Antepartum |
Maternal conditions |
Age (>40 years, <16 years) |
Poor socioeconomic status (poverty, malnutrition) |
Detrimental habits (smoking, drug and/or alcohol abuse) |
Medical conditions |
• Diabetes mellitus |
• Hypertension |
• Chronic heart and/or lung diseases |
• Kidney diseases/urinary tract infections |
• Blood disorders (thrombocytopenia, anemia, blood group incompatibilities) |
Obstetric conditions |
• Prior stillbirth/fetal loss/early neonatal death |
• Prior birth of a high-risk infant |
• Antepartum hemorrhage |
• Premature rupture of membranes |
• Serious infection during pregnancy |
• Placental anomalies: praevia, polyhydramnios or oligohydramnios, pregnancy-induced hypertension, group B streptococcus carrier |
Fetal conditions |
Prematurity |
Postmaturity |
Intrauterine growth retardation |
Macrosomia |
Multiple gestation |
Congenital anomalies |
Hydrops |
During birth |
Complications of maternal medical disease |
Preterm labor |
Prolapsed cord |
Utero-placental bleeding |
Abnormalities of presentation (transverse lie, breech, etc) |
Chorioamnionitis or systemic maternal infection |
Foul-smelling or meconium-stained amniotic fluid |
Abnormal fetal heart rate patterns |
Instrumented delivery (forceps or vacuum deliveries) |
Cesarean delivery for maternal or fetal compromise |
Narcotic administered to mother within four hours of birth |
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