ANTENATAL CARE

ANTENATAL CARE Antenatal Care Detailed history and physical exam Estimated date of delivery Dating ultrasound Prenatal labs (CBC, ABO/Rh type & screen, Antibody screen, HBsAg, Syphilis serology, Rubella IgG, Varicella, HIV) Chlamydia/Gonorrhea screen Urine culture & sensitivity Second Trimester(12-28 weeks) First Trimester (0-12 weeks) Third Trimester (28-40 weeks) Fetal heart rate tones (starting at 12 weeks) Prenatal genetic screening First trimester screen (nuchal translucency, ?-hCG , PAPP-A; 11-14 weeks) Maternal serum screen (AFP, uE3, ?-hCG; 15-22 weeks) ± Prenatal diagnosis Chorionic villus sampling (11-13 weeks) Amniocentesis (15-17 weeks) Detailed 18-20 week Ultrasound (dating, number of fetuses, placental location, anatomic survey) Gestational diabetic screen (50g oral glucose challenge; 24-28 weeks) Rh antibody screen and Rh immunoglobulin if indicated (28 weeks) Fetal surveillance Fetal movement counts (>6 movements in 2 hours) Symphysis fundal height Leopold maneuvers Group B Streptococcus screen (35-37 weeks) ± Ultrasound for growth, presentation, biophysical profile ± Non-stress test At Every VisitWeight, Blood pressure, Psychosocial screening, Counseling re. Indications to go to hospital