Citation: ; BMJ supportive & palliative care. 8(1):64-66, 2018 Mar..Journal: BMJ supportive & palliative care.Published: 2018ISSN: 2045-435X.Full author list: Mackie-Jenkins W; Tosca RM; Groninger H.UI/PMID: 28838932.Subject(s): Abdominal Pain/et [Etiology] | *Abdominal Pain/pc [Prevention & Control] | Adult | Female | Humans | Obstetrics/mt [Methods] | Pain, Intractable/et [Etiology] | *Pain, Intractable/pc [Prevention & Control] | *Palliative Care | Pregnancy | *Pregnancy Complications | *Referral and Consultation | Risk Factors | Treatment Outcome | Young AdultInstitution(s): MedStar Washington Hospital CenterDepartment(s): Medicine/Palliative CareActivity type: Journal Article.Medline article type(s): Journal ArticleDigital Object Identifier: https://dx.doi.org/10.1136/bmjspcare-2017-001392 (Click here)ORCID: Groninger, Hunter http://orcid.org/0000-0001-7416-1999 (Click here)Abbreviated citation: ; BMJ support. palliat. care. 8(1):64-66, 2018 Mar.Local Holdings: Available online through MWHC library: 2011 to the present.Abstract: Palliative care (PC) consultation rarely takes place in the clinical setting of high-risk obstetrics, where 'total pain' may be undermanaged. Here, we present a case of a young woman carrying twins and hospitalised for acute abdominal pain. Workup for her pain revealed non-viable fetal tissue positioned in the uterine horn; the remaining fetus was viable. Initial attempts to control the patient's pain with strong parenteral opioids by the obstetrics team and the acute pain service failed. The PC service was consulted to assist. Applying a customary interdisciplinary approach in a novel PC clinical setting, the PC service was able to identify and attend to the patient's physical, psychosocial and spiritual pain, resulting in an overall decrease in reported pain scores, decreased opioid requirement and a plan for preservation of the viable fetus. Copyright (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.