Skip to main content

Table 3 Intrapartum transfer criteria

From: Comparison of midwife-led and consultant-led care of healthy women at low risk of childbirth complications in the Republic of Ireland: a randomised trial

Maternal

Maternal

Fetal

Fetal

• Placental abruption

• Shoulder dystocia

• Abnormal fetal heart rate on auscultation - if prolonged deceleration ≥ 2 mins < 110 bpm is diagnosed, the woman was transferred to the CLU

• Meconium stained liquor

• Pyrexia > 38°C on two occasions at least 1 hour apart

• Request for epidural

 

• Malpresentation (with exception of mento-anterior)

• Lack of progress in the first stage of labour (absent or slower cervical dilatation than 0.5 cm/hr for primigravidae and 1 cm/hr for multigravidae

• Unbooked and presenting in early labour

 

• Intrapartum haemorrhage

• Delay in the second stage of labour (active pushing for more than 90 mins primigravidae or 40 mins for multigravidae)

• Retained placenta (> 1 hr)

 

• Cord presentation/prolapsed

 

• PPH (> 1000 mls or if symptomatic)

 

• Fetal demise

 

• 3rd/4th degree perineal tears

 

• Absence of liquor