Midwife-led Care Eligibility Criteria

Midwife-led care is most suitable for those who are expecting a birth which is uncomplicated. We advise patients to check the following criteria or speak to our midwives prior to booking.

  • Women who are motivated to labour naturally (may have epidural)
  • Singleton pregnancy with cephalic presentation
  • BMI up to 35 at booking
  • Maternal age up to 40 at time of delivery
  • Normal antenatal period
  • Normal ultrasound scans
  • Medically fit
  • Women with known GBS (Group B Strep Infection) and an otherwise normal course of events are eligible
  • Normally situated placenta

  • Multiparity equal to or more than 5
  • Previous postpartum haemorrhage (PPH) of greater than 500ml
  • Aged 40 or over at time of delivery
  • Multiple pregnancy
  • Previous caesarean section or uterine surgery
  • Polyhydramnios or oligohydramnios
  • Abnormally located placenta
  • Previous retained placenta
  • Previous shoulder dystocia
  • Female genital mutilation (FGM)
  • Abnormal blood tests (identified from booking)
  • Growth up to 10th centile on ultrasound scan (USS) or suspected growth restriction
  • Haemoglobin levels: Hb up to 9g/dL
  • Platelet count of up to 100 x 10*9/L
  • Women who have had a previous postpartum haemorrhage (PPH) of more than 500ml due to uterine atony or over 750ml if from a perineal tear
  • Disease that affects childbearing e.g. diabetes mellitus, epilepsy, clotting disorders, cardiac disease, uncontrolled asthma
  • Recurrent antepartum haemorrhages (APH) in pregnancy greater than a ‘show’
  • High blood pressure
  • Refusal of blood transfusion
  • No scans during pregnancy
  • Fibroids- must have a recent ultrasound scan to assess size/position of fibroids
  • Current primary herpes outbreak
  • Previous 3rd/4th degree tear

  • Low lying placenta in early pregnancy- may move as pregnancy progresses
  • Hypo/hyperthyroidism
  • Mental health history if significant
  • Heart murmur
  • Cervical surgery- LLETZ (large loop excision of the transformation zone) will need cervical measurements during pregnancy
  • Previous herpes outbreak (will need medication late pregnancy)
  • Previous retained placenta
  • Previous shoulder dystocia
  • Female genital mutilation (FGM)
  • Abnormal blood tests (identified from booking)
  • Growth up to 10th centile on ultrasound scan (USS) or suspected growth restriction
  • Haemoglobin levels: Hb up to 9g/dL
  • Platelet count of up to 100 x 10*9/L
  • Women who have had a previous postpartum haemorrhage (PPH) of more than 500ml due to uterine atony or over 750ml if from a perineal tear
  • Disease that affects childbearing e.g. diabetes mellitus, epilepsy, clotting disorders, cardiac disease, uncontrolled asthma
  • Recurrent antepartum haemorrhages (APH) in pregnancy greater than a ‘show’
  • High blood pressure
  • Refusal of blood transfusion
  • No scans during pregnancy
  • Fibroids- must have a recent ultrasound scan to assess size/position of fibroids
  • Current primary herpes outbreak
  • Previous 3rd/4th degree tear
  • Women with known GBS (Group B Strep Infection) and an otherwise normal course of events are eligible
  • Normally situated placenta

Speak to the team

T: +44 (0)20 3315 8616
E: Kensington@chelwest.nhs.uk

  • Women who are motivated to labour naturally (may have epidural)
  • Singleton pregnancy with cephalic presentation
  • BMI up to 35 at booking
  • Maternal age up to 40 at time of delivery
  • Normal antenatal period
  • Normal ultrasound scans
  • Medically fit
  • Women with known GBS (Group B Strep Infection) and an otherwise normal course of events are eligible
  • Normally situated placenta
  • Multiparity equal to or more than 5
  • Previous postpartum haemorrhage (PPH) of greater than 500ml
  • Aged 40 or over at time of delivery
  • Multiple pregnancy
  • Previous caesarean section or uterine surgery
  • Polyhydramnios or oligohydramnios
  • Abnormally located placenta
  • Previous retained placenta
  • Previous shoulder dystocia
  • Female genital mutilation (FGM)
  • Abnormal blood tests (identified from booking)
  • Growth up to 10th centile on ultrasound scan (USS) or suspected growth restriction
  • Haemoglobin levels: Hb up to 9g/dL
  • Platelet count of up to 100 x 10*9/L
  • Women who have had a previous postpartum haemorrhage (PPH) of more than 500ml due to uterine atony or over 750ml if from a perineal tear
  • Disease that affects childbearing e.g. diabetes mellitus, epilepsy, clotting disorders, cardiac disease, uncontrolled asthma
  • Recurrent antepartum haemorrhages (APH) in pregnancy greater than a ‘show’
  • High blood pressure
  • Refusal of blood transfusion
  • No scans during pregnancy
  • Fibroids- must have a recent ultrasound scan to assess size/position of fibroids
  • Current primary herpes outbreak
  • Previous 3rd/4th degree tear
  • Women with known GBS (Group B Strep Infection) and an otherwise normal course of events are eligible
  • Normally situated placenta
  • Low lying placenta in early pregnancy- may move as pregnancy progresses
  • Hypo/hyperthyroidism
  • Mental health history if significant
  • Heart murmur
  • Cervical surgery- LLETZ (large loop excision of the transformation zone) will need cervical measurements during pregnancy
  • Previous herpes outbreak (will need medication late pregnancy)
All private care income is reinvested into our NHS services.The Kensington Wing is part of Chelsea and Westminster NHS Foundation Trust.© 2020 Chelsea and Westminster NHS Foundation Trust.