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Prenatal Care and Testing

Anna K. Zheng, MD and Henry Del Rosario, MD Reviewed 06/2020
 


BASICS

The goal of prenatal care is to ensure the well-being of mother and baby using the best available evidence guided by patient-oriented outcomes. General concepts include: 
  • Estimating the gestatio...

DIAGNOSIS

HISTORY

Collect the following histories in the initial prenatal visit and continually update throughout the pregnancy: 
  • Medical history, with an emphasis on the following:

    • Glucose intolerance, ...

TREATMENT

ISSUES FOR REFERRAL

Abnormal screening labs or imaging may prompt referral to maternal–fetal medicine specialist or other medical specialist, as indicated. 

ONGOING CARE

PATIENT EDUCATION

  • Immunizations during pregnancy per CDC:

    • Women should get Tdap during each pregnancy (should be given between 27 to 36 weeks’ GA); hepatitis B and influenza are safe; likel...

REFERENCES

1
Practice Bulletin No. 163 Summary: screening for fetal aneuploidy. Obstet Gynecol.  2016;127(5):979–981.
2
American College of Obstetricians and Gynecologists’ Committee on Practice Bul...

CODES

ICD10

  • Z34.90 Encntr for suprvsn of normal pregnancy, unsp, unsp trimester

  • Z36 Encounter for antenatal screening of mother

  • Z34.00 Encntr for suprvsn of normal first pregnancy, unsp trimester

  • Z34.80 E...

CLINICAL PEARLS

Prenatal care and screening are best accomplished using standardized flow sheets and checklists to ensure that the complex sequence of evaluations and education is performed consistent...

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