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Second Trimester Education
Aka: Second Trimester Education, Pregnancy Education in the Second Trimester- See Also
- Symptoms
- Anticipated Discomforts
- Quickening
- Back pain
- Round ligament pain
- Constipation
- Gastroesophageal Reflux
- Symptoms prompting urgent evaluation
- Vaginal Bleeding
- Low abdominal cramps
- Fever
- Dysuria
- Anticipated Discomforts
- Labs: Aneuploidy Screening and Neural Tube Defect Screening
- Labs: Testing at 24 to 28 weeks
- Urinalysis and Urine Culture
- Hemoglobin
- Consider Group B Streptococcus Culture (as indicated, e.g. Preterm Labor)
- Otherwise screen all women at 35-37 weeks gestation
- Cervical exam for baseline (in case of Preterm Labor)
- Glucose Challenge Test with 50g Glucola
- Followed by Glucose Tolerance Test if positive
- See Gestational Diabetes
- Maternal blood type Rh Negative
- Antibody screen (Indirect Coombs test)
- RhoGAM 300 mcg IM
- Management
- Discussion Points
- Immunizations
- Influenza Vaccine if pregnant in Influenza season (wait until after first trimester)