| INDICATION |
GENETICS |
MFMC |
L3 US |
FE |
| Abnormal SMAFP |
X |
X |
X |
|
| Anormal AFP or NIPT |
X |
X |
X |
X |
| Abnormal dopplers |
|
X |
X |
|
| Abnormal Sequential Screen with normal NIPT |
X |
X |
X |
|
| Abnormal Sequential Screen (No NIPT) |
X |
X |
X |
X |
| Advanced Maternal Age (Singleton or Mono TWINS 35y) |
X |
X |
X |
X |
| Advanced Maternal Age (Di/Di TWINS 32y) |
X |
X |
X |
X |
| Alcohol exposure |
X |
X |
X |
X |
| Arrhythmia (fetal) |
|
X |
X |
X |
| Asthma (currently on meds) |
|
X |
X |
|
| Autoimmune disease, pt (Lupus, RA, Sjogrens) |
|
X |
X |
X |
| Bariatric Surgery |
|
X |
X |
|
| Chorioangioma |
|
X |
X |
X |
| Choroid Plexus Cyst (CPC) |
X |
X |
X |
X |
| Cleft lip/ cleft palate |
X |
X |
X |
X |
| Club foot |
X |
X |
X |
X |
| Cystic hygroma |
X |
X |
X |
X |
| Cytomeglavirus (CMV) |
X |
X |
X |
X |
| Diabetes (Type 1 or Type 2) |
X |
X |
X |
X |
| Echogenic (ehoic) bowel |
X |
X |
X |
X |
| Echogenic focus (LVEICF or RVEICF) |
X |
X |
X |
|
| Family history birth defect |
X |
X |
X |
X |
| Family history Down Synd (prev. pg or 1st degree relative) |
X |
X |
X |
IF prev. pg |
| Family history genetic disorder |
X |
X |
X |
X |
| Family histroy mental retardation |
X |
X |
X |
X |
| Fibroids (>3 cm or LUS) |
|
X |
X |
|
| Fifths disease |
X |
X |
X |
X |
| Gastroschisis |
X |
X |
X |
X |
| Gestational Diabetes |
|
X |
X |
(diagnosed 1st trimester) |
| Heart defect (maternal or fetal) |
X |
X |
X |
X |
| History of c-section more than 2 |
|
X |
X |
|
| History of DVT/PE |
|
X |
X |
|
| History of neonatal death |
X |
X |
X |
X |
| History of preeclampsia |
|
X |
X |
|
| History of preterm labor/ delivery |
|
X |
X |
|
| Hydrocephalus |
X |
X |
X |
X |
| Hydronephrosis |
X |
X |
X |
X |
| Hypertension |
|
X |
X |
|
| Illicit drug exposure(not THC) |
X |
X |
X |
X |
| Inhibin (elevated) |
|
X |
X |
|
| Isoimmunization |
|
X |
X |
|
| IUGR <32 WKS |
X |
X |
X |
X |
| IUGR >32 WKS |
|
X |
X |
|
| IVF (Not IUI) |
X |
X |
X |
X |
| Low BMI <20 |
|
X |
X |
|
| Marginal cord insert |
|
X |
X |
|
| Measles, Mumps, or Rubella (MMR) exposure |
X |
X |
X |
X |
| Medication exposure (see list from GC) |
X |
X |
X |
X |
| Mulitple SAB's (3 or more) |
X |
X |
X |
X |
| Nuchal translucency more than 3 mm |
X |
X |
X |
X |
| Obesity |
|
X |
X |
X |
| Oligohydramnios <32wks |
X |
X |
X |
X |
| Oligohydramnios >32wks |
|
X |
X |
|
| Omphalocele |
X |
X |
X |
X |
| PAPP-A (low) |
|
X |
X |
|
| Parvo exposure |
X |
X |
X |
X |
| PCOS |
|
X |
X |
|
| Placenta previa >28wks (Complete or low lying) |
|
X |
X |
|
| Polyhydramnios <32wks |
Maybe |
X |
X |
X |
| Polyhydramnios >32wks |
|
X |
X |
X |
| Pyelectasis |
X |
X |
X |
X |
| Rheumatoid Arthritis, maternal |
|
X |
X |
X |
| Seizure disorders |
X |
X |
X |
X |
| Single umbilical artery (SUA) |
X |
X |
X |
X |
| Spina bifida |
X |
X |
X |
X |
| Teen Under 16 yo |
|
X |
X |
|
| Thrombophilia ( Factor II/V, Antiphospholipid Syndrome) |
|
X |
X |
|
| Thyroid (Hyper/Hypo) |
|
X |
X |
|
| Toxoplasmosis |
X |
X |
X |
X |
| Twins, Di/Di (No FE or GC unless >32yr old) |
|
X |
X |
|
| Twins, Triplets, Multiples (Monozygotic) |
X |
X |
X |
X |
| Varicella exposure |
X |
X |
X |
X |
| Varix (umbilical cord varix) |
|
X |
X |
X |
