Pregnancy is an exciting experience, but we understand that it can also seem overwhelming. The doctors of Women’s Health of Augusta have been delivering babies at University Hospital and Trinity Hospital since the 1970s. We provide convenient and comprehensive care for both low risk and high risk pregnancies. All our doctors are currently seeing new low risk and high risk pregnant patients. Please contact our office today to schedule your new pregnancy appointment.
Your initial Obstetric visit allows us the opportunity to answer concerns and to individualize your care. Our office staff will help answer any insurance and financial questions you may have.
We typically schedule a confirmation of pregnancy visit around 8 weeks.
In addition to management of the normal prenatal course, we also specialize in the following obstetrical services:
- Ultrasounds for dating, growth, and fetal well-being. We also offer keepsake and 3D sonograms
- Non-stress tests to measure fetal well-being
- Screening tests for chromosomal anomalies and spina bifida
- Amniocentesis as indicated by testing or maternal age
- Cerclage for the weakened or incompetent cervix
- Management of high risk pregnancies including: pregnancies complicated by hypertension, diabetes, thyroid disease, and multiples (twins, triplets, etc.)
Thousands of women from the CSRA have entrusted us with their care during this very special time in their lives. We are honored to continue this tradition and are excited about your pregnancy
Prenatal Care Guideline
We follow ObGyn convention by assigning weeks from the 1st day of your last menstrual period. Your due date will be 40 weeks from your last menstrual period. This will be confirmed by either conception date (if known) and/or by Ultrasound.
We typically see patients every 4 weeks until approximately 30 weeks, then more frequently until the last month (weeks 36 to 40), where we see patients weekly.
We check blood pressures, weight and urine (for infection, protein, ketones and glucose) at every visit. We check hematocrit levels to assess your risk for anemia, which is common in pregnancy.
You find out that you are pregnant. We encourage your first visit by at least 8 weeks. Please note that your first visit (prenatal workup) will be the busiest and generally includes:
- General orientation to the practice
- Physician examination (pap smear if due)
- Assigning a due date
- Discussing prenatal vitamins
- Discussing any concerns
- Routine prenatal blood work
We perform a first trimester ultrasound to check growth, viability, number and confirm dates.
Normal symptoms include fatigue, breast tenderness and nausea. While spotting and occasional cramps are not unusual, persistent cramping or bleeding should be reported.
Normal symptoms include some uterine ligament stretching and typically, a resolution of nausea and fatigue as you enter your second trimester. Typically, most women begin to feel some fetal movement between 16 and 20 weeks.
We check for fetal heart tones at every visit from 12 weeks.
We offer optional tests between 16 to 19 weeks:
Quadruple Screen: an optional blood test that checks 4 different chemicals in your blood that gives us an approximate risk for neural tube defects (ex: Spina bifida), some chromosomal abnormalities (ex: Down’s syndrome – Trisomy 21), and other anatomic abnormalities (ex: Omphalocele – incomplete closure of the fetal abdominal wall). If the screening test is ‘positive’, then we may perform an in-depth ultrasound evaluation, offer an amniocentesis and/or refer to a maternal-fetal medicine specialist for a second opinion.
Cystic Fibrosis Test: an optional blood test that determines whether or not you are a carrier for cystic fibrosis, which can result in a severe lung disorder. If positive, we would recommend checking your partner’s carrier status and/or referring to a genetics counselor.
You’ll receive an Ultrasound at approximately 20weeks to check fetal anatomy and growth.
Normal symptoms include uterine round ligament stretching and occasional tightening of the uterus (Braxton-hick contractions).
During this time, we will measure uterine growth at every visit and listen to the fetal heart beat.
At approximately 28 weeks, you will take the screening blood test for Diabetes in pregnancy. We usually schedule this visit in the morning. You will have a fasting blood glucose level drawn, a sugary drink administered, and another blood level drawn an hour later. If this screening test is positive, we then administer a more accurate and more involved 3 hour Glucose tolerance test another day.
For women who are Rh- (Ex: A ‘negative’ blood type like A-, B-, O- and AB-), you will receive your first Rhogam injection (to decrease the chance of building up antibodies against future pregnancies) at 28 weeks; the second injection will be administered after delivery.
As you enter your third trimester, we will give you registration information for your hospital. You can sign up for classes, obtain more information on epidurals, childbirth and breast feeding. During this time, we typically see our patients more frequently, every 2-4 weeks.
Normal symptoms during this time include uterine cramping (braxton-hicks contractions), back pain, and heartburn. If you have more than six contractions per hour that are persisting and increasing despite rest and fluids, please notify us.
We increase your visits to weekly, and discuss delivery management plans. You’ll have weekly cervical checks for dilation, effacement and baby’s positioning. Repeat Cesarean sections are typically scheduled at approximately 39 weeks.
Normal symptoms include lower abdominal pressure, contractions and fatigue. As your cervix thins, you may have some vaginal spotting. If you have any vaginal bleeding, a sudden gush of fluid (possible rupture of the membranes), or your baby is not moving, call your doctor. Labor varies from person to person. If you have contractions increasing in frequency to every ~ 5 minutes apart, lasting longer each time, with increasing intensity for at least 1 – 2 hours, then please call us.
Typically around 35-37 weeks, we will do a Group B streptococcus Culture. This a vaginal culture to screen for fairly common vaginal bacteria that can cause serious infections in newborns (ex: pneumonia). If positive, we will treat with I.V. antibiotics during labor.
It is fairly common for patients to go past their due date. We will increase antenatal surveillance by performing tests (non-stress tests, biophysical profiles by ultrasound) to evaluate fetal well being. We will further discuss labor and delivery management plans, including possible induction.
The normal first prenatal visit usually takes anywhere from 1/2 hour to 2 hours.
You will see your doctor each visit unless your doctor is out of town or otherwise unavailable. Your doctor will make every attempt to be at your delivery; however, we do have a night on call system where during these times you may see another doctor in the practice.
There are many excellent prenatal vitamins, both over the counter and prescription. Discuss your particular needs at your prenatal visit.
The American College of Obstetricians and Gynecologists supports the Institute of Medicine's guidelines on weight gain during pregnancy. Those with a pre-pregnancy BMI under 18.5 should gain 28–40 pounds. Normal-weight women (BMI, 18.5–24.9) should aim for 25–35. Overweight women (BMI, 25–29.9) should aim for 15–25.
We recommend conservative treatments such as small frequent meals, bland food, and ginger. The only currently approved medicine for nausea in pregnancy is Diclegis. Each person is different so discuss this with your doctor as to your particular needs.
Exercise is recommended, but this is not a time to train for a marathon or over exert. A regular, low impact regimen has many benefits. There are certain conditions like placenta previa and preterm labor in which you shouldn’t exercise.
Yes, however, we ask that you stay close by starting at 36 weeks gestation.
Yes, as long as you don’t have a complication like placenta previa or preterm labor.
Fetal kick counts can reassure you. Simply count the number of movements in a 2 hour window, especially after a meal. Ideally, you want to feel at least 10 movements within 2 hours. This will vary depending on your own baby’s habits.
Regular, painful contractions that stay consistently about every 3-5 minutes are characteristic. If there is ever a question, call your doctor.
There can be a number of reasons for this. You may need a more sensitive blood test, or you may not be pregnant at all. If there is any doubt, get checked.
No, but we can refer you for quality care.
There are many simple tests that can be done to check for any fertility problems with you as a couple. An appointment to evaluate this is appropriate after 6 months of actively trying.