Prenatal Information

From Guide to YKHC Medical Practices

OB Case Managers are the primary resource for the prenatal paperwork. We have a large number of pregnant patients, many who are high risk due to chronic HTN or preeclampsia. Please, at the top of each HPI for a pregnant women, put a summary sentence like this example.

Pt is a 32 yr old G5P3 AB1 with an EDC of 12/25/17 at 22 weeks gestation with a history of Cholestasis of Pregnancy and Kell Antibodies.

To document prenatal visits use "OP PC Prenatal Visit Note."

There are several auto-text that should be used when documenting a prenatal or 1st prenatal visit. These all start with "..ob" (case sensitive). The "..ob1stpnhpi" is particularly important to include for 1st Prenatal visits.

At the first prenatal visit you will also need to complete the 1st Prenatal Visit ad hoc form and copy the textual rendition of this form to your HPI.

  • You should only open one 1st Prenatal Visit ad hoc form for each pregnancy.
  • If you need to add or modify information, you should go to the Form Browser, find the 1st Prenatal Visit ad hoc form for the current pregnancy, right click and select Modify.

Prenatal Appointment Schedule if Uncomplicated

Q4 week: Appts until 32 weeks
Q2 week: Until be-in-Bethel Date
Q1 week: Appts in Bethel and/or Anchorage

Prenatal Labs/Sono Needed

1st prenatal(If in SRC do labs): CBC, HepBxAg, RPR, CCUA and urine culture, GC/CT, Rubella, PPD (see PowerPlan). Make Bethel appt. for 1st trimester sono. We want a sono as early as possible on everyone.
11-13 weeks: If Advanced Maternal Age, 35 or older, first trimester screening for Down’s. Contact Ann Glasheen for particulars.
15-21 weeks: Do Quad screen
18-24 weeks: Make a 2nd Sono appt. in Bethel for Anatomy screen
24-28 weeks: Prenatal with CBC/GST. If the GST is over 140, will need a GTT ASAP.
36 weeks: Into Bethel and/or Anchorage, CBC, GC/CT, and GBS culture
Prenatal Care During COVID-19

Category:Women's Health