Obstetrics Clinic

(OB High Risk, OB Diabetes and OB Testing)

Scope:

• To evaluate high-risk obstetric patients.

Appropriate patients for referral include:

• Hypertension (Chronic or Pregnancy Induced)
• Diabetes — refer to OB Diabetic Clinic on Mondays if diabetes management is desired. Nutrition counseling without diabetic management is also available.
• History of spontaneous abortions or premature births
• Placenta Previa / Preterm Labor:
  • If Suspected — refer to USG Clinic
  • If Diagnosed w/ previous USG — refer to OB High Risk Clinic
• Late Entry into Care (No prenatal care prior to 30 weeks gestation)
• Multiple Gestation
• Previous C-section
• Large/small for dates — refer only after evaluated by an OB physician.
• Post Date — refer to OB Testing Clinic
• Cholestasis of pregnancy
• Breech > 36 weeks
• Medical disorders complicating pregnancy including:
  • AIDs/HIV positive o Thyroid Disorder o Renal Disorder
  • Drug Dependence
  • Lupus
  • Seizure Disorder

Documentation required for scheduling an appointment:

• Completed referral form
• ACOG (IOB) Forms
• Results of recent labs and pathology results (i.e. pap smears and biopsies)

NOTE: Instruct patient to report to specialty clinic appointment no earlier than 15-30 minutes prior to appointment time.

• See worksheet for more information