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Third Trimester Education
Aka: Third Trimester Education, Pregnancy Education in the Third Trimester- See Also
- Symptoms
- Anticipated Discomforts
- Cramps
- Foot Edema
- Urinary Frequency
- Symptoms prompting urgent evaluation
- Signs of labor
- Nulliparous: SROM or Contractions q5' for 1 hour
- Multiparous: SROM or Contractions q8' for 1 hour
- Preterm Labor
- More than 4 contractions in 1 hour
- Spontaneous Rupture of Membranes (SROM)
- Vaginal Bleeding
- Signs of Pregnancy Induced Hypertension (PIH)
- Signs of labor
- Anticipated Discomforts
- Labs: 32-36 weeks gestation
- Obstetric Ultrasound as needed
- Cervical Examination
- Group B Streptococcus Culture at 36 weeks
- Indicated as routine screening if not already done
- Hemoglobin
- Indicated for monitoring Anemia in Pregnancy
- Urinalysis and Urine Culture
- Indicated monitoring prior Urinary Tract Infection
- Re-screen for Sexually Transmitted Disease if at risk
- Re-screen Glucose Challenge Test at 32 weeks if at risk
- Management
- Immunizations
- Influenza Vaccine if pregnant in Influenza season
- Diphtheria and Pertussis Vaccination (Tdap Vaccine)
- Given at 27 to 36 weeks in each pregnancy
- Allows for passive Immunity for newborns
- (2017) Obstet Gynecol 130(3): e153-7 [PubMed]
- Discussion points
- Contraception
- Circumcision
- Child birth class
- Labor Analgesia and Anesthesia
- Immunizations