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Prenatal Care and Testing

Fozia Akhtar Ali, MD and Adriana Saenz, MD Reviewed 06/2018
 


BASICS

The goal of prenatal care is to ensure the birth of a healthy baby with minimal risk for the mother by the following: 
  • Identifying the patient who is at risk for complications

  • Estimating the gest...

DIAGNOSIS

HISTORY

At the initial visit, a complete medical, obstetrical, family, and psychosocial history should be obtained and updated throughout the pregnancy. 
  • Assess and counsel as appropriate rega...

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. The following vaccines are considered safe per CDC (5):

    • Women should get Tdap during each pregnancy (ideally, the vaccine should be given...

REFERENCES

1
Committee on Obstetric Practice. Committee Opinion No. 514: emergent therapy for acute-onset, severe hypertension with preeclampsia or eclampsia. Obstet Gynecol.  2011;118(6):1465–146...

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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