Health Care Guideline Routine How to cite this document: Akkerman D, Cleland L, Croft G, Eskuchen K, Heim C, Levine A, Setterlund L, Stark C, Vickers J, Westby E. Institute for Clinical Systems Improvement. Routine Prenatal Care. Updated July 2012.

Copies of this ICSI Health Care Guideline may be distributed by any organization to the organization’s employees but, except as provided below, may not be distributed outside of the organization without the prior written consent of the Institute for Clinical Systems Improvement, Inc. If the organization is a legally constituted medical group, the ICSI Health Care Guideline may be used by the medical group in any of the following ways: ‡ copies may be provided to anyone involved in the medical group’s process for developing and implementing clinical guidelines; ‡ the ICSI Health Care Guideline may be adopted or adapted for use within the medical group only, provided that ICSI receives appropriate attribution on all written or electronic documents and ‡ copies may be provided to patients and the clinicians who manage their care, if the ICSI Health Care Guideline is incorporated into the medical group’s clinical guideline program. All other copyright rights in this ICSI Health Care Guideline are reserved by the Institute for Clinical Systems Improvement. The Institute for Clinical Systems Improvement assumes no liability for any adap- WDWLRQVRUUHYLVLRQVRUPRGLÀFDWLRQVPDGHWRWKLV,&6,+HDOWK&DUH*XLGHOLQH

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Health Care Guideline: Routine Prenatal Care 31 Fifteenth Edition 28 (GDM) 6 30

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Trumbo PR, Ellwood KC. Supplemental calcium and risk reduction of hypertension, pregnancy-induced hypertension, and preeclampsia: an evidence-based review by the U.S. food and drug administration. Nutr Rev 2007;65:78-87. (Low Quality Evidence) U.S. Department of Health and Human Services. Guidelines for vaccinating pregnant women. May 2007. (Guideline) U.S. Preventive Services Task Force. Chapter 54: Counseling to prevent tobacco use. In Guide to Clinical Preventive Services, 2nd ed. Baltimore: Williams and Wilkins, 1996a:597-609. (Systematic Review) U.S. Preventive Services Task Force. Chapter 38: Screening for D (Rh) incompatability. In Guide to Clinical Preventive Services, 2nd ed. Baltimore: Williams and Wilkins, 1996b;425-32. (Systematic Review) U.S. Preventive Services Task Force. Folic acid for the prevention of neural tube defects: clinical summary of U.S. Preventive Services Task Force recommendation. Available at: http://www.ahrq.gov/ clinic/uspstf09/folicacid/folicsum.htm. (Systematic Review) U.S. Preventive Services Task Force. Screening for bacterial vaginosis in pregnancy to prevent preterm delivery. Available at: http://www.uspreventiveservicestaskforce.org/uspstf08/bv/bvrs.htm. 2008. (Systematic Review) U.S. Preventive Services Task Force. Screening for chlamydial infection: U.S. Prevention Services Force Recommendation statement. Ann Intern Med 2007;147:128-34. (Systematic Review) U.S. Preventive Services Task Force. Screening for depression in adults: U.S. preventive services task force recommendation statement. Ann Intern Med 2009;151:784-92. (Systematic Review) U.S. Preventive Services Task Force. Screening for gestational diabetes mellitus: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2008;148:759-65. (Systematic Review) U.S. Preventive Services Task Force. Screening for gonorrhea. Available at: http://www.ahrq.gov/clinic/ uspstf/uspsgono.htm. Accessed May 29, 2008. (Systematic Review) U.S. Preventive Services Task Force. Screening for high blood pressure. Available at: http://www. uspreventiveservicestaskforce.org/uspstf07/hbp/hbpsum.htm. 2007. (Systematic Review) U.S. Preventive Services Task Force. Screening for syphilis infection in pregnancy: U.S. Preventive Services Task Force reaffirmation recommendation statement. Ann Intern Med 2009;150:705-09. (Systematic Review) Valentin L, Marsál K, Wahlgren L. Subjective recording of fetal movements. III. Screening of a pregnant population; the clinical significance of decreased fetal movement counts. Acta Obstet Gynecol Scand 1986;65:753-58. (Low Quality Evidence) Vergani P, Patane L, Colombo C, et al. Impact of different prevention strategies on neonatal group B streptococcal disease. Am J Perinatol 2002;19:341-48. (Low Quality Evidence) Villar J, Carroli G, Khal-Neelofur D, et al. Patterns of routine antenatal care for low-risk pregnancy. Avail- able at: http://mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD000934/frame.html. Accessed May 22, 2008. (Systematic Review) Waldenström U, Axelsson O, Nilsson S, et al. Effects of routine one-stage ultrasound screening in pregnancy: a randomised controlled trial. Lancet 1988;2:585-88. (High Quality Evidence) Waugh JJS, Clark TJ, Divakaran TG, et al. Accuracy of urinalysis dipstick techniques in predicting significant proteinuria in pregnancy. Obstet Gynecol 2004;103:769-77. (Systematic Review) Webster J, Chandler J, Battistutta D. Pregnancy outcomes and health care use: effects of abuse. Am J Obstet Gynecol 1996;174:760-67. (Low Quality Evidence) 5HWXUQWR7DEOHRI&RQWHQWV ZZZLFVLRUJ ,QVWLWXWHIRU&OLQLFDO6\VWHPV,PSURYHPHQW      5RXWLQH3UHQDWDO&DUH 5HIHUHQFHV )LIWHHQWK(GLWLRQ-XO\

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ZZZLFVLRUJ ,QVWLWXWHIRU&OLQLFDO6\VWHPV,PSURYHPHQW     Document History and Development: Routine Prenatal Care

Document Drafted Jan – Apr 1996 First Edition Aug 1997 Original Work Group Members Second Edition 'DOH$NNHUPDQ0' *HRUJHDQQH&UDIW&10 -RDQ.UHLGHU0' Jul 1998 Ob/Gyn, Work Group Leader Nurse Midwifery Ob/Gyn Third Edition HealthSystem Minnesota HealthPartners HealthPartners Jul 1999 -RDQQH%HUNODQG51 %DUE'DYHQSRUW&10 %UXFH/HSSLQN0' Fourth Edition Nursing Nurse Midwifery Family Practice Aug 2000 HealthSystem Minnesota HealthSystem Minnesota Family HealthServices Fifth Edition 'HEUD%RDO51,&&( 'LDQQH(JJHQ5103+ Minnesota Sep 2001 Health Education Health Education &KULV6FKURHGHU51 Sixth Edition HealthSystem Minnesota HealthPartners Facilitator Aug 2002 5LFN&DUOVRQ06 -RKQ$-HIIHULHV0' ICSI Seventh Edition Measurement Advisor Ob/Gyn Aug 2003 HealthPartners Mayo Clinic Eighth Edition Aug 2004 Ninth Edition Sep 2005 Tenth Edition Sep 2006 Eleventh Edition Sep 2007 Twelfth Edition Sep 2008 Thirteenth Edition Sep 2009

Fourteenth Edition

Aug 2010 Fifteenth Edition ➤ 5HOHDVHGLQ-XO\IRU)LIWHHQWK(GLWLRQ Begins Aug 2012 The next scheduled revision will occur within 24 months.

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