Get the free HIGH RISK OBSTETRIC EVALUATION ORDER FORM

Lama L. Layman, MD, MPH Rachel G. Humphrey, MD Stacie Rosenthal, MS, CGC 147 Moray Lane Winter Park, FL 32792 (407) 622-0560 Fax: (407) 646-7064 www.maternalfetalcarecenter.com Monday-Thursday 7:30

How to fill out high risk obstetric evaluation

How to fill out high risk obstetric evaluation:

1. Consult with a healthcare provider: Before filling out the high risk obstetric evaluation, it is important to consult with a healthcare provider who specializes in obstetrics. They will provide guidance on the specific information you need to include and any additional documents or medical records that may be necessary.
2. Gather necessary information: Collect all relevant medical records, including previous obstetric history, prenatal lab results, ultrasound reports, and any other pertinent information. This will help provide a comprehensive snapshot of the patient's medical background and aid in the evaluation process.
3. Document medical and family history: In the evaluation form, provide a detailed account of the patient's medical history, including any pre-existing medical conditions, previous pregnancies, complications, surgeries, or other relevant information. Additionally, note any pertinent family history of genetic disorders or conditions that may increase the risk for complications during pregnancy.
4. Record current and ongoing medical conditions: Provide a comprehensive list of the patient's current medical conditions, including but not limited to diabetes, hypertension, autoimmune disorders, or any other chronic illnesses. This will help assess the potential impact these conditions may have on the pregnancy.
5. Detail any medications or supplements: Include a thorough list of all medications, both prescription and over-the-counter, as well as any supplements or herbal remedies the patient may be taking. It is important to identify any potential risks or interactions with pregnancy or specific medical conditions.
6. Describe any previous pregnancy complications: Document any previous pregnancy complications, such as preterm labor, gestational diabetes, preeclampsia, or other conditions. This will help identify potential risk factors and develop appropriate management plans.
7. Provide information on current pregnancy: Include details about the current pregnancy, such as estimated due date, prenatal care schedule, and any current concerns or complications. This information will help guide the evaluation and determine the appropriate level of care and monitoring.

Who needs high risk obstetric evaluation:

1. Pregnant women with pre-existing medical conditions: Women who have pre-existing medical conditions such as diabetes, hypertension, heart disease, autoimmune disorders, or other chronic illnesses may require a high risk obstetric evaluation to assess the potential impact of these conditions on pregnancy and develop appropriate management plans.
2. Women with previous pregnancy complications: Those who have experienced pregnancy complications in the past, such as preterm labor, gestational diabetes, preeclampsia, placental abnormalities, or other issues, may be recommended to undergo a high risk obstetric evaluation for future pregnancies. This evaluation helps identify potential risk factors and develop appropriate strategies to minimize complications.
3. Advanced maternal age: Women who are over the age of 35 at the time of pregnancy may be advised to undergo a high risk obstetric evaluation due to the increased risk of chromosomal abnormalities and other pregnancy-related complications associated with advanced maternal age.
4. Multiple pregnancies: Women expecting twins, triplets, or higher-order multiples are at an increased risk for various complications throughout pregnancy. Therefore, a high risk obstetric evaluation is often recommended to ensure appropriate monitoring and management of these pregnancies.
5. Identified fetal abnormalities or genetic concerns: If there are any identified fetal abnormalities, genetic concerns, or a family history of genetic disorders, a high risk obstetric evaluation may be necessary to assess the potential impact on the pregnancy and plan appropriate management and support.

It is important to note that the need for a high risk obstetric evaluation may vary depending on individual circumstances. Healthcare providers will determine the necessity based on their assessment of the patient's medical history, current pregnancy, and any specific risk factors present.

For pdfFiller’s FAQs

What is high risk obstetric evaluation?

High risk obstetric evaluation is a medical assessment used to identify and manage potential complications during pregnancy or childbirth for women with pre-existing health conditions or other risk factors.

Who is required to file high risk obstetric evaluation?

High risk obstetric evaluation is typically required to be filed by healthcare providers such as obstetricians, perinatologists, or midwives who are overseeing the care of pregnant women at high risk for complications.

How to fill out high risk obstetric evaluation?

To fill out a high risk obstetric evaluation, healthcare providers must gather information on the pregnant woman's medical history, current health status, any existing risk factors, and conduct relevant diagnostic tests to assess the pregnancy.

What is the purpose of high risk obstetric evaluation?

The purpose of high risk obstetric evaluation is to identify potential risks or complications during pregnancy, develop a care plan to manage these risks, and optimize outcomes for both the mother and the baby.

What information must be reported on high risk obstetric evaluation?

Information reported on high risk obstetric evaluation typically includes medical history, current health status, pregnancy complications, test results, treatment plans, and any recommendations for follow-up care.

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