Preconception evaluation of women to optimize maternal and perinatal outcomes. Examples include women with underlying illness, previous adverse pregnancy outcome, or considering advanced reproductive technology.

• Evaluation of pregnant women needing counseling regarding prenatal care issues, and nutrition
• Ultrasound – standard, limited and specialized (e.g. detailed sonography, foetal echocardiogram, Doppler studies)
• Prenatal diagnosis, aneuploidy screening and foetal therapy (CVS, amniocentesis, foetal blood sampling and transfusion, foetal thoracocentesis and thoracoamniotic shunt placement, foetal vesicocentesis and vesicoamniotic shunt placement, laser, foetal surgery)
• Genetic screening for women at increased risk for genetic disorders

Any antepartum patient admitted for “other than delivery” support for intrapartum care including before labor; first-, second- and third-stage issues; intrapartum foetal monitoring; aneasthesia and analgesia; operative vaginal delivery, cesarean delivery; trial of labor after cesarean

• Recurrent pregnancy loss
• Preterm birth prevention
• Asymptomatic (e.g. prior second trimester loss, possible cervical insufficiency; prior PTB; Mullerian abnormalities; short cervical length; issues related to cerclage, pessary, progesterone, or other interventions for prevention of PTB
• Symptomatic (PTL or PPROM) <34 weeks gestation
• Meconium complications
• Malpresentation and malposition
• Shoulder dystocia
• Abnormal third stage of labor
• Placenta accreta, increta, percreta
• Second- or third-trimester vaginal bleeding
• Preeclampsia with severe elements/eclampsia with HELLP syndrome (a life-threatening pregnancy complication usually considered to be a variant of preeclampsia) or end-organ damage
• Severe postpartum hemorrhage
• Cesarean hysterectomy
• Acute fatty liver of pregnancy
• Amniotic fluid embolism

• Hypertensive Disorders
• Cardiac Disease
• Congenital heart disease
• Arrhythmias
• Valve disease
• Cardiomyopathy
• Pulmonary hypertension
• Coronary artery disease
• Heart transplant
• Respiratory Disease
• Asthma
• Pneumonia
• Restrictive lung disease
• Pulmonary edema
• Influenza
• Tuberculosis
• Cystic fibrosis
• Obesity
• Endocrinologic Disorders
• Addison disease
• Diabetes, insulin-requiring/ dependent
• Thyroid disease
• Parathyroid disease
• Pheochromocytoma
• Gastrointestinal Disease
• Nausea and vomiting in pregnancy; Hyperemesis gravidarum
• Eating disorders
• Intrahepatic cholestasis
• Inflammatory bowel disease (ulcerative colitis; Crohn’s disease)
• Gallbladder disease (cholecystitis, cholelithiasis)
• Pregnancy after liver transplantation
• Pancreatitis
• Wilson’s disease
• Hematologic Diseases
• Maternal anemia and hemoglobinopathies
• Sickle cell disease
• Von Willebrand disease
• Thrombotic thrombocytopenia purpura/hemolytic uremic syndrome
• Care of the Jehovah’s Witness pregnant woman
• Renal Disease (includes renal transplantation)
• Neurologic Diseases
• Seizure disorders
• Headache
• AV malformation/ berry aneurysm
• Multiple sclerosis
• Pseudotumor cerebri
• Myasthenia gravis
• Spinal cord injury
• Diabetes insipidus
• Psychosocial Issues and Abuse
• Smoking
• Alcohol abuse
• Drug abuse
• Depression
• Other psychiatric disorders
• Domestic violence
• Rheumatologic Disorders
• Antiphospholipid syndrome
• Systemic lupus erythematosus
• Rheumatoid arthritis
• Other autoimmune disease
• Thromboembolic Disorders
• Venous thromboembolism and anticoagulation
• Inherited thrombophilia
• Infectious Disorders
• Hepatitis A
• Hepatitis B
• Hepatitis C
• HIV
• Gonorrhea
• Chlamydia
• Syphilis
• Trichomonas
• Group B streptococcus
• Vaccination concerns
• Pyelonephritis
• Management of wound infection
• Trauma and Critical Care
• Trauma
• Critical care
• Skeletal; Connective Tissue
• Marfan syndrome
• Maternal skeletal dysplasia
• Dermatoses
• Cancer before and during pregnancy
• Non-obstetric abdominal surgery in the current pregnancy

• Structural abnormalities
• Family history of abnormality
• Aneuploidy or increased risk for aneuploidy
• Teratogen exposure

• Threatened miscarriage (including medical and surgical management)
• Multifoetal pregnancies (including, but not limited to, mono/di twins, mono/mono twins, higher-order multiples; foetal growth restriction of 1 fetus; twin-twin transfusion syndrome; foetal reduction)
• Growth disorders
• Growth restriction
• Macrosomia
• Infections (e.g., Cytomegalovirus, toxoplasmosis, parvovirus, Herpes, varicella)
• Foetal death
• Hemolytic disease (Red cell alloimmunization)
• Neonatal alloimmune thrombocytopenia
• Non-immune hydrops

• Antepartum fetal monitoring
• Sonographic assessment of amniotic fluid abnormalities
• Oligohydramnios
• Hydramnios
• Fetal blood sampling/intrauterine transfusion
• Screening for fetal anemia
• Fetal muscle/organ biopsy
• Fetal skin sampling
• Fetal surgery; fetoscopy/ embryoscopy