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Maternity Pre-natal Care

We know that becoming a mommy is often a “couple” or “family” event. We encourage you to bring your partner to any and all of your visits. Your care will begin with visits that include our obtaining a thorough medical, surgical, genetic, infectious risk, family, and social history. This kind of information from your partner is also helpful. We will perform a complete physical examination, including a Pap smear and testing for sexually transmitted diseases, which is required by Texas State Law for all pregnant women.

We will draw blood for prenatal lab work that includes a complete blood count, rubella antibody test, blood type and Rh, RPR for syphilis, HIV, thyroid function test, and a urinanalysis. Depending on your medical history, other tests may be warranted. We will provide you with information regarding diet, activity, educational sources, and medications.

In most cases, we will need to see you every 4 weeks until your 28th week of pregnancy, then every 2 weeks until your 36th week, then every week until delivery. We may see you more frequently if you have any complications during your pregnancy.

When you are 16 to 20 weeks pregnant, we will perform a detailed ultrasound survey of the baby’s anatomy. We also commonly use the ultrasound to check your baby’s heartbeat and determine the delivery date. At the time of this sonogram, we will encourage you to have your blood drawn for maternal serum alpha-protein/triple testing to screen for neural tube defects such as spina bifida (a defect in the baby’s spine) and genetic disorders such as Down’s syndrome.

Between 24 and 28 weeks, we will test you for gestational diabetes and screen you for anemia.

Around 36 weeks, we will obtain a vaginal culture for group B beta hemolytic streptococcus, a bacterial infection.

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