599 Ongoing Pregnancy Risk Identification for Consultation ^8 ^150 ^301 Risk Factor Recommended Consultation* Medical history and conditions Drug or alcohol use Obstetrician–gynecologist Proteinuria (2+ by catheter sample, Obstetrician–gynecologist unexplained by urinary tract infection) Pyelonephritis Obstetrician–gynecologist Severe systemic disease that adversely MFM subspecialist affects pregnancy Obstetric history and conditions Blood pressure elevation (diastolic 90 mm Obstetrician–gynecologist or greater Hg), no proteinuria Fetal growth restriction suspected Obstetrician–gynecologist Fetal abnormality suspected by MFM subspecialist ultrasonography Fetal demise Obstetrician–gynecologist Gestational age 41 weeks Obstetrician–gynecologist (to be seen by 42 weeks) Gestational diabetes mellitus Obstetrician–gynecologist Herpes, active lesions 36 weeks Obstetrician–gynecologist Hydramnios by ultrasonography Obstetrician–gynecologist if severe MFM subspecialist Hyperemesis, persisting beyond first Obstetrician–gynecologist trimester Multiple gestation Obstetrician–gynecologist Oligohydramnios by ultrasonography Obstetrician–gynecologist Preterm labor, threatened, less than 37 weeks Obstetrician–gynecologist Premature rupture of membranes Obstetrician–gynecologist Vaginal bleeding 14 weeks or greater Obstetrician–gynecologist Appendix C (continued)
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