Table 9, Other factors to take into account when planning place of birth - Intrapartum care

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Factor	Additional information
Previous complications	Stillbirth or neonatal death with a known non-recurrent cause Pre-eclampsia developing at term Placental abruption with good outcome History of previous baby more than 4.5 kg Extensive vaginal, cervical, or third- or fourth-degree perineal trauma Retained placenta needing manual removal in theatre Previous term baby with jaundice requiring exchange transfusion Major gynaecological surgery
Current pregnancy	Antepartum bleeding of unknown origin (single episode after 24 weeks of pregnancy) Body mass index (BMI) at booking (see the section on impact of BMI on choice of place of birth) Blood pressure of 140 mmHg systolic or 90 mmHg diastolic or more on 2 occasions Clinical or ultrasound suspicion of macrosomia Induction of labour Grand multiparity (parity 4 or more) Recreational drug use Under current outpatient psychiatric care Age 40 or over at booking Fibroids Fetal abnormality

Factor

Additional information

Previous complications

Current pregnancy

Antepartum bleeding of unknown origin (single episode after 24 weeks of pregnancy)
Body mass index (BMI) at booking (see the section on impact of BMI on choice of place of birth)
Blood pressure of 140 mmHg systolic or 90 mmHg diastolic or more on 2 occasions
Clinical or ultrasound suspicion of macrosomia
Induction of labour
Grand multiparity (parity 4 or more)
Recreational drug use
Under current outpatient psychiatric care
Age 40 or over at booking
Fibroids
Fetal abnormality

Intrapartum care.

NICE Clinical Guidelines, No. 235.

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