Congratulations on your pregnancy!

Women’s Health Care Inc. is pleased to provide you with the highest quality care at this exciting time in your life. From your first prenatal visit to delivery time we’ll be there to assist with the many questions.

 

What to Expect Each Visit

Take a look at the description below of your upcoming visits during your pregnancy. At each visit, your blood pressure, weight, and fetal heart tones will be recorded. You'll also provide a urine sample at our office.

First Visit

  • introduction to practice
  • calculation of due date; ultrasound if gestational age >6-8wks
  • history and physical examination, Pap smear
  • discuss prenatal vitamins, nutrition and pregnancy
  • A Take-Home Message handout will be provided.

10-12 Weeks

  • prenatal blood work is drawn including blood counts, blood type, screening for HIV, syphilis, Hepatitis B, gonorrhea and chlamydia
  • early genetic screening, if indicated
  • 16-20 weeks
  • genetic screening for Down syndrome, trisomy 18 and defects in the brain and spinal cord if desired
  • detailed fetal ultrasound around 20 weeks - can find out if it's a boy or girl if desired!

25-28 weeks

  • one hour glucose tolerance test which screens for gestational diabetes
  • Rhogam shot for women who have Rh negative blood type
  • 32-36 weeks
  • continue to monitor fetal growth and uterine size
  • discuss cord blood donation
  • Group B Strep culture of vagina at 36 weeks
  • non-stress testing (if indicated)

37-40 weeks

  • examination of cervix
  • discussion of labor precautions
  • non-stress testing (if indicated)

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Prenatal Genetic Screening

Take a look at the brief description of these common genetic screening methods to get a snapshot of information. Our physicians can provide a consult to discuss these in more detail.

Non-Invasive Methods

  • Early Screen – First Trimester
    • First trimester prenatal screening and ultrasound examination
    • Blood test combined with 11-13 week ultrasound to determine chance of having a baby with Down syndrome,
      trisomy 13 or trisomy 18
    • Measures proteins: free Beta human chorionic gonadotropin and PAPP-A
    • Has false positives and false negatives
  • Cystic Fibrosis (CF) Carrier Screening - Anytime
    • CF is a genetically inherited disease
    • CF carrier screen tells you your risk for carrying an altered gene
  • Quad Screen - 15-20 weeks
    • Maternal blood test which measures proteins: alpha fetoprotein (AFP), human chorionic gonadotropin (hCG), estriol and inhibin A
    • Screens primarily for abnormalities in the brain and spinal cord, Down syndrome and trisomy 18
    • Has false positives and false negatives
    • May lead to further testing

Invasive Methods

  • Chorionic Villus Sampling – 9-14 weeks
    • Procedure performed in the first trimester which removes cells from the placenta through a needle
    • Determines chromosomal makeup of baby
  • Amniocentesis – more than 15 weeks
    • Procedure performed under ultrasound guidance in the second trimester which removes amniotic fluid from around the baby through a needle
    • Determines chromosomal makeup of baby

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Medications Approved for Use

In general, it is recommended to avoid any medications the first twelve weeks of pregnancy. Listed below are medicines that may be used during pregnancy. It is important to notify your doctor of any prescription drugs you are taking.

Delivery Time

Take a look at the brief description of the various methods of delivery. Our physicians can provide a consult to discuss these in more detail.

Vaginal Delivery

Delivery of the baby through the vagina.

Assisted Vaginal Delivery (Vacuum or Forceps)

Delivery of baby using birthing equipment. In these cases needed assistance may include placing a suction cup or metal spoons on the baby’s head to assist with delivery from below while the mother pushes from above.

Vaginal Birth After Caesarean (VBAC)

Delivery of baby through the vagina following the delivery of a previous baby via a Caesarean section.

Caesarean Section

Delivery of baby through a surgical incision made in the abdominal wall and uterus.

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