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.