| Preconception visit |
- Risk profiles
- Height and weight/BMI
- Blood pressure
- History and physical
- Cervical cancer screening
- Rubella/rubeola
- Varicella
- Domestic violence
- Depression
|
- Preterm labor education and prevention
- Substance use
- Nutrition and weight
- Domestic violence
- List of medications, herbal supplements, vitamins
- Accurate recording of menstrual dates
|
- Tetanus booster
- Rubella/MMR
- [Varicella/VZIG]
- Hepatitis B vaccine
- Folic acid supplement
|
Visit 1
6-8 weeks |
- Risk profiles
- GC/Chlamydia
- Height and weight/BMI
- Blood pressure
- History and physical
- Rubella
- Varicella
- Domestic violence
- Depression
- CBC
- ABO/Rh/Ab
- Syphilis
- Urine culture
- HIV
- [Blood lead screening 21]
- [VBAC 22]
- Viral hepatitis
|
- Preterm labor education and prevention
- Prenatal and lifestyle education:
- Physical activity
- Nutrition
- Follow-up of modifiable risk factors
- Nausea and vomiting
- Warning signs
- Course of care
- Physiology of pregnancy
- Discuss fetal aneuploidy screening
|
- Tetanus booster
- Nutritional supplements
- Influenza
- [Varicella/VZIG 9]
- Pertussis
|
Visit 2
10-12 weeks
|
- Weight
- Blood pressure
- Fetal aneuploidy screening
- Fetal heart tones
|
- Preterm labor education and prevention
- Prenatal and lifestyle education:
- Fetal growth
- Review labs from visit 1
- Breastfeeding
- Nausea and vomiting
- Physiology of pregnancy
- Follow-up of modifiable risk factors
|
|
Visit 3
16-18 weeks
|
- Weight
- Blood pressure
- Depression
- Fetal aneuploidy screening
- Fetal heart tones
- OB ultrasound (optional)
- Fundal height
- Cervical assessment
|
- Preterm labor education and prevention
- Prenatal and lifestyle education:
- Follow-up of modifiable risk factors
- Physiology of pregnancy
- Second-trimester growth
- Quickening
|
|
Visit 4
22 weeks
|
- Weight
- Blood pressure
- Fetal heart tones
- Fundal height
- Cervical assessment
|
- Preterm labor education and prevention
- Prenatal and lifestyle education:
- Follow-up of modifiable risk factors
- Classes
- Family issues
- Length of stay
- Gestational diabetes mellitus (GDM)
|
|
Visit 5
28 weeks
|
- Preterm labor risk
- Weight
- Blood pressure
- Depression
- Fetal heart tones
- Fundal height
- Gestational diabetes mellitus (GDM)
- Domestic abuse
- [Rh antibody status]
- [Hepatitis B Ag]
- [GC/Chlamydia]
|
- Psychosocial risk factors
- Preterm labor education and prevention
- Prenatal and lifestyle education:
- Follow-up modifiable risk factors
- Work
- Physiology of pregnancy
- Preregistration
- Fetal growth
- Awareness of fetal movement
|
- [ABO/Rh/Ab 17]
- [Hepatitis B Ag]
- [RhoGAM 17]
|
Visit 6
32 weeks
|
- Weight
- Blood pressure
- Fetal heart tones
- Fundal height
|
- Preterm labor education and prevention
- Prenatal and lifestyle education:
- Follow-up of modifiable risk factors
- Travel
- Contraception
- Sexuality
- Pediatric care
- Episiotomy
- Labor and delivery issues
- Warning signs/pregnancy induced
- Hypertension
- [VBAC 22]
|
|
Visit 7
36 weeks
|
- Weight
- Blood pressure
- Fetal heart tones
- Fundal height
- Cervix exam
- Confirm fetal position
- Culture for group B streptococcus
|
- Prenatal and lifestyle education:
- Follow-up of modifiable risk factors
- Postpartum care
- Management of late pregnancy symptoms
- Contraception
- When to call provider
- Discussion of postpartum depression
|
|
Visit 8-11
38-41 weeks
|
- Weight
- Blood pressure
- Fetal heart tones
- Fundal height
- Cervix exam as indicated
|
- Prenatal and lifestyle education:
- Follow-up of modifiable risk factors
- Postpartum vaccinations
- Infant CPR
- Post-term management
- Labor and delivery update
- Breastfeeding
|
|
Postpartum visit
4-6 weeks
|
- Cervical cancer screening
- [GC/Chlamydia]
- Height and weight/BMI
- Blood pressure
- History and physical
- Domestic violence
- Depression
- Gestational diabetes mellitus (GDM)
|
- Contraception
- Discussion of postpartum depression
- Breastfeeding concerns and support
|
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