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PRENATAL CARE : SUBSEQUENT VISITS Part 01

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for low-risk, uncomplicated pregnancy

    • Visit monthly until 28 weeks
    • Visit 2 weeks from 28 to 36 weeks
    • Visit weekly from 36 weeks until delivery

With Every Visit

  1.  estimate GA
  2.  urine dip for glucose and protein
  3.  weight gain

    • expect gain of roughly 1 lb/month in first half of pregnancy, 1 lb/week in second half of pregnancy
    • average weight gain 25-35 lbs with only 40% of weight gain products of conception
  4.  blood pressure
  5.  symphyseal-fundal height measurement:

SFH should be within 2 cm of gestational age in weeks between 20 and 37 weeks,
i.e. SFH = 20 cm @ 20 weeks
  • 12 weeks fundus @ pubic symphysis
  • 20 weeks @ umbilicus
  • 37 weeks @ sternum
  6.  differential diagnosis of uterus incorrect size for dates (accurate dates essential)

maternal--> DM
maternal-fetal--> polyoligo-hydramnios, multiple gestation
fetal--> abnormal karyotype, IUGR, fetal anomaly

  7.  examination of abdomen for lie, position and presentation (Leopold maneuvers) in T3

  8.  fetal heart tones starting at ~ 12 weeks if using doppler U/S



Gestation-Dependent Management

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PRENATAL CARE : SUBSEQUENT VISITS Part 01 PRENATAL CARE : SUBSEQUENT VISITS Part 01 Reviewed by Radiology Madeeasy on December 27, 2010 Rating: 5
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