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Abstract: . . . Pregnancies 2.1 Gravidity Number of completed pregnancies beyond 24 weeks Number of pregnancies less than 24 weeks If no previous pregnancies, please go to section 3. 2.2 Did the woman have any previous pregnancy problems? 2 * Yes No If Yes, please specify Section 3: Previous Medical History Please indicate whether any of the following were present prior to pregnancy: 3.1 Previous or pre-existing medical problems 3* Yes No If Yes, please specify diagnosis 3.2 Eisenmengers syndrome Yes No If Yes, please specify date of diagnosis / . . . . . . 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 . . . . . . 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. . . . . . . without symptoms (with or without symptoms at rest) 7. RCA/RCOG/CEMACH/CNST Classification for 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 . . . --3000,4,375,3162,18049
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