Obstetrical Patient Visits

CONFIRMATION OF PREGNANCY:
Transvaginal Ultrasound
Dating the Pregnancy
Review for urgent problems
Schedule New OB visit in 7-10 days

NEW OBSTETRIC PATIENT VISIT: 
Baseline History & Physical
Baseline Lab tests
Risk assessment and discussion.
Introduction to Website
Offer NT Screen for Chromosome problems at 11-13 weeks
Info For Every Week of Pregnancy

12 WEEK VISIT:
Any Problems or Questions?
Vital Signs, Weight, Urine check.
Uterine Size, Fetal Heart Beat
Offer EVMS Genetic Consult Option
Non-Invasive Prental Testing
Universal Carrier Screening
Nuchal Translucency Testing
Cystic Fibrosis
Hemoglobin Electrophoresis
Tay Sach Testing Options
Multiple Marker Screening

16-17 WEEK VISIT:
Any Problems or Questions?
Vital Signs, Weight, Urine check.
Uterine Size, Fetal Heart Beat
Cystic Fibrosis Option
AFP or Maternal Serum Multiple Marker Screen
Provide Ultrasound Consent Info

20 WEEK ULTRASOUND:
Daytime Hours – Tuesday
Thursday Evenings
Morphology Scans

21-22 WEEK VISIT:
Any Problems or Questions?
Vital Signs, Weight, Urine check.
Uterine Size, Fetal Heart Beat
Review Ultrasound

26-28 WEEK VISIT:
Any Problems or Questions?
Vital Signs, Weight, Urine check.
Uterine Size, Fetal Heart Beat
If Rh (-) receive Rhogam
Screen for Gestational Diabetes
Recheck  CBC, RPR, HIV
Pediatrician List
Birthing Plan
Birthing (and other) Classes
When Labor Begins

Recommend Pertussis (Tdap) Vaccine 

30-32 WEEK VISIT:
Any Problems or Questions?
Vital Signs, Weight, Urine check.
Uterine Size, Fetal Heart Beat
Pre-register at Center for Birth 
Visit Hospital for Familiarity
Circumcision Information

35 WEEK VISIT:
Any Problems or Questions?
Vital Signs, Weight, Urine check.
Uterine Size, Fetal Heart Beat
Group B Strep Vaginal Culture
Recovery From Pregnancy Info
Birth Control after Baby is born

37 WEEK VISIT:
Any Problems or Questions?
Vital Signs, Weight, Urine check.
Uterine Size, Fetal Heart Beat
Start internal examinations
Cervical ripeness / Fetal Position

38 WEEK VISIT:
Any Problems or Questions?
Vital Signs, Weight, Urine check.
Uterine Size, Fetal Heart Beat
Cervical ripeness / Fetal Position

39 WEEK VISIT:
Any Problems or Questions?
Vital Signs, Weight, Urine check.
Uterine Size, Fetal Heart Beat
Cervical ripeness / Fetal Position

40 WEEK VISIT:
Any Problems or Questions?
Vital Signs, Weight, Urine check.
Uterine Size, Fetal Heart Beat
Cervical ripeness / Fetal Position

41 WEEKS AND BEYOND
POSTDATES VISITS:
Any Problems or Questions?
Vital Signs, Weight, Urine check.
Uterine Size, Fetal Heart Beat
Cervical ripeness / Fetal Position
Non-Stress Testing, Biophysical Profile
2x/week visits hereafter