Pregnancy
Screening on First visit| Blood pressure. | |
| Hemoglobin/hematocrit. | |
| Hepatitis B surface antigen (HBsAg). | |
| RPR/VDRL. | |
| Chlamydia screen (<25 yr). | |
| Rubella serology or vaccination history. |
| Offer hemoglobinopathy screening. | |
| Assess for problem of alcohol or illicit drug use. | |
| Offer HIV screening. Universal screening is recommended for areas (states, counties, or cities) with increased HIV prevalence among pregnant women. In low-prevalence areas, the choice between universal and targeted screening may depend on other considerations. | |
| Offer CVS (<13 wk) or amniocentesis (15-18 wk) to women |
| Offer multiple marker testing (15-18 wk) and serum a-feto-protein testing (16-18 wk) to all women with access to counseling and follow-up services, reliable standardized laboratories, skilled high-resolution ultrasound, and amniocentesis capabilities. |
Screening on Follow-up visits
| Blood pressure. | |
| Urine culture (12-16 wk). |
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