Pregnancy can be exciting, scary and just plain overwhelming. We are here to provide you with the support, information and experience during this special time.
A safe and healthy pregnancy is our goal as we partner with you through all stages of your pregnancies… From the positive pregnancy test all the way through your postpartum period.
Pregnancy Services We Offer
Vaginal Delivery is the birth of babies through the vagina. It is the natural method of birth.
Spontaneous Vaginal Delivery (SVD) occurs when a pregnant female goes into labor without the use of drugs or techniques to induce labor, and delivers her baby in the normal manner, without forceps, vacuum extraction, or a cesarean section.
Assisted Vaginal Delivery (AVD) occurs when a pregnant female goes into labor (with or without the use of drugs or techniques to induce labor), and requires the use of special instruments such as forceps or a vacuum extractor to deliver her baby vaginally.
Induced Vaginal Delivery (IVD) is a delivery involving labor induction, where drugs or manual techniques are used to initiate the process of labor.
Normal Vaginal Delivery (NVD) is a term for a vaginal delivery, whether or not assisted or induced, usually used in statistics or studies to contrast with a delivery by cesarean section.
Caesarean Section, (C-section) is a surgical procedure in which one or more incisions are made through a mother’s abdomen and uterus to deliver one or more babies. A c-section is often performed when a vaginal delivery would put the baby’s or mother’s life or health at risk.
Vaginal Birth After Caesarean Section (VBAC) is if you had a previous c-section delivery and now want to give birth vaginally.
Elective Repeat Caesarean Section (ERCS) is if you had a previous c-section and want another one.
We’re currently working on this page to provide you with the best information about High Risk pregnancies and common causes.. so please stay tuned.
We’re currently working on this page to provide you with the best information about In-Office Ultrasound procedures.. so please stay tuned.
We’re currently working on this page to provide you with the best information about Labor and Delivery Care.. so please stay tuned.
If you plan for your pregnancy, you can make choices that are good for your baby. Also, if you are prepared, it will help your body adjust to the stress of pregnancy, labor, and delivery.
Many women do not know they are pregnant until they are several weeks into their pregnancies. These early weeks are key for the baby growing inside you. The first 8 weeks of pregnancy are a time of rapid growth for your baby. At the end of 8 weeks, most of the major organs and body systems have begun to form. Poor health, smoking, drinking alcohol, and using certain drugs can harm normal growth.
A healthy body and lifestyle helps your baby grow and develop, which is why getting proper health care before you even begin trying to get pregnant is so important.
The Preconception Care Checkup
If you are planning to become pregnant, it is a good idea to plan a preconception care checkup. During this visit, your physician will ask about your medical and family history, medications you take, any past pregnancies, and your diet and lifestyle. Be open and honest when you respond to these questions. Your answers will help your health care provider decide whether you need special care during pregnancy.
This also is a time for you to ask questions. You can seek advice or discuss concerns you might have. Your health care team is there to inform and guide you.
Your physician will ask about the diseases that you have had in the past and any chronic (long-lasting) conditions that you may have now. Some medical conditions such as diabetes, high blood pressure, depression and seizure disorders can cause problems during pregnancy. Some may increase the risk of problems for the baby, such as birth defects. Others may increase the risk of health problems for you.
Having one of these conditions does not mean that you cannot have a healthy pregnancy or baby. However, proper management before pregnancy may reduce pregnancy related risks.
Even if a health problem is well managed, the demands of pregnancy can cause it to worsen. To keep such conditions in check, you may need to make lifestyle changes, see your physician more often. If you have a medical condition, your physician will discuss with you the changes that you need to make in order to bring your condition under control before you try to get pregnant.
For example, women with diabetes are usually advised to keep their glucose levels in the normal range for some time before they become pregnant (if it is not already in the normal range). Having a normal glucose level is important because some of the birth defects caused by high glucose levels happen when the baby’s organs are developing in the first 8 weeks of pregnancy.
Controlling glucose levels may require changing medications or diet and exercise plans.
Some health conditions occur more often in certain families or ethnic groups. These conditions are called genetic or inherited disorders. If a close relative has a certain condition, you or your baby could be at greater risk of having it.
A family medical history helps identify whether you and your partner are at risk of having a child with an inherited medical condition. Your physician will ask whether you and your partner’s family members have conditions such as birth defects, developmental disabilities, diabetes or seizure disorders.
You also will discuss you and your partner’s ethnic backgrounds and any pregnancy complications that you have had in the past.
A genetic counselor is a specially trained health care professional who can help couples assess the risk of having a baby with an inherited disorder. Genetic counseling involves taking a detailed family history and sometimes doing a physical exam and lab tests.
For some disorders, carrier testing may be available. Carrier testing shows whether you have a gene for a particular disorder even if you show no signs of having the disorder yourself. A genetic counselor can help you decide whether to be tested and which tests to have.
The preconception period is the ideal time to find out about these risks. Genetic counseling before pregnancy allows you a broader range of options and more time to make decisions. If you are at increased risk of passing on an inherited disorder, you may decide not to have children.
You can decide to adopt or to use in vitro fertilization (IVF) with donor sperm or eggs. Another testing option, called preimplantation genetic diagnosis, may be available if you and your partner choose IVF.
Medications and Supplements
Some medications, including over-the-counter medications and herbal supplements, can be harmful to a developing baby and should not be taken while you are pregnant. For example, isotretinoin is a prescription medication used to treat severe acne. It can cause severe birth defects if used during pregnancy. Even common nutritional supplements could be harmful.
For instance, some multivitamins contain high levels of vitamin A, which has been shown to cause severe birth defects if taken in large doses during pregnancy.
For other medications, there may not be enough information available to determine whether it is harmful during pregnancy. Studies of a drug may only have been performed on animals or studies may be incomplete.
