Identification of Women At Risk for Preterm Birth

Are you evaluating a pregnant woman for risk of preterm delivery?

Yes

Number of fetuses present

Does the mother have a history of?

• previous induced abortion?

Yes

• habitual abortions?

Yes

• previous premature delivery?

Yes

• previous neonatal death?

Yes

• uterocervical anomaly?

Yes

• classic Cesarean section?

Yes

• previous myomectomy?

Yes

• chronic hypertension?

Yes

• previous urinary tract infection?

Yes

• renal disease?

Yes

• psychiatric hospitalization?

Yes

• cigarette abuse?

Yes

• marijuana abuse?

Yes

• narcotic abuse?

Yes

During this pregnancy:

Is there a fetal size-to-dates discrepancy?

Yes

Does the mother have severe anemia?

Yes

Has there been threatened abortion?

Yes

Is the cervix incompetent?

Yes

Has the mother needed surgery requiring hospitalization?

Yes

Has there been pre-eclampsia?

Yes

Has there been bleeding after 20 weeks gestation?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of risk factors present

Is the woman at risk for preterm delivery based on the risk factors present?

Logistic score

Is the woman at risk for preterm delivery based on the logistic score?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- HELLP Syndrome Diagnosis
- Sepsis in Obstetrics Score (SOS) for Evaluating a Septic Obstetrical Patient
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
- Sepsis in Obstetrics Score (SOS) for Evaluating a Septic Obstetrical Patient
Differential Diagnosis And Mimics, Red Flags
- Criteria for Diagnosis of Pre-Eclampsia and Eclampsia
- Classification for Diabetes During Pregnancy

Therapy

Options
- Hypertrophic Cardiomyopathy | Risk Factors for Pregnancy-Related Mortality
Selection
- Classification for Diabetes During Pregnancy
- Poor Prognostic Findings in Diabetic Women During Pregnancy

Patient Concerns

Informed Consent
- Dating Pregnancy from the Last Menstrual Period
Exercise
- Dating Pregnancy from the Last Menstrual Period
Travel
- Dating Pregnancy from the Last Menstrual Period

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Patient Concerns

Specialty

Objective

ICD-10

Purpose: To evaluate a pregnant woman for risk of preterm delivery using the risk scoring system of Ross et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Patient Concerns

Specialty

Objective

ICD-10