Folic acid dosing to prevent pregnancy-related neural tube defects in pts with hx of
delivering a child with a neural tube defect or strong family history 4mg/d Starting
several months pre-pregnancy Folic acid dosing to prevent pregnancy-related neural
tube defects in pts with insulin-dependent DM, or on valproic acid or carbamazepine at
least 1mg/d Dose for folic acid supplementation 0.4mg/d at least 1 month
pre-conception labs to be drawn-1st trimester CBC w/diff Blood type and screen
Antibody screen
RPR or VDRI HIV Hep B surface antigen [HBsAG] Rubella-zoster titers UA with culture
PAP DNA prober (Gonorrhea / chlamydia) Initial visit for pregnancy occurs when
between 6-8 weeks gestation Stepwise integrated screening 1st step: between 11 0/7 -
13 6/7 weeks gestation US --> measure fetal nuchal translucency Serum test --> PAPP-A
and BHCG [screen for trisimy 13, 18, 21] 2nd step: between 15-18 weeks gestation
, Maternal AFP --> detect open neural tube defect
Quadruple Screening
15-20 weeks gestation (optimally 16-18 weeks)
Maternal serum --> AFP
Serum BHCG, Unconjugated Estriol, inhibin
What is to be offered to women above age 35 or have a family history of some risk
factors for genetic disorders?
Chorionic Villious Sampling
Between 10-13 weeks via transabdominal or transvaginal technique
Amniocentesis
At between 15-20 weeks --> 100% detection rate of aneuploidy
Schedule of prenatal visits
every 4 wks x week 28
every 2 wks wks 28-36
every wk week 36 until delivery
2x/wk for postdates > 40 wks
Schedule of prenatal visits usually starts when?
After 2 missed periods
Will be earlier if prev hx of ectopic or > 2 spontaneous miscarriages
Closer supervision of prenatal care is warranted for patients developing what
problems?
Decreased fetal movement
Gestational diabetes
Pregnancy-induced hypertension
Normal weight gain in pregnancy depends on:
Pre-pregnancy BMI
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Chrisyuis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.