OBSTETRICAL CARE

Our philosophy emphasizes a very personal, individualized approach to your obstetrical care.  While many aspects of pregnancy are applicable to all patients, we recognize that each woman is unique.

FIRST TRIMESTER

At your initial visit you will meet with one of our nursing staff so that we can obtain pertinent history about you and your pregnancy. At the time of your first appointment with the doctor, an ultrasound is usually performed.  Blood tests will be done, along with the offering of early, non-invasive genetic screening.
You can see a copy of the information that will be given to you at your initial visit in the collection of documents titled PATIENT PACK.

SECOND TRIMESTER

You will be seen every month during this stage of your pregnancy. At approximately 24 weeks we perform an ultrasound  in our office to evaluate the baby’s anatomy. If the baby is in the correct position it may be possible to see the baby's gender.  Our sonographer can share that information with you if you desire to know.  EVERY PREGNANCY IS DIFFERENT - We are here to listen to your concerns and will work together with you for a successful pregnancy and healthy baby. 

THIRD TRIMESTER

At 28 weeks of your pregnancy your visits will be every 2 weeks until 36 weeks, when you will be seen weekly.  At 28 weeks we will screen for gestational diabetes routinely.  At 36 weeks a vaginal culture will be obtained to screen for a bacteria called Group B Strep. 

Throughout your pregnancy we are here to partner with you in communication and planning for a healthy pregnancy and baby.  Should you have any questions at any of your visits we welcome you to visit with our nursing staff or physicians. 

Obstetrical Care Services and Education

  • Birth Control Options After Pregnancy

  • Breastfeeding

  • Circumcision

  • Cord Blood Banking

  • Diabetes

  • Diet and Nutrition

  • Exercise During Pregnancy

  • Genital Herpes

  • High Blood Pressure / Hypertension: Preeclampsia in Pregnancy

  • High Risk Pregnancy Assessment

  • Labor and Delivery

  • Postpartum Guidelines for New Mothers

  • Preconception Counseling

  • Routine Testing Timeline and Overview

  • Thyroid Disorders

  • Travel During Pregnancy

  • Twins

  • Ultrasound

  • Vaccines

We want you to be an informed traveler

If you are pregnant or thinking of becoming pregnant you should be aware of the Zika Virus alert in countries in Central, Latin or South America.

Zika virus is mosquito borne and can be spread from a pregnant woman to her unborn baby. There have been reports of very serious effects on developing babies.

The CDC has some excellent information at the following links:

Summary of Updated Guidance:

  • Antibody testing for Zika virus is now recommended for all pregnant women who have traveled to an affected area regardless of the presence of clinical illness.

  • Antibody testing for Zika virus is now recommended for all pregnant women living in an affected area regardless of the presence of clinical illness.

  • Health care providers should discuss reproductive life plans, including pregnancy intention and timing, with women of reproductive age in the context of the potential risks associated with Zika virus infection.

  • Women of reproductive age with current or previous laboratory-confirmed Zika virus infection should be counseled that there currently is no evidence that prior Zika virus infection poses a risk of birth defects in future pregnancies.

Prevention Guidance:

  • Avoiding exposure is best. Pregnant women should delay travel to areas where Zika outbreaks are ongoing when possible. Women considering pregnancy should discuss with their obstetric providers the advisability of travel. See the CDC and PAHO websites for updated lists of affected countries.

  • When traveling to areas where Zika has been reported, women should take all precautions to avoid mosquito bites including the use of EPA-approved bug spray with DEET, covering exposed skin, staying in air-conditioned or screened-in areas, and treating clothing with permethrin.

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​2504 W Benjamin Ave., Norfolk, NE

402-379-9999

Office Hours: Mon - Thurs. 8 am - 5 pm

Friday 8 am - 4 pm