Delivery Timing Flashcards

1
Q

Placenta Previa

A

36.0 - 37.6

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2
Q

Suspected Accreta, Increta, or Percreta

A

34.0 - 35.6

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3
Q

Vasa Previa

A

34.0 - 37.0

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4
Q

Prior Classical

A

36.0 - 37.0

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5
Q

Prior myomectomy requiring CD

A

37.0 - 38.6

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6
Q

Previous uterine rupture

A

36.0 - 37.0

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7
Q

Oligo (isolated or otherwise uncomplicated)

A

36.0 - 37.6

Fetal testing at diagnosis, 1-2x/wk

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8
Q

Polyhydramnios (mild, idiopathic)

MVP >12cm or AFI >30cm

A

39.0 - 40.6

Fetal testing at 32w, 1-2x/wk

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9
Q

Growth restriction (otherwise uncomplicated w/ EFW between 3rd and 10th percentile)

A

38.0 - 39.0

Fetal testing at diagnosis, 1-2x/wk

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10
Q

Growth restriction (otherwise uncomplicated, EFW <3rd percentile)

A

37.0 or at diagnosis if later

Fetal testing at diagnosis, 1-2x/wk

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11
Q

Growth restriction (elevated umbilical artery doppler studies but flow still present)

A

37.0 or at diagnosis if later

Fetal testing at diagnosis, 1-2x/wk

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12
Q

Growth restriction (UAD with absent end diastolic flow)

A

33.0 - 34.0

Fetal testing at diagnosis, 2x/wk

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13
Q

Growth restriction (UAD with reversed end diastolic flow)

A

30.0 - 32.0

Fetal testing at diagnosis, needs inpatient management

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14
Q

Growth restriction + concurrent conditions (oligo, PEC, cHTN, etc)

A

34.0 - 37.6

Fetal testing at diagnosis, 2x/wk

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15
Q

Di-di twins

A

38.0 - 38.6

Fetal testing 36 weeks, weekly

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16
Q

Mono-di twins

A

34.0 - 37.6

Fetal testing at 32w, weekly

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17
Q

mono-mono

A

32.0 - 34.0

Fetal testing individualized

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18
Q

di-di twins with isolated FGR

A

36.0 - 37.6

Fetal testing at diagnosis, individualzied

19
Q

di-di twins with concurrent condition

A

individualized

fetal testing at diagnosis, individualzied

20
Q

mono-di twins with isolated FGR

A

32.0 - 34.6

Fetal testing individualized

21
Q

Alloimmunization (at risk pregnancy but not requiring intrauterine transfusion)

A

37.0 - 38.6

22
Q

Alloimmunization requiring intrauterine transfusion

A

individualzied

23
Q

cHTN, controlled without medications

A

38.0 - 39.6

No fetal testing indicated

24
Q

cHTN, controlled on meds

A

37.0-39.6

Fetal testing at 32w, weekly

25
Q

cHTN difficult to control with meds

A

36.0 - 37.6

Fetal testing at diagnosis, individualized

26
Q

gHTN

A

37.0 or at diagnosis

Fetal testing at diagnosis, 2x/wk

27
Q

gHTN with severe range BPs

A

34.0 or at diagnosis

Fetal testing at diagnosis, daily

28
Q

PEC

A

37.0 or at diagnosis

Fetal testing at diagnosis, 2x/wk

29
Q

SPEC (including siPEC)

A

34.0 or at diagnosis

Fetal testing at diagnosis, daily

30
Q

SPEC or siPEC unstable or complicated

A

soon after maternal stabilization

31
Q

SPEC before fetal viability

A

after maternal stabilization

32
Q

Pregestational diabetes, well controlled

A

39.0 - 39.6

Fetal testing 32 weeks, twice weekly

33
Q

Pregestational diabetes, vascular complications, poor glucose control, or prior stillbirth

A

36.0 - 38.6

Fetal testing 32w, twice weekly

34
Q

Gestational diabetes well controlled on diet

A

39.0 - 40.6

no fetal testing indicated

35
Q

Gestational diabetes well controlled on meds

A

39.0 - 39.6

Fetal testing 32w, 1-2x/wk

36
Q

Gestational diabetes poorly controlled

A

individualized

Fetal testing at 32w, 2x/wk

37
Q

HIV with intact membranes and VL >1,000 copies/mL

A

cesarean at 38.0

38
Q

HIV with VL < 1,000 copies/mL with ART

A

39.0 or later

39
Q

Intrahepatic cholestasis with bile acids <100 micromol/L

A

36.0 - 39.0

Fetal testing at diagnosis, 1-2x/wk

40
Q

Intrahepatic cholestasis with total bile acids >/= 100

A

36.0 or at diagnosis if diagnosed later

Fetal testing at diagnosis, 1-2x/wk

41
Q

PPROM

A

34.0 - 36.6

42
Q

PROM at 37w of gestation and beyond

A

at diagnosis

43
Q

Previous stillbirth

A

full term (39.0) typically but individualized, if lots of anxiety can do at 37.0
Fetal testing at 32wk, 1-2x/wk
If stillbirth before 32wk, individualize