Operational Obstetrics & Gynecology

Normal Pregnancy

Diagnosis of Pregnancy	Disability	Thermal Stress
Pregnancy Tests	Maternal Skin Changes	Noise
Prenatal Care	Nausea	Vibration
Nutrition	Heartburn	Solvents
Prenatal Vitamins	Sciatica	Heavy Metals
Laboratory Tests	Carpal Tunnel Syndrome	X-rays
Ultrasound Scans	URI	Radiation
Estimating Gestational Age	Antibiotics	CRT Exposure
Fetal Heart Beat	Other Drugs	Diving
Exercise	Immunizations	Hyperbaric Therapy
		Aircrew Status

Laboratory Tests

Some routine lab tests are done on all pregnant women at different times during the pregnancy. Other tests are done for a specific indication.

As early in pregnancy as feasible, obtain:

Hemoglobin or hematocrit
White blood count and platelet count
Urinalysis
Blood group and Rh type
Atypical antibody screen
Rubella antibody titer
RPR or VDRL
Hepatitis B screen
HIV
Pap Smear
Chlamydia/Gonorrhea

Subsequent lab tests consists of:

Amniocentesis or CVS for women age 35 at 10-17 weeks
Maternal serum AFP at 16-18 weeks
Hemoglobin or hematocrit at 28 weeks
Serum glucose at 1-hour post 50g glucose load at 28 weeks
Administration of Rhogam to Rh negative women

Other tests may be indicated, based on individual risk factors. These might include screening for Sickle Cell disease (or trait), thalassemia, G6PD, tuberculosis. Follow-up tests may also be needed, based on the original screen. For example, a woman found to be very anemic might be evaluated with serum folate and ferritin levels. A woman failing her glucose screening test will probably need a full glucose tolerance test.

Home ╖ Introduction ╖ Medical Support of Women in Field Environments ╖ The Prisoner of War Experience ╖ Routine Care ╖ Pap Smears ╖ Human Papilloma Virus ╖ Contraception ╖ Birth Control Pills ╖ Vulvar Disease ╖ Vaginal Discharge ╖ Abnormal Bleeding ╖ Menstrual Problems ╖ Abdominal Pain ╖ Urination Problems ╖ Menopause ╖ Breast Problems ╖ Sexual Assault ╖ Normal Pregnancy ╖ Abnormal Pregnancy ╖ Normal Labor and Delivery ╖ Problems During Labor and Delivery ╖ Care of the Newborn

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300

Operational Obstetrics & Gynecology - 2nd Edition
The Health Care of Women in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMEDPUB 6300-2C
January 1, 2000

This web version of Operational Obstetrics & Gynecology is provided by The Brookside Associates Medical Education Division. It contains original contents from the official US Navy NAVMEDPUB 6300-2C, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense. All material in this version is unclassified.

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