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Prenatal Care and Testing

Henry Del Rosario, Doctor of Medicine Reviewed 04/2024
 


BASICS

The goal of prenatal care is to ensure the well-being of mother and baby using the best available evidence and a patient-centered approach. General concepts include: estimating the gestational ...

DIAGNOSIS

HISTORY

Collect the following histories in the initial prenatal visit and continually update throughout the pregnancy (1,2): 
  • Medical history, with an emphasis on the following but not limite...

TREATMENT

ISSUES FOR REFERRAL

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

ONGOING CARE

PATIENT EDUCATION

  • Immunizations during pregnancy per CDC:

    • Tdap during each pregnancy (should be given between 27 to 36 weeks’ GA); hepatitis B and influenza. Likely safe include meningococc...

REFERENCES

1
Zolotor AJ, Carlough MC. Update on prenatal care. Am Fam Physician. 2014;89(3):199-208.
2
AAP Committee on Fetus and Newborn and ACOG Committee on Obstetric Practice; Kilpatrick SJ, Papile L...

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

Given the complexity of screening and counseling, checklists and team-based care help ensure consistent application of recommended interventions 

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