Obstetrics

Whether you’re thinking about getting pregnant or already have a baby on the way, we’re here for you.

When the time comes, you’ll have a full team dedicated to healthy conception, pregnancy and birth. This includes not only doctors, nurse practitioners and midwives but also maternal fetal medicine specialists and genetic counselors. We offer you comprehensive care from preconception to birth and beyond, with access to the most advanced techniques and technology.

Any question you have, any symptom you feel, we’ll be there for you. You just won’t have to do it alone.

How We Care For You

“Is this the right time?” “Am I healthy enough?” “Can I afford to have a baby?” “What if I can’t get pregnant?”

Only you know if the time is right. Or, if you are financially ready. But, we can tell you everything there is to know about healthy pregnancies.

We’ll start with a thorough assessment of your current health and a review of your family history.

To get your body ready to support a baby, we’ll talk about the importance of a nutritious diet. We’ll also review vitamins and supplements, including folic acid. We recommend taking it three months before you conceive and throughout your pregnancy to reduce the risk of neural tube defects.

We’ll review your medications, immunizations and any medical conditions you may have that might affect your pregnancy.

And finally, we’ll talk about smoking, drinking and drugs. Here, honesty is always the best policy. Our biggest concern is your health and the health of your baby.

When you’re thinking about having a baby, it’s natural to have questions. But it’s even more important to get answers.

Each pregnancy and birth is just as special for our family as it is for yours. We’re committed to creating the birth plan you want, and we’re honored to be on this journey with you.

Whether you’re planning a low-intervention midwifery delivery or you’re experiencing a high-risk pregnancy, we have the experience, expertise and technologies to give you the very best care. And we partner with hospital-based OB-GYNs to provide around the clock.

You can rest easy knowing that we’re ready when you are.

Our midwifery team collaborates with hospital-based midwives to make your delivery the amazing experience it should be. We have years of experience and access to the most sophisticated delivery techniques. We offer high-touch, low-intervention and low-tech birthing support.

We believe nature and your own body instinctively guide labor and birth.

You help us help you.

And if you or your baby need it, our medical doctors are right here to help.

Most pregnancies have a happy ending: healthy baby and healthy mother. But some women have a high risk of complications.

This includes women with diabetes, high blood pressure, cancer, kidney or heart disease, epilepsy or those who are severely underweight or overweight, or who drink, use drugs or smoke.

You may also be at high risk if you’re younger than 17, older than 35 or having more than one baby.

If you’ve had miscarriages or pre-term labor or premature rupturing of the membranes, or if your baby isn’t growing as expected, you may also be at risk for complications.

Knowing your risk helps us lower your risk. We’ll monitor and work with you closely throughout your entire pregnancy and beyond. Your safety and your baby’s safety are always top of mind.

It’s your choice to have genetic testing performed during pregnancy. And if you choose to have tests done, we’ll be there with the latest in technology and medical expertise.

When tests reveal issues, our maternal-fetal medicine specialists and genetic counselor are here to help you navigate your options and next steps.

The best news is that there are new developments in the field of genetics every day and expanding choices for prenatal testing.

Ultrasound is a window into your baby’s developing world. It’s the first glimpse you’ll have of your child.

A prenatal ultrasound uses sound waves to create an image of your baby, placenta and uterus. It provides valuable information about the progress of your pregnancy and your baby’s health, including her shape, position and movements.

A more detailed scan at around 20 weeks allows us to check the baby’s development and anatomy.  We can even tell you what color to paint the nursery, if you’d like.

This scan also provides information about your placenta, amniotic fluid and cervical health. If the placenta is covering your cervix – a condition called placenta previa – it can cause bleeding later in the pregnancy. Too much or too little amniotic fluid also presents a need for careful monitoring. If the scan indicates a concern, an additional ultrasound may be used as part of a genetic test.

For your convenience, we offer maternal-fetal medicine services at our Midlothian, Mechanicsville, Forest locations, and will offer them soon at our Short Pump office opening in April 2017.

Here’s a list of approved medications for when you are pregnant, or thinking of becoming pregnant. Use as directed.

