Urine for a Bad Time
This is recommended against for patients with GBS bacteriuria (but routinely recommended for all other patients).
What is a GBS culture?
What is 10 weeks?
This decreases risk of neural tube defects by nearly 78% when started at least one month before conception and continued until the end of the first trimester.
(include dose)
What is folic acid, 400 to 800mcg daily?
Up to this many people get their LMP wrong.
What is 40%?
Air travel generally safe up to this gestational age.
What is 36 weeks?
long flights associated w/ increased risk of venous thrombosis
This is the colony-forming units per mL cutoff (for a single pathogen) to qualify as asymptomatic bacteriuria (in the absence of symptoms)
What is greater than 100,000? (10^5)
A pre-pregnancy BMI >25 is associated with these 4 pregnancy & delivery complications.
(Not looking for complications specific to BMI>30)
What are gestational diabetes, gestational hypertension, preterm delivery, and preeclampsia?
Chronic hypertension should be treated to this BP goal.
What is less than 140/90?
USG before this gestational age decreases missed multiple gestations post-term inductions.
What is 24 weeks?
These are three contraindications for breastfeeding.
What are maternal HIV, untreated brucellosis, active herpetic lesions on the breast, cracked nipples with hepatitis C infection, use of illicit substances such as IV opioids, cocaine, phencyclidine
These are the 2 major risks of untreated asymptomatic bacteriuria.
What are pyelonephritis and preterm delivery?
progresses to pyelo in 30% of cases
A pre-pregnancy BMI >30 is associated with these 3 pregnancy & delivery complications.
(Not looking for complications possible from BMI>25. Give risks specifically for those BMI>30)
What are miscarriage, stillbirth, and OSA?
Those at risk for preeclampsia should be offered low dose 81mg ASA starting at this gestational age.
What is 12 weeks?
This is the most common chromosomal condition in infants.
What is Trisomy 21/Down Syndrome?
This much exercise is recommended for most pregnant or postpartum patients.
What is at least 30 minutes of moderate exercise five days per week?
avoid activities that put them at risk of falls or abdominal injuries
In the US, this is the leading cause of infection in the first three months of life.
What is GBS?
up to 25% of pregnant patients are carriers
These are three risks of untreated depression and anxiety-related disorders.
What are preeclampsia, preterm delivery, IUGR, substance use, maternal suicide, infanticide, psychosis, and homicide?
Treatment with anti-D immune globulin decreases risk of alloimmunization by this much.
What is 80-90%?
Give @28wks & w/in 72hrs of delivery
Neural tube defects have the highest prevalence in this population.
What are Hispanic populations?
This activity/habit/behavior increases patient anxiety, triage evaluations, prenatal testing, and interventions without improving outcomes
What are fetal movement counts?
Antibiotics are recommended for GBS ppx during delivery in these three scenarios?
(not including +GBS culture current pregnancy)What are GBS bacteriuria, hx of previous infant affected by GBS, or GBS unknown w/ risk factors (preterm labor, rupture >18hrs before delivery, GBS previous pregnancy)?
These are the risks for alloimmunization for spontaneous abortion and dilation w/ curettage, respectively.
(Assuming Rh neg mom, Rh pos fetus)
What are 1.5-2% and 4-5%?
Treatment of iron deficiency anemia decreases the risk of these 3 known complications of IDA.
What are preterm delivery, IUGR, and perinatal depression?
Those taking folic acid antagonists (e.g., carbamazepine, methotrexate, trimethoprim) or hx of fetus w/ NTD should take this much folic acid daily for this long.
When is 4mg of folic acid daily starting at least three months before conception recommended?
This environmental/occupational exposure during the first trimester has been associated with congenital anomalies (neural tube defects, certain cardiac defects, and miscarriage)
What is extreme heat?
e.g. hot tubs, saunas