Women's Health Alliance physicians see both normal and high risk pregnancies. A pregnancy is a joyous occasion and we offer a range of services to address both your physical and emotional needs to ensure a happy and healthy pregnancy.
- Appointment Schedule
- Labor and Delivery Preparation
- Registration for Delivery and Classes
- Pregnancy Medications
Confirmation of Pregnancy
When you come to the office for your confirmation of pregnancy, we ask that you bring your medical records and insurance information, which we will cover. A sonogram will also be performed.
Your First Visit
During this visit, you will have a physical exam including a pap smear. There will also be a series of prenatal labs that will test your blood type and blood count, and screen for infections (syphilis, hepatitis B, HIV and rubella). All of the results will be reviewed with you at your next appointment. The state of Texas requires HIV testing.
Continued Prenatal Care
Between now and 28 weeks, we would like you to schedule a visit every four weeks. Around 28 weeks, your visits will increase to every two weeks, then once a week after 36 weeks until delivery. We will request to see you more frequently if you are high risk. During each visit, you will have your weight, blood pressure, urine and fetal heartbeat checked. Several additional tests are done at scheduled markers throughout your pregnancy.
Anemia and gestational diabetes screening
This screening is performed between 24-28 weeks. You will be given a sugar drink and instructions for how/when to drink it. One hour after you finish the sugar drink, your blood will be drawn.
Third trimester blood work
At 32 weeks there is a state required lab that is done for HIV/RPR.
Vaginal culture for group B strep
This swab of your vaginal area is performed at your 36 week appointment. Group B strep (GBS) is a normal bacteria that is naturally found in the vagina and is not harmful to women or a developing fetus. However, it can be harmful to your infant if exposed at the time of delivery. If you test positive for this bacteria, you will receive antibiotics during labor and delivery.
Optional Testing Including Genetic Screenings
You will have the decision to test for the potential of genetic diseases with a carrier screening for the mom, like cystic fibrosis and genetic screening options for the baby, like Down syndrome. If you are interested in any optional tests, please check with your insurance plan to see if these tests are covered. Questions you may have regarding these optional tests can be discussed at your first appointment. Please discuss there with your doctor.
We recommend an ultrasound around 20 weeks in the pregnancy to evaluate fetal anatomy. Additional ultrasounds will be performed based on the medical need. Insurance will only cover this service if there is a medical need. Ultrasounds will be performed in the office. Your doctor will decide the timing of your ultrasound.
We recommend a prenatal vitamin that contains folic acid and DHA prior to conception, throughout pregnancy, and postpartum while breastfeeding. Please check with your doctor before taking any vitamins, herbs or other supplements as some may be unsafe during pregnancy.
The Centers for Disease Control (CDC) recommends that women who are pregnant during the flu season receive the flu shot.
Also, pregnant women who haven’t had a dose of Tdap (vaccine to protect mom and baby against tetanus, diphtheria and pertussis), should get one in the third trimester. Receiving the vaccine in pregnancy gives your baby extra protection against whooping cough, which can be very dangerous for newborns.
The Rh Factor
We will test your blood for the Rh factor. If your blood type is Rh negative, then you may be at risk for Rh disease, which a affects about 10% of people. Rh disease is a pregnancy complication in which your immune system attacks the baby’s blood and can result in a life threatening situation for the baby if left unknown. Fortunately, it can be prevented with a shot called Rhogam, which is given at 28 weeks or anytime if vaginal bleeding occurs, and potentially after delivery. If you are Rh negative, contact our office immediately if you develop bleeding or trauma to your belly.