Obstetrics

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Services

• Genetic screening 
• Vaginal and operative vaginal delivery
• Cesarean delivery 
• Vaginal Birth After Cesarean (VBAC)/ Trial of Labor after Cesarean delivery (TOLAC)
• Routine Obstetrics care
• High-risk obstetrics
• Midwifery care 
• Fetal Non-Stress Test (NST)
• Amniotic Fluid Index (AFI)
• Post-partum follow-up
• Blood pressure checks

Frequently Asked Questions - Obstetrics

Where do I go for problems if I’m pregnant?

• Nurse Advice Line: www.mhsnurseadviceline.com or 1-800-TRICARE (Select Option 1 to speak to a nurse)
• Non-emergent issues can be taken care of by the OB clinic at 596-1770 or by your regular PCM.
• All emergent issues under 20 weeks- call 911 or go to ER!
• All emergent pregnancy related issues over 20 weeks- call 596-0444 or go to MCU!
• All emergent non-pregnancy issues over 20 weeks- call 911 or go to ER!

What does the OB Registration entail?

• This is a group appointment with a nurse and other pregnant women due around the same time as you, to go over pregnancy education as well as information about pregnancy care at GLWACH.
• An RN will review your pregnancy complications and learn about you and your history.
• Even seasoned mothers benefit from this information as you will receive contact information as well as up to date education on health situation and care plans.

Will I see the baby on my first visit to the OB-GYN clinic? How many ultrasounds will I be given during my pregnancy?

• Generally speaking, you will undergo a dating ultrasound at your initial appointment with a provider and at least one ultrasound between 18-22 weeks of pregnancy. This ultrasound is to assure that anatomy is healthy and there are no concerns for pregnancy.
• There are cases in early pregnancy where ultrasound is indicated.
• There are some medical conditions that call for additional ultrasounds; these can possibly include conditions such as diabetes, high blood pressure, or preeclampsia.
• Like any other testing, we use ultrasound when medically indicated given the theoretical risks associated with any imaging study (however low).

Frequently Asked Questions - Cesarean Section

If you recommend cesarean section or induction of labor, do I have to? Can’t I just wait for nature’s course?

• Natural childbirth is almost always a better option given the safety for both mother and baby. However, there are times where a C-section is necessary for the safety of the mom and baby.
• Induction of labor is not generally our first choice for delivery. In some cases, however, the baby is at risk for stillbirth and earlier labor may be the best choice. There are risks with any planned medical procedure, but these are weighed against the benefits or risks of not intervening.
• No one can make you do anything. All recommendations are just that, recommendations. It is up to you to make decisions for you and your baby based on education from your provider(s).

Mother Child Unit Tours

• You can request a tour of Labor and Delivery at your routine OB appointment. As long as the unit is not full there is usually no issue with bringing you over at the end of your appointment.
• The rooms are beautiful, spacious, and LDRP. This abbreviation means that labor, delivery, recover, and postpartum all occur in the same room.