Misoprostol for Treatment of Incomplete Abortion: Tr aining Guide
For Participants
Patient History Scenarios
(Instructions for scenarios and checklist are in Complete Clinical Assessment section.) Woman 1:
A 21-year-old woman walks into the clinic, gives her name and says she has been having a period that is lasting too long. She takes a seat in the waiting room and after an hour she comes to the examining room. When asked, she reports that she skipped her period last month but says that is sometimes normal for her. This month, she says her period has lasted almost two weeks and the cramping is worse than normal. Her husband asked her to come today to make sure everything was fine. She has two young children at home.
Woman 2:
A 16-year-old woman walks into the clinic with her mother, who tells the front desk that something is wrong with her daughter, that her period won’t go away. The young woman sits in the waiting room for almost an hour and the front desk person tells you that she noticed that the young woman went to the bathroom every 10 minutes. When asked, the young woman says she has been having “a bad period” for a week, and heavy bleeding for the last 3 days. She can’t remember her preceding period (before the one last week). She says she came in because she knows her period should be over by now and instead it’s getting heavier and the cramping is the worst she has ever had and she has missed the last two days of school.
Unit 3: Diagnosis of Incomplete Abortion 53