Initial Combined Assessment (ICA) - Department of Public Health

Sample of Problem List37Appendix 2ObstetricalNutritionAnemia/hemoglobinopathyAbnormal glucoseBlood problemsAnemiaCardiovascular disordersCurrently breast feedingChronic renal diseaseEating disordersDiabetes Type 1Excessive wt. Gain during pregnancyDiabetes Type 2High caffeine consumptionDysplasia/GYN malignancyHigh parityGastrointestinal disordersHypovolemiaGenetic riskInadequate wt. Gain during pregnancyGestational diabetesLess than 3 years since first mensesHepatitisLow incomeHistory of abnormal infant Moderately overweight (more than 120% desirable wt. )History of C-Section/Uterine SurgeryPrevious obstetrical complicationsHistory of DES exposureShort interpregnancy intervalHistory of gestational diabetes (insulin/diet controlled) Substance useHistory of hospitalization(s)Underweight (less than 90% desirable wt.)History of Incompetent CervixVery overweight (more than 135% desirable wt.)History of less than 2500 gram infantHistory of more than 4000 gram infantHistory of neonatal deathHistory of preterm birth (less than 36 weeks)History of stillbirthHIV riskHypertension/chronicHypo/hyperthyroidKidney problemsMultiple gestationPregnancy induced hypertensionPregnancy interval less than a yearPsychological illnessPulmonary disease /TBRh hemolytic diseaseSeizure disordersSTDUterine problemsVaginal bleedingHealth EducationAge less than 17 or greater than 35 years of ageCardiovascular problemsConflict scheduling class timesDiabetesEconomic and housing problemsExtreme anxiety or emotional problemsLow education levelFailed AppointmentsFamily problems/AbuseHIV risk statusInability to read or write or low reading levelInability to reach decisions or comprehension difficultiesInadequate nutritional statusLack of social support structureLate initiation of prenatal careLow motivation or interestLittle or no experience with U.S. health careNegative attitude about pregnancyNoncompliance with medical adviceOccupational riskPast negative experience with U.S. health carePhysical disabilitiesPreterm laborPrimigravida or multi-gravida with five or moreSubstance useTransportation