• Prenatal screening
    OBGYN

    Pregnancy Screening & Testing

    First prenatal visit Blood type & Rh FactorRubella IgG and IgM — positive IgG only = immuneCBCHBsAgVDRL (syphilis) — can use EIA Ab then RPR. Re-screen @ deliveryHIV antibodySTI (chlamydia, gonorrhea) — with NAATVaricella IgG — (+) means immuneSafe vaccines = Tdap, flu, HBVUnsafe vaccines = HPV, MMR, Varicella, live attenuated influenzaDiclectin┬« (pyridoxine/doxylamine) for nausea/vomiting Second prenatal visit PAP smear if not done in last 3 years Week 11 Dating ultrasound @ 8-12 weeksWeek 11-14: Beta-hCG, PAPP-A, nuchal translucencyWeek 15-20: MSAFP, Beta-hCG, estrogen, inhibin AChorionic villus sampling (week 10), amniocentesis (week 15) Week 20 Ultrasound anatomy scan offered Week 24-28 Tdap @ 27-32 weeks Week 35-37 GBS swab Week 38-39…