UNC Collaborative for Maternal & Infant Health

UNC Collaborative for Maternal & Infant Health

Improving the health of North Carolina's women and infants

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OB Algorithms

Algorithms developed in the UNC Department of Obstetrics and Gynecology and Maternal Fetal Medicine Division are available in service to to providers of mothers and babies in North Carolina.

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UNC Internal Protocols
 
 

These algorithms are designed to assist the primary care provider in the clinical management of a variety of problems that occur during pregnancy. They should not be interpreted as standard of care, but instead represent guidelines for management. Variation in practice should take into account such factors as characteristics of the individual patient, health resources, and regional experience with diagnostic and therapeutic modalities.

Women’s Doc Library: clinical guidelines & workflows on the UNC Health intranet

Table of Contents

  • Medical Complications of Pregnancy

  • Medical Complications of Pregnancy – Infections

  • Prenatal Diagnosis and Fetal Therapy

  • General Obstetrics

  • Obstetric Complications

  • Postpartum

Medical Complications of Pregnancy

Anemia

  • Anemia Diagnosis
  • Anemia Treatment of Fe Deficiency

Anti-SSA or Anti-SSB

Bariatric Surgery

Cardiac

  • Maternal Arrhythmia
  • Medications in Pregnancy and Lactation

Critical Care in Pregnancy

Diabetes

  • Early Screening of Diabetes in Pregnancy
  • Gestational Diabetes Requiring Medication Therapy
  • Medication Dosing Guidelines for Diabetes in Pregnancy
  • Pre-existing Diabetes Management in Pregnancy
  • Macrosomia
  • Diabetic Ketoacidosis
  • Gestational Diabetes Class A2: Postpartum Management
  • Diabetes in Pregnancy References

Hypertension

  • Chronic Hypertension in Pregnancy
  • Outpatient Severe Hypertension -Postpartum
  • Outpatient Severe Hypertension -Antepartum

Obesity in Pregnancy Guideline

Penicillin Allergy

Perinatal Depression

  • Edinburgh Postnatal Depression Scale | en español
  • Perinatal Depression Screening and Management
  • Perinatal Psychiatry Resources

Sickle Cell Disease and Pregnancy

Thromboembolic Disease

  • Management of Thromboembolic Disease in Pregnancy 
  • VTE Prophylaxis for Inpatient Obstetrics

Thyroid Disease

  • Hyperthyroidism
  • Hypothyroidism

Medical Complications of Pregnancy – Infections

  • Group B Streptococcus
  • GBS for Preterm and Term Pregnancies / Penicillin Allergy

Hepatitis C and Pregnancy

Herpes Simplex Virus

HIV in Pregnancy

Influenza

  • Influenza Prophylaxis & Post-exposure Chemoprophylaxis
  • Influenza Treatment

Intrahepatic Cholestasis of Pregnancy

Parvovirus (B19)

RSV

Syphilis

Toxoplasmosis

Tuberculosis

Varicella

Prenatal Diagnosis and Fetal Therapy

Antenatal Testing

  • Antenatal Testing for Women Over 40 
  • Antenatal Testing Guidelines

Fetal Growth Restriction

Fetal Alloimmunization

  • Alloimmunization I: Positive Maternal Red Cell Antibody Screen
  • Alloimmunization II: Determination of Fetal Risk for HDFN
  • Alloimmunization III: Management of Alloimmunized Pregnancy with At Risk Fetus
  • Alloimmunization: References

Nuchal Translucency and Cystic Hygroma Protocol 

Prenatal Genetic Screening

  • Aneuploidy Screening
  • Carrier Screening Recommendations
  • Hemoglobinopathy Screening
  • Neural Tube Defects
  • Non-Invasive Prenatal Screening Calculator – NIPS
  • Ordering NIPS from clinic within UNC Health clinics that submit samples through McClendon labs:
    • For information on how to order NIPS for prenatal patients without a referral to genetic counseling, please take time to review detailed resources on the Reproductive Genetics Sharepoint website.

Skeletal Dysplasia Diagnosis

Ultrasound

  • Fetal ECHO Indications
  • Gastroschisis: Antenatal Surveillance`
  • Targeted Ultrasound Indications

Umbilical Vein Varix

Ventriculomegaly

General Obstetrics

Hyperemesis

Abdominal Trauma

Estimation of Gestational Age

Obstetric Complications

Acute Preterm Labor

Intraamniotic Infection

L&D Perinatal Emergency Checklists

Magnesium Sulfate for Neuroprotection

Maternal Comorbidities and Levels of Care

Neonatal Levels of Care

OB Patients Needing non-OB Surgery (main OR)

Obstetric Hemorrhage

  • Peripartum Hemorrhage Risk Assessment
  • Quantitative Blood Lost (QBL) Algorithm
  • Peripartum Hemorrhage (PPH) Checklist 1
  • Peripartum Hemorrhage (PPH) Checklist 2

Periviabilty

  • UNC Guidelines for Obstetric Interventions Prior to 26 Weeks Gestation

Placenta Accreta

  • Placenta Accreta Spectrum: Antenatal Management
  • Placenta Accreta Spectrum (PAS) Checklist – L&D

Preterm Birth

  • Antenatal Corticosteroids: Late Preterm
  • Late Preterm NICU Admissions Calculator
  • Preterm Birth 22-25 Weeks Outcome Calculator
  • Preterm Birth Prevention in Twins
  • Prevention of Preterm Birth: Singleton Gestation, History of Prior Singleton Spontaneous Preterm Birth 16/07-33 6/7 Weeks
  • Prevention of Preterm Birth: Singleton Gestation with History of Spontaneous Preterm Birth 34 0/7-36 6/7 Weeks
  • Prevention of Spontaneous Preterm Birth: Singleton Gestation, No History of Preterm Birth

Preterm Prelabor Rupture of Membranes (PPROM)

  • Preterm PROM 24-33.6 weeks
  • Preterm PROM 34-36.6 weeks
  • Patient information sheet: Preterm PROM 34-36.6 weeks

Prophylactic Antibiotics

Polyhydramnios

Twin Gestations

  • Twin Pregnancy Monitoring
  • Complicated Monocorionic Twin Pregnancy

Postpartum

Breastfeeding

  • Infant Feeding for Individuals with HIV
  • Lactation Associated Pain Protocol
  • Mastitis Not Responding To Antibiotics / Suspected Abscess (Page 3)
  • Medications in Lactation
  • Radiologic Imaging of Pregnant or Lactating Patients

Preeclampsia

  • Furosemide use in Hypertensive Disorders of Pregnancy

Postpartum Pain Management at Discharge

  • Addendum: Opioid Rx Instructions for Providers

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UNC Collaborative for Maternal and Infant Health aims to improve the health and well-being of women and families across North Carolina through community partnerships, research and clinical care innovations, and developing new approaches to complex problems.

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Campus Box 7181
Chapel Hill, NC 27599-7181

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