Table 8Medical conditions indicating individual assessment is needed when planning place of birth

Disease areaMedical condition
CardiovascularCardiac disease without intrapartum implications
Haematological
  • Atypical antibodies not putting the baby at risk of haemolytic disease
  • Sickle-cell trait
  • Thalassaemia trait
  • Anaemia – haemoglobin 85 to 105 g/litre at onset of labour
EndocrineUnstable hypothyroidism such that a change in treatment is needed
Infective
  • Group B streptococcus where intrapartum intravenous antibiotics are recommended
  • Hepatitis B or C with normal liver function tests (as baby will need paediatric review after birth)
  • Carrier of or infected with HIV
ImmuneNon-specific connective tissue disorders
Skeletal/Neurological
  • Spinal abnormalities
  • Previous fractured pelvis
  • Neurological deficits
Gastrointestinal
  • Liver disease without current abnormal liver function
  • Crohn’s disease
  • Ulcerative colitis

From: Intrapartum care

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

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