RED (admit hospital) | YELLOW (FM specialist or OnG speacialist) |
*Eclampsia *PE- ↑BP with urine alb 1+/symptomatic/ BP> 160/110mmHg *heart problem with symptoms(palpitation n dyspnea *dyspnea on light activities *uncontrolled GDM or urine ketone≥ 1+ *pervaginal bleed *AbN fetal HR ^FHR≤110bpm after 26w ^FHR≥160bpm after 34w *symptomatic anemia *premature contraction *PROM *severe asthmatic attack | *HIV +ve *Hep B +ve *BP 140-160/90-110 mmHg with –ve urine alb *GDM *post date >7days |
GREEN (MO) | WHITE |
*rhesus –ve *mother wt <45kg *current medical prob (psy or OKU) *past gynae surgery *on drugs abuse, alcoholism, or smoker *recurrent miscarriage ≥3x *past obs hx: ^LSCS or instrumental delivery ^Hx of PIH,PE,E,GDM ^Baby birth wt <2.5 or >4.0 kg ^retained placenta or PPH ^stillbirth *twin pregnancy *urine alb 1+ *wt >80kg or increase wt >2kg/week *AbN lie at ≥36w *head not engaged at ≥38w for primid | White I (hospital) *primid *age <18 and > 40 year old *grandmultipara *gap between birth <2 years or > 5years *mother prob (ht <145cm, ibu tunggal) White II(home/alternative birth centre) *gravid 2-5 *no past obs hx, no medical prob, no cx after delivery. *ht >145cm *mother age >18, < 40 year old *married mother with good family support *POA >37 w and < 41w *estimated birth wt >2.5-3.5kg |
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