Allergies (seasonal): Actifed®, Benadryl®(plain), Chlor-Trimeton®, Claritin®, Zyrtec®

Constipation: Benefiber®, Citrucel®, Colace®, Dulcolax suppository/pills, Fibercon® tablets, Metamucil®

Colds & Congestion: Benadryl® (plain), Dextromethorphan, Guaifenesin, Robitussin® (plain) PE, saline nasal spray, Sudafed® (call your doctor if you have high blood pressure)

Cough: Robitussin® (plain), Robitussin® DM

Diarrhea: Imodium® AD

Heartburn & Indigestion:  Maalox®, Mylanta®, Mylanta II, Pepcid AC®, Tums®, Zantac-75®

Headache: Tylenol®, Tylenol® Extra Strength

Hemorrhoids: Anusol-HC®, Dibucaine, Preparation H®, Proctocream, Tucks® pads

Insomnia: Simply Sleep®, Tylenol® PM, Unisom® (doxylamine), Benadryl®

Itching/Rash:  Benadryl® Lotion, Hydrocortisone cream 1%,

Nausea: Emetrol®, Acupressure wristbands

Sore Throat: Cepacol®, Chloraseptic® Spray, salt-water gargle

Yeast Infection:  Gyne-Lotrimin®, Monistat 7®

For months, you’re aware of every little change in your body and what it means. Your baby grows, and your body adapts. You learn what to expect.

After birth, we continue to care for you since we know that you’re focused on what’s important – being a new parent. If you’re having unusual aches, pains, or recovery symptoms our urogynocology team is here to help.

But do you know what to expect after your baby is born?

In the first few days, you may experience lochia—a bloody discharge heavier than your period that contains clots. This discharge becomes lighter over the next four to six weeks.

Abdominal cramps are common in the first week after delivery and may be stronger when you’re breastfeeding. Changing positions, emptying your bladder and taking acetaminophen or ibuprofen can help.

During delivery, your perineum—the region between your vagina and anus—takes a beating. It may be stretched and bruised. And if you tore, you will have stiches. You’ll probably be sore for a week or so. Stitches dissolve over the next few weeks, but the tenderness may last several weeks. Be gentle with yourself. After using the toilet, rinse your perineum with warm water. Warm sitz baths can help. If the pain, swelling or discharge increases, let us know.

If you had a Cesarean, your challenges will be different. The incision point will be painful at first, and you may require pain medication. Fever, increasing pain or drainage from your incision are signs that something is wrong, and you should let us know immediately.

Your first bowel movement after giving birth may be difficult. Eating whole grains and plenty of fruit will help, as will drinking plenty of water or fruit juice.

During pregnancy, your growing uterus adds pressure to the surrounding region, resulting in swollen blood vessels of the rectum —hemorrhoids. Even if you’re lucky enough to avoid getting them during pregnancy, they often show up after giving birth. Hemorrhoid pain can be treated with warm baths, creams such as Anusol® or Preparation H®, cold packs, and witch hazel pads.

If you had an uncomplicated vaginal delivery, it’s generally safe to begin walking as soon as you feel up to it. If you had a C-section, don’t lift anything heavier than your baby and try to keep stair climbing to a minimum. Your doctor will let you know when you’re cleared for exercise.

Surround yourself with support in the days and weeks after birth, and don’t try to do everything yourself.

Be as gentle with yourself as you are with your newborn.

Just as your body is returning to its pre-baby size and shape, your hormone levels are finding their way back to normal, too.

And along the way, your emotions may swing from elation to depression. You may feel overwhelmed, especially if your baby has separation issues and wants to be held 24/7.

Your roller coaster emotions should even out over time.

But if you feel utterly sad and hopeless, or so overcome with worry that you can’t get any rest, you could be experiencing postpartum depression. If you feel angry or violent, call us immediately. Clinical psychologists are part of your team and can help you through this difficult time.

Zika
If you are pregnant or trying to become pregnant, and you or your partner have recently traveled to or plan to travel to an area where Zika is known to be present, please let your provider know.

Areas of transmission and what is known about Zika changes almost daily. Visit the CDC’s web page dedicated to providing information on the Zika virus, to stay current on the latest recommendations. And if you have questions or concerns, please call us at 804.288.4084 or send a message through our secure patient portal.

Listeria
The media routinely alerts its viewers/readers about food recalls involving Listeria. Although risk of a Listeria infection is low, it can be concerning for women who are pregnant. Listeria (also known as Listeriosis) can cause flu-like symptoms such as fever, muscle aches and diarrhea. If there was a recent food recall involving Listeria and you consumed the affected food and have the symptoms listed above, please call our office at 804.288.4084. It’s important to remember that infection from Listeria remains extremely low.

For more information on Listeria, visit the CDC website.

Food Safety Recalls
For a list of recent food recalls, visit the FDA website

Drug Recalls

For a list of drug recalls, vist the FDA website

 

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