Page 36 - OB Risks - Delivering the Goods (Part Two)

SVMIC Obstetrics Risks: Delivering the Goods

Peripartum Conditions

• Temperature greater than 100.4 F (intrapartum)

• Suspected or proven infection

• Bleeding, of magnitude beyond “show” (e.g., suspected
abruption placenta, placenta previa, vasa previa, etc.)

• Oligohydramnios or polyhydramnios

Fetal/Neonatal Conditions

• Still birth (antenatal or intrapartum) or neonatal death in
the delivery or operating room

• Multiple births

• All major or minor congenital anomalies

• Fetal growth restriction

• Hydropfetalis or an edematous placenta

• Meconium (thin or thick) noted on admission or occurring
in labor

Immediate Neonatal Course

• Apgar scores of 5 or less at five minutes

• Suspected neonatal infection

• Suspected encephalopathy

• Cord pH less than 7.1

• Gross placental anomalies
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57 https://www.rmf.harvard.edu/Clinician-Resources/Guidelines-Algorithms/2017/OB-Guideline-
Files/Guideline29-Placental-Pathology-Evaluation

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