Revision Date: July 2012
Scope and Target Population
This guideline pertains to the care of all women who are pregnant or are considering pregnancy. All visits are outpatient/clinic based. (See the ICSI Management of Labor guideline for hospital-based care.)
- Increase the percentage of patients pregnant or planning a pregnancy who receive timely, comprehensive screens for risk factors.
- Increase the percentage of pregnant patients or women planning pregnancy who receive timely, prenatal counseling and education as outlined in the guideline.
- Increase the percentage of first-trimester pregnant patients who have documentation of counseling about appropriate aneuploidy screening.
- Increase the percentage of VBAC-eligible pregnant patients who have a collaborative conversation with their clinican about the risks and benefits of VBAC.
- Increase the percentage of pregnant patients who have appropriate interventions for preterm birth (PTB) risk factors.
- Identify patients with greater potential for high-risk pregnancy and provide appropriate preconception counseling.
- Each pregnant patient and each patient planning a pregnancy should receive a comprehensive risk assessment and appropriate risk-related interventions, including risks for preterm labor, relevant infectious diseases, and relevant genetic disorders.
- Each pregnant patient should receive visit-specific screening tests, education, immunizations and chemoprophylaxis as described in the schedule of prenatal visits.
- Each pregnant patient should be counseled regarding the limitations and benefits of each aneuploidy test and offered the screening and diagnostic tests.
- For patients with previous Caesarean section, provide education of risks and benefits associated with vaginal birth after Caesarean (VBAC). Assess and document patient's desire and appropriateness for VBAC.