Multiple-gestation pregnancy, she should take 60 If the pregnant woman is iron deficient or has a Mg of calcium, yogurt generic calcium carbonate ( 260 Requirements are higher in adolescence and with multiple gestation.ġ200 to 1500 mg of elemental calcium per day. Patients with genital HSV which has been shown to decrease transmission Consider GC, Chlamydia, and herpes rescreening in See below.Īfter 50 g of oral glucose and urine culture. (alpha-fetoprotein, beta-HCG, and estradiol). Preparation, or hemoglobin electrophoresis in all previously unscreenedīlack women, tuberculin skin testing, HIV antibody testing, and CMV Cervical culture for GCĪnd Chlamydia, Toxoplasmosis antibody test, sickle cell Substantially decreases risk of transmission of HIV to infant&endash see Chapter 11.) States require testing since AZT administered during pregnancy Protein and glucose by dipstick at each visit. Treat asymptomatic bacteriuria to prevent Screen (indirect Coombs’), VDRL test, rubella antibody titer, and Laboratory Evaluation at first prenatal visit.Ĭulture to screen for bacteriuria, ABO blood type, Rh type, antibody.Weeks = at umbilicus fundal height (weeks of gestation = cm from pubic If patient has not had one in last 6 months. Labor, premature rupture of membranes, preterm birth, and histologicįor treatment.) Rule out cervical anomalies. It is particularly important to screen forĪnd treat BV, since it is associated with an increased risk of preterm Vaginosis (BV) culture cervical discharge for GC and Chlamydia. Examine vaginalĭischarge and evaluate for Candida, Trichomonas, and bacterial Look for evidence of condylomas and herpes. Also look for and culture lesions suspicious Podophyllin is contraindicated during pregnancy, but cryotherapy, Involved vaginal tissue will develop laryngeal papillomas or anogenital These lesions may progressĭuring pregnancy, and a small percentage of infants born through Look for evidence of condylomata acuminata. Increased vaginal discharge, fluid leak, regular uterine contractions).Īttention to height, weight, BP, thyroid gland, dentition, heart,īreasts, deep tendon reflexes, signs of underlying heart disease. Symptoms to watch for (abdominal cramping, pressure, cramps, backache, Weeks, vaginal exam for pH and cervical exam, monitor uterine activity,Įducation on nutrition and preterm labor, and reinforce what signs and To 32, cervical group B streptococci and urine culture at 24 Prenatal Care for Patients at Risk for Preterm Labor.Or unwanted pregnancy, expectations, potential stresses, need of social or financial services. Support network, whether or not the father of child is involved, wanted Weight, sex, and Apgar scores of liveborn infants. Vaginal delivery (NSVD), forceps, C-section (indication, type of uterine The type of previous deliveries is also important: normal spontaneous Rupture of membranes (PROM), placenta previa, and postpartum hemorrhage. Should be made of previous shoulder dystocia, premature labor, premature Pregnancies including terminations and spontaneous abortions. Recreational drugs, diet, activity, caffeine. Illnesses, history of sexually transmitted diseases, medications, family Establish datesĬarefully based on first day of last menstrual period and uterine size. Previous two menses, previous methods of contraception. Of menarche, pain with menses, duration of flow, characteristics of (thalassemia, Tay-Sachs, cystic fibrosis, sickle cell, etc.). Proper nutrition,Įxercise, smoking cessation, abstinence from alcohol and drugs, protectionįrom radiation (x-rays) and workplace exposures, information on prescribedĪnd OTC drugs to avoid teratogenicity, infection control (STD protectionĪnd treatment, rubella and hepatitis immunity status), and psychosocialĬounseling for planning a pregnancy. Labor from bacterial vaginosis, antiphospholipid antibody syndrome, etc.). Identify and when possible controlįactors leading to previous poor results in pregnancy (such as preterm Tight glucose control in DM results in lower Prevention of NTDs byįolic acid supplementation. Women of childbearing age, since more than 50 % of To prevent congenital anomalies, maximize maternal health and is offered to all
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