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Preconception counseling is an office consultation to discuss the potential risks a woman may face when pursuing pregnancy. Discussion typically involves identifying risk factors that could impact the progress of a healthy pregnancy and healthy fetus. Addressing issues ahead of time, such as... Continue Reading
Download PDF TAGS:prenatal testing, prenatal diagnosis, genetic CATEGORIES:OB-GYN, Sub-specialist, Certified Nurse Midwife and Laborist Fetal Issues and Complications Joint Publication Continue Reading
The Zika virus is a mosquito-borne virus that has been associated with congenital defects, primarily of the central nervous system. According to the CDC, clinicians should screen women who have traveled to known areas of Zika transmission. Pregnant women who report clinical illness consistent... Continue Reading
The incidence of multifetal gestations in the United States has increased dramatically over the past several decades. The rate of twin births increased 76% between 1980 and 2009, from 18.9 to 33.3 per 1,000 births (). The rate of triplet and higher-order multifetal gestations increased more than... Continue Reading
ABSTRACT: Inclusion of women in research studies is necessary for valid inferences about health and disease in women. The generalization of results from trials conducted in men may yield erroneous conclusions that fail to account for the biologic differences between men and women. Although... Continue Reading
One of the biggest changes in ICD-10 conventions, compared to ICD-9, is the EXCLUDES note. In ICD-9, the alert was simply “EXCLUDES…”. In ICD-10, the alert has been expanded to accommodate two concepts: EXCLUDES 1 and EXCLUDES 2. Excludes 1 means NOT CODED HERE. The code(s)... Continue Reading
Vasa previa occurs when unprotected fetal blood vessels run through the amniotic membranes and traverse the cervix. Complications include fetal hemorrhage, exsanguination, or death. Diagnosis by ultrasound. Management: antenatal corticosteroids 28-32 weeks, considerations for preterm... Continue Reading
Do you remember Aesop's Fables story of "The Boy Who Cried Wolf"? Many times the boy tells the villagers that a wolf is attacking his flock. He tells them so many times that one day when the wolf really is attacking, no one believes him. Does this sound a little like the government and ICD-10? ... Continue Reading
The American Congress of Obstetricians and Gynecologists have reported a projected decrease in the workforce over the next two decades.1 This anticipated change in supply and demand is correlated with the demographic changes among physicians and patients, the aging population, and the relatively... Continue Reading
The nuchal translucency ultrasound scan and blood tests are often done together in what is called the combined first-trimester genetic screen. Part of the first trimester genetic screen uses ultrasound to measure the thickness of the area at the back of the baby's neck. Obtaining the biochemical... Continue Reading
Correction to this Consult: In Figure 2, the box that reads "Induce labor at 38-39 weeks" should read "Induce labor at 37-38 weeks". A revised Figure 2, "Algorithm for clinical management of the red cell alloimmunized pregnancy" can be found here. Diagnosis/definition: Hemoglobin value that... Continue Reading
Effective Jan. 1, 2015, the Centers for Medicare & Medicaid Services (CMS) implemented four new modifiers to define specific subsets of the 59 modifier. These new modifiers are referred to as X{EPSU} modifiers, and are more selective versions of modifier 59. Current procedural terminology... Continue Reading
