1st Tri Genetic Testing
When do we draw for cfDNA?
10wks and onwards
Genetic testing is optional, where is it documented and or do we document when a patient declines or opts out of testing?
Pregnancy Overview & Plan (under OB tab)
What is the NT u/s test for?
Down syndrome: down syndrome (trisomy 21), Edwards syndrome (trisomy 18) and Patau syndrome (trisomy 13)
What non genetic labs/tests are ordered during the second trimester?
RPC, CBC, GTT
What is the ideal time frame for in clinic dating ultrasound?
A – 5-6
B – 7-13
C – 8-16
B – 7-13
What dating method do we use for genetic testing on the Cal Genetics Portal?
CRL, LMP or Wks/days based on u/s
Where does a patient go to get her second trimester genetic testing blood draw?
A – Quest
B – Home test kit
C – Any lab agency
A – Quest
Patients often call this ultrasound the 20wk ultrasound, what is it really called?
Anatomy ultrasound
How many hours do patients need to fast for the 1-hour glucose test?
No need to fast, but recommended for the 2-hour test
Do we see early transfer patients for migraines?
Preferably seen at delivering provider clinic during pregnancy.
What does NT u/s stand for?
Nuclear Translucency ultrasound
When do we draw for MSAFP?
15-21wks
Ideally, when is the anatomy ultrasound performed?
20-22 weeks gestational age
How many hours does a patient need to fast for the 3-hour glucose test?
8 hours
Do we contract with home birthing doulas/midwives?
No
What does cfDNA stand for?
Cell-free DNA
What is MSAFP testing for?
Neural Tube Defects: open spina bifida (opening in the spine) and anencephaly (missing parts of brain or skull)
A patient is expected to transfer to PAMF OB at 34wks, where does she conduct her anatomy u/s if her BMI is 32?
PAMF OB
Are flu vaccines okay to give to a pregnant patient?
Yes
Who do we refer patients toward, specifically if GDM, for nutrition questions?
RD Kristy Mathews
What is cfDNA testing for?
Genetic conditions: Trisomy 21 (down syndrome), Trisomy 18 (Edwards syndrome), Trisomy 13 (Patau syndrome), Turner syndrome, Klinefelter syndrome (XXY), Trisomy X, XYY
What does MSAFP stand for?
Maternal serum alpha-fetoprotein
If a patient does her anatomy u/s at SPDC, where does she f/u to review her results?
Delivering providers and midwifes (PAMF OB or Dignity OB)
What vaccines are offered to patients?
Flu, Covid booster, Tdap
How do we link a patient to OBAT?
TE