Burnsville: (952) 435-4190 | Edina: (952) 920-2200


Pregnancy

Having a baby is one of life’s most amazing experiences and here at OBGYN Specialists we are committed to helping you have a safe, healthy and rewarding pregnancy. Whether this is your first baby or your fifth, our team will be here to guide, educate and support you through every step.

Click on the subjects to the right for detailed information on everything from prenatal appointments and ultrasounds to over-the-counter medications.

  1.  
    Prenatal & Postnatal Classes

    We encourage those of you that are in your first pregnancy to attend this educational class taught by one of our Triage RN staff members. The class has been designed to promote the importance of early prenatal care as well as to discuss our clinic processes during this time in your life. You will also receive information about diet, nutrition, exercise, and prenatal vitamins. Our nursing staff will also discuss common physical and emotional adjustments associated with pregnancy. There is no charge for the class. We request that you are a current patient with our practice to attend the class at our office.

    Schedule:

    Class is held at 5:30pm in both locations

    BURNSVILLE

    May 24

     

    July 12

    July 26          

    August 9        

    August 23        

    September 6         

    September 20

    EDINA

    July 17

    July 31          

    August 14

    August 28

    September 11

    September 25

     

    Register for the class

     

    The providers of ObGyn Specialists recommend Amma for childbirth and newborn preparation. Their classes are taught in the Edina center as well as locations throughout the Metro. Amma teachers are trained professionals who make learning fun and relaxed, giving you the confidence you need to start parenthood. Click here to visit website.

  2.  
    Appointments

    Pregnancy Education Class

    We encourage those of you that are in your first pregnancy to attend this educational class taught by one of our Triage RN staff members.  The class has been designed to promote the importance of early prenatal care as well as to discuss our clinic processes during this time in your life.  You will also receive information about diet, nutrition, exercise, and prenatal vitamins.  Our nursing staff will also discuss common physical and emotional adjustments associated with pregnancy

    Week 7-8

    While there is not a typical visit associated with this time period in pregnancy, you may be asked to schedule an early ultrasound if you are unsure of conception dates or have a previous history with pregnancy that is concerning.

    Week 9-10

    We try to schedule your first MD visit as close to 10 weeks as possible because we combine this with an ultrasound (if you have not already had an early US visit).  The 10 week ultrasound screening will help your provider verify your expected delivery date (EDD).  You may also receive your baby’s first pictures at this visit.  After your ultrasound, your physician will do a physical exam, including a breast exam, Pap smear, vaginal and urine cultures, an assessment of uterine size and pelvic bone structure, and an evaluation of fetal heart tone by Doptone. Routine prenatal lab tests, including blood type, Rh factor, rubella titer, serology, hepatitis screen, and HIV, will be drawn and your prenatal history will be reviewed.   Maternal assessment of weight, blood pressure, and urine will be done at this visit and each subsequent visit.  Glucose testing will be arranged for patients with an increased risk of gestational diabetes.

    Week 11-13

    Early pregnancy genetic screening is available at this time.  Risk assessment screen for Down syndrome and trisomy 18 is determined by an NT ultrasound and blood tests.

    Week 15-16

    During this time we will evaluate fetal size and growth, maternal assessment, including weight, blood pressure, blood, urine, and health status. If you desire, Maternal Serum Screen (MSS) will be drawn.  If your blood is Rh negative, you may choose to obtain the father’s blood type.  At this time you can schedule your ultrasound appointment for the next visit – generally done at 18-20 weeks.

    Week 20

    We can now evaluate fetal size and growth, assess fetal movement, and gestational age. Maternal assessment will be done. Ultrasound study of baby will be done if previously scheduled.  Gestational diabetic screening will be discussed.

    Week 24

    Nutritional assessment and pre-natal classes will be discussed. Maternal and fetal evaluation will be performed.  During this visit, we will give you information regarding a non-fasting one-hour glucose screen to rule out gestational diabetes. Please schedule your glucose screen for week 24-28.

    Week 28

    Schedule this visit with a nurse practitioner.  Maternal and fetal evaluation will be performed, pre-term risk assessment will be updated, and pelvic exam for assessment of possible premature cervical dilation will be done if indicated by history. Rh titer will be repeated for Rh negative patients, and RhoGam will be administered when indicated.  Instructions regarding the monitoring of fetal activity will also be discussed.

    Week 30-32

    We will discuss labor and delivery procedures and alternatives. We will also review the choices for your baby’s doctor and hospital, as well as address breast- or bottle-feeding.  Maternal and fetal evaluation will be performed.  You will be given information regarding hospital pre-registration, Breastfeeding Support Group sessions, and PHQ-9 depression questionnaire.

