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MoonDragon's Birthing Guidelines
Risk Factor Guidelines

RISK FACTORS
INITIAL HISTORY & PHYSICAL EXAMINATION




RISK FACTOR OF 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 OF 2

  • Less than 12 months from last delivery to due date.
  • Grand multipara (Over 5 previous births).
  • History of LBW (low birth weight) infant - less than 5 lbs.
  • Repeated spontaneous abortions - 3 or more miscarriages.
  • 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 OF 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 cesarean section, low horizontal incision.





  • RISK FACTOR OF 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 OF 5

  • Rh sensitization in present pregnancy.
  • Medical history factors such as:
    • 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

    Risk Factors Guidelines

    Risk Factors During Prenatal Care

    Risk Factors During Labor & Birth

    Risk Factors After Birth & During Postpartum

    Transfer Criteria





    MOONDRAGON'S RELATED LINKS

    MoonDragon's MDBS Variations of Pregnancy

    MoonDragon's MDBS Birthing Guidelines Index





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