UNC Center for Maternal & Infant Health

UNC Center 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.

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
Bariatric Surgery
Diabetes
  • Glucose Intolerance in Pregnancy General Guidelines
      • Includes
      • Pregestational diabetes
      • Abnormal glucose testing prior to 20 weeks EGA
      • Gestational diabetes requiring medication
  • 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 -Postpartum (New Onset)
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
  • Fetal Thyroid Disease
  • Hyperthyroidism
  • Hypothyroidism

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
  • 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
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

Antenatal Testing
  • Antenatal Testing for Ambulatory Setting
  • Antenatal Testing for the Inpatient Setting
  • Antenatal Testing for Women Over 40
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
Ultrasound
  • Fetal ECHO Indications
  • Gastroschisis: Antenatal Surveillance
  • Targeted Ultrasound Indications
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
Magnesium Sulfate for Neuroprotection
Obstetric Hemorrhage
  • Peripartum Hemorrhage Risk Assessment
  • Quantitative Blood Lost (QBL) Algorithm
  • Peripartum Hemorrhage (PPH) Checklist
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
Polyhydramnios
Trial of Labor
  • Labor After Cesarean: Antepartum Risk Calculator
  • Labor After Cesarean: Counseling
  • Labor After Cesarean: Intrapartum Risk Calculator
  • Labor After Cesarean: Referral Form
Twin Gestations
  • Twin Pregnancy Monitoring
  • Complicated Monocorionic Twin Pregnancy

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
Postpartum Pain Management at Discharge
  • Addendum: Opioid Rx Instructions for Providers

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Room 216 MacNider
Campus Box 7181
Chapel Hill, NC 27599-7181

The University of North Carolina at Chapel Hill

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