If women do not achieve satisfactory benefit from bladder training programmes, the combination of an overactive bladder medicine with bladder training should be considered if frequency is a troublesome symptom.

In one study, he most common abnormalities were

• T wave inversion (21%)
• S1Q3T3 pattern (15%) - If you know what S1Q3T3 Pattern is - please let us know HERE
• right bundle branch block (18% during pregnancy and 4.2% in the puerperium.

Regional techniques should be avoided if possible until at least 12 hours after the previous prophylactic dose of LMWH.

Women receiving antenatal LMWH having an elective caesarean section should receive a thromboprophylactic dose of LMWH on the day prior to delivery and, on the day of delivery, any morning dose should be omitted and the operation performed that morning.

Previous vaginal delivery, particularly previous VBAC, is the single best predictor of successful VBAC and is associated with a planned VBAC success rate of 85–90%.

Previous vaginal delivery is also independently associated
with a reduced risk of uterine rupture.

According to Guidance from the British Committee
for Standards in Haematology, it is greater than 2 gram/dL

Planned VBAC is associated with an approximately 1 in 200 (0.5%)
risk of uterine rupture

NSAIDs can lead to neonatal pulmonary hypertension and premature closure of the ductus arteriosus.

NSAIDs also reduce fetal renal blood flow and thus urine production leading to a reduced amniotic fluid volume.

The use of NSAIDs should, therefore, be avoided at more than 30 weeks of gestation.

Undertake a urine dipstick test in all women presenting with urinary
incontinence to detect the presence of blood, glucose, protein, leucocytes and nitrites in the urine.