Table 2

ACM B/C and C conditions constituting a risk at booking or at the onset of labour

Type of risk	Description of ACM B/C and C conditions constituting a risk
Booking	Essential hypertension, renal disease, diabetes (not including gestational diabetes), adrenal disease, pituitary disease, asthma, cardiomyopathy, congenital heart disease, heart murmur, myocardial infarction, congenital renal disease, glomerulonephritis, antiphospholoid antibodies, rheumatoid antibodies, SLE, connective tissue disease, epilepsy, benign intracranial hypertension, thromboembolism, platelet disorder, clotting disorder, thalassaemia, organ transplant, neurological/spinal surgery, classical caesarean section, spina bifida, fibromyalgia, spinal cord disease* or any cardiac condition*, myomectomy, bicornate uterus, eclampsia or HELLP syndrome (haemolysis, elevated liver enzymes and low platelet count)
Onset of labour	Abnormal placental site, placenta praevia, placental abruption, eclampsia, preeclampsia, essential hypertension, renal hypertension, insulin dependent gestational diabetes, pre-existing diabetes, any new cardiac, endocrine, GIT, liver, gastrobiliary, haematological or infectious condition, pyelonephritis, uterine anomaly, any new renal/neurological conditions, any fetal anomaly, threatened premature labour, admission for cervical shortening/dilatation, antenatal steroid course, isoimmunisation, antibodies, cervical suture, feticide, intrauterine transfusion, breech/transverse/oblique lie or preterm rupture of membranes

Type of risk

Description of ACM B/C and C conditions constituting a risk

Booking

Essential hypertension, renal disease, diabetes (not including gestational diabetes), adrenal disease, pituitary disease, asthma, cardiomyopathy, congenital heart disease, heart murmur, myocardial infarction, congenital renal disease, glomerulonephritis, antiphospholoid antibodies, rheumatoid antibodies, SLE, connective tissue disease, epilepsy, benign intracranial hypertension, thromboembolism, platelet disorder, clotting disorder, thalassaemia, organ transplant, neurological/spinal surgery*, classical caesarean section*, spina bifida*, fibromyalgia*, spinal cord disease* or any cardiac condition*, myomectomy, bicornate uterus, eclampsia or HELLP syndrome (haemolysis, elevated liver enzymes and low platelet count)

Onset of labour

Abnormal placental site, placenta praevia, placental abruption, eclampsia, preeclampsia, essential hypertension, renal hypertension, insulin dependent gestational diabetes, pre-existing diabetes, any new cardiac, endocrine, GIT, liver, gastrobiliary, haematological or infectious condition, pyelonephritis, uterine anomaly*, any new renal/neurological conditions*, any fetal anomaly, threatened premature labour, admission for cervical shortening/dilatation, antenatal steroid course, isoimmunisation, antibodies, cervical suture, feticide, intrauterine transfusion, breech/transverse/oblique lie or preterm rupture of membranes

*These conditions were not listed in ACM guidelines, however, they were considered to be equivalent to ACM B/C and C conditions.
ACM, Australian College of Midwives; GIT, gastrointestinal tract; SLE, systemic lupus erythaematosus.