3 centres collaboration

What is Low Risk?

The 3centres Consensus Guidelines on Antenatal care were reviewed in June 2006.

These guidelines are developed for a "normal healthy woman with an uncomplicated pregnancy".

The following complications usually require additional care from an obstetrician or other specialist:

  • Cardiac (heart) disease, including hypertension (high blood pressure)
  • Renal (kidney) disease
  • Endocrine disorders or diabetes requiring insulin
  • Psychiatric disorders (on medication)
  • Haematological (blood) disorders, including thromboembolic disease
  • Epilepsy requiring anticonvulsant drugs
  • Malignant disease (such as cancer)
  • Severe asthma
  • Chemical dependency
  • HIV and HBV positive
  • Autoimmune disorders
  • Significantly overweight or underweight
  • Significant environmental factors and lack of social support
  • Recurrent miscarriage or mid trimester loss
  • More than 5 previous pregnancies (grand multiparity)
  • Severe pre eclampsia
  • Rhesus isoimmunisation or other significant blood group antibodies
  • Uterine surgery including caesarean section or cone biopsy
  • Antenatal or postpartum haemorrhage on two + occasions
  • Retained placenta on 2+ occasions
  • Growth restriction (IUGR)
  • Still birth or infant (neonatal) death
  • Birth weight <2500gms or >4500gms
  • Congenital abnormality eg Down's syndrome
  • Postnatal depression or Puerperal psychosis