Table 1 Referral indications during pregnancy care according to RCHC-4, Tanzania

Category A

   Age below 20 years

   Ten or more years since last pregnancy

   Previous caesarean section^a

   Previous stillbirth/perinatal death (within one week)

   Three or more consecutive abortions

   Intercurrent illnesses (heart disease, diabetes mellitus, tuberculosis)

Category B

   ≥5 pregnancies

   Height <150 cm

   Pelvic deformity

   First pregnancy at 35 or more years

   Previous caesarean section^a or vacuum delivery

   Postpartum haemorrhage in previous delivery

   Retained placenta in the previous delivery

Category C

   Blood pressure ≥140/90 mmHg

   Haemoglobin less than 60% (8.5 gm/dl)

   Albumin in urine

   Sugar in urine

   Gestational age more than 40 weeks

   Intrauterine foetal death

   Abnormal lie after 36 weeks

   Oedema of the legs, face and hands

   Suspected twin pregnancy

   Fundal height too big or too small for gestation age

   Danger signs^b