GP unit delivery (contraindications)

Contraindications to delivery in a GP unit include:

• previous caesarian section
• prevous retained placenta
• intra-uterine growth retardation
• diabetes or other major maternal illness
• multiple pregnancy
• pelvic injury
• previous gynaecological operations such as hysterotomy, myomectomy, cone biopsy

Relative contraindications include:

• history of recurrent miscarriages
• infertility treatment
• young primagravida (less than 18 years old) should be considered for consultant unit booking - these women are at an increased risk of conditions such as dysfunctional labour and for requirement of epidural analgesia
• small multigravida (less than 150 cm tall)
• fifth or more baby
• multigravida over 40 years of age