OB/GYN
Rotation expectations
Call group (only cover patients of the following): Dr. Vishwanath Dr. Dickinson Dr. Marquez D...
Routine Visit Schedule
The first visit of prenatal care typically occurs in the first trimester. The frequency of follow...
Routine Testing Intervals/Schedules
Initial Visit or First trimester visit: Prenatal Panel: CBC, GC/Chlamydia, HIV, Rubella, RPR, HB...
Pregnancy Dating
Step 1: Document First day of the last normal menstrual period then use Nigel's rule or use uptod...
Fetal Well-Being
These are ways used to establish fetal well being: Fetal movement count Non-stress test Contra...
Intrauterine Growth Restriction
Definition Sonographic EFW <10th percentile Etiology Maternal factor: Behavioral (smoking, sub...
Nonstress Testing
Contraindications: Gestational age <24 weeks Interpretation: >32 weeksReactive NST: two fetal ...
Contraction Stress Test
The contraction stress test is interpreted by the presence or absence of late fetal heart rate de...
Biophysical Profile
Scoring: The non stress test (2), fetal breathing movement (2), Fetal tone (2), Fetal movement (2...
Fetal Heart Rate Monitoring
BASELINE FHR The normal FHR range is between 120 and 160 beats per minute (bpm). The baseline ra...
Laboratory Values in Pregnancy
Lab values in Pregnancy
Bishop Score
The Bishop score may be used to rate the readiness of the cervix for labor. Scores ≤ 5 suggest ...
Recurrent Pregnancy Loss
Definition 3 or more consecutive preg losses before 20wk gest or after 2 consecutive losses, esp...
Hyperemesis Gravidarum
Definition Nausea and vomiting in pregnancy that significant enough to cause dehydration, metabo...
Hypertension in Pregnancy
Definition Chronic HTN: SBP greater equal to 140 or DBP greater equal to 90 prior to 20 weeks or...
Vaginal birth after Cesarean
Appropriate candidates Hx 1-2 C-section via low transverse hysterotomy. Inappropriate candidat...
Post Dates Management
Review gestational dating AFI/BPP and NST at 41 weeks and repeat once to twice a week Consider ...
Gestational Diabetes
Universal screening start at 24-248 weeks. Consider screening earlier in all women with BMI >25 ...
Twins
At risk for hyperemesis, GDM, HTN, hemorrhage, cesaeran, postpartum depression, preeclampsia, pre...
ER precautions in Term Pregnancy
Regular painful contraction every 5 minutes (nulliparous) or every 10 minutes (multiparous), or s...
Medication in Obstetrics
Minimize all medication use during pregnancy (especially in 1st TM), unless clearly indicated! F...
PAP Smear Referral Guideline
Algorithm 2013 Univ Washington