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Prenatal Care

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Harvard

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  1. The purpose of prenatal care is to ensure, as much as possible, an uncomplicated pregnancy and the delivery of a live healthy infant
  2. This is the ideal time to stress the dangers of cigarette smoking, alcohol and drug use, and exposure to teratogens.
  3. Initial office visit
  4. Present pregnancy
  5. Previous pregnancy
  6. Medical history
  7. Surgical history
  8. Family history
  9. General examination
  10. Pelvic examination
  11. Blood screening
  12. Genetics testing
  13. Urine testing
  14. Papanicolaou smear
  15. Final Discussion

Prenatal care as we know it today is a relatively new development in medicine. It originated in Boston in the first decade of this century. Before that time, the patient who thought she was pregnant may have visited a physician for confirmation but did not visit again until delivery was imminent. The nurses of the Instructive Nursing Association in Boston, thinking they might contribute to the health of pregnant mothers, began making house calls on all mothers registered for delivery at the Boston Lying-In Hospital.

[...] The prenatal history should include important social aspects such as the number of sexual partners, the history of sexually transmitted diseases, and possible contact with intravenous drug users. HIV testing should be offered to all patients. D. SURGICAL HISTORY Of special importance is a history of previous gynecologic surgery. Prior uterine surgery may necessitate cesarean delivery. A history of multiple induced abortions or midtrimester losses may suggest an incompetent cervix. Patients with previous cesarean deliveries may be candidates for vaginal delivery if they are adequately counseled and meet established guidelines. [...]


[...] Final Discussion Prenatal care as we know it today is a relatively new development in medicine. It originated in Boston in the first decade of this century. Before that time, the patient who thought she was pregnant may have visited a physician for confirmation but did not visit again until delivery was imminent. Williams - Obstetrics 21st Ed. Manual of Obstetrics 7th.Ed 2007. The 5-Minute Consult Clinical Companion to Women's Health. J.S.Berek - Novak's Gynecology. 13th edition. Glass Layers Prenatal Care Prenatal care as we know it today is a relatively new development in medicine. [...]


[...] A history of twinning is important, since dizygotic twinning (polyovulation) may be a maternally inherited trait. Physical Examination A. GENERAL EXAMINATION A complete physical examination must be performed on every new patient. In a young healthy woman, this may be the first complete examination she has ever had. B. PELVIC EXAMINATION The pelvic examination is of special importance to the obstetrician Pelvic soft tissue?Any pelvic mass should be described accurately and evaluated by ultrasonography Bony pelvis?The pelvic configuration should be appraised to determine which patients are more likely to develop cephalopelvic disproportion in labor. [...]

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