Behavioral Health Concerns and Pregnancy, Females < 18 yrs — Clinical Pathway

Confirmation of Gestational Age, Laboratory Studies, Ultrasound

Confirmation of Gestational Age

First Day of Last Menstrual Period,
If Known
Ultrasound
  • Performed by Maternal-Fetal Medicine
  • Confirm viability, date pregnancy
  • If no uterine pregnancy noted, obtain quantitative beta HCG

Laboratory and Radiology Studies

Prenatal Laboratory Evaluation
  • CBC
  • ABO and RhD Type and antibody screen
  • RPR
  • HBsAg, HCV antibody test
  • HIV
  • Rubella IgG
  • Urine for gonorrhea, chlamydia, trichomoniasis
  • Urine POC
  • Urine culture
  • Quantitative HCG
    • No IU pregnancy on US
  • Results Communication Plan
US by MFM Confirm viability, dating