Obstetrical Services

We offer premier obstetrical services for both low and high risk pregnancies. Unlike most practices we have a full time ultrasonogragher on staff. We offer first trimester ultrasound as well as 3D and 4D ultrasound.  We provide doula services as well as lactation support and counselling if needed.  Our team is able to care for mothers who require high risk pregnancy care and delivery or who desire a natural unmedicated birth.

Please call to schedule an obstetrical visit as soon as you suspect you may be pregnant. Our staff will assist you in scheduling an appointment to confirm your pregnancy.

Hospital Affiliation:

WHS physicians deliver at Mercy Medical Center and Missouri Baptist Medical Center.

Mercy Medical Center and Missouri Baptist offer resources to expectant parents, including childbirth classes, hospital tours, lactation services, postpartum massages, and professional infant photography.

Click here (www.stjohnsmercy.org/services/childbirth/sjmmc/virtualtour.asp) for more information about Mercy Medical Center’s maternal child services, including a slide show, and a list of birthing classes offered.

Click here (www.mobapbaby.org) for more information about Missouri Baptist maternal child services, including a virtual tour of the programs and services offered.

FREQUENCY OF APPOINTMENTS:

  • every 4 weeks until the 30th week
  • every 2 weeks from the 32th to 36th week
  • every week from the 36th week until delivery

(If you are experiencing complications or if the pregnancy is considered high risk, your physician may see you more frequently.)

SOME HELPFUL RESOURCES FOR EXPECTANT MOMS:

TESTS YOU CAN EXPECT:

Prenatal Bloodwork: Consists of complete blood count, blood type and antibody screen to determine Rh factor, urine culture, as well as screenings for rubella, HIV, syphilis and hepatitis B.

Click here to download and print the Obstetrics Counseling/Consent Form. All patients should print this form, sign, and bring it with them to their first prenatal visit.

Glucose Screening Test: A blood test performed at approximately 24-28 weeks into pregnancy to determine if you are at risk for gestational diabetes. Please drink the 50 g Glucola drink about 30 minutes prior to your appointment. A blood sample will be drawn exactly one hour after you finish the Glucola drink.

Group B Strep: A culture will be collected at approximately 35-37 weeks of your pregnancy. In the event your result comes back positive for Group B Strep you will be treated with antibiotics at delivery in order to prevent your newborn from coming into contact with the infection. Group B streptococcus (group B strep) is a bacterium that can cause life-threatening infections in newborn infants.

Optional Screening Tests:

Cystic Fibrosis (CF): CF is one of the most common inherited diseases, affecting about 1 in 3300 people in the United States. It is most common in Caucasians, but does occur in other ethnic backgrounds. CF testing requires a small sample of blood. If you are found to be a carrier or have CF, it is important to have your partner tested. If both parents are shown to be carriers, then prenatal testing by chorionic villus sampling (CVS) or amniocentesis are available to determine whether or not the fetus is affected with CF, a carrier of CF, or a non-carrier. Insurance coverage of this test varies depending on your particular plan. It is best to call your insurance company regarding test coverage prior to having the carrier test.

Testing for chromosomal abnormalities: These are optional tests available to help detect chromosome abnormalities such as Down syndrome. It is a personal decision whether to have these tests performed. Some reasons would be maternal age greater than 35 years old, a prior infant with abnormalities, or personal preference. If you are interested in these tests, we can have one or more scheduled.

First Trimester Screening: This screen is non-invasive evaluation that combines maternial blood screening with an ultrasound of the fetus to identify risk for specific chromosonal abnormalities including Down Syndrome (Trisomoy 21) and Trisomy 18.

Nuchal translucency/PAPP-A testing: This is a test performed between 11-13 weeks gestation. A transvaginal ultrasound is used to measure the neck fold (or nuchal translucency) of the baby. A blood test is also performed that tests for Beta HCG and PAPP-A proteins. These combined tests can detect 90% of babies with Down Syndrome and 97% of babies with Trisomy 18.

Chorionic villus sampling/Amniocentesis: Chorionic villus sampling (CVS) is an invasive test that can be done around 10-13 weeks. During a CVS, a small sample of cells is taken from the placenta. Amniocentesis is an invasive test that can be performed at 14-18 weeks. In this procedure, a sample of amniotic fluid is withdrawn from the mother’s abdomen using a needle. These cells are then cultured in the lab for about 2 weeks. Both of these tests will reveal the baby’s exact chromosomes. Each of these tests carries a 1/300 chance for miscarriage.

Quad Screen: This is a maternal test offered from 16-20 weeks. Blood is drawn to check the levels of 4 proteins (alpha-fetoprotein, HCG, estriol, inhibin A). This helps screen for Down syndrome, Spina Bifida, and Trisomy 18. However there is a small risk of false positive (the test is abnormal but the baby is normal) and false negative results (the test is normal but the baby is abnormal).

Physician Availability:

On occasion emergencies arise which may require the physician to be out of the office unexpectedly. In these situations our very capable nurse practitioner will address your issues or concerns.

During your pregnancy you will be seen by both our physician and nurse practitioner to ensure your comfort in meeting your healthcare needs and provide you with the best quality healthcare.

On occasion if an emergency arises in a situation our physician may not be readily available. In those instances we have arranged call coverage with Dr. Laura Baalmann, Dr. Holly Kodner and Dr. Donna Senciboy.

Helpful Links

Cesarean Birth (C-section) Delivery & Birth video
Shoulder Dystocia Birth Injury (Parto Natural – Distocia Hombro) video
Vaginal Childbirth (Birth) 3D Video Animation
Birth of Baby (Vaginal Childbirth) video
Childbirth Stations of Presentation video
Epidural & Spinal Anesthesia video
McRoberts Maneuver for Shouder Dystocia Birth Injury video

WHS in the News

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