Ultrasound Based Redating of a Normal Pregnancy Without Maternal OR Fetal Abnormality

NOTE: Third Trimester Ultrasound Based Due Date is Least Reliable and Requires Follow Up of Interval Growth.

Step 1. Calculate GA/EDD by LMP here.

Step 2. Calculate GA/EDD by FIRST ULTRASOUND here.

Step 3. Use the GA/EDD by US if the discrepancy between ultrasound dating and LMP is:

  • Greater than 5 days before 9 0/7 weeks of gestation by LMP

  • Greater than 7 days from 9 0/7 weeks to 15 6/7 weeks by LMP

  • Greater than 10 days from 16 0/7 weeks to 21 6/7 weeks by LMP

  • Greater than 14 days from 22 0/7 weeks to 27 6/7 weeks by LMP

  • Greater than 21 days after 28 0/7 weeks by LMP

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Pregnancy Due Date Calculator

https://perinatology.com/calculators/Due-Date.htm 

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Calculate Due Date From US Report

https://www.perinatology.com/calculators/EDDSono.htm 

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Gestational Age on a Given Date for Induction of Labor OR C-Section

https://perinatology.com/Reference/Fetal%20development.htm 

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Gestational Age from Ultrasound Measurements

https://perinatology.com/calculators/Estimation%20of%20Fetal%20Weight%20and%20Age.htm#AGECALC 

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Pregnancy Wheel

https://www.prokerala.com/health/pregnancy/pregnancy-wheel/ 

First Trimester of Pregnancy: Less than14 weeks 0 days

Second Trimester of Pregnancy 14 weeks and 0 days through 27 weeks and 6 days

Third Trimester of Pregnancy 28 weeks 0 days through delivery

References: https://app.box.com/s/n14psxhkvo5owj4utbbbah92dc4gxl6l 

 Education Resources Links

Email/Text to Patient


Birth Control     https://1drv.ms/f/s!AvDkyQc9gC54agIKn6vNDkeCcKQ?e=VPKJsE 

 

Vaginitis    https://1drv.ms/f/s!AvDkyQc9gC54gTgfoAnxPIIh1xrf?e=CNfbTI


Induction of Labor     https://1drv.ms/f/s!AvDkyQc9gC54gViFZEWoBx1uXIH_?e=0tc4ii


Fibroids     https://1drv.ms/f/s!AvDkyQc9gC54gRN3yXlQJ21PUj2e?e=Czlcjn


Ovarian Cysts      https://1drv.ms/f/s!AvDkyQc9gC54gSPV_5oLtBjKEK99?e=Rw3cmo


PCOS     https://1drv.ms/f/s!AvDkyQc9gC54gSWTQDwxNLHT9Mtv?e=ntg9YS


Fibroid Treatment Options     http://tinyurl.com/fibroid101


Diabetes     https://1drv.ms/f/s!AvDkyQc9gC54gRCS0_YXEXGZs8nZ?e=WbYyfy


Depression Anxiety     https://1drv.ms/f/s!AvDkyQc9gC54gQIIZpyxuggOegbi?e=kRurh6


Stress     https://1drv.ms/f/s!AvDkyQc9gC54gSwmLdtXfYlX-awI?e=cvORU2


Insomnia     https://1drv.ms/f/s!AvDkyQc9gC54gVoHv47P6-6BIH7q?e=Ntfk8m


Psychiatric Urgent Care     https://1drv.ms/f/s!AvDkyQc9gC54gSe-de7eQ_I2P-ch?e=s3XzfR


Menopause     https://1drv.ms/f/s!AvDkyQc9gC54gRgGi69eOfs9UeEP?e=aWBpH0

     

Bladder Control Problems     https://1drv.ms/f/s!AvDkyQc9gC54e1otMxY3N9R8mi0?e=bT6hCC


Thyroid     https://1drv.ms/f/s!AvDkyQc9gC54gTBRNcXfZ4VO6mSk?e=4hBmPe

 

Education Resources Links

Email/Text to Patient

 

Birth Control     https://1drv.ms/f/s!AvDkyQc9gC54agIKn6vNDkeCcKQ?e=VPKJsE

 

