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‘OK Tell the crew not to do a vaginal exam until we’ve had a chance to do an ultrasound and we’re sure that it’s not placenta praevia Are there any obvious signs of blood?’

‘Hold on, I’ll get patched through’ There was a pause ‘No’

Which e blood clot behind the placenta The hest risks ‘OK I’et Iris to sort out Theatre just in case Ask the crew to secure IV access and if she’s going into shock get her on oxygen As soon as she comes in, I want six units of blood cross-matched’

‘Will do Thanks, Theo’

Theo hung up and left his office To his relief, Iris was at the reception desk with Madison ‘Iris, I’ht need to do an eet me a theatre and anaesthetist on standby?’

‘I’ up the phone

‘Do you want ency section, you’ll need someone to assist’

He grimaced ‘Maddie, I’m not sure this is a case for you’

‘It’s nant, not inco, I ht help reassure the mum that I know exactly how she feels’

And it would also mean she was kept too busy to think about the test results: exactly the saht to ask so to upset you too much’

‘All right So what’s happened?’ she asked as they ency department

‘Muer and their car was involved in a crash No sign of a bleed, but she’s got cramps, tachycardia and pallor’

‘You’re thinking an abruption?’