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Other factors suggesting planned birth at obstetric unit

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Other factors indicating increased risk suggesting planned birth at an obstetric unit

  • previous complications
    • unexplained stillbirth/neonatal death or previous death related to intrapartum difficulty
    • previous baby with neonatal encephalopathy
    • pre-eclampsia requiring preterm birth
    • placental abruption with adverse outcome
    • eclampsia
    • uterine rupture
    • primary postpartum haemorrhage requiring additional treatment or blood transfusion
    • retained placenta requiring manual removal in theatre
    • caesarean section
    • shoulder dystocia
  • current pregnancy
    • multiple birth
    • placenta praevia
    • pre-eclampsia or pregnancy-induced hypertension
    • preterm labour or preterm prelabour rupture of membranes
    • placental abruption
    • anaemia - haemoglobin less than 8.5 g/dl at onset of labour
    • confirmed intrauterine death
    • induction of labour
    • substance misuse
    • alcohol dependency requiring assessment or treatment
    • onset of gestational diabetes
    • malpresentation - breech or transverse lie
    • body mass index at booking of greater than 35 kg/m2
    • recurrent antepartum haemorrhage
  • fetal indications
    • small for gestational age in this pregnancy (less than fifth centile or reduced growth velocity on ultrasound)
    • abnormal fetal heart rate (FHR)/Doppler studies
    • ultrasound diagnosis of oligo-/polyhydramnios
  • previous gynaecological history
    • myomectomy
    • hysterotomy

Reference:

  1. NICE (September 2007).Intrapartum care.

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