We treat every patient on an individual basis, but the information below provides an overview of how often we typically see our obstetrics patients and what to expect along the way. Depending on your specific circumstances, your doctor may choose to see you more often for a portion or all of your pregnancy in order to provide you and your baby with the best possible care.
Although you will primarily see your own doctor throughout your pregnancy, we occasionally see each other’s patients and schedule a “cross visit” around 28 weeks so you can meet the other obstetricians. We share call with Dr. Hunt and Dr. Childs to allow us to have our own family time, but we do everything in our power to deliver our own babies.
Initial Visit: Around 7-8 Weeks
At the initial visit, you will receive the first of two ultrasound evalutions. The first trimester ultrasound is typically done transvaginally, and is used to assess the size of your baby, confirm the location of the pregnancy, assess the gestation sac, count the number of babies, check the heartbeat, and look for potential risks, such as fibroids or cysts.
Monthly Visits Until 30 Weeks Gestation
Around 16-20 weeks:
Midterm ultrasounds are usually performed transabdominally, and are used to check the baby’s anatomy, measurements, heart rate and rhythm, number of babies, position of the placenta, the amount of amniotic fluid, the length of your cervix, and the condition of your uterus. In most cases, the sex of the baby (or babies!) can be determined in this second trimester ultrasound.
Most insurance plans cover two ultrasounds during a routine pregnancy. Additional ultrasounds may be medically necessary for various reasons and are typically covered by insurance. 4-D Ultrasound is not medically necessary but produces beautiful keepsake pictures and may be done optionally between 25-29 weeks (best time 27-29 weeks) at a cost of $200.
Around 27-29 weeks:
Gestational diabetes develops in some women who did not have diabetes before becoming pregnant. It usually develops late in the pregnancy and resolves after delivery. You will receive a glucose screening test which involves drinking a very sweet liquid very quickly, causing your blood sugar to rise. About an hour later, a blood sample will be taken to assess your risk of gestational diabetes.
Over the course of your pregnancy, the amount of blood in your body increases by almost 50 percent, and you need a lot more iron to support the increase, your growing baby, and the placenta. Most of the time, it’s just a normal part of the process, but some women can develop iron-deficiency anemia. Since symptoms are usually absent or mild, we will check your hemoglobin to determine your anemia risk.
Visits Every Two Weeks From 30-36 Weeks Gestation
Around 34-36 weeks:
As you approach full term, we will obtain a vaginal culture for Group B Strep and check to see if you’re dilated. A positive Group B Strep culture does not indicate you have an infection, just that you happen to carry Group B Strep as part of your normal vaginal bacteria. As a precaution, you will be given intravenous antibiotics during the active portion of your labor and delivery due to the small risk your baby could contract it and become sick.
Weekly Visits After 36 Weeks Gestation
From 36 weeks until delivery you will receive a vaginal exam to check your cervix at each visit. You may have a little spotty bleeding and cramping after the exam; this is normal.