Perinatal+newsletter

Perinatal newsletters
Perinatal newsletters will be archived here, with the name indicating the year and month of publication. After the link, there will be a very abbreviated table of contents. As I have time, salient points will be extracted and placed elsewhere within the OB-Gyn section of this website, so that downloading a file will not be necessary.

MFM/OB consults New GDM glucose goals Herpes testing
 * [[file:Contra Costa Perinatal Update January 2018.docx|Update January 2018]]**

Newsletter of 2015 October Ultrasound Logistics

Newsletter of 2015 August Cesarean Wound Management

Newsletter of 2012 Mar/Apr
 * Clinical Scenarios: "GBS in the Urine: To Treat or Not to Treat?"
 * New Antepartum Testing Guidelines at CCRMC
 * Postpartum Tubal Form Reminder
 * Friday Evening IUD & Implanon clinic

Newsletter of 2012 Jan/Feb
 * Clinical Scenarios: "The Small Belly"
 * Beyond "Negative x 4": Antepartum Testing & Abnormal Serum Analytes (by Dr. Lehman)
 * Flu & Tdap Vaccines in Pregnancy

Newsletter of 2011 Nov/Dec
 * Clinical Scenarios: "The Itchy Patient"
 * When to Consult Pediatrics (from Dr. Jolton & Peds dept)
 * PT Pelvic Rehab Clinic Now Open (from Dr. Keller & PT dept)

Newsletter of 2011 Sept/Oct
 * Clinical Scenarios: "2-Vessel Cord Seen on Routine Ultrasound"
 * Updated CDC Recommendations for Postpartum Contraception
 * Early Ultrasound Clinic Now Available at PHC & MTZ
 * When to Order IV Iron Sucrose

Newsletter of 2011 Jan/Feb
 * Clinical Scenarios: "Incidental Finding of a Complete Previa"
 * Umbilical Artery Dopplers: What are they and when to use them?
 * Using 2-hr GTT rather than 3-hr GTT for GDM Diagnosis
 * AMA: New CCRMC Antenatal Testing Guidelines

Newsletter of 2010 Oct/Nov
 * Clinical Scenarios: "A Case of 2 GBS"
 * Hemoglobinopathies in Pregnancy
 * Tubal Ligation 330 PM Forms

Newsletter of 2010 Aug/Sept
 * Scheduling C-Sections
 * Scheduling Inductions
 * GBS Update
 * Revised GDMA2 Antenatal Testing Guidelines

Newsletter of 2010 June/July
 * Antenatal Perineal Massage //([|patient handout in English])//
 * Chronic Hepatitis B & C in Pregnancy
 * Weight Gain in Pregnancy: New IOM Recommendations
 * Antenatal Testing at Pittsburg Health Center

Newsletter of 2010 Apr/May
 * ACOG's New Pap Smear Guidelines
 * Asthma in Pregnancy
 * Single Umbilical Artery

Newsletter of 2010 Mar
 * Group B Streptococcus //(patient handout in[| English] / [|Spanish])//
 * Postpartum Screening for GDM Patients
 * External Cephalic Version //(patient handout in [|English] / [|Spanish] )//
 * CCRMC's Doula Program

Newsletter of 2010 Feb
 * VBAC: Prenatal Care Aspects
 * GDMA2 and Type 2 DM Inductions
 * Post C-section Wound Infections
 * New Antenatal Testing Recommendation for AMA Patients

Newsletter of 2010 Jan [|Newsletter of 2009 Jan]
 * How to Date a Pregnancy
 * Anemia in Pregnancy
 * Antibiotic Use During Pregnancy
 * "New-ish" Fetal Heart Rate Monitoring Guidelines
 * Discussion of evaluating possible intrauterine growth restriction (IUGR)
 * Discussion of vaginal trial of labor (VTOL)
 * Brief reminder about cholestasis of pregnancy

[|Newsletter of 2008 Jan] [|Newsletter of 2007 Oct] [|Newsletter of 2008 July]
 * Discussion of use of ultrasound for [|dating pregnancy]
 * Use of oral medicines for diabetes in first-trimester pregnancies
 * Why not to do pap smears in pregnant teens who recently became sexually active
 * Expansion of antepartum testing availability
 * Guidelines for [|TB screening in pregnant women]
 * Reminder to do CBC, RPR and HIV at 34-36 weeks
 * Guidelines for referrals to perinatalogists (high-risk OB)
 * General guidelines for antepartum fetal monitoring
 * Reminder about when/why to screen for gestational diabetes
 * TB screening: download an [|explanation] or an [|algorithm]
 * Announcement of varicella (chicken pox) screening in prenatal patients without a prior history of chicken pox
 * Discussion of whether a patient with two prior cesarean sections can get a vaginal trial of labor (VTOL)
 * New [|abnormal pap guidelines]
 * List of multiple areas to watch out for in prenatal care, including
 * Sign tubal paper after 20 weeks but before 35 weeks
 * Federally funded tubal consent is used for MediCal (TR, TO, GO), non-federally funded for HO, PP
 * On East Bay Perinatal ultrasounds, calculate EDD from their "gestational age", not on what they list as "Final EDD"
 * Consider progesterone injections for anyone with history of idiopathic preterm delivery
 * Pre-eclampsia workups should be started and followed-up on L & D. If you start work-up in clinic, have patient follow-up on L&D the next day
 * If HepB SAg +, get also viral load, LFTs, eAg, eAb
 * Elective cesareans are at 39 weeks. If based on outside ultrasound, send a copy to L&D
 * Short cervix (< 2.5) at less than 32 weeks or funneling of cervix requires immediate consult whether cerclage is indicated
 * Ultrasounds showing significant IUGR (especially if less than 3%) need a delivery plan
 * Sonos with possible previa need follow-up as well as instructions to patient for pelvic rest after 24-26 weeks while awaiting verification