Abstract: . . .  Dehydration requiring admission Ovarian hyperstimulation syndrome Severe infection e.g. pyelonephritis 3. Previous or pre-existing maternal medical problems, including: Cardiac disease (congenital or acquired) Renal disease Endocrine disorders e.g. hypo or hyperthyroidism Psychiatric disorders Haematological disorders e.g. sickle cell disease , diagnosed thrombophilia Inflammatory disorders e.g. inflammatory bowel disease Autoimmune diseases Cancer HIV 4. Known secondary causes of pulmonary hypertension, including: Chronic pulmonary thromboembolism Antiphospholipid syndrome Connective tissue disorders Sickle cell disease Drug misuse 5. Estimated date of delivery (EDD): Use the best estimate (ultrasound scan or date of last menstrual period) based on a 40 week gestation 6. New York Heart Association classification grades of disease . . .
. . .  urgency of caesarean section: Immediate threat to life of woman or fetus Maternal or fetal compromise which is not immediately life-threatening Needing early delivery but no maternal or fetal compromise At a time to suit the woman and maternity team 8. Major maternal medical complications, including: Persistent vegetative state Cardiac arrest Cerebrovascular accident Adult respiratory distress syndrome Disseminated intravascular coagulopathy HELLP Pulmonary oedema Mendlesons syndrome Renal failure Thrombotic event Septicaemia Required ventilation Right heart failure 9. Fetal/infant complications, including: Respiratory distress syndrome Intraventricular haemorrhage Necrotising enterocolitis Neonatal encephalopathy Chronic lung disease Severe jaundice requiring phototherapy Major congenital anomaly Severe infection e.g. septicaemia, . . .
. . .  Cardiac arrest Cerebrovascular accident Adult respiratory distress syndrome Disseminated intravascular coagulopathy HELLP Pulmonary oedema Mendlesons syndrome Renal failure Thrombotic event Septicaemia Required ventilation Right heart failure 9. Fetal/infant complications, including: Respiratory distress syndrome Intraventricular haemorrhage Necrotising enterocolitis Neonatal encephalopathy Chronic lung disease Severe jaundice requiring phototherapy Major congenital anomaly Severe infection e.g. septicaemia, meningitis Exchange transfusion 1. 2. 3. 4. 1. 2. 3. 4.  . . .
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