Table 6Medical conditions indicating increased risk and suggesting planned birth at an obstetric unit

Disease areaMedical condition
Cardiovascular
  • Confirmed cardiac disease
  • Hypertensive disorders
Respiratory
  • Asthma requiring an increase in treatment or hospital treatment
  • Cystic fibrosis
Haematological
  • Haemoglobinopathies, such as sickle-cell disease, beta-thalassaemia major
  • History of thromboembolic disorders
  • Immune thrombocytopenia purpura or other platelet disorder or platelet count below 100×109/litre
  • Von Willebrand’s disease
  • Bleeding disorder in the woman or unborn baby
  • Atypical antibodies which carry a risk of haemolytic disease of the newborn
Endocrine
  • Hyperthyroidism
  • Diabetes needing medication
Infective
  • Hepatitis B or C with abnormal liver function tests
  • Toxoplasmosis – women receiving treatment
  • Current active infection of chicken pox, rubella or genital herpes in the woman or baby
  • Tuberculosis under treatment
Immune
  • Systemic lupus erythematosus
  • Scleroderma
Renal
  • Abnormal renal function
  • Renal disease requiring supervision by a renal specialist
Neurological
  • Epilepsy
  • Myasthenia gravis
  • Previous cerebrovascular accident
GastrointestinalLiver disease associated with current abnormal liver function tests
PsychiatricPsychiatric disorder requiring current inpatient care

From: Intrapartum care

Cover of Intrapartum care
Intrapartum care.
NICE Clinical Guidelines, No. 235.
Copyright © NICE 2023.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.