Table 3

Intrapartum transfer criteria

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


Begley et al. BMC Pregnancy and Childbirth 2011 11:85   doi:10.1186/1471-2393-11-85

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