Prenatal Visit Guidelines

Clinic A/P, adults, OB/GYN

 – The attending physician must see all prenatal patients.  Pregnancy Confirmation  Urine Pregnancy Dating U/S Prenatal folder – Prenatal Vitamins TSH (if history of hypothyroidism, TSH <2.5) Be cognizant of time-sensitive labs – Depending on EDD...

Nausea and Vomiting in Pregnancy

Clinic A/P, adults, OB/GYN

Stepwise Approach to Nausea and Vomiting During Pregnancy (From ACOG) Step 1: Vit B6 (pyridoxine) 25mg PO q6-8h Step 2: Vit B6 + Doxylamine 12.5mg (half a tablet of 25mg of Unisom) PO q6-8h; OR Diclegis (Doxylamine 10mg + Vit B6 10mg) 2 tabs qhs, maximum 4 tabs (1tab...

Antibiotics in Pregnancy

OB/GYN

-Tetracyclines, such as doxycycline, are contraindicated throughout the duration of pregnancy due to the risk of permanent discoloration of tooth enamel in the fetus. Fluoroquinolones are also contraindicated in pregnancy due to the harmful risks to the fetus....

Chorioamnionitis / Intra-Amniotic Infection

OB/GYN

Definition Maternal presentation Intra-Amniotic Infection (IAI) often occurs in women with premature rupture of membranes (PROM) but can occur with intact membranes, especially in laboring women. The key clinical findings, which are nonspecific, and their frequencies...

Anticoagulation during pregnancy

OB/GYN

Both Unfractionated heparin and low molecular weight heparin are approved for use during pregnancy. Heparins are good during pregnancy because they don’t cross the placenta. I.e. both LMWH and UFH don’t cross the placenta. LMWH can be given SC at home. UFH...

Pelvic Inflammatory Disease (PID)

Clinic A/P, adults, Hospital A/P, Adults, OB/GYN

Background PID is a polymicrobial infection of the upper genital tract. It primarily affects young, sexually active women. Chlamydia trachomatis and Neisseria gonorrhoeae are the most common organisms involved; however, other microorganisms especially anaerobes are...