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

  • Diabetic Ketoacidosis
  • Glucose Intolerance in Pregnancy General Guidelines: Pre-conception and pregnancy management for pregestational, early onset in pregnancy (<20 weeks EGA)
  • Gestational Diabetes
    • Gestational Diabetes (Diagnosis)
    • Gestational Diabetes Class A1: Antepartum Management
  • Diabetes in Pregnancy Medication Therapy
    • Medication Dosing Guidelines for Diabetes in Pregnancy
    • Gestational Diabetes Requiring Medication Therapy
  • Postpartum
    • Gestational Diabetes Class A2: Postpartum Management
  • Pre-existing Diabetes
    • Pre-existing Diabetes Management in Pregnancy
  • Diabetes in Pregnancy References

Hypertension -Postpartum (New Onset)

Perinatal Depression

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

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: Term and Preterm Labor

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
  • Aneuploidy Screening Protocol for High Risk Women
  • Autosomal Recessive Screening
  • Hemoglobinopathy Screening
  • Non-Invasive Prenatal Screening Calculator – NIPS
  • Quad Screen

Ultrasound

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

Neural Tube Defects

General Obstetrics

Cord Blood

Fetal Movement

Hyperemesis

Abdominal Trauma

Estimation of Gestational Age

Amniotic Fluid Testing

Obstetric Complications

Acute Preterm Labor

Preterm Birth

  • Antenatal Corticosteroids: Late Preterm
  • Cervical Length Screening Protocol
  • Preterm Birth 22-25 Weeks Outcome Calculator
  • Prior Spontaneous Preterm Birth

Preterm Prelabor Rupture of Membranes (PPROM)

Magnesium Sulfate for Neuroprotection

Peripartum Hemorrhage Protocol

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

 

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Room 3018 Old Clinic Building
Campus Box 7181
Chapel Hill, NC 27599-7181

The University of North Carolina at Chapel Hill

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