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.
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
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Medical Complications of Pregnancy
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Medical Complications of Pregnancy – Infections
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Prenatal Diagnosis and Fetal Therapy
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General Obstetrics
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Obstetric Complications
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Postpartum
Medical Complications of Pregnancy
Anemia
Bariatric Surgery
Diabetes
- Glucose Intolerance in Pregnancy General Guidelines
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- Includes
- Pregestational diabetes
- Abnormal glucose testing prior to 20 weeks EGA
- Gestational diabetes requiring medication
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- Diagnosis and Screening of Diabetes in Pregnancy
- Gestational Diabetes Antepartum Management
- 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
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 – Outpatient
Thromboembolic Disease- Inpatient
Thyroid Disease
Medical Complications of Pregnancy – Infections
Cytomegalovirus (CMV)
- CMV: Method and Interpretation of Maternal CMV Serologic Screening
- CMV: Evaluation of Fetus at Risk for Congenital CMV Infection
- CMV: Hyperimmune Globulin Therapy Administration Guidelines
- CMV in Pregnancy References
Group B Streptococcus
Hepatitis C and Pregnancy
Herpes Simplex Virus
HIV in Pregnancy
Influenza
Intrahepatic Cholestasis of Pregnancy
Listeriosis
Parvovirus (B19)
Syphilis
Toxoplasmosis
Tuberculosis
Varicella
Zika Virus
- NC DHHS Provider Memo on Zika
- NC DHHS Zika Pregnancy Registry
- UNC Zika virus memo, 3/7/16
- Zika referral guidelines UNC
- Zika: CDC Resources for Providers
- Zika: SMFM Resources for Provider
Prenatal Diagnosis and Fetal Therapy
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
Prenatal Genetic Screening
- Aneuploidy Screening
- Carrier Screening Recommendations
- Hemoglobinopathy Screening
- Non-Invasive Prenatal Screening Calculator – NIPS
- Quad Screen
- 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 watch this educational training video and review detailed resources on the Reproductive Genetics Sharepoint website.
Ultrasound
Neural Tube Defects
Ventriculomegaly
General Obstetrics
Cord Blood
Fetal Movement
Hyperemesis
Abdominal Trauma
Estimation of Gestational Age
Amniotic Fluid Testing
Obstetric Complications
Acute Preterm Labor
Intraamniotic Infection
Magnesium Sulfate for Neuroprotection
OB Patients Needing non-OB Surgery (main OR)
Obstetric Hemorrhage
- Peripartum Hemorrhage Risk Assessment
- Quantitative Blood Lost (QBL) Algorithm
- Peripartum Hemorrhage (PPH) Checklist
Periviabilty
Placenta Accreta Spectrum: Antenatal Management
Preterm Birth
- Antenatal Corticosteroids: Late Preterm
- Late Preterm NICU Admissions Calculator
- Cervical Length Screening Protocol
- Preterm Birth 22-25 Weeks Outcome Calculator
- Prior Spontaneous Preterm Birth
- Short Cervix in Low Risk Women
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
Trial of Labor
- Labor After Cesarean: Antepartum Risk Calculator
- Labor After Cesarean: Counseling
- Labor After Cesarean: Referral Form
Twin Gestations
Postpartum
Breastfeeding
- Lactation Associated Pain Protocol
- Mastitis Not Responding To Antibiotics / Suspected Abscess (Page 3)
- Medications in Lactation
- Radiologic Imaging of Pregnant or Lactating Patients
