Prenatal+Care

: in English/Spanish Birth Preference Worksheet (CCRMC education Birth Plan)
 * Prenatal Care**
 * Handouts for Patients **

__For Providers__ __Antepartum Testing Guidelines 2017__ Checklist by ann lockhart updated by Judy Bliss Pregnancy Dating--Establishing the Due Date __**Standard Prenatal Care Conditions-- consult if you have questions**__
 * BMI 40-60**
 * CHTN not on meds BP __<__150/100**
 * GDM on diet or oral medication, HbA1c < 6.5**
 * AMA**
 * H/o PreEclampsia with delivery __>__ 37 weeks**
 * H/o Cesarean section**
 * Substance Use Disorder/ Suboxone or methadone use**
 * **Cholestasis of Pregnancy**
 * **Anemia in Pregnancy Hb > 8**
 * **Size versus dates discrepancy EFW > 10%**
 * **Urinary tract infection and asymptomatic bacteruria**
 * **Vaginitis in pregnancy**

__**Advanced Prenatal Care Condition--consult with OB or transfer if you don't have Advanced Prenatal Privileges**__


 * Chronic HTN on medication**
 * GDM/DMII on insulin**
 * History of 3 or more SAB __<__** **13 weeks**
 * Pregnancy Loss > 13 weeks**
 * Cervical Incompetence**
 * H/o Preterm Delivery < 37 weeks**
 * Didi twin gestation**
 * Positive RPR**
 * Hepatitis B**
 * BMI > 60**
 * History of Preeclampsia in multiple pregnancies or < 37 weeks EGA**
 * Hypothyroidism**
 * Shortened cervix (__<__2.5 cm)**
 * IUGR**
 * Persistent placenta previa**
 * Anemia Hb < 8**
 * Fibroids or uterine anomalies**

__**MFM /Perinatology level Care -- Consult or transfer**__
 * Chronic Kidney Disease**
 * Chronic Pulmonary Disease**
 * Cirrhosis**
 * Coagulation Disorder**
 * History of PE or DVT**
 * Congenital Heart Disease**
 * Coronary Artery Disease**
 * CHF or cardiomyopathy**
 * Lupus/Sjogren's**
 * APL syndrome**
 * Rheumatoid arthritis**
 * Multiple Sclerosis**
 * Seizure Disorder**
 * Sickle Cell Disease**
 * Thalassemia**
 * Mono/mono and Mono/di twin gestations**
 * Triplets or higher multiple gestations**
 * DM Type 1**
 * Isoimmunization**
 * HIV**
 * Hyperthyroidism**
 * Placenta Accreta**
 * ITP w platelets < 100K**
 * Documented feetal structural anomalies**
 * IUGR with EFW < 3% at < 37 weeks**
 * Asthma in Pregnancy
 * Aspirin Prophylaxis in Pregnancy
 * Breech/Transverse Lie and Version
 * Cervical Insufficiency and Cerclage
 * Cholestasis of Pregnancy
 * Diabetes in Pregnancy
 * Fetal Demise 2nd or 3rd Trimester
 * __Fetal Macrosomia__
 * __Gestational Diabetes__
 * Hepatitis B in Pregnancy
 * High Risk Neonatal & Perinatal Delivery Planning
 * Hypertension disorders of pregnancy 2013 update summary
 * Immunizations in pregnancy
 * IUGR: Evaluating a small for gestational age fetus
 * Isoimmunization (Positive Antibody Screen)
 * Marijuana in Pregnancy and Breastfeeding
 * __Opiate Use and Substance Use Disorder Management in Pregnancy__
 * __Placenta Previa and Low Lying Placenta__
 * Preeclampsia, Gestational Hypertension and Chronic Hypertension
 * __Preterm Birth Prevention with hydoxy-progesterone injections__
 * Prenatal Fetal Screening Tests
 * Postdates Pregnancy Management
 * __Postpartum Tubal Ligation__
 * __Rh Negative Mother__
 * __Scheduling Cesarean Section__
 * Thrombophilia Evaluation and Treatment in Pregnancy
 * Thyroid Disease in Pregnancy
 * Thrombocytopenia
 * Twin Pregnancy Surveillance
 * VBAC
 * Zika in Pregnancy

West County OB referral to ABMC TB testing guidelines Physical Therapy and Pregnancy Hypertensive Disorders of Pregnancy Vaginal Birth After Cesarean
 * West County Guidelines for Scheduling Deliveries at ABMC
 * Instructions for transferring patients from West County to ABMC
 * Click here to view a schedule of available antenatal testing clinics.

Antenatal Genetic Testing Breastfeeding Contraception Perinatal/Postpartum Depression: Referral to services in English and Spanish Disability/Restricted Medi-Cal Public Health Nursing: Refer high risk mom/baby pairs or pregnant women with medical needs. [|Welcome Home Baby]/ Hand to Hand Collaboration: : Community based support in West, Central and East county for pregnant moms. See WIC Patient Education resources:
 * [|Low literacy prenatal educational and planning book from What to Expect.]
 * [|ARHP]has educations guides with video in English and Spanish on multiple reproductive health issues.
 * Text4Baby.org: An online FREE service, women get english/spanish text messages 1-3 times per week, up until baby is one year old.
 * HepBMoms.org - an online tool for patients and providers about perinatal Hep B.

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