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Obstetrics

Obstetrics is the part of our practice involving all aspects of pregnancy. All of our physicians care for the pregnant patient and deliver babies.

1. Early pregnancy: In general, we evaluate our patients after the 5th week of pregnancy but before the 10th week. Most women have a positive pregnancy test when the menstrual period is a day or more late. Since we date pregnancy from the age of the egg, in a predictable 28-day cycle, most women are 4-5 weeks pregnant when they have the first positive pregnancy test. We would like to schedule an appointment with our nursing staff in order to obtain an accurate medical history and early screening blood tests.  After this appointment we will schedule your first New Ob exam, which is performed often including cervical cultures and a Pap smear. The physician may also order or perform a first trimester sonogram to verify dates and placement of the pregnancy. We encourage you to write down any questions you have, so that all of your concerns can be addressed.

2. Considerations: Pregnancy is both exciting and frightening. Our staff will spend a considerable amount of energy to answer your questions and address your concerns.

3. Complications: There are many medical conditions which can complicate pregnancy; our staff will ascertain these from your personal and family history.

Miscarriage is very common; almost a third of all pregnancies end in miscarriage. Many risk factors and medical conditions are discovered when a pregnancy fails. Some of these conditions are treatable, so that subsequent pregnancies are successful. We encourage patients who have experienced a pregnancy failure to understand that an individual seldom has caused the miscarriage and to understand that most often this is a random failure of cell division. If recurrent miscarriages have occurred, we encourage testing of both partners to try to ascertain a treatable cause.  As part of the medical history, we will search for risk factors for pregnancy loss.

Chronic medical conditions: Since women are waiting longer to start their families, we are seeing many more pregnancies complicated by conditions such as diabetes, hypertension, asthma, thyroid disease and heart disease. Although optimal health is preferred, many of these conditions can be safely treated so that pregnancy can continue. 

Pregnancy-related medical complications: The condition of pregnancy, though natural and healthy, is associated with certain medical conditions.  The most common are gestational diabetes and hypertensive disorders.  Our physicians are experienced in diagnosing and managing these complications.

Multiple gestations: This involves caring for women who are pregnant with twins, triplets, etc. Our physicians can diagnose multiple gestations with an early ultrasound. We are experienced in caring for and delivering twins and triplets. We often involve our perinatologists in risk management.

Routinely offered screening tests: Many screening tests are done when pregnancy is diagnosed. In early pregnancy this includes blood type and Rh factor, blood count, screening for hepatitis, HIV and syphilis, and MMR. As pregnancy progresses, a patient may be offered blood screening for Down's syndrome or a Penta screen (www.questdiagnostics.com/testcenter/testguide.action?dc=TS_Penta_Screen). In the third trimester, we will screen for gestational diabetes and group B strep.

4. Delivery: All of our physicians deliver babies. We do share calls on weekends and at night.  During your prenatal appointments, your physician will assist you with your birth plan and answer any questions you may have.