Antenatal and Postnatal Care - Romanian Family Health Initiative ...

Antenatal Care Annex 6Factors Contributing to High-risk PregnanciesMaternal risk factors:• Age < 18 or >35 years of age (especially first baby over age 35)• Greater than 4 pregnancies• First baby over age 35• Less than 2 years between births• Weight < 45 kg• Height < 155 cm• Victim of domestic abusePrevious obstetric risk factors:• Genital undergrowth (infantilism)• Cicatriceal uterus (after Cesarean section or other interventions, likemyomecthomy, plastic surgery)• Genital tumors• Plastic surgery on reproductive tract• Treatment for sterility• Perineal long-term damage• Ectopic pregnancy• Miscarriages• Abortions• Pre-term delivery• Late delivery (beyond 42 weeks)• Previous pathologic pregnancies:- Hemorrhage- High BP, pre-eclampsia or eclampsia- Infections• Previous complicated deliveries:- Retained placenta- Prolonged or obstructed labor- Hemorrhage- Operative delivery (forceps, vacuum extraction or Cesarean)• Stillbirth or neonatal death• Infant born with anomalies or with birth trauma• Birthweight of last baby 4500gPathology in actual pregnancy:• Pregnancy-induced hypertension• Pre-eclampsia or eclampsia• Vaginal bleeding• High uterine tonus, contractionsRFHI