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MoonDragon's Birthing Guidelines
Risk Factor Guidelines

RISK FACTORS
DURING LABOR & BIRTH




RISK FACTOR OF 1

  • Unsettled environment.
  • Ketonuria and dehydration.





  • RISK FACTOR OF 2

  • Meconium stained amniotic fluid - if lightly stained water in presence of excellent FHT's (no solids).
  • Second-stage decelerations (head compression).
  • Unengaged fetal head in primipara at beginning of labor.





  • RISK FACTOR OF 3

  • Rise in blood pressure to 140/90.
  • Prolonged rupture of membranes - over 24 hours prior to birth.
  • Prolonged active phase.
  • Prolonged second stage.
  • Secondary arrest.
  • Face or brow presentation.
  • Persistent fetal tachycardia (rise in baseline greater than 30 bpm).
  • Recurrent herpes lesion within one week of or at time of labor.





  • RISK FACTOR OF 4

  • Continual rise in blood pressure.
  • Free Meconium in amniotic fluid.
  • Marginal prematurity (36 weeks).
  • Fetal Bradycardia (less than 100 bpm during first stage).
  • Severe variable decelerations unresponsive to therapy.
  • Other decelerations unresponsive to therapy.
  • Persistent fetal tachycardia (greater than 170 bpm).





  • RISK FACTOR OF 5

  • Serious illness; eg: pyelonephritis, pneumonia.
  • Late decelerations.
  • No prenatal care.
  • Premature labor (less than 36 weeks - verified dates).
  • Pre-eclampsia - mild or severe.
  • Suspected abruptio placenta.
  • Suspected placenta previa.
  • Uterine rupture.
  • Abnormal presentation (not cephalic).





  • RISK FACTORS

    Risk Factors Guidelines

    Risk Factors Initial History & Physical Examination

    Risk Factors During Prenatal Care

    Risk Factors After Birth & During Postpartum

    Transfer Criteria




    MOONDRAGON'S RELATED LINKS

    MoonDragon's MDBS Birthing Guidelines: Variations of Pregnancy

    MoonDragon's MDBS Birthing Guidelines Index





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