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Perinatal Guidelines

Hematology

Guideline Updates:

  • A critical titer for Anti-Kell and Anti-c (little c) was changed to 鈮1:4.
  • Definition of 鈥減reviously affected pregnancy鈥 was updated.
  • Rhesus antigens were added to the tables.
  • cfDNA section was updated with an example of pretest counseling. The figures have been updated to reflect these changes and for increased visibility.

Guideline Updates:

  • New algorithms created for diagnosis of VTE and PE as well as delivery and postpartum recommendations.
  • The PE algorithm removes VQ study as the gold standard.
  • Potentially add more information about postpartum VTE ppx per request.

Infectious Disease

Guideline Updates:

  • Added sepsis screen information.

Endocrine

Guideline Updates:

  • Added BT DKA Algorithm.

Gastrointestinal

Psychiatry

Guideline Updates:

  • New information for MPAT team.
  • Changes to OUD management.
  • Update to breastfeeding algorithm for amphetamine use with a valid prescription.
  • Added stigmatizing language from SU screening at PFW guideline.

Guideline Updates:

  • Added highlights.

Antepartum Management of Obstetric and Fetal Conditions

Guideline Updates:

  • Multiple edits recommended including timing of delivery for DC twins with complications, ANT for FGR and ICP.

Guideline Updates:

  • Revised prior version extensively with updates to recommendation for aneuploidy screening with cfDNA (NIPT) as preferred method.

Guideline Updates:

  • Added 鈥減revious uterine window鈥 to list of CI.

Guideline Updates:

  • Added BTH Algorithm and rearranged guideline.
  • Updated table for consideration ACS 21w5d.
  • Ensured we are in alignment with Neonatology team.

Guideline Updates:

  • Separated from periviability. Updated table, removed HIV as a contraindication to rescue course of ACS.
  • Changed wording to be in alignment with periviability guideline.

Guideline Updates:

  • Updated figure to include Mg bolus 4-6 grams as PFW uses 4-gram boluses.
  • Update figure to add consider tocolytic agent in PPROM without contraindication.

Guideline Updates:

  •  Separated from PAS because the guideline was too lengthy.
  • Added Vasa Previa Type 3 Information.

Guideline Updates:

  • Changed delivery timing.
  • Added ultrasound templates.

Labor and Delivery

Guideline Updates:

  • Removed most of the vaginal breech section.
  • Changed algorithm as we no longer have providers who feel comfortable offering planned breech vaginal delivery.

Guideline Updates:

  • Reformatted figure.
  • Changed one statement regarding second stage of labor (protracted vs. arrest).

Cardiology

October 2025

Guidelines Updates:

  • Added Highlights section
  • Added information regarding transitioning patients back to pre-pregnancy meds like ACE inhibitors (vs. ARBs)
  • Changed postpartum telemedicine, triage, inpatient figures
  • Updated discharge checklist
  • New HTN Emergency and Eclampsia algorithms
  • Added transaminase section to list of complications per request from prior meetings
  • Starting antihypertensives in pree w/o SF outpatient 鈥 already listed, bolded
  • Updated antenatal testing frequency recommendation to twice weekly in alignment with surveillance guideline

Other

Guideline Updates:

  • New guideline.