    Week 36

    Further discussion of labor and delivery and any questions raised at previous visits will be addressed.  Fetal size, weight, and cervical check for dilatation and effacement will be done.  Vaginal/rectal cultures will be done for Group B Strep (GBS).  You will be given information regarding fetal monitoring and signs of onset of labor.

    Week 37-40

    Fetal, maternal, and cervical assessment.

    Week 41-42

    Fetal testing regarding post-maturity and/or induction of labor will be discussed.

    ** This schedule has been developed by the physicians and nurse practitioners of OBGYN SPECIALISTS, and is intended for use by our patients.

     

  3.  
    Obstetrical Ultrasound

    Most expectant parents view an ultrasound as a fun and exciting experience! It is an intimate bonding time-one which many parents choose to share with other family members. However, it is important to remember that an ultrasound is, in fact, a diagnostic tool that requires preparation to achieve a successful view of your baby and to accomplish the purpose of the exam. It is standard in our practice to have an ultrasound at your New OB appointment (first ob appointment) at approximately 10 weeks to confirm your due date and in the 2nd trimester to assess the growth and anatomy of your baby. Additional ultrasound exams are performed on an as needed basis and ordered only by the physician.

    A limited number of family/friends may be present during the ultrasounds. Children often become bored during the exam or frightened of the dark room, which may make it difficult to complete the exam. If you choose to bring children please be sure you have another adult present to supervise them.

    New OB Ultrasound (approximately 10 weeks)

    This ultrasound is typically performed on your abdomen following application of warm gel, but may need to be done transvaginally depending on fetal size Typically this exam will take approximately 15 minutes

    Routine Ultrasound (approximately 20 weeks)

    Performed on your abdomen following the application of warm gel this ultrasound will assess the fetal anatomy and check growth An attempt can be made to determine the gender of the baby during this ultrasound if the patient chooses to know the gender. Unfortunately it is not always possible to visualize gender due to the position of the baby. 3D/4D ultrasound can be used to get an image of the baby. There are many factors involved in making these images possible and we will do our best to image your baby with 3D/4D ultrasound.
    • Due to intensity and length of this type of scan, children are not allowed to be present
    • Performed on your abdomen following the application of warm gel
    • We will also do a trans-vaginal ultrasound at your routine ultrasound

     

    First Trimester Screen-Nuchal Translucency (11-13 weeks)

    First Trimester screen is a genetic testing option you will discuss with your physician at your first appointment. As part of this test; 

    • A blood specimen will be drawn in our lab following the scan. 
    • Not all patients choose to or need this ultrasound
    • This exam can take up to 30 minutes

     

  4.  
    Diet & Health

    Your diet is an important ingredient to your growing baby and your overall health.  Unfortunately, nausea and vomiting in pregnancy is a real, physical problem.  If you are experiencing nausea and vomiting, our team has summarized critical information below to help manage your symptoms.  Of course, if you have specific diet or health questions please talk to your doctor about your concerns at your next appointment.

    Nausea & Vomiting

    In most cases nausea is not “just in your head.” Women experience this problem in varying degrees and you may have different experiences in succeeding pregnancies. Some women experience “morning sickness,” but it is not uncommon to experience nausea only in the evening or all day long.

    What can you do to relieve nausea and prevent vomiting? We have compiled a list of suggestions we have found helpful. Remember, you are an individual – what works for one woman may not be the answer for another. Listen to your body and eat the kinds of foods that make you feel best.

    Suggestions for Diet

    • The most important rule is to eat small amounts often – even if you are not hungry. Try not to go more than three hours without eating during the day or ten hours at night. An empty stomach triggers nausea.
    • Eat slowly and avoid foods that are spicy or high in fat. These are difficult to digest. Do not overfill your stomach.
    • Drink fruit juices, water and milk between meals.
    • Eat a few crackers, dry toast or vanilla wafers before rising in the morning. Stay in bed 15-20 minutes after eating and then get up slowly.
    • Give yourself extra time in the morning.
    • Do not brush your teeth until you have been up for a while.
    • Do not skip breakfast.
    • Have a snack at bedtime that includes both carbohydrates and protein, e.g., peanut butter toast.
    • A specific food or drink may trigger nausea in one woman and alleviate it in another. Milk is a good example of this. Find out what works best for you and eliminate the foods that cause nausea.
    • Most women tolerate ice cold drinks and foods best. Sherbet and fruit juices are good examples.
    • Avoid coffee and products containing caffeine; it increases stomach acid.
    • Avoid smoking: it also increases stomach acid.

     

    Rest

    Your body requires more sleep in early pregnancy. Try to get plenty of sleep at night or take a short nap during the day. Being tired does often trigger nausea. If your nausea is worse in the evening, try taking a nap before dinner.

    Exercise

    Energy levels are normally low in early pregnancy and exercise may be the last thing you’d think of to relieve nausea, but getting out and walking briskly for 30 minutes each day will increase metabolism, relieve stress and psychologically improve your outlook.

