Delivery Timing

Question 1

Placenta Previa

Answer 1

36.0 - 37.6

Question 2

Suspected Accreta, Increta, or Percreta

Answer 2

34.0 - 35.6

Question 3

Vasa Previa

Answer 3

34.0 - 37.0

Question 4

Prior Classical

Answer 4

36.0 - 37.0

Question 5

Prior myomectomy requiring CD

Answer 5

37.0 - 38.6

Question 6

Previous uterine rupture

Answer 6

36.0 - 37.0

Question 7

Oligo (isolated or otherwise uncomplicated)

Answer 7

36.0 - 37.6

Fetal testing at diagnosis, 1-2x/wk

Question 8

Polyhydramnios (mild, idiopathic)

MVP >12cm or AFI >30cm

Answer 8

39.0 - 40.6

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

Question 9

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

Answer 9

38.0 - 39.0

Fetal testing at diagnosis, 1-2x/wk

Question 10

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

Answer 10

37.0 or at diagnosis if later

Fetal testing at diagnosis, 1-2x/wk

Question 11

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

Answer 11

37.0 or at diagnosis if later

Fetal testing at diagnosis, 1-2x/wk

Question 12

Growth restriction (UAD with absent end diastolic flow)

Answer 12

33.0 - 34.0

Fetal testing at diagnosis, 2x/wk

Question 13

Growth restriction (UAD with reversed end diastolic flow)

Answer 13

30.0 - 32.0

Fetal testing at diagnosis, needs inpatient management

Question 14

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

Answer 14

34.0 - 37.6

Fetal testing at diagnosis, 2x/wk

Question 15

Di-di twins

Answer 15

38.0 - 38.6

Fetal testing 36 weeks, weekly

Question 16

Mono-di twins

Answer 16

34.0 - 37.6

Fetal testing at 32w, weekly

Question 17

mono-mono

Answer 17

32.0 - 34.0

Fetal testing individualized

Question 18

di-di twins with isolated FGR

Answer 18

36.0 - 37.6

Fetal testing at diagnosis, individualzied

Question 19

di-di twins with concurrent condition

Answer 19

individualized

fetal testing at diagnosis, individualzied

Question 20

mono-di twins with isolated FGR

Answer 20

32.0 - 34.6

Fetal testing individualized

Question 21

Alloimmunization (at risk pregnancy but not requiring intrauterine transfusion)

Answer 21

37.0 - 38.6

Question 22

Alloimmunization requiring intrauterine transfusion

Answer 22

individualzied

Question 23

cHTN, controlled without medications

Answer 23

38.0 - 39.6

No fetal testing indicated

Question 24

cHTN, controlled on meds

Answer 24

37.0-39.6

Fetal testing at 32w, weekly

Question 25

cHTN difficult to control with meds

Answer 25

36.0 - 37.6 | Fetal testing at diagnosis, individualized

Question 26

gHTN

Answer 26

37.0 or at diagnosis | Fetal testing at diagnosis, 2x/wk

Question 27

gHTN with severe range BPs

Answer 27

34.0 or at diagnosis | Fetal testing at diagnosis, daily

Question 28

PEC

Answer 28

37.0 or at diagnosis | Fetal testing at diagnosis, 2x/wk

Question 29

SPEC (including siPEC)

Answer 29

34.0 or at diagnosis | Fetal testing at diagnosis, daily

Question 30

SPEC or siPEC unstable or complicated

Answer 30

soon after maternal stabilization

Question 31

SPEC before fetal viability

Answer 31

after maternal stabilization

Question 32

Pregestational diabetes, well controlled

Answer 32

39.0 - 39.6 | Fetal testing 32 weeks, twice weekly

Question 33

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

Answer 33

36.0 - 38.6 | Fetal testing 32w, twice weekly

Question 34

Gestational diabetes well controlled on diet

Answer 34

39.0 - 40.6 | no fetal testing indicated

Question 35

Gestational diabetes well controlled on meds

Answer 35

39.0 - 39.6 | Fetal testing 32w, 1-2x/wk

Question 36

Gestational diabetes poorly controlled

Answer 36

individualized | Fetal testing at 32w, 2x/wk

Question 37

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

Answer 37

cesarean at 38.0

Question 38

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

Answer 38

39.0 or later

Question 39

Intrahepatic cholestasis with bile acids <100 micromol/L

Answer 39

36.0 - 39.0 | Fetal testing at diagnosis, 1-2x/wk

Question 40

Intrahepatic cholestasis with total bile acids >/= 100

Answer 40

36.0 or at diagnosis if diagnosed later | Fetal testing at diagnosis, 1-2x/wk

Question 41

PPROM

Answer 41

34.0 - 36.6

Question 42

PROM at 37w of gestation and beyond

Answer 42

at diagnosis

Question 43

Previous stillbirth

Answer 43

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