What are some common reasons for a midwife to refer a woman to secondary care?

Referring a woman to secondary care is often a critical decision made by midwives when medical conditions or complications arise. Midwives are trained to handle a wide range of normal pregnancies and births, but when there are indications of potential risk, such as gestational diabetes, hypertension, preterm labor, or fetal distress, it becomes essential to collaborate with obstetricians and specialists in a secondary care setting. This collaboration ensures that the woman receives comprehensive care that addresses any medical complexities, enhancing the safety and well-being of both the mother and the baby.

The choice of referral is guided by established clinical protocols, which outline specific criteria requiring an elevation of care. These criteria prioritize the health and safety of the mother and infant, emphasizing the midwife's role in recognizing when a situation exceeds their scope of practice.