It is important to tell your physician about all of the medications you are taking. Better yet, take the bottles along with you to your preconception care checkup. You may need to stop using a certain medication or switch to another before you try to get pregnant. Do not stop taking prescription medication, however, until you have discussed this with your physician.
Although some medications may increase the risk of birth defects, the benefits of continuing to take the medication during pregnancy may outweigh the risks to your baby.
Fetal Anatomy Scan
1 Hour Glucose Tolerance Test (GTT)
Group B Streptococcus (GBS)
Genetic Carrier Screening
Screening Test for Birth Defects
This is an overview of prenatal visits for a routine pregnancy. If you have a medical condition or a pregnancy condition this schedule may vary.
|8 -10 Weeks||First OB visit with a Nurse, Prenatal Labs⇒(Blood Work, Blood Type, RH Status, Antibody Screen, Rubella, Hepatitis B, Syphilis, HIV and Urine Culture) and an Ultrasound for dating|
|12 Weeks||First OB visit with a Physician, Physical Exam and Discuss Lab Results|
|13 -14 Weeks||Nuchal Translucency First Trimester Screen⇒(Ultrasound and Blood Work), Cystic Fibrosis Carrier Screen⇒(Blood Work)|
|16 -18 Weeks||Visit with Physician, Check Fetal Heart Tones, Alpha Fetoprotein (AFP) or Penta Screen⇒(Blood Work) (if desired)|
|20 Weeks||Visit with Physician, Complete Fetal Growth Anatomy Survey⇒(Ultrasound, performed in our office, although some patients will be referred to perinatology based on thier clinical history)|
|24 Weeks||Visit with Physician|
|26 – 28 Weeks||Glucose Diabetes Screening⇒(Blood Work, this is a one-hour appointment. Please eat normally without altering your diet. Fasting is NOT required), Hemoglobin⇒ (Blood Work), RhoGAM⇒(Injection, Recommended in women who are Rh negative blood type) Pre-register for your hospitalization.|
|32 Weeks||Visit with Physician, Check Fetal Heart Tones, Measure Fetal Growth|
|34 Weeks||Visit with Physician, Check Fetal Heart Tones, Measure Fetal Growth|
|36 Weeks||Visit with Physician, Check Fetal Heart Tones, Measure Fetal Growth and Group B Streptococcus (GBS)⇒(Vaginal Culture)|
|37 Weeks||Visit with Physician, Check Fetal Heart Tones, Measure Fetal Growth, Possible cervical Examination|
|38 Weeks||Visit with Physician, Check Fetal Heart Tones, Measure Fetal Growth, Possible cervical Examination|
|39 Weeks||Visit with Physician, Check Fetal Heart Tones, Measure Fetal Growth, Possible cervical Examination|
|40 Weeks||Visit with Physician, Check Fetal Heart Tones, Measure Fetal Growth, Possible cervical Examination|
When to call the Office
Our clinic is staffed 24 hours a day, 7 days a week. We encourage you to call our office anytime you have a question or concern. During the daytime hours, our clinic nurses are available to answer your call. During nights and weekends, our answering service will respond and have the on-call provider contact you.
We ask that if you need to go to the Emergency Room or Labor &Delivery, you present to Woodwinds Hospital unless you are out of the area. We only see patients at Woodwinds Hospital.
Pregnancy warning signs that should prompt a call to the physician:
- Vaginal bleeding
- Abdominal pain that is sharp and continuous
- Amniotic fluid leak
- Fever or chills
- Severe presistent headache, nausea or vomiting
- Blurred vision or spots before your eyes
- Decreased fetal movement (after 28 weeks)
- Burning or pain with urination
Vaginal bleeding is normal for up to 4-6 weeks after your delivery. It may start heavy but should decrease over time. Clots are normal in the first few days and may range in size from a quarter to a grapefruit. If you are concerned please feel free to call the office.
- Fluids, adequate rest and good nutrition are vital for a good milk supply. It is important to keep your nipples dry and to prevent nipple cracking. After each feeding either air dry your nipple or you can use a hair dryer on low settings.
- If any area becomes tender, warm or red please call your physician as this may be the early signs of mastitis (breast infection). Hot pack the affected breast and continue to breast feed.
- You may call to schedule a consult with a lactation consultant at Woodwinds Hospital. The phone number is 651-232-3147.
Non Breast Feeding:
Avoid excess fluids, wear tight-fitting bras and apply cool packs to your breasts to help prevent engorgement if engorgement occurs.
Episiotomy or Delivery Tears:
- If you had trauma to your bottom during your delivery it is recommended that you soak in a warm tub 1-3 times per day for the first few days. it will usually take 4-6 weeks for episiotomies or vaginal tears to heal.
- Call the office if you notice any drainage, increased pain or swelling from the stitches.
Cesarean Section Care
- Your incision has been closed with sutures that will dissolve in 4-6 weeks.
- You can wash your incision gently with soap and water
- Call the office if your incision becomes warm, red, tender or develope drainage.
Postpartum Depression “Baby Blues”
70-80% of all new mothers frequently feel sad, anxious, angry or afraid. It is also not uncommon to have trouble sleeping. Taking care of your newborn is a lot of work and you are also generally sleep deprived. Once the baby starts getting a routine and you are able to get some sleep your moods will improve. This usually is within a few weeks of delivery. This can be a tough time. Don’t feel you have to do it on your own. Ask for help from friends and family when you need to.
If these feelings are stronger and persist beyond a few weeks. If your feelings of sad are preventing you from performing your daily tasks then you may have postpartum depression. Although you will see your physician at 6 weeks after your delivery many times these feelings can create significant problems 1-3 weeks after delivery. Do not hesitate to call the office if you are experiencing symptoms of postpartum depression.