WHAT TO EXPECT FROM YOUR DOCTOR DURING YOUR PREGNANCY

 

Please call to schedule an obstetrical visit as soon as you suspect you may be pregnant. Our staff will assist you in scheduling an appointment to confirm your pregnancy.

Click here to download and print the Obstetrics Counseling Form.
All patients should print this form, sign, and bring it with them to their first prenatal visit.


HOSPITAL AFFILIATION:

WHS physicians deliver exclusively at St. Thomas Rutherford Hospital.

St. Thomas Rutherford Hospital offers resources to expectant parents, including 24 hour laborist coverage, childbirth classes, hospital tours, lactation services, postpartum massages, and professional infant photography.

Click here for more information about St. Thomas Rutherford Hospital's maternal child services, including a slide show, and a list of birthing classes offered.

For faster more efficient services at St. Thomas Rutherford Hospital, it is a good idea to pre register online with the hospital. Click here for online pre-registration.



FREQUENCY OF APPOINTMENTS:

   - every 4 weeks until the 28th week
   - every 2 weeks from the 30th to 36th week
   - every week from the 36th week until delivery

(If you are experiencing complications or if the pregnancy is considered high risk, your physician may see you more frequently.)



SOME HELPFUL RESOURCES FOR EXPECTANT MOMS:

- SAFE MEDICATIONS to use during your pregnancy

- PREGNANCY NUTRITION GUIDELINES

- ACTIVITIES GENERALLY CONSIDERED SAFE DURING PREGNANCY

- LEARN CPR FOR INFANTS


TESTS YOU CAN EXPECT:

Prenatal Bloodwork: Consists of complete blood count, blood type and antibody screen to determine Rh factor, urine culture, as well as screenings for rubella, HIV, syphilis and hepatitis B.

Glucose Screening Test: A blood test performed at approximately 24-28 weeks into pregnancy to determine if you are at risk for gestational diabetes. Please drink the 50 g Glucola drink about 30 minutes prior to your appointment. A blood sample will be drawn exactly one hour after you finish the Glucola drink.

Group B Strep: A culture will be collected at approximately 35-37 weeks of your pregnancy. In the event your result comes back positive for Group B Strep you will be treated with antibiotics at delivery in order to prevent your newborn from coming into contact with the infection. Group B streptococcus (group B strep) is a bacterium that can cause life-threatening infections in newborn infants.


OPTIONAL SCREENING TESTS:

Cystic Fibrosis (CF): CF is one of the most common inherited diseases, affecting about 1 in 3300 people in the United States. It is most common in Caucasians, but does occur in other ethnic backgrounds. CF testing requires a small sample of blood. If you are found to be a carrier or have CF, it is important to have your partner tested. If both parents are shown to be carriers, then prenatal testing by chorionic villus sampling (CVS) or amniocentesis are available to determine whether or not the fetus is affected with CF, a carrier of CF, or a non-carrier. Insurance coverage of this test varies depending on your particular plan. It is best to call your insurance company regarding test coverage prior to having the carrier test.

Testing for chromosomal abnormalities: These are optional tests available to help detect chromosome abnormalities such as Down syndrome. It is a personal decision whether to have these tests performed. Some reasons would be maternal age greater than 35 years old, a prior infant with abnormalities, or personal preference. If you are interested in these tests, we can have one or more scheduled.

Nuchal translucency/PAPP-A testing: This is a test performed between 11-13 weeks gestation. A transvaginal ultrasound is used to measure the neck fold (or nuchal translucency) of the baby. A blood test is also performed that tests for Beta HCG and PAPP-A proteins. These combined tests can detect 90% of babies with Down Syndrome and 97% of babies with Trisomy 18.

Chorionic villus sampling/Amniocentesis: Chorionic villus sampling (CVS) is an invasive test that can be done around 10-13 weeks. During a CVS, a small sample of cells is taken from the placenta. Amniocentesis is an invasive test that can be performed at 14-18 weeks. In this procedure, a sample of amniotic fluid is withdrawn from the mother’s abdomen using a needle. These cells are then cultured in the lab for about 2 weeks. Both of these tests will reveal the baby’s exact chromosomes. Each of these tests carries a 1/300 chance for miscarriage.

Quad Screen: This is a maternal test offered from 16-20 weeks. Blood is drawn to check the levels of 4 proteins (alpha-fetoprotein, HCG, estriol, inhibin A). This helps screen for Down syndrome, Spina Bifida, and Trisomy 18. However there is a small risk of false positive (the test is abnormal but the baby is normal) and false negative results (the test is normal but the baby is abnormal).


PHYSICIAN AVAILABILITY:

On occasion emergencies arise which may require the physician(s) to be out of the office unexpectedly. In these situations our very capable nurse practitioners will address your issues.

During your pregnancy you will meet each of our physicians. We each cover call equally and whoever is on call for the group cares for all our obstetrical patients in the hospital.

One of our physicians is on call 24 hours a day, 7 days a week. However, if an emergency arises in a situation when our on call doctor is not immediately available (i.e. in the hospital), MTMC has an in-house Laborist (Ob/Gyn) present 24 hours a day, 7 days a week who will handle the emergency until our physician arrives.


Remember...
the fun is just beginning!

 

We value sharing this experience with you and we value the trust you have placed in us.

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