Obstetrics Book

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First Obstetric Visit

Aka: First Obstetric Visit, Initial Prenatal Care Visit
  1. See Also
    1. Routine Obstetric Visit
    2. First Trimester Education
    3. Nutrition in Pregnancy
  2. Timing
    1. Perform at 8 weeks gestation
  3. History: Obstetrics
    1. See Pregnancy Risk Assessment
    2. Establish firm due date early
      1. See Pregnancy Dating
  4. Exam: General
    1. See Pregnancy Dating
    2. See Pregnancy Signs
    3. Complete physical examination with pelvic exam
      1. Breast Exam is optional (but may predict later Lactation Problems for the Mother)
      2. Pap Smear
  5. Exam: Specific components that are no longer recommended (but were performed historically)
    1. First trimester Cervical Length
      1. Does not predict Preterm Labor risk
    2. Pelvimetry
      1. Pelvimetry is a poor predictor of who will deliver vaginally and is not routinely performed nor recommended in the U.S.
  6. Labs
    1. See Prenatal Labs
  7. Imaging
    1. Obstetric Ultrasound Indications
      1. Unsure Last Menstrual Period
      2. Confirm intrauterine pregnancy
      3. Irregular menstrual periods
      4. Uterine Size-date discrepancy
  8. Management
    1. See Preconception Counseling
    2. See First Trimester Education
    3. Start Prenatal Vitamins with Folic Acid if not already started
  9. References
    1. Zolotor (2014) Am Fam Physician 89(3): 199-208 [PubMed]

Initial prenatal care visit (report at first prenatal encounter with health care professional providing obstetrical care. Report also date of visit and, in a separate field, the date of the last menstrual period [LMP]) (Prenatal) (C1504204)

Concepts Therapeutic or Preventive Procedure (T061)
CPT 0500F
English Initial prenatal care visit, Initial prenatal care visit (report at first prenatal encounter with health care professional providing obstetrical care. Report also date of visit and, in a separate field, the date of the last menstrual period [LMP]) (Prenatal), Initial prenatal care visit (report at first prenatal encounter with health care professional providing obstetrical care. report also date of visit and, in a separate field, the date of the last menstrual period [lmp]) (prenatal), INITIAL PRENATAL CARE VISIT
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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