Clinicians
The 3 Centres 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