Adolescent Pregnancy Focus: Optimize prenatal care in this high risk population Abuse prevention Sexually Transmitted Disease (STD) prevention Birth Control First Trimester Prenatal Screening First trimester screening is performed between 11-13 weeks of pregnancy, and involves both an ultrasound and a blood test. Second Trimester Maternal Screening The risk of producing a child with Down syndrome or an open neural tube defect concerns many parents. This risk can be assessed by screening the level of alpha-fetoprotein (AFP) in the mother's bloodstream. Hispanic Obstetrical Center Focus: Provide cost effective ob care for spanish-speaking only indigent women Hypertension Program Focus: Identify, treat and modify hypertensive disease of pregnancy Infectious Diseases Focus: Control and treatment of perinatal infections HIV Lactation Clinic Expert breastfeeding assistance by Certified Nurse Midwives and Pediatric Nurse Practitioners who are also board certified as lactation consultants. Metabolic Program Focus: Optimize control of metabolic diseases prior to, during and following pregnancy Multifetal Program Focus: High risk care for women with multiple fetuses Preconceptional Counseling Purpose: Optimize wellness prior to conception/pregnancy Prematurity Prevention Focus: Identify and control risk factors for premature delivery Prenatal Diagnosis Focus: Identification and treatment of fetal disease Ultrasound Serologic testing Amniocentesis and Chorionic Villi Sampling (CVS) Perinatal Mood Disorders Program Focus: Mood disorders and pregnancy 
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