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Medical conditions suggesting planned birth at obstetric unit

Authoring team

Medical conditions suggesting planned birth at an obstetric unit:

  • cardiovascular
    • confirmed cardiac disease
    • hypertensive disorders
  • respiratory
    • asthma requiring an increase in treatment or hospital treatment
    • Cystic fibrosis
  • haematological
    • haemoglobinopathies
      • sickle-cell disease, beta-thalassaemia major
    • history of thromboembolic disorders
    • immune thrombocytopenia purpura or other platelet disorder or platelet count below 100,000
    • Von Willebrand's disease
    • bleeding disorder in the woman or unborn baby
    • atypical antibodies which carry a risk of haemolytic disease of the newborn
  • infective
    • risk factors associated with group B streptococcus whereby antibiotics in labour would be recommended
    • hepatitis B/C with abnormal liver function tests
    • carrier of/infected with HIV
    • toxoplasmosis - women receiving treatment
    • current active infection of chicken pox/rubella/genital herpes in the woman or baby
    • tuberculosis under treatment
  • immune
    • systemic lupus erythematosus
    • scleroderma
  • endocrine
    • hyperthyroidism
    • diabetes
  • renal
    • abnormal renal function
    • renal disease requiring supervision by a renal specialist
  • neurological
    • epilepsy
    • myasthenia gravis
    • previous cerebrovascular accident
  • gastrointestinal
    • liver disease associated with current abnormal liver function tests
  • psychiatric
    • psychiatric disorder requiring current inpatient care

Reference:

  1. NICE (September 2007).Intrapartum care

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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