Obstetrics

  • Pre-Conceptual Counseling
  • Prenatal / Post Partum Care (low and high risk)
  • In office sonograms
    • Pelvic and Trans-vaginal
    • Bio Physical Profile (BPP)
    • 3D/4D available
  • Fetal Monitoring
    • Non Stress Test (NST)
  • Infertility Evaluation and Treatment

Stages of Pregnancy

First Trimester

It is our desire to have our initial appointment with you during the first 12 weeks of your pregnancy. During your confirmation of pregnancy visit your medical history will be taken and a physical exam will be completed. Also your prenatal lab panel will be completed. We will also perform an ultrasound to establish the due date of your baby. This is an opportunity for you to meet your physician and discuss the course of your prenatal care. We encourage our patients to bring their preliminary questions to this visit so we may begin our partnership in providing you and your baby the best care possible.

We welcome any input you have so your personal needs are met. At Comprehensive OB/GYN your questions and needs are very important to us so never hesitate to make a list of your concerns and present them to us at your prenatal visits.

What makes us unique about caring for your unborn child?

  1. We also offer early detection screening for chromosomal abnormalities via nuchal translucency screening and MaternT21 testing.

Second Trimester

During the first 28 weeks of your pregnancy, we will be seeing you at 4 week intervals. You can expect lab work between 12 and 28 weeks. We believe in early detection and have carefully selected lab work to help us to make better decisions for your care – for example we will screen for gestational diabetes and pregnancy induced anemia. At 16 weeks, we may draw your alpha fetal protein for detection of Spina Bifida. If the first trimester screening for chromosomal abnormalities was not completed, then the option for multiple marker screen tests for other chromosomal abnormalities such as Down’s Syndrome, Spina Bifida, fetal abdominal wall defects, will be conducted.

At 20-22 weeks, an ultrasound will be performed to assure normal growth of your baby and with this ultrasound we can predict the sex of your baby 97% of the time. You can expect a 10 pound weight gain during the first 20 weeks after which you will most likely gain a pound per week for the last 20 weeks of your pregnancy.

What should you be prepared to discuss with your doctor at this visit?

  1. Selection of your pediatrician
  2. Registration for prenatal classes
  3. Registration for breastfeeding classes
  4. Discussing whether or not to circumcise your child
  5. Finalizing preparation for delivery of your child
    1. Selection of the hospital you will deliver at
    2. Do you have a car seat?
    3. Is the home ready for your newborn?
    4. Do you have the contact numbers to add your newborn onto your health insurance policy?

Third Trimester

During this period, we will begin to discuss your birthing plans. Any pain relieving modalities you desire will be accommodated when you are in labor. These include Lamaze breathing, intravenous narcotics and/or epidural anesthesia. From 28 - 36 weeks, we will see you every 2 weeks and from 36 weeks until delivery, we will see you weekly. If you need ultrasound or fetal monitoring, we can accommodate these needs at our office or selected facility. A vaginal birth is always our goal unless your situation demands a cesarean delivery be performed.

Safe Medications

Never hesitate to consult the doctors or nurses at Comprehensive OB/GYN about your medication questions. The following medications are usually safe while you are pregnant:

  • Tylenol for headaches or mild pain
  • Claritin in AM or Benadryl in PM for congestion
  • Maalox, Tums or Pepcid AC for reflux or heartburn
  • Colace or Milk of Magnesia for constipation
  • Imodium or Pepto Bismol for diarrhea
  • Chloroseptic or Sucrets for a sore throat

Do not use Ibuprofen products or any prescription medications without consulting the staff at Comprehensive OB/GYN.