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Risk Factor 1.Age less than 18 or over 40 Family history of inherited disease Crowded living conditions Underweight - more than 20 lbs under ideal weight for height at time of conception First prenatal visit at more than 20 weeks gestation Exposure to X-rays during first trimester History of infant over 10 lbs History of dysfunctional labor Primigravida over 35 years Uncertain due dates Risk Factor 2.
Less than 12 months from last delivery to due date Grand multipara (over 5) History of LBW infant (less than 5 lbs.) Repeated spontaneous abortions (3 or more) History of premature baby (less than 37 weeks) Previous antepartum hemorrhage Pre-eclampsia (history of) Hepatitis (within last two years) Previous post-partum hemorrhage History of gestational diabetes Risk Factor 3.
Smoking greater than one pack per day Poor nutrition History of previous drug use and discuss drug use in peer review Surviving birth-damaged infant Overweight (more than 50 lbs over ideal weight at time of conception Neonatal death (stillborn or within first 28 days) Uterine anomaly Serious emotional problems Previous cesarian section, low horizontal incision Risk Factor 4.
Rubella - first trimester present pregnancy Rh sensitization in previous pregnancy Hypertension (equal to or greater than 140/90) Past uterine surgery (if uterus incised) Incompetent cervix Risk Factor 5.
Rh sensitization in present pregnancy Medical history: Heart disease Thromboembolism Chronic pulmonary disease Renal disease (as adult excluding pyelonephritis) Diabetes (not gestational) Serious endocrine problems Serious psychiatric problems Serious neurological problems Current abuse of any of the following:
alcohol antidepressants hallucinogens narcotics psychotropic herbs sedatives hypnotics
Risk Factors During Prenatal Care