Table 3.9Medical conditions indicating individual assessment when planning place of birth

Disease areaMedical condition
CardiovascularCardiac disease without intrapartum implications
HaematologicalAtypical antibodies not putting the baby at risk of haemolytic disease
Sickle-cell trait
Thalassaemia trait
Anaemia – haemoglobin 8.5–10.5 g/dl at onset of labour
InfectiveHepatitis B/C with normal liver function tests
ImmuneNon-specific connective tissue disorders
EndocrineUnstable hypothyroidism such that a change in treatment is required
Skeletal/neurologicalSpinal abnormalities
Previous fractured pelvis
Neurological deficits
GastrointestinalLiver disease without current abnormal liver function
Crohn’s disease
Ulcerative colitis

From: 2, Summary of recommendations and care pathway

Cover of Intrapartum Care
Intrapartum Care: Care of Healthy Women and Their Babies During Childbirth.
NICE Clinical Guidelines, No. 55.
National Collaborating Centre for Women's and Children's Health (UK).
London: RCOG Press; 2007 Sep.
Copyright © 2007, National Collaborating Centre for Women’s and Children’s Health.

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