Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart D - HEALTH SERVICES › Section 340.1550 - Obstetrical and Gynecological Care

Current through Register Vol. 48, No. 28, July 12, 2024
Every woman resident of child-bearing age shall receive
				  routine obstetrical and gynecological evaluations as well as necessary prenatal
				  care. (Section 2-104(b) of the Act) In addition, women residents shall be
				  referred immediately for diagnosis whenever pregnancy is suspected.
a) "Routine obstetrical evaluations" and
				"necessary prenatal care" shall include ata minimum, the following:
1) Early diagnosis of pregnancy;
2) A comprehensive health history, including
				menstrual history, methods of family planning that the patient has used, a
				detailed record of past pregnancies, and data on the current pregnancy that
				allow the physician to estimate the date of delivery;
3) Identification of factors in the current
				pregnancy that help to identify the patient at high risk, such as maternal age,
				vaginal bleeding, edema, urinary infection, exposure to radiation and
				chemicals, ingestion of drugs and alcohol, and use of tobacco;
4) A comprehensive physical examination,
				including an evaluation of nutritional status; determination of height, weight
				and blood pressure; examination of the head, breasts, heart, lungs, abdomen,
				pelvis, rectum, and extremities;
5)
				The following laboratory tests, as early in pregnancy as possible. Findings
				obtained from the history and physical examination may determine the need for
				additional laboratory evaluations:
A)
				Hemoglobin or hematocrit measurement;
B) Urinalysis, including microscopic
				examination or culture;
C) Blood
				group and Rh type determination;
D)
				Antibody screen;
E) Rubella
				antibody titer measurement;
F)
				Syphilis screen;
G) Cervical
				cytology; and
H) Viral hepatitis
				(HBsAg) testing;
6) A
				risk assessment that, based on the findings of the history and physical
				examination, should indicate any risk factors that may require special
				management, such as cardiovascular disease, maternal age more than 35 years,
				neurologic disorder, or congenital abnormalities;
7) Return visits, the frequency of which will
				be determined by the resident's needs and risk factors. A woman with an
				uncomplicated pregnancy shall be seen every four weeks for the first 28 weeks
				of pregnancy, every two to three weeks until 36 weeks of gestation, and weekly
				thereafter;
8) Determinations of
				blood pressure, measured fundal height, fetal heart rate, and, in later months,
				fetal presentation, and urinalysis for albumin and glucose. Hemoglobin or
				hematocrit level shall be measured again early in the third trimester. Glucose
				screening is recommended for women who are 30 years of age or older;
9) Evaluation and monitoring of nutritional
				status and habits;
10) Education
				for health promotion and maintenance;
11) Counseling concerning exercise and
				childbirth education programs; and
12) Postpartum review and evaluation four to
				eight weeks after delivery, including determination of weight and blood
				pressure and assessment of status of breasts, abdomen, and external and
				internal genitalia.