Table 7, Other factors indicating increased risk and suggesting planned birth at an obstetric unit - Intrapartum care

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Intrapartum care. London: National Institute for Health and Care Excellence (NICE); 2023 Sep 29. (NICE Clinical Guidelines, No. 235.)

Intrapartum care.

Factor	Additional information
Previous complications	Unexplained stillbirth or 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 Caesarean birth 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 85 g/litre at onset of labour Confirmed intrauterine death Substance misuse Alcohol dependency requiring assessment or treatment Gestational diabetes needing medication Malpresentation – breech or transverse lie Recurrent antepartum haemorrhage Small for gestational age in this pregnancy (less than third centile or reduced growth velocity on ultrasound as defined in the NHS Saving babies lives version 3) Abnormal fetal heart rate, umbilical or fetal doppler studies Ultrasound diagnosis of oligo- or polyhydramnios
Previous gynaecological history	Myomectomy Hysterotomy

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Intrapartum care. London: National Institute for Health and Care Excellence (NICE); 2023 Sep 29. (NICE Clinical Guidelines, No. 235.) Table 7, Other factors indicating increased risk and suggesting planned birth at an obstetric unit.
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Table 7, Other factors indicating increased risk and suggesting planned birth at an obstetric unit - Intrapartum care

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