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Other factors suggesting planned birth at obstetric unit

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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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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