This paper is only available as a PDF. To read, Please Download here. Highlights • Adapting a guideline requires consideration of key aspects of health systems. • A modified Delphi method allowed for modification of recommendations to suit Irish maternity services. • Following the three-round Delphi process, 49/59 risk factors were included in the final guideline. • Excluded risk factors were generally considered to be too broad to be useful for the Irish context.
