ObGyn Intelligence
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Third Trimester Pregnancy
100 Questions

Click any button to open Claude or ChatGPT with the question pre-loaded — tailored for patients or clinicians, with instructions to cite peer-reviewed sources only.

Developed by Amos Grünebaum, MD · Maternal-Fetal Medicine
Important: AI may occasionally generate inaccurate citations. Always verify references independently before clinical use. This tool instructs the AI to cite only peer-reviewed journals or major guidelines (ACOG, SMFM, CDC, NIH, WHO).
1
Normal Third Trimester Development
10 questions
1
What happens developmentally in the third trimester week by week?
2
How much weight does the fetus gain in the third trimester?
3
What is fetal lung maturity and when is it achieved?
4
How does the fetus prepare for birth in the final weeks?
5
What is fetal engagement and when does it occur?
6
How does amniotic fluid volume change in the third trimester?
7
What is the normal fetal position at term and when does it become fixed?
8
What is a vertex versus breech presentation?
9
How does the placenta age in the third trimester?
10
What is the role of fetal movements in the third trimester?
2
Fetal Surveillance and Growth
10 questions
11
What is a growth ultrasound and when is it recommended?
12
How is fetal weight estimated by ultrasound and how accurate is it?
13
What is fetal growth restriction and how is it classified?
14
What is a biophysical profile and how is it scored?
15
What is a nonstress test and how is it interpreted?
16
What is a contraction stress test and when is it used?
17
What is Doppler velocimetry of the umbilical artery and what do abnormal results mean?
18
What is middle cerebral artery Doppler and when is it used?
19
How often should fetal surveillance be performed in high-risk pregnancies?
20
What is kick counting and what is the evidence for its use?
3
Third Trimester Complications
10 questions
21
What is placenta previa and how is it managed?
22
What is vasa previa and why is it critical to diagnose prenatally?
23
What is placenta accreta spectrum and how is it managed?
24
What is placental abruption and how does it present in the third trimester?
25
What is polyhydramnios and what are its causes?
26
What is oligohydramnios and what are its implications?
27
What is intrahepatic cholestasis of pregnancy and how is it managed?
28
What is preterm premature rupture of membranes and how is it managed?
29
What is a large for gestational age fetus and how is it managed?
30
What is macrosomia and when does it change delivery planning?
4
Preeclampsia and Hypertension
10 questions
31
What are the diagnostic criteria for preeclampsia with severe features?
32
How is preeclampsia managed expectantly versus delivered?
33
What is the evidence for magnesium sulfate in preeclampsia?
34
At what gestational age should preeclampsia be delivered?
35
What is the HYPITAT trial and what did it show?
36
What antihypertensive is first-line for acute severe hypertension in pregnancy?
37
What is eclampsia and how is it managed?
38
What is HELLP syndrome and when does it require delivery?
39
What are the long-term cardiovascular risks after preeclampsia?
40
How should blood pressure be monitored after discharge in preeclampsia?
5
Preterm Labor and Birth
10 questions
41
What is preterm labor and how is it diagnosed?
42
What is the evidence for tocolysis in preterm labor?
43
Which tocolytics have the best evidence and for how long should they be used?
44
What is the evidence for antenatal corticosteroids and when should they be given?
45
What is the role of magnesium sulfate for fetal neuroprotection?
46
What is the MFMU Antenatal Late Preterm Steroids trial and what did it show?
47
What are the outcomes for babies born at 34, 35, 36, and 37 weeks?
48
What is a late preterm birth and why does it matter?
49
When is expectant management versus delivery preferred in preterm PROM?
50
What is the recurrence risk of preterm birth and how can it be reduced?
6
Third Trimester Symptoms and Discomforts
10 questions
51
What causes Braxton Hicks contractions and how are they distinguished from true labor?
52
What causes heartburn in the third trimester and what treatments are safe?
53
What causes swelling in the legs and feet in the third trimester?
54
What is carpal tunnel syndrome in pregnancy and how is it managed?
55
What causes hemorrhoids in the third trimester and how are they treated?
56
What is restless leg syndrome in pregnancy and what is the evidence for treatment?
57
What causes insomnia in the third trimester and what interventions help?
58
What causes rib pain in the third trimester?
59
What is pelvic pressure in the third trimester and when is it concerning?
60
What causes shortness of breath in the third trimester and when is it an emergency?
7
Delivery Planning and Timing
10 questions
61
What is the evidence for delivery timing at 39 weeks in low-risk pregnancies?
62
What is the ARRIVE trial and what were its key findings?
63
When is early term delivery indicated for maternal or fetal conditions?
64
How is delivery timing determined for fetal growth restriction?
65
What is the recommended delivery gestational age for placenta previa?
66
How does gestational diabetes affect delivery timing?
67
What is a birth plan and what are the evidence-based elements?
68
What is GBS screening and how does it affect delivery management?
69
What is the evidence on delayed cord clamping?
70
When should anesthesia consultation occur before delivery?
8
Breech Presentation and Malpresentation
10 questions
71
How common is breech presentation at term and what are the types?
72
What is external cephalic version and what are its success rates?
73
What are the contraindications to external cephalic version?
74
What is the evidence on planned vaginal breech delivery versus cesarean?
75
What is a transverse lie and how is it managed at term?
76
What is a compound presentation and how is it managed?
77
What is face presentation and what are the delivery implications?
78
What is brow presentation and can it deliver vaginally?
79
What factors predict success of external cephalic version?
80
What is the risk of cord prolapse with malpresentation?
9
Postterm Pregnancy and Prolonged Pregnancy
10 questions
81
What is a postterm pregnancy and how is it defined?
82
What are the risks of continuing pregnancy beyond 41 weeks?
83
What does the evidence show about induction at 41 versus 42 weeks?
84
What fetal surveillance is recommended for postterm pregnancy?
85
What is meconium-stained amniotic fluid and what does it indicate?
86
What is the placental insufficiency theory of postterm pregnancy?
87
How accurate is gestational age dating in managing postterm pregnancy?
88
What are the maternal risks of postterm pregnancy?
89
What is the evidence from the INDEX trial on induction timing?
90
How should postterm pregnancy be counseled at 40 weeks?
10
Maternal Wellbeing and Birth Preparation
10 questions
91
What is the evidence on childbirth education classes?
92
What is a doula and what does the evidence show about doula support?
93
What mental health changes are normal in the third trimester?
94
What is perinatal anxiety and how is it screened for?
95
What is the evidence on perineal massage before delivery?
96
What is a hospital bag checklist based on evidence-based practice?
97
What are the signs of labor and when should a patient go to the hospital?
98
What is Group B Strep and what does a positive result mean for the patient?
99
What is the evidence on water immersion during third trimester and labor?
100
What should patients know about delayed pushing in the second stage?