Table 1 Criteria for referral from health facility to hospital-level delivery, Tz†
Elective referral | Emergency intrapartum referral |
|---|---|
More than 4 pregnancies | Spontaneous rupture of membranes without labour |
Height < 150 cm | Labour < 34 weeks |
Pelvic deformity | Labour > 12 hours |
First pregnancy at 35 or more years | Abnormal lie or presentation of baby |
Previous Caesarean section or vacuum delivery | Vaginal bleeding |
Previous postpartum haemorrhage | Abnormal foetal heart (< 120 or > 160) |
Previous retained placenta | Elevated body temperature (> 38 degrees Centigrade) |
Blood pressure > = 140/90 mm Hg | Eclampsia or blood pressure > = 140/90 mm Hg |
Hb < 8.5 gm/dL | Hb < 8.5 gm/dL |
Albuminuria | Small pelvis or big baby |
Glucosuria | Meconium-stained amnion fluid |
Gestational age > 40 weeks | |
Intrauterine foetal death | |
Abnormal lie (> 36 weeks) | |
Oedema of legs, face and hands | |
Suspected multiple gestation | |
Fundal height not corresponding to gestational age | |
Presence of danger signs* |