During your appointments at our office we will track the health of you and your unborn baby. We have designed our office hours and schedule to accommodate your schedule to the best of our ability. Visits with our providers are available at various times throughout the week. We are also available 24/7 for any urgent needs that may arise during your pregnancy by calling the on-call provider. Our providers do 24-hour on call rotations at the hospital. We recommend that you meet all of our physicians or midwives at least once during your pregnancy because they may be on call the day you deliver.
First Initial Appointment
Once you have had a positive pregnancy test, you will need to call the office to set up your initial obstetrical appointment for around 8-10 weeks. This visit will be with one of the nurse practitioners or midwives, depending on the care that you desire. Prior to your appointment, you will need to complete or update the online patient history form through the portal. Having this information prior to your visit will enable the staff to address pertinent topics based on your personal and family history.
The nurse practitioner or midwife will review your history and perform a physical which includes an exam similar to an annual gynecological physical. Once the provider has completed their exam, you will learn more about prenatal screening tests, general pregnancy education, talk about the obstetrician and midwifery options in our practice, and coordinate necessary blood test to be completed at the lab.
The following will be performed at this visit:
- Urine test
- Pelvic exam to verify gestational age by the size of your uterus
- Vaginal cultures required by the state
- Pap smear and breast exam if indicated
- Sonogram, if necessary. We will listen for your baby’s heart rate although it is completely normal not to hear it at this early stage. If it is unable to be heard through the Doppler, the provider may do a sonogram.
After your initial prenatal visit, your routine visits to our office will occur at intervals appropriate for your gestational age to follow the health of you and your baby.
- Monthly until approximately 28-30 weeks
- Every two weeks until 36 weeks
- Weekly from 36 weeks until delivery; an internal exam will be performed from roughly 39 weeks until delivery to check for dilation of your cervix.
- Additional visits may be scheduled outside of these intervals as needed throughout your pregnancy.
This appointment schedule may vary depending on the complications or health issues that may arise during your pregnancy. We do recommend that you schedule your appointments as far in advance as possible to ensure that you have appointment times that accommodate your schedule.
At each prenatal checkup, we will:
- Ask for a urine sample to monitor for problems
- Listen to your baby’s heartbeat
- Check your baby’s approximate growth by assessing uterine size
- Answer any questions that you may have