 

Vaginitis    https://1drv.ms/f/s!AvDkyQc9gC54gTgfoAnxPIIh1xrf?e=CNfbTI

 

 

Induction of Labor     https://1drv.ms/f/s!AvDkyQc9gC54gViFZEWoBx1uXIH_?e=0tc4ii

 

 

Fibroids     https://1drv.ms/f/s!AvDkyQc9gC54gRN3yXlQJ21PUj2e?e=Czlcjn

 

 

Ovarian Cysts      https://1drv.ms/f/s!AvDkyQc9gC54gSPV_5oLtBjKEK99?e=Rw3cmo

 

 

PCOS     https://1drv.ms/f/s!AvDkyQc9gC54gSWTQDwxNLHT9Mtv?e=ntg9YS

 

 


Fibroid Treatment Options     http://tinyurl.com/fibroid101

 

 

Diabetes     https://1drv.ms/f/s!AvDkyQc9gC54gRCS0_YXEXGZs8nZ?e=WbYyfy

 

 

Depression Anxiety     https://1drv.ms/f/s!AvDkyQc9gC54gQIIZpyxuggOegbi?e=kRurh6

 

 

Stress     https://1drv.ms/f/s!AvDkyQc9gC54gSwmLdtXfYlX-awI?e=cvORU2

 

 


Insomnia     https://1drv.ms/f/s!AvDkyQc9gC54gVoHv47P6-6BIH7q?e=Ntfk8m


 

 

Psychiatric Urgent Care     https://1drv.ms/f/s!AvDkyQc9gC54gSe-de7eQ_I2P-ch?e=s3XzfR

 

 


Menopause     https://1drv.ms/f/s!AvDkyQc9gC54gRgGi69eOfs9UeEP?e=aWBpH0



 

Bladder Control Problems     https://1drv.ms/f/s!AvDkyQc9gC54e1otMxY3N9R8mi0?e=bT6hCC

 

 

Thyroid     https://1drv.ms/f/s!AvDkyQc9gC54gTBRNcXfZ4VO6mSk?e=4hBmPe

 

 

 

 

 

 

Prenatal Labs Management

 First Visit

 

PAP Smear, HPV                                           Colposcopy as Indicated

 

Vaginal Cx (BV, Candida, GC, CT, Trich, HSV, Mycopl, Ureapl) Treat, Send Fax to County for STD

 

Blood

HBsAg Screen                                            ID Consult, Send Fax to County

HCV Ab                                                     ID Consult, Send Fax to County

RPR                                                          ID Consult, Send Fax to County

Rubella Antibodies                                                                           

ABO Grouping

Rh Factor                                Rhogam @ 28 Weeks if RH Negative

Antibody Screen                                     Dr. Brar Consult if Positive

HIV Screen                                          Refer to RUHS, Fax to County   

CBC with Diff                                 Hematology Consult if HGB < 10

SMA Spinal Muscular Atrophy                     Dr. Brar Consult if Abnormal

CF Cystic Fibrosis                                     Dr. Brar Consult if Abnormal

QuantiFERON-TB                                   ID Consult, Send Fax to County

 

Urine

UA with reflex cultures                                               Treat if UTI

Urine Drug Screen                                           Dr. Brar Consult if Positive

 

Optional

MaterniT Genome 9-40 Weeks                      Dr. Brar Consult if Abnormal 

MSAFP  15-20 Weeks                                    Dr. Brar Consult if Abnormal  

 Second (24 Weeks)

 

Blood

Urine Drug Screen                                   Dr. Brar Consult if Positive

CBC With Differential                   Hematology Consult if HGB < 10

GDM 1-Hr PG Screen > 140 -> 3 HR GTT If > 2 Val Abnml > Dr. Brar, Sweet Suc, Glucomet                                                                   

 

Urine

UA with reflex cultures                               Treat if UTI

 Third 

RPR (28 Weeks)                    ID Consult, Send Fax to County

GBS (36 Weeks)

 

Note: These are general guidelines for quick reference only. Management should be individualized.

 


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