597 Early Pregnancy Risk Identification for Consultation ^8 ^150 ^301 Appendix B Risk Factor Recommended Consultation* Medical history and conditions Asthma Symptomatic on medication Obstetrician–gynecologist Severe (multiple hospitalizations) MFM subspecialist Cardiac disease Cyanotic, prior MI, aortic stenosis, MFM subspecialist pulmonary hypertension, Marfan syndrome, prosthetic valve, AHA Class II or greater Other Obstetrician–gynecologist Pregestational diabetes MFM subspecialist Drug and alcohol use Obstetrician–gynecologist Epilepsy (on medication) Obstetrician–gynecologist Family history of genetic problems MFM subspecialist (Down syndrome, Tay–Sachs disease, PKU) Hemoglobinopathy (SS, SC, S-thal) MFM subspecialist Hypertension Chronic, with renal or heart disease MFM subspecialist Chronic, without renal or heart disease Obstetrician–gynecologist Prior pulmonary embolus or deep vein MFM subspecialist thrombosis Psychiatric illness Obstetrician–gynecologist Pulmonary disease Severe obstructive or restrictive MFM subspecialist Moderate Obstetrician–gynecologist (continued)
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