Other factors indicating individual assessment when planning place of birth

Other factors indicating individual assessment when planning place of birth

• previous complications
  • stillbirth/neonatal death with a known non-recurrent cause
  • pre-eclampsia developing at term
  • placental abruption with good outcome
  • history of previous baby more than 4.5 kg
  • extensive vaginal, cervical, or third- or fourth-degree perineal trauma
  • previous term baby with jaundice requiring exchange transfusion
• current pregnancy
  • antepartum bleeding of unknown origin (single episode after 24 weeks of gestation)
  • body mass index at booking of 30-34 kg/m2
  • blood pressure of 140 mmHg systolic or 90 mmHg diastolic on two occasions
  • clinical or ultrasound suspicion of macrosomia
  • para 6 or more
  • recreational drug use
  • under current outpatient psychiatric care
  • age over 40 at booking
• fetal indications
  • fetal abnormality
• previous gynaecological history
  • major gynaecological surgery
  • cone biopsy or large loop excision of the transformation zone
  • fibroids

Reference:

1. NICE (September 2007).Intrapartum care