Advanced Women's Health Specialists -
First Visit
 
Personal interview with your physician.
Complete physical exam, including pelvic exam if not performed recently.
Pap smear if not performed recently.
Prescription for prenatal vitamins.
Routine prenatal lab work:
           Complete Blood Count                               
           Hepatitis B Antibody
           Blood type, Rh factor, Antibody screen              
           HIV Antibody
           Gonorrhea Culture  
           Chlamydia Culture
           Rubella 
           Syphilis Antibody
           Cystic Fibrosis and/or Sickle Cell if indicated     
           Urine Culture
            
You will have scheduled visits every four weeks until 28 weeks, every two weeks until 36 weeks, and then once a week until you are delivered.  This schedule may vary depending on your particular pregnancy needs.  At every visit, your blood pressure, weight, urine, and baby’s heartbeat will be checked.  After 20 weeks the fundal height (top of your uterus) will be measured to assure adequate fetal growth. Tests may be repeated or added depending on the need of each pregnancy.
 
 
11 weeks
 
First trimester genetic screening for Down’s Syndrome, Trisomy 13 and 18 will be offered.  This requires an ultrasound and blood work.
 
 
15-16 weeks
 
Optional early gender identification ultrasound.
 
 
15-20 weeks
 
Second trimester genetic screening for open spinal defects, Down’s syndrome, Trisomy 13 and 18 (if not already performed) will be offered.
 
 
20 weeks
 
An ultrasound will be done to evaluate fetal growth and anatomy.  Gender will be disclosed if desired.
 
 
26-28 weeks
 
One hour glucose test to screen for Gestational Diabetes.
If your one hour glucose test is high, you will be scheduled for a three hour glucose test.
Complete Blood Count
If you have an Rh negative blood type, you will receive a Rhogam injection.
 
 
 28-30 weeks
 
Optional 4D Ultrasound
 
 
35-37 weeks
 
Group B Strep Culture
Third trimester HIV Antibody
Vaginal exam to check for dilatation and cervical thinning.
An ultrasound will be done to assure adequate fetal growth.
 
 
38-41 weeks
 
Vaginal exam to check for dilatation and cervical thinning.
  
 
 
Additional Information
  • We encourage anyone who smokes to quit for your health and your baby’s.
  • Drink 8-10 glasses of water every day.
  • If you are experiencing nausea and vomiting in early pregnancy, eat small frequent meals consisting of bland and dry foods, such as, toast, soup, crackers, etc.  Nausea and vomiting usually resolves around 12-16 weeks.
  • Walking and swimming are good sources of exercise.
  • Please refer to the Medications List (located in the Patient Information Forms tab) for over-the-counter medicines which are safe to use during pregnancy.
  • Feel free to ask the doctor any questions during your office visit.
  • Please call the office, during office hours, with any additional questions.
 
 
YOU SHOULD CALL IF:
 
  • Vomiting for more than 24 hours and unable to hold ANY fluids down.
  • Fever of 101.5 or higher after using Tylenol.
  • Vaginal bleeding like a period (spotting in pregnancy is normal, especially after intercourse).
  • Gushing or leaking a large amount of fluid from your vagina.
  • STRONG REGULAR contractions before your 36 week of pregnancy.
  • Frequent, painful urination.
  • Severe abdominal pain not relieved by bowel movement, rest, warm bath, and 3 big glasses of water.
  • SEVERE HEADACHE or headache associated with blurred vision, not relieved with Tylenol.
  • NO fetal movement after the 24 week.
 
Please restrict calls after hours for emergencies only.
In case of emergency, call the office at (423)778-8921 and the answering service will contact the doctor on call.  If your call is not returned in a reasonable amount of time, try again.  If your second call is not returned, go to the hospital.  If you are less than 20 weeks, you need to go to the Emergency Room.  If you are 20 weeks or more, go to Labor and Delivery.
 
 
 
 
 
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