{
  "schema_version": 1,
  "kind": "condition",
  "id": "abnormal-antenatal-screening-finding",
  "name": "Abnormal antenatal screening finding",
  "category": "chronic",
  "sources": "ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class WS50 - condition scope only, no dose · Initial Antepartum Care - StatPearls - NCBI Bookshelf - https://www.ncbi.nlm.nih.gov/books/NBK539829/ · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Antenatal Fetal Surveillance - disease-level clinical article (abnormal-antenatal-screening-finding-full.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 2,
      "generic": "No drug therapy in primary care (Referral & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "An abnormal antenatal screening finding requires immediate clinical triage based on the specific test affected. For abnormal glucose tolerance, initiate dietary advice and schedule antenatal monitoring; for positive infection screens, arrange targeted confirmatory testing and appropriate prophylaxis; for blood pressure or proteinuria abnormalities, evaluate urgently for preeclampsia. Correlate all abnormal screening results with obstetric ultrasound and refer promptly to an obstetrician.",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "An abnormal antenatal screening finding requires immediate clinical triage based on the specific test affected. For abnormal glucose tolerance, initiate dietary advice and schedule antenatal monitoring; for positive infection screens, arrange targeted confirmatory testing and appropriate prophylaxis; for blood pressure or proteinuria abnormalities, evaluate urgently for preeclampsia. Correlate all abnormal screening results with obstetric ultrasound and refer promptly to an obstetrician.",
      "cautions": [
        "RED FLAG - Reduced fetal movement or fetal growth restriction: assess urgently and refer.",
        "An abnormal glucose tolerance test, a positive infection screen, or abnormal blood pressure or protein result needs prompt action specific to that finding.",
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - Acute events such as evolving placental abruption and cord prolapse require prompt clinical evaluation and urgent delivery, as routine fetal surveillance is not predictive in these settings."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "abnormal-antenatal-screening-finding"
    }
  ]
}