Prenatal Care

As soon as a woman discovers she is pregnant, she should establish a schedule of prenatal care with her physician for the entire duration of the pregnancy. For normal pregnancies without significant complications, prenatal exams are usually scheduled as follows:

  • every month from the 1st week through the 28th week
  • every two weeks from the 29th week through the 34th week
  • weekly from the 35th week until delivery

This schedule may vary depending on your personal medical condition and your physician’s preference. Additional prenatal care may be necessary if there are any preexisting medical conditions (i.e., diabetes) present in the mother and/or if complications arise while carrying the baby to term.

Click here for a link to ACOG’s Zika Toolkit– Must-knows for expecting parents and prospective parents.

Obstetric Ultrasound

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 patient and doctor and are the first images that the parents are able to see of their unborn child.

Souma Diagnostics is the ultrasound company who performs virtually all of our ultrasounds in the office. There is no required ultrasound in pregnancy, but you and your physician can decide which services will suit your needs based on your medical and pregnancy history.

Preconception Counseling

Preconception health (as defined by the CDC) is a woman’s health before she becomes pregnant. It focuses on the conditions and risk factors that could affect a woman if she becomes pregnant. Preconception health applies to women who have never been pregnant, and also to women who could become pregnant again. Preconception health looks at factors that can affect a fetus or infant. These include factors such as taking prescription drugs or drinking alcohol. The key to promoting preconception health is to combine the best medical care, healthy behaviors, strong support, and safe environments at home and at work.

We encourage couples wishing to conceive to call our office to schedule a preconception consult to improve their chances of having a healthy pregnancy.

Cesarean Section

While a vaginal delivery is anticipated and preferred initially for all patients, a natural, vaginal birth is not always possible for all babies. In some cases, delivery through a cesarean section, surgical incisions in the abdomen and uterus, is necessary. A cesarean section may be needed for many reasons and may even be planned in advance, but is often an emergency procedure.

Cesarean birth is often used for multiple pregnancies, labor not progressing, concern for the baby and placenta or position problems. A cesarean section is needed in about one in four women.

Recovery time is longer than a vaginal birth. One can learn more about a cesarean section before giving birth through classes and readings in order to better prepare for the possibility of having this procedure.

At this time WHC does not offer vaginal trial of labor (VTOL) after cesarean sections due to the risk and severe health implications of uterine rupture. If a patient would like to attempt a vaginal birth after cesarean section (VBAC), we would refer her to the Maternal Fetal Medicine group.