Birth place choice — DRCOG MCQ
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Correct answer: B — Discuss home, midwifery-led and obstetric-led birth options
Discuss home, midwifery-led and obstetric-led birth options is the best answer because the vignette is testing Birth place choice and the recommended approach is consistent with NICE NG235. The other advice would give incomplete safety-netting, miss a contraindication, or use guidance intended for a different clinical setting. Specifically, Use venous thromboembolism precautions when travelling; Use condoms until follow-up is complete; Arrange routine antenatal clinic review; Consider safer non-oestrogen contraception would be suboptimal in this scenario. Good advice includes both the guideline recommendation and clear safety-netting.
Reference: NICE NG235