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Indications for Consultation
- Pregestational diabetes
- Gestational diabetes
- Morbid obesity
- Chronic Hypertension
- Hypertensive Disorders of Pregnancy
- Twin/multifetal pregnancy
- Monochorionic twin pregnancies for twin-twin transfusion syndrome surveillance
- Discordant fetal growth
- Abnormalities of fetal growth
- Suspected fetal anomalies
- Aneuploidy markers (e.g., abnormal nuchal skin-fold, echogenic intracardiac focus, short femur/humerus, choroid plexus cyst, etc.)
- Hydrops fetalis
- Abnormalities of amniotic fluid
- Oligohydramnios
- Polyhydramnios
- Preterm labor
- Premature rupture of membranes
- Recurrent early miscarriage
- Midtrimester pregnancy loss
- History of preterm labor, preterm prelabor rupture of membranes, or preterm delivery
- Cervical insufficiency
- History of stillbirth or neonatal death
- Hyperemesis gravidarum
- Uterine malformations
- Previous uterine or cervical surgery
- Aneuploidy screening
- Genetic counseling
- Family history of genetic disorder, congenital anomaly (e.g., cardiac, neural tube defects, etc.) or mental retardation
- Maternal viral infections/exposures (e.g., Parvovirus, HIV, hepatitis B/C, CMV, VZV, HSV)
- Maternal hemoglobinopathy
- Maternal history of deep venous thrombosis or thromboembolic disease
- Known thrombophilia
- Intrahepatic cholestasis of pregnancy
- Maternal asthma or other severe pulmonary disease
- Severe anemia
- History myocardial infarction
- Maternal pulmonary hypertension
- Maternal history of cardiomyopathy
- History of maternal medication or teratogenic exposure
- History of maternal alloimmunization or fetal hydrops
- Abnormal maternal serum screening for genetic or fetal anomalies
- Maternal thyroid disease
- Maternal cardiac disease
- Maternal seizure disorder
- Maternal renal disease
- Systemic lupus erythematosus, antiphospholipid syndrome or other connective tissue disorders
- Maternal substance abuse
- History of bariatric surgery
- Fetal cardiac arrhythmias or abnormal heart rate
- Placental abnormality (e.g. placenta previa, placenta accreta spectrum, molar pregnancy, vasa previa, velamentous cord insertion, etc.)
- Coordination of care and referral for fetal surgery
