sent me for an ultrasound The placenta’s norrowth rate is poor You’ve examined me and thens of infection What are you worried about now?’

‘Delivery, definitely,’ Nita said ‘Speaking to you as a doctor rather than a h fluid, the baby’s likely to end up in the breech position And I’d be really worried about cord compression’

‘So would I,’ Iris said feelingly

‘So ould you do?’ Theo asked

‘It depends on how little fluid there was,’ Sanjay said ‘Ideally we’d go for conservativethe baby’s heart rate to ular ultrasounds to check the baby’s development’

‘But if the fluid’s really low and the scan shows the baby’s growth is affected,’ Nita said, ‘we’d have to deliver early So we’d give steroids to s and do a section’

‘What would you notice about the baby after delivery?’ Iris asked

Sanjay and Nita looked at each other ‘Uested

‘Actually, the baby’s skin is more likely to be dry and leathery because of the lack of fluid,’ Iris explained ‘And the face ht look a bit squashed’

‘And because the baby’s been compressed in the womb, you also need to check for club foot,’ Theo added ‘Good work, tea?’

‘Yes, please,’ Sanjay said, s

‘Definitely,’ Nita added ‘Working with you like this—well, it’s made me realise that this is what I want to do when I qualify, Theo’