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Risk Factor 1.Unsettled environment Ketonuria and dehydration Risk Factor 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 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 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 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 placentia Suspected placenta previa Uterine rupture Abnormal presentation (not cephalic)
Risk Factors Initial History & Physical