• 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

    Quick Links

    Considering Midwife-led Care? Meet a midwife

    Submit an online enquiry

    • 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.
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