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New Obstetric Patient Information


1st visit – usually about 6weeks gestation, you will meet with the obstetric coordinator. At this visit your health and pregnancy history will be reviewed, and all prenatal labs will be drawn. If you have special circumstances or problems, you may be seen by one of the physicians on that day

2nd visit – usually 6-8 weeks gestation you will have your first official prenatal visit with one of the physicians. Your medical and pregnancy history will be reviewed in depth, your blood work reviewed with you, a complete physical examination and pelvic exam performed along with your pap smear if needed. This visit will also include an endovaginal ultrasound to confirm your pregnancy location and establish a firm gestational age and due date!

The next visit descriptions are lumped as they tend to be very similar. At each visit you will see one of the physicians or the Nurse practicioner (who is also a labor and delivery nurse and an excellent resource!). We will measure your abdomen to assess growth of your fetus and listen to your babies heart beat. We will you every 4-5 weeks until 30 weeks gestation, every 2-3 weeks until 36 weeks, then weekly thereafter until you deliver!

Special testing is performed at certain points in the pregnancy

15-16 weeks – Quad Screen which is a blood draw from Mom to screen for chromosomal abnormalities and neural tube defects of the infant. This test is optional, although we generally advise patients to have it done.

20-22 weeks – Elective ultrasound should you choose to do so. Some patients elect to have this ultrasound to determine the sex of the infant

25-28 weeks – testing to rule out Gestational diabetes. You will drink a solution of glucose and have your blood drawn 1 hour later. You should have a regular breakfast on the morning of this test

36 weeks – Screening for colonization of your genital tract with Group B Streptococcus bacteria. This is done by swabbing the vaginal walls and anal skin area with a small Q-tip and culturing for the bacteria. Should you be a carrier of the bacteria, we will give you antibiotics thru an IV during your labor to help prevent infection of your infant during labor and delivery