Category 1
Immediate Threat
Immediate threat to life of the woman or foetus
DDI
30 min
Examples
- Acute foetal distress/foetal bradycardia
- Cord prolapse with bradycardia
- Suspected scar dehiscence or uterine rupture
- Antepartum haemorrhage with hypovolaemia
- Failed instrumental delivery
Category 2
Maternal Compromise
Maternal or foetal compromise not immediately life-threatening
DDI
75 min
Examples
- Cord prolapse with normal foetal heart
- Malposition in labour
- Antepartum haemorrhage without hypovolaemia
Anesthetic Plan
Category 3
Early Delivery
No maternal or foetal compromise but needs early delivery
Examples
- Failure to progress with no evidence of maternal or foetal compromise
- Early labour in a woman scheduled for an elective caesarean delivery, large for gestational age or breech presentation
- Failed induction of labour
- Preeclampsia at term unsuitable for vaginal birth
- Any other indication as determined by the obstetrician
Anesthetic Plan
Category 4
Elective
Delivery timed to suit woman and staff
Examples
- Planned elective caesarean delivery