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Referral Indications

First Trimester Screening

 
  • All pregnant women, no matter what their age, should be offered the option of first trimester screening with a nuchal translucency test and nasal bone imaging.  First trimester screening is designed to determine a woman’s risk for Down syndrome and other fetal chromosomal abnormalities.

 

History of Premature Labor/Premature Rupture of Membranes/Premature Birth

 

History of Drug or Alcohol Abuse

 

Preexisting Medical Conditions

 
  • Diabetes Mellitus or other Endocrine Disorders
  • High Blood Pressure
  • Kidney or Heart Conditions
  • Seizure Disorders
  • Cancer
  •  Infectious Diseases
  • Autoimmune conditions (SLE, Sjogren’s)

 

Complications Diagnosed During Pregnancy

 
  • Premature Labor/Premature Rupture of Membranes
  • Abnormal AFP (alpha fetoprotein) blood test
  • Gestational Hypertension, Preeclampsia, or Eclampsia
  • Gestational Diabetes
  • Small for Gestational Age or Intrauterine Growth Restriction
  • Oligohydramnios or Polyhydramnios

 

Multiples

 
  •  Twins, Triplets or more

 

Previous Pregnancy Loss or Stillbirth

Previous Pregnancy Complicated by Birth Defect or Genetic Abnormalities