1. Diagnosis of the stillbirth & intrapartum care Penny McParland

2. Introduction

3. Diagnosis and intrapartum care: areas of care reviewed

4. Guidelines and standards used

5. What level of care did we hope to find?

6. Diagnosis of intrauterine fetal death

7. Plan of intrapartum care

8. Induction of labour

9. Induction of labour – prior Caesarean section

10. Management of labour

11. Pain relief in labour

12. Assessment of care

13. What did we find?

14. Overall findings

15. Diagnosis of intrauterine fetal death

16. Planning of intrapartum care

17. Induction of labour

18. Pain relief in labour

19. Management of labour

20. Vignette 7

21. Ruptured uterus

22. Why were labours so long?

23. Resource issues

24. Resource issues

25. Resource issues

26. Key findings

27. Thank you