Complete Obstetrical Care
Normal & High Risk Pregnancies
Whether you are already expecting a baby or hoping to become pregnant, you will find the healthcare you need at Advanced Healthcare for Women & Children. For expectant mothers, we offer a complete range of prenatal services designed to ensure the health and well-being of mom and baby throughout the pregnancy. We know that welcoming a new baby to the family is special, and we feel privileged to be part of your new family. At our office you won’t feel rushed, because we feel that your concerns and questions are important. We want you to be an integral part of your care, and try to meet whatever unique requests you may have. We encourage patients to inform us of their preferences in order to make it a personalized experience.
Getting consistent prenatal care throughout your pregnancy is one of the most important ways you can love and care for your baby even before he or she is born. At Advanced Healthcare for Women & Children, we partner with you in management of your pregnancy. In addition, our professional staff is experienced in the latest treatments and medical technologies for ensuring the best care for you and your new baby. Our obstetric services include routine & high-risk obstetrics, prenatal testing, obstetrical (including 3D & 4D) ultrasound in our office, antenatal testing, childbirth and baby care education, personal support before, during and after labor and delivery, and referrals for breastfeeding instruction with certified lactation consultants.
At Advanced Healthcare for Women, we feel that prenatal care is vital in ensuring the healthy growth and development of your baby. Regular visits during your pregnancy will ensure that your baby is healthy and identify any potential problems before they become serious. Studies have confirmed that women who receive prenatal care have healthier babies and are less likely to deliver prematurely or have pregnancy-related problems. At Advanced Healthcare for Women, we promote our patients to have regular prenatal visits during their pregnancy.
Prenatal care should begin as soon as possible and usually includes monthly prenatal visits. These visits should become more frequent as the pregnancy progresses. In the below section, we have an overview of what our prenatal care encompasses to keep you and your baby as healthy as possible.
The Initial Prenatal Visit
On your first prenatal visit, we provide our patients with information on how to care for themselves and their growing baby. Pregnancy comes with many “new” changes, therefore, we want to provide our patients on their first visit with educational material and counseling so our patients can learn about having a healthy pregnancy. We encourage our patients to ask questions on how to care for themselves during the next nine months.
On the first prenatal visit, we will perform an ultrasound of your baby to verify your baby’s due date and size, and we will give you a picture of your baby for you to enjoy. During the first prenatal visit, we will also perform a physical examination. This physical examination will include a pelvic examination to check for any risk factors for you and your baby. At this visit, we will also perform blood tests called the “prenatal panel” and offer you additional blood tests such as the HIV test and cystic fibrosis screening test. We encourage our patients to be as informed as possible about their pregnancy and unborn baby. We will educate you on danger signs and symptoms to report, common discomforts during pregnancy, relief measures for discomforts. We will also review with you the doctors, nurse practitioners, and hospitals that are available to you during your pregnancy. Finally, we provide our contact information for you to contact one of our clinicians 24/7.
What to Expect at Each Visit
•Every 4 weeks until 28 weeks
•Every 2 weeks until 36 weeks
•Every week until delivery
Frequency of visits may increase if a pregnancy is determined to be high risk.
•Weight, blood pressure and urine check, uterine size, fetal heart rate
•Each assessment is to ensure the pregnancy is progressing well
•Time to answer questions
•Nuchal Translucency Ultrasound to assess the risk for down syndrome
•Chorionic Villus sampling Trisomy 18 screening (If desired)
The other important tests that are performed during this trimester are:
•Fetal anatomy ultrasound –Looks at the development of vital organs, placental location and amniotic fluid level. (@16-20 weeks)
•Amniocentesis (if desired)
•Sequential and/or Neural Tube Defect testing (MSAFP)
•Gestational Diabetes testing (@24-28 weeks)
The important tests that are performed during this trimester are:
•Gestational Diabetes testing (if not done in the second trimester)
•Antibody screening in women with Rh negative blood type to ensure if a patient needs the Rhogam injection.
•CBC/blood count to check for anemia (an increased iron requirement in pregnancy often results in anemia). Checking for anemia in the early third trimester allows for proper supplementation and counseling.
•Group B Streptococcus Screening (GBS) (35-37 weeks): This is a swab of the lower vaginal and rectal area to screen for colonization of the GBS bacteria organism. GBS colonization is not harmful to the pregnant woman, but may harmful to the baby if it passes through the birth canal. A baby’s immune system is immature at birth and may be unable to fight off the GBS bacteria. This in turn can cause infections such as sepsis, pneumonia and/or meningitis.
•Ultrasound: May be done to follow up on placenta location, fetal growth in at risk women with Intrauterine Growth Restriction (IUGR), Chronic Hypertention, Diabetes, and/or women with fibroids.
State-of-the-Art Ultrasound Testing & 3D 4D Ultrasounds
An obstetrical ultrasound is a safe, noninvasive procedure that uses sound waves to create images of the fetus, placenta and amniotic fluid. These images can be viewed in real time on a computer monitor by the patient and our healthcare providers. This procedure can be performed transabdominally, which involves moving a transducer across the skin of the lower abdomen, or transvaginally, which involves inserting a transducer into the vagina and rotating it for a comprehensive view of the fetus and surrounding organs.
An obstetrical ultrasound is performed several times throughout pregnancy to monitor the growth and development of the fetus in our clinic. We perform ultrasound routinely throughout the pregnancy for our pregnant patients, and all ultrasounds are performed right in our office!
During the first trimester, we perform an ultrasound to determine the age of the fetus, to rule out multiples (twins/triplets), and/or detect any potential birth defects, such as Down syndrome. Later in the pregnancy, we perform regular ultrasound exams measure the size and position of the fetus, placenta, and amniotic fluid to help ensure that delivery will not have any major complications. Our office also offers 3D/4D ultrasound in our office for our patients that are interested, as well!