Orange County NC Website
Browse       Search
N.C. Department of Environment, Health, and Natural Resources page 3 of 5 <br />Division of General Services <br />CONTRACT ADDENDUM FY 1991 -92 <br />Maternal Health Branch 5101 <br />Office, Section, or Branch 92068 <br />Contract Number <br />tmen <br />Contractor <br />_Maternal Health <br />Activity <br />(c) An estimated 100 will receive routine labors <br />of at least 13 of the follw ng �: Y services Wioh cmist <br />(1) <br />( ) <br />�� Q��ini tial visit <br />Determination- initia., <br />(10) <br />Urine Dipstick - (glUome <br />visit <br />(11) <br />amd <br />Ketnr� each rated visit) <br />(3) <br />Antibody screen -- ( initial <br />(u) <br />indicated <br />visit and repeat as <br />for <br />bate for asYmpt.cmatic <br />(4) <br />indicated) <br />Antibody Titer-(Jr <br />(13) <br />Quantitative Urine Culture -if <br />Positive antibody � en <br />and repeat as indicated ) <br />(14) <br />dated <br />Blood GluoWe -(g0q• gltrtse load/ <br />(5) <br />(6) <br />l�bella Iam,a�e Status <br />Gonorri�ea <br />(1"5) <br />�`r if indicated) <br />�/�'t� adz trimester <br />wltut+e`initi� <br />visit <br />(16) <br />H gb Electrophoresis-( ( if indicated and <br />(7) <br />C.C�ea ailtllre- repeat <br />(17) <br />Qu sc ti n,_tial vis i t <br />(8) <br />pap Smear initial visit* <br />(18) <br />Ch1a�a repeat- LZ if previ,i,, <br />positive <br />(y) <br />y� fit_. <br />initial visit <br />(19) <br />AFP Screening <br />(d) STS cn the initial visit and a repeat STS in the [3). <br />(e) Screening for hepatitis B on the initial visit, unless }mown to be <br />infected, and follow-up of an infant born to an infected mother to <br />assure he /she receives prophylactic treatment <br />(f) An estimated 100 % will receive at least 4 of the following 6 <br />an all svbsegLAnt rcutine added visits that take place after 14 ae_ ` <br />gestation: interim hLstory /mum � 3 9� ns <br />tia; weight; blood <br />FrwAm "; ft=lal height; fetal heart tones, and presentation. <br />(g) An estimated 95 % will receive a dietary recall or food fregiaency on <br />the initial visit and once eadz remaining ng trimes'ter. <br />*unless last do=nented gap Smear was done within last six months, <br />documented in the patient's record and judged within normal limits <br />by the maternity clinician. <br />Reviewed by <br />DEHNR 3300 (Revised 2/90) <br />General Services Division (Review 1/95) Initials <br />Dare <br />