II. Risk Factors: Child Abuse Associations
- Substantial increase in risk of maltreatment
- Risk of change in primary caregiver before age 2 years
- Breast Feeding exposure to illicit substance
- Deliberate Poisoning with illicit substance
- Passive inhalation of illicit substance
- Accidental Ingestion of illicit substance
- Physical or Sexual abuse
- Household or neighborhood Violence
III. Management: Preterm Recommendations for Obstetric Visits
- Every 2 weeks until 30 weeks
- Every week until delivery after 30 weeks
IV. Labs: Sexually Transmitted Disease screening
- First Prenatal Visit
- Gestational age 36 weeks
- Testing
V. Imaging: Obstetric Ultrasound
- Baseline: late first or early second trimester
- Serial Ultrasound for Intrauterine Growth Retardation
VI. Monitoring
- Random Urine Drug Screening (obtain permit)
- Obstetric Ultrasound as above
-
Nonstress Test
- Every two weeks from 30 to 35 weeks
- Weekly after 35 weeks
- Meconium Drug Screen from fetus after delivery
VII. Management
- Child Protective Services reporting is required
