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Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (

CPT4 code

Name of the Procedure:

Obstetric Panel (also known as Prenatal Panel or Pregnancy Blood Panel)

Summary

The obstetric panel is a series of blood tests conducted during pregnancy to assess both the mother's and the fetus's health. It typically includes a complete blood count (CBC) with an automated and automated differential white blood cell (WBC) count, or a CBC with automated and appropriate manual differential WBC count.

Purpose

The obstetric panel is used to:

  • Screen for infections, anemia, and blood type incompatibilities.
  • Monitor the overall health of the mother and detect potential issues that could affect the pregnancy.
  • Ensure the fetus is developing in a healthy and safe environment.

Indications

  • Pregnant women, typically during the first prenatal visit.
  • Women experiencing symptoms like fatigue, unusual bleeding, or recurrent infections.
  • Those with a history of pregnancy complications or underlying health conditions.

Preparation

  • Generally, no special preparation such as fasting is required.
  • Patients should inform their healthcare provider of any medications or supplements they are taking.

Procedure Description

  1. Blood Draw: A healthcare professional will use a needle to draw a blood sample from a vein in the arm.
  2. Laboratory Analysis: The blood sample is sent to a lab where it is analyzed for:
    • Complete Blood Count (CBC): Measures red blood cells, white blood cells, hemoglobin, hematocrit, and platelets.
    • Automated Differential WBC Count: Identifies the proportion of different types of white blood cells.
    • Manual Differential WBC count (if needed): A lab technician manually examines the blood to identify different types of white blood cells.

Duration

The blood draw itself takes about 5-10 minutes. Lab results are usually available within a few days.

Setting

The procedure is typically performed in a hospital, outpatient clinic, or a specialized laboratory.

Personnel

  • Phlebotomist or nurse for drawing blood.
  • Lab technicians for analyzing the blood sample.
  • Physicians or obstetricians for interpreting the results.

Risks and Complications

  • Minor risks include bruising or bleeding at the site of the blood draw.
  • Rare complications could include infection at the puncture site or fainting.

Benefits

  • Early detection and management of possible pregnancy complications.
  • Routine monitoring to ensure the health and well-being of both mother and fetus.
  • Provides essential information to guide prenatal care.

Recovery

  • There is no recovery time needed; patients can resume normal activities immediately.
  • Follow any specific instructions given by the healthcare provider, such as scheduling follow-up appointments.

Alternatives

  • There are no direct alternatives to the obstetric panel as it provides comprehensive information crucial for pregnancy care.
  • Individual tests within the panel could be performed separately based on specific indications, but this may not provide a complete picture.

Patient Experience

  • During the blood draw, there might be a brief prick and slight discomfort.
  • Post-procedure pain is minimal, usually limited to the puncture site.
  • Patients generally feel fine immediately after and can resume regular activities.
  • Pain management is generally not needed, but an ice pack can be applied to reduce swelling or bruising.

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