Obstetrics

Obstetrical History Form

Click here for a graphical link of our services

Services

• Amniocentesis (amniotic fluid test)
• Genetic screening 
• 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

Services not Provided

• Intrauterine Insemination (IUI)
• In Vitro Fertilization (IVF)
• Infertility testing and treatment

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 an appointment with a nurse who will go over your health history and give you education regarding your pregnancy. 
• Even seasoned mothers benefit from this information as it is helpful to register you within the system and assure that your provider teams learn about you and your history. You will receive contact information as well as up to date education on health situation and care plan.

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, we offer 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).
• 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.

Frequently Asked Questions - Cesarean Section

Can I do this delivery with epidural or do I have to go to sleep?

• Most patients are able to undergo the whole procedure wide awake and pain free.
• We test before incision to assure you are comfortable. You will feel movement but you should not feel pain.
• There’s a small number of cases where general anesthesia is necessary. We try to avoid this when possible but it is an option when necessary.

What is my recover time?

In general, your incision will be 90% strength at 30 days, but check with your provider on your particular procedure.

What problems should I watch for?

• Infection and bleeding are the big 2.
• Discharge, fluid, reddening, or worsening of redness around incision site are all indications of infection. Increased pain not controlled with pain medication may be a sign of infection of the uterus if not the incision.
• Heavy gushing, bright red, or ongoing, new bleed that appears to be worsening rather than improving are things to watch for from the vagina as well as incision site.
• All postpartum issues should be looked for as well. Redness, pain of the breasts or nipples, leg pain with swelling, especially on one side, burning with urination, tender uterus, fever chills, etc.

Will I be told the gender of my unborn child at my anatomy ultrasound?

Radiology often tries or can guess. The clinic providers do the same. Unfortunately, there is a 20% chance that a 2D ultrasound is incorrect. This means that 1 out of 5 times, it is the opposite gender than the one determined. 

Gestational Diabetes Class

• Classes are every Wednesday afternoon.
• Labor and delivery Childbirth class times:
  • Classes are every Wednesday night – there is a series of 4 classes.
  • You can sign up for classes by calling 596-0444 or going to the Maternal Child Unit.

Mother Child Unit Tours

• This is part of the Labor and Delivery class.
• The rooms are beautiful, spacious, and LDRP. This abbreviation means that labor, delivery, recover, and postpartum all occur in the same room.