At all visits: Weight, BP, UA
At
visits > 10 weeks: FHTs
At
visits > 20 weeks: umbilical height
|
Age wks |
<10 or 1st
Visit |
10-13 [2] |
15-18 [3] |
18-20 |
20-24 [4] |
24-28 [*] |
28 [5] |
32 [6] |
34 [7] |
34-36 |
36 [8] |
37 [9] |
38 [10] |
39 [11] |
40 [12] |
41 [13] |
>41 |
|
General Pregnancy |
H&P; CBC; ABO/Rh/Ab;
Rubella; Syphillis; HIV; HCV; HBV; GC/Chlamydia; [UA, TSH, UDS] |
[1st Trim.
Anomoly screening] |
Quad Screen |
Anatomy US |
|
GTT (if risk factors) |
GTT @ 28 wk; Rhogam @ 28
wk if ind. |
|
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|
GBS Fetal position |
|
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IOL |
|
Labor/ PTL |
|
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Steroids, 48 hours of tocolytics |
Expectant Management |
Expectant Management or
Active Management |
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Previous LTCS, Desires
repeat |
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Repeat CS at 39 wks or
active labor |
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Prev Active Segment CS |
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Repeat CS in active labor
or at 36-37 wks +/- Amnio for FLM |
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|
ROM |
D+C or Expectant
Management |
Termination if chorio or
desired, otherwise EM |
Hospitilization, steroids,
7 days of antibiotics, Delivery if
Chorioamnionitis |
IOL, EM |
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CHTN-Low Risk |
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Del. @ 40 wks |
|
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CHTN-High Risk |
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Delivery at 36-37 wks with
+ FLM |
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GHTN |
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IOL if Bishop score ≥ 6 @
37 wks |
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Del. @ 40 wks |
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Mild Preeclampsia |
|
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Steroids, EM,
Hospitilization if < 34 wks |
|
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Delivery at ≥ 37 wks |
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Severe Preeclampsia |
|
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|
Magnesium Sulfate,
Steroids, Delivery at ≥ 34 wks |
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