OccurrenceRisk factors
Antenatal
FetalAbnormal umbilical artery Doppler velocimetry
Breech presentation
Intrauterine growth restriction
Multiple pregnancies
Oligohydramnios
Rh isoimmunization
MaternalAnemia
Antepartum hemorrhage
Cardiac disease
Diabetes
Hypertension (preeclampsia or eclampsia)
Hyperthyroidism
Maternal motor vehicle collision or trauma
Morbid obesity
Renal disease
Vascular disease
Intrapartum
FetalAbnormal fetal heart rate on auscultation or admission
tracing (20-minute strip)*
Meconium-stained amniotic fluid
MaternalHypertonic uterus
Induced or augmented labor
Intrauterine infection or chorioamnionitis
Post-term pregnancy (> 42 weeks' gestation)
Preterm labor (< 32 weeks' gestation)
Previous cesarean delivery
Prolonged membrane rupture > 24 hours at term
Regional analgesia, particularly after initial bolus and after top-ups (continuous electronic fetal monitoring is not required with mobile or continuous-infusion epidurals)
Vaginal bleeding in labor