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Women's Health - Middletown, Eaton & Southview






Prenatal Visits

Before your first visit:
We ask that you stop by the office to pick up some paperwork to complete before your nurse interview. Please bring your insurance card, as our billing department will check your obstetric benefits with your insurance company.
 

Pregnancy Verification:
Your next visit will be with the nurse and physician at which time a urine pregnancy test will be performed to verify a positive pregnancy. The nurse will review your medical and obstetric history. You will also be asked to review information about cystic fibrosis screening, first trimester screening, and/or the AFP Tetra profile. We will schedule an ultrasound and order routine prenatal blood work (blood type, urine, rubella immunization status, hepatitis B, syphilis, HIV and complete blood count). This visit typically takes about 30 minutes.


Initial Prenatal Visit:
During this visit, the physician will review your history, ultrasound results and blood work. A physical exam is performed, including a PAP smear (if age 21 or older) and cultures for gonorrhea and chlamydia.


First Trimester:
Office appointments occur every 4 weeks. We offer first trimester genetic screening between 11-13 weeks gestation for Down’s syndrome and Trisomy 13 and 18. It requires an ultrasound and blood work on the mother. 
 

Second Trimester:
Office appointments occur every 4 weeks unless you are a high-risk pregnancy which may require more frequent visits.

Second trimester genetic screening is offered at 15-19 weeks gestation. This screens for Down’s syndrome, Trisomy 13 and 18, and openings in the spinal cord (Spina bifida). This screening test is blood work on the mother. Our patients with abnormal results are offered genetic counseling, a detailed ultrasound, and the option of having an amniocentesis to determine the exact genetic makeup of the baby.

We offer screening for cystic fibrosis. Cystic fibrosis is a disease that is usually diagnosed in the first few years of life. It causes problems with breathing and digestion. You can be tested to see if you carry this gene. If you test positive, then the father of the baby can be tested to determine the risk of your baby having cystic fibrosis.

Ultrasound for the anatomy of the fetus is done at 20-22 weeks. This is a good time to get a look at the development of many of the organs, such as the heart, lungs, kidneys and brain. If the baby cooperates, they may even be able to determine the gender of the baby if you are interested.

At 24-28 weeks, we ask that you complete a test that screens for diabetes. The lab provides a special sugary soda for you to drink, followed by a single blood test one hour later. At the same time, a complete blood count is drawn to look for anemia. If your diabetes test is abnormal, you will be asked to complete a three-hour diabetes screening test.


Third Trimester:
From 28-36 weeks in a normal pregnancy, your appointments are scheduled every 2 weeks. Beginning at 36 weeks, you will be seen weekly. During the third trimester, we ask that you follow fetal kick counts to assure the baby is doing well. This can be done by lying in the couch for an hour a day (preferably after a meal) and counting how many times the baby moves in one hour (babies should move at least 6 times in an hour).

At 36 weeks, a vaginal culture is obtained for Group B Strep. This is a bacteria that, while normal in some women, can cause a severe infection for the newborn. If you test positive for this bacteria, no treatment is needed for you, but you will be treated with antibiotics during labor to protect your baby during birth.

A full term pregnancy lasts 40 weeks. We recommend delivery no later than one week past your due date.

Some women request induction of labor. In a normal pregnancy without maternal or obstetric indications this is not performed until 39 weeks to allow for fetal lungs to develop. Your doctor can discuss this with you if you are interested.