Obstetrics Book

http://www.fpnotebook.com/

Second Trimester Education

Aka: Second Trimester Education
  1. See Also
    1. First Trimester Education
    2. Third Trimester Education
    3. Prenatal Visit
    4. Nutrition in Pregnancy
    5. Travel in Pregnancy
    6. Exercise in Pregnancy
  2. Anticipated Discomforts
    1. Quickening
    2. Back pain
    3. Round ligament pain
    4. Constipation
    5. Gastroesophageal Reflux
  3. Discussion Points
    1. Breast Feeding
  4. Symptoms prompting urgent evaluation
    1. Vaginal Bleeding
    2. Low abdominal cramps
    3. Fever
    4. Dysuria
  5. Immunizations
    1. Influenza Vaccine if pregnant in Influenza season
  6. Testing at 24 to 28 weeks
    1. Urinalysis and Urine Culture
    2. Hemoglobin
    3. Consider Group B Streptococcus Culture (as indicated)
      1. Otherwise screen at 36 weeks gestation
    4. Cervical exam for baseline (in case of Preterm Labor)
    5. Glucose Challenge Test with 50g Glucola
    6. Maternal blood type Rh negative
      1. Antibody screen (Indirect Coombs test)
      2. RhoGAM 300 mcg IM

Navigation Tree