RISK LIMITATIONS

there are limitations to who should have a baby at

Anacortes Birth Center (ABC)

Per HCA guidelines in WA state and ABC protocols, the following are contraindications to birth center birth:

Current substance use disorder • Significant hematological disorders/coagulopathies • History of deep venous thrombosis or pulmonary embolism • Cardiovascular disease-causing functional impairment • Chronic hypertension • Significant endocrine disorders including pre-existing diabetes (type I or type II) • Hepatic disorders including uncontrolled intrahepatic cholestasis of pregnancy and/or abnormal liver function tests • Isoimmunization, including evidence of Rh sensitization/platelet sensitization • Neurologic disorders or active seizure disorders • Pulmonary disease • Renal disease • Collagen-vascular diseases • Current severe psychiatric illness • Cancer affecting the reproductive system • Multiple gestation • Breech presentation in labor with delivery not imminent • Gestational Diabetes requiring medication • Hypertension • Pre-eclampsia • Labor before 37 weeks • Labor on or after 42 weeks 0 days • Other significant deviations from normal as assessed by the CNM