By the end of Family Medicine Clerkship, students will be able to:
1. Discuss key pre-conception considerations in healthy women of childbearing age. (eg. folic acid supplementation, smoking, rubella immunity, etc. )
2. Date a pregnancy accurately.
3. Explore the patient’s feelings and concerns about her pregnancy (eg. supports, stressors, etc.).
4. Perform an adequate first prenatal visit including taking a history and performing an appropriate focused physical exam with the assistance of available antenatal tracking tools.
5. Screen for and identify pregnancies at risk (eg. domestic violence, multiple gestation, maternal age, substance use, etc.).
6. Conduct a basic follow up visit, including BP measurement, weight, fetal heart rate (starting at 12 weeks), symphysis-fundal height (20wks and beyond), screening for concerns and complications.
7. Provide basic education and counseling regarding lifestyle, breastfeeding, and delivery planning.
Recommended Resources Addressing the Objectives
Evidence-Based Prenatal Care: Part I. General Prenatal Care and Counseling Issues (9 pages)
Objectives covered: All
Kirkham C, Harris S, Grzybowski S. Evidence-based prenatal care: Part I. General prenatal care and counseling issues. Am Fam Physician 2005 Apr 1;71(7):1307-1316.
Guideline for the Use of Prenatal Ultrasound – First Trimester (3 pages)
Objectives covered: 2,5,6
Towards Optimized Practice (TOP). Guideline for the Use of Prenatal Ultrasound – First Trimester. 2008; Available at: http://www.topalbertadoctors.org/download/408/first_trimester_guideline.pdf. Accessed July/29, 2014.
Guideline for Ultrasound As Part of Routine Prenatal Care (4 pages)
Objectives covered: 3, 5, 6
Towards Optimized Practice (TOP). Guideline for Ultrasound As Part of Routine Prenatal Care. 2008; Available at: http://www.topalbertadoctors.org/download/414/routine_prenatal_guideline.pdf. Accessed July/29, 2014.