    Vitamins

    • Vitamins B6 and Vitamin C may help improve nausea. There have been no definite studies to prove this effective, but some women do improve.
    • To prevent nausea take: 50 mg. Vitamin B6/day. 
    • If experiencing nausea take: 50 mg. Vitamin B6/meal. (Do not take more than 3 a day/or take 25 mg. (or 1/2 tablet) every three hours).
    • Take: 500 mg. Vitamin C daily.
    • Yogurt is a good source of the B Vitamins.
    • If taking your prenatal vitamin increases or causes nausea, stop for 7-10 days, then try again.

     

    Medication and other remedies

    • Unisom, taken as directed, may be used with Vitamin B6.
    • Ginger tablets, 250 mg, 2-4 times per day
    • Acupressure Wrist Bands (Sea Bands)
    • Peppermint or ginger decaffeinated tea
    • Peppermint gum or candy

     

    Inform your doctor if:

    • You cannot keep any solid food down for 24 hours.
    • You cannot keep liquids down.
    • You are losing weight.
    • You are running a temperature greater than 100° F.


    Remember, nausea will typically improve as the pregnancy progresses. By 12-14 weeks, you should begin noticing more good days than bad. Generally, in the middle months, the majority of women report more energy and no nausea.

  5.  
    Insurance & Billing

    Billing for pregnancy at our office is set up as a “global obstetrical package”. Several items are included in this package, but many services are not. Your insurance coverage as well as your deductible and co-insurance will all play a part in your out of pocket costs for prenatal care.

    The global package includes routine prenatal visits (7-13), urinalysis, vaginal delivery, and post-partum hospital and office visits. The visits that are not included in the global OB package are, but are not limited to, the procedures listed below.

    These procedures are NOT included in global obstetrical package:

    • Initial physician office visit
    • Hospitalization prior to delivery
    • Ultrasound services
    • Laboratory services (urine cultures and bloodwork)
    • Pap smear
    • Non-stress test (NST)
    • Non-obstetrical office visits
    • Gestational glucose testing
    • RhoGam
    • Cesarean section
    • Cord blood collection
    • Genetic testing

     

    You will receive a separate billing statement for any of the above services. Please pay these charges within 30 days of receiving the statement. If you have any questions regarding coverage for additional services or hospitalization, please contact your insurance company directly.

    If you do not have health insurance, we ask that you pay the global fee and any additional charges in full by your eighth month. We will be happy to bill you in monthly installments for this amount.

    You or one of your family members is responsible for notifying your insurance company at the time of your admission to the hospital.

    We hope this information will help you prepare and plan for your obstetrical care with our clinic. Please remember that we are here to assist you in any way possible.

    Thank you for choosing us to provide your care. If you have billing questions, please call us at 952.841.9480.

     

  6.  
    Medications

    Upper Respiratory Infections:

                Sinus congestion and colds – Plain Sudafed, Tylenol Sinus, Cool mist vaporizer

                Antihistamines – Chlortrimetron, Actifed, Claritin, Benadryl, Zyrtec

    Avoid nasal sprays, except for Saline only.

    Sore Throat:

                Lozenges – Cepacol, Chloraseptic

                Cough drops – Halls, Vicks, or lemon drops

    Headache, Pain, or Fever:

    Tylenol or other acetaminophen products:  650-1000 mg every 6-8 hours (up to 3 gm/24 hours) as needed

    If not relieved, call the office.

    Heartburn:

                Sodium-free antacids – Gaviscon, Maalox, Mylanta, Tums

    Gas:

                Simethicone products – Gas-X

    Acid Reflux: 

               Prilosec, Zantac 75 mg 1 to 2 times daily

    Constipation:

                Stool softeners – Colace (Docusate Sodium), Fibercon, Metamucil (powder, capsules, or

    wafers)

    Laxatives –Milk of Magnesia, Peri-Colace, Miralax

    Diarrhea:

    Kaopectate, Imodium, Imodium AD

    Avoid dairy products and stop prenatal vitamins until diarrhea subsides.  If not resolved in 24-36 hours, call the office.

    Insect Bites and Rashes:

                Lotions – Calamine, Caladryl, Hydrocortisone 1%, DEET bug spray

                Sprays – DEET bug spray

                If rash is unusual or persists, call the office.

    Hemorrhoids:

                Preparation H, Anusol

    Nausea:

                Vitamin B6 50 mg 2/day, Unisom (doxylamine)

    Sleep:

                Unisom (doxylamine)

    • This list has been compiled by Obstetrics and Gynecology Specialists, and is intended for use by our patients.
    • This is not an all-inclusive list of medications.  If you have questions about medications, please call our office.
    • There are no “guarantees” regarding safety of medications in pregnancy, so avoid taking medications you do not need.
    • Please follow package directions for all medications.
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