Table 2 Predefined antepartum, intrapartum and postpartum criteria for secondary obstetrician involvement
antepartum | intrapartum | postpartum |
|---|---|---|
∙ vaginal bleeding ∙ non-cephalic presentation ∙ postterm gestation ≥41 completed weeks ∙ induction of labor ∙ rupture of membranes > 24 h without contractions ∙ abnormal fetal heart rate monitoring before onset of labor | ∙ vaginal bleeding ∙ abnormal fetal heart rate monitoring ∙ meconium stained amniotic fluid ∙ prolonged first stage of labor ∙ prolonged second stage of labor ∙ hypertension ∙ suspicion of amniotic infection ∙ shoulder dystocia ∙ instrumental vaginal birth ∙ request of epidural anaesthesia ∙ maternal exhaustion/ decompensation | ∙ postpartum hemorrhage ∙ complete or partial placental retention ∙ obstetrical anal sphincter injury ∙ severe vaginal tear |