other factors suggesting planned birth at obstetric unit
Last reviewed 01/2018
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
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