Central Virginia Perinatology
 
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Nelson Isada M.D.
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  Maternal/family history of cardiac disease
  A known or newly diagnosed history of hypertension (high blood pressure)
  Preeclampsia (toxemia)
  Maternal metabolic diseases, including diabetes (both pregestational and gestational types)
  Infectious diseases (to include parvovirus, toxoplasmosis, hepatitis, HIV and AIDS)
  Maternal/family history of renal, gastrointestinal disease and cystic fibrosis
  An abnormal AFP (Alpha fetoprotein) blood test (including the suspicion of a neural tube defect)
  An abnormal triple screen (including the suspicion of a chromosomal abnormality such as Trisomy 21 [Down Syndrome]. Trisomy 13 or Trisomy 18)
  Multiple gestation (twins and higher order multiples)
  Poor past obstetrical history (to include past preterm deliveries, preterm labor, preterm cervical dilation, premature rupture of membranes, repetitive pregnancy loss)
  Suspected abnormal fetal growth—both macrosomia (a baby that is too large) or fetal growth restriction (a baby that is too small)
  Maternal lupus
  Red cell alloimmunization (Rh-mother sensitized to an Rh+ fetus)
  A known/suspected fetal anomaly
  The need for genetic counseling
  The need for anepartum fetal testing
  The need for invasive fetal testing/procedures such as:

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