FPC: caring for the pregnant patient Flashcards
(16 cards)
What is done at every prenatal visit?
Maternal vitals, assess baby vitals
Up to 28 weeks, how often do pregnant patients come in?
Every 4 weeks
Between 29-36 weeks, how often do pregnant patients come in?
Every 2 weeks
Between 37-41 weeks, how often do pregnant patients come in?
Every week
What is done at the first prenatal visit?
Establish due date, thorough history (OB history, gyn history, family history), exam with ultrasound, labs, patient education
What kind of labs are done in the first prenatal visit?
HIV screening, syphilis screening, genetic conditions, antibody screening (largely Rhd), blood counts
How do we determine due date?
Last menstrual period/ultrasound data
How are IVF pregnancies dated?
Embryo transfer date
What might cause referral to genetic counseling?
Aneuploidy, carrier screening, focused genetic testing based on history
What carrier screenings do we check all pregnant patients for?
Hemoglobinopathies, CF, spinal muscular atrophy
What do we screen for in Ashkenazi Jewish descent patients?
Canavan disease, CF, familial dysautonomia, Tay-Sachs
What is the main screening option for aneuploidy?
Cell free fetal DNA aka NIPS/NIPT
What are recommendations to reduce pregnancy related deaths in SC?
Increased healthcare access, hemorrhage protocols and education, continuity of care following birth
When do most pregnancy-related deaths occur?
After the birth
How far does Medicaid cover postpartum care?
Up to a year
When do we see patient post-delivery?
1-3 weeks but used to be 6! The change has seemed to help
