1. Perform a thorough history, assessing historical and ongoing risks that may affect future pregnancy.
2. Counsel a patient regarding the impact of pregnancy on maternal medical conditions.
3. Counsel a patient regarding the impact of maternal medical conditions on pregnancy.
4. Counsel a patient regarding appropriate lifestyle modifications conducive to favorable pregnancy outcome.
5. Counsel a patient regarding pregnancy-associated risks and complications, such as:
a. Advanced age
b. Hypertension
c. Diabetes
d. Genetic disorder
e. Prior aneuploid or anomalous fetus/newborn
1. Elicit a history for inherited disorders, ethnic- or race-specific risks, and teratogen exposure, and perform pedigree analysis.
2. Describe the concepts of penetrance and variable expression and their impact on prognosis for a given genetic disorder.
3. Distinguish between various forms of genetic inheritance:
a. Autosomal dominant
b. Autosomal recessive
c. X-linked dominant
d. X-linked recessive
e. Multifactorial
a. Chorionic villus sampling
b. Amniocentesis
c. Cordocentesis
1. Perform a comprehensive history and physical examination.
2. Order and interpret routine laboratory tests and those required because of risk factors during pregnancy.
3. Counsel patients about lifestyle modifications that improve pregnancy outcome, including activity, employment, nutrition, travel, and substance use/abuse.
4. Counsel patients regarding warning signs of adverse pregnancy events.
5. Schedule and perform appropriate antepartum follow-up visits for routine and high-risk obstetric care.
D. Antepartum fetal monitoring
1. Describe the indications, contraindications, advantages, and disadvantages of antepartum diagnostic tests, such as:
a. Nonstress test
b. Contraction stress test
c. Biophysical profile
d. Vibroacoustic stimulation test
e. Doppler velocimetry
|
