MCH Frequently Asked Questions
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Links to D FAQs
- Dating ultrasound criteria
- Day care risks in pregnancy
- Depo Provera: See the Family Planning section.
- DES exposure
- Detoxification - Alcohol, pregnancy
- Diabetes and diet
- Diabetes: Glargine in pregnancy
- Glyburide: Diabetes in Pregnancy
- Diabetes in pregnancy, one step GDM screening
- Diabetes in pregnancy, screening cut-off
- Diabetes management in pregnancy, Lispro
- Down Syndrome:
- Drugs:
- Drug testing in pregnant patients. [10/01]
- Medical drug use during pregnancy: practical issues. [4/02]
- Drug Screening and Testing
D FAQs
Q. What types of drug testing are indicated in pregnancy?
A. Universal screening questions AND targeted biochemical clinical testing. See details (WORD 160 k)
Q. Should I prescribe Depo Provera as a long term agent for more than 2 years?
A. There is concern about bone loss if used > 2 yrs. Here are some alternative strategies (WORD 108k)
Q. Are there alternatives to insulin / diet in diabetes and pregnancy? Glyburide? Others?
A. Yes, we have successfully used glyburide, and other agents, with caution. (WORD 68k)
Q. What is the significance 2nd trimester of ultrasound (US markers for Down syndrome?
A. If US markers are negative, then decrease the risk by serum testing in ~1/2. See the details (WORD 66k)
Q. What are the main risks for expectant mothers in day care settings?
A. The common perinatal pathogens are cytomegalovirus and parvovirus B19. See details (WORD 79k)
Q. Should we use glargine use in pregnancy?
A. Short and intermediate acting insulin(s) are recommended at this time. See details below (WORD 52k)
Q. Is there an association between thyroid auto-antibodies and fetal Down’s Syndrome?
A. Upon review no association was found. We have better methods now, e.g., quad, NT, etc… (WORD 42k)
Q. Is an abnormal Pap smear an effect of DES exposure?
A. There is an increase risk of HGSIL in DES exposed daughters. See details (WORD 41k)
Q. Can we perform one step GDM screening in AI/AN?
A. Yes, ACOG and IHS discussed one step screening in certain AI/AN women (WORD 53k)
Q. When should we change the estimated date of delivery (EDD) based on ultrasound?
A. There are various criteria, but once you determine an EDD, stick with it. See these helpful tips (WORD 48k)
Q. Are there any clinical pointers for alcohol withdrawal in pregnancy?
A. Pregnant women shouldn’t be excluded from detoxification programs. See details (WORD 112k)
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