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    Prenatal Care and Testing

    Prenatal Care and Testing is a topic covered in the 5-Minute Clinical Consult.

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    Basics

    The goal of prenatal care is to ensure the birth of a healthy baby with minimal risk for the mother by the following:

    • Identifying the patient who is at risk for complications
    • Estimating the gestational age (GA) as accurately as possible
    • Evaluating the health status of mother and fetus
    • Encouraging and empowering the patient to do her part to care for herself and her baby-to-be
    • Intervening when fetal abnormalities are present to prevent morbidity

    General Prevention

    • A recommended prenatal care schedule consists of the following:
      • Monthly visits to a health care professional for weeks 4 to 28 of pregnancy
      • Visits twice monthly from 28 to 36 weeks
      • Weekly after week 36 (delivery at weeks 38 to 40)
    • Recommendations for use of dietary supplements in pregnancy
      • Folic acid supplementation (0.4 to 0.8 mg) prior to conception; 4 mg for secondary prevention
      • Calcium: 1,000 to 1,300 mg/day; supplement may be beneficial for women with high risk for gestational hypertension or communities with low dietary calcium intake.
      • Iron: Screen for anemia (Hgb/Hct) and treat if necessary.
      • Vitamin A: Pregnant women in industrialized countries should limit to <5,000 IU/day.
      • Vitamin D: Consider supplementation in women with limited exposure to sunlight.
    • Routine screening for thyroid and vitamin D deficiency during pregnancy is not recommended.

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    Citation

    Stephens, Mark B., et al., editors. "Prenatal Care and Testing." 5-Minute Clinical Consult, 27th ed., Wolters Kluwer, 2019. Medicine Central, im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/117641/all/Prenatal_Care_and_Testing.
    Prenatal Care and Testing. In: Stephens MB, Golding J, Baldor RA, et al, eds. 5-Minute Clinical Consult. 27th ed. Wolters Kluwer; 2019. https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/117641/all/Prenatal_Care_and_Testing. Accessed March 19, 2019.
    Prenatal Care and Testing. (2019). In Stephens, M. B., Golding, J., Baldor, R. A., & Domino, F. J. (Eds.), 5-Minute Clinical Consult. Available from https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/117641/all/Prenatal_Care_and_Testing
    Prenatal Care and Testing [Internet]. In: Stephens MB, Golding J, Baldor RA, Domino FJ, editors. 5-Minute Clinical Consult. Wolters Kluwer; 2019. [cited 2019 March 19]. Available from: https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/117641/all/Prenatal_Care_and_Testing.
    * Article titles in AMA citation format should be in sentence-case
    TY - ELEC T1 - Prenatal Care and Testing ID - 117641 ED - Stephens,Mark B, ED - Golding,Jeremy, ED - Baldor,Robert A, ED - Domino,Frank J, BT - 5-Minute Clinical Consult, Updating UR - https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/117641/all/Prenatal_Care_and_Testing PB - Wolters Kluwer ET - 27 DB - Medicine Central DP - Unbound Medicine ER -