Expectant Mothers

What to expect at your visits

During your pregnancy you will be offered many routine tests that can let you know about the health of your baby. Below is a brief description of what to expect during your visits until delivery.

  • 6-10 Weeks- Usually on your first visit you will be seen by a physician, Nurse Practitioner, or Nurse Midwife. At this time they will perform a pelvic exam including a pap smear along with cultures to detect sexually transmitted diseases.
  • 10-12 Weeks- During this time you will have an appointment with a nurse to discuss your medical and genetic history. Make sure that you sit down with family members to discuss pertinent medical history prior to this appointment. The nurse will give you information on Cystic Fibrosis testing, and the 1st and 2nd trimester screening for Down Syndrome and Spinal Bifida.
  • 12-13 Weeks- During this time you will hear your baby’s heart beat for the first time. You will have an ultrasound to give us an accurate due date. At this visit and for all visits until delivery you will have height, weight, and blood pressure checks. Blood work will be drawn including blood type, blood count, Rubella, Titers, Hepatitis B, HIV, and Herpes Type 1 and 2. We will draw the first part of your Downs Syndrome testing called the Sequential or Serum Integrated screen. Cystic Fibrosis testing may also be drawn at this visit.

Visit www.mytestingoptions.com for testing info.

Numbers you may need:
Eagles Landing OB/GYN: 770-474-1919
Piedmont Henry Hospital Labor and Delivery : 678-604-3240

  • 16 Weeks- The second part of the Downs Syndrome test will be drawn it is called the Alpha-fetoprotein. We usually receive these results in 10-14 business days. The results will be discussed with you at your next visit. Should these results be abnormal, we will contact you by phone.
  • 20 Weeks- Your scheduled ultrasound is normally schedules around the 20th-24th week. Many expectant parents request us to determine the sex of their baby. Genitalia are present at this time, but we cannot guarantee our results to be accurate.
  • 24-26 Weeks- You will have a lab test to determine if you have Gestational Diabetes. This test is mandatory for all of our expectant mothers. This test takes one hour to complete, so plan for this visit to last a little longer than others. You do not have to fast for this test, but you should not eat or drink anything containing large amounts of sugar. These results are normally available in 2working days. If the results are abnormal we will contact you regarding additional testing.
  • 28-30 Weeks- This is a good time to preregister for delivery. A registration packet is available at the front desk. Registration is located on the 2nd floor of the North Tower at Piedmont Henry Hospital. You will need the registration packet, your picture ID and your insurance card to register.
  • 34-36 Weeks- Until now most of your visits have been monthly. You will now have biweekly visits. At this visit you will have a pelvic exam for Group B Strep. If you have tested positive with a previous pregnancy you will be retested. Group B Strep can be normal for women, but can be serious if the baby is exposed to it at birth. If you are positive you will receive antibiotics during labor.
  • 36-40 Weeks- You will now be seen weekly, it is important to keep all appointments so that we can make sure both you and your baby are healthy.

How to know that you’re in labor.

  • Contractions- Contractions are often described as cramp-like feelings, usually starting in the lower back and radiating to your belly. During a contraction your belly will become hard and when it is over it will become soft again. Start timing your contractions. First time the interval, start counting at the beginning of one contraction to the beginning of the next, this is how far apart they are. Write down how far apart they are. Once your contractions are about 5 minutes apart call the office. You also need to be timing the duration, how long they last. Start counting at the beginning of a contraction to the end of that contraction. Write this down too.
  • Rupture of Membranes- This is what happens when your water breaks. Some women think it will be a gush of fluid, but sometimes it is a nonstop trickle. If you are not sure, call the office.
  • Bleeding- It is very common toward the end of pregnancy to have a pink or reddish spotting after a vaginal exam or after intercourse. This is normal. In the last few weeks of pregnancy, you may notice a thick mucus vaginal discharge that may be streaked with blood this is also normal and is called “show.” If you notice any bright red vaginal bleeding especially if it is running down your legs call the office.

Keep in mind that these are only guidelines and every expectant mother’s body is different, and so are their pregnancies. If you have any questions or believe you may be in labor, call the office. If it is after hours the doctor oncall will be called. Please allow 15 minutes for a return call.

What do I do if I have a problem?
What if my problem is after hours?
What medications can I take?
How can I treat my nausea and vomiting?
Can I travel?
Can I go to the dentist?
What if I have a High-Risk Pregnancy?
What do I do if I have a problem?

Call our office and ask to speak with the On-Call Nurse

What if my problem is after hours?

Call our office number and our answering service will page the doctor on call who will return your call to address your concerns

What medications can I take?

For Allergy, Cold, Sinus, or Flu-like symptoms:

Actifed, Benadryl, Dristan, Halls, Neosynephine, Robitussin DM, Romilar Tylenol (Acetaminophen), and Vicks Cough Syrup. *Do not use extended-use form*

For Stomach problems:

Citrucel, Colace, Emetrol (if you don’t have diabetes), Fiberall/Fibercon, Gaviscon Imodium, Metamucil, Milk of Magnesia, Parepectocin (for 24 hours,only after 12 weeks of pregnancy), Riopan Senekot, Tiralac, and Tums.

For Skin Irritations:

Anusol, Hydrocortisone Cream or ointment, First-aid Oinment, or Preparation H.

For Yeast Infection:

Monistat or Terazol

How can I treat my nausea and vomiting?

Vitamin B6 25mg taken with Unisom ½tablet 3-4 times per day.

If you don’t have diabetes, you can take Emetrol. Avoid strong smells and spices. If it looks like it will make you sick, don’t just eat it because it’s healthy.

Can I travel?

Unless otherwise ordered by a physician, you may travel up to 36 weeks. If traveling by car stop every 2 hours for a short stretch or walk and to empty your bladder. If traveling by plane make sure passenger cabins are pressuriezed as with large planes. Helicopters and commuter planes are not usually pressurized.

Can I go to the dentist?

Yes, If x-rays are absolutely necessary, make sure that a lead apron if used to Shield your abdomen Numbing agents such as Novacaine, Carbocaine, and Xylocaine are allowed. Nitrous Oxide is not permitted. If your dentist requires written consent for treatment please contact the office 48 hours prior to your appointment for dental work.Patients should maintain daily dental care by brushing teeth twice daily, flossing and using mouthwash.

What if I have a High-Risk Pregnancy?

If your doctor tells you that you are having a “High-Risk” pregnancy you will be referred to a specialist to have your ultrasounds. You will continue to see us for your prenatal care. We refer our patients to Atlanta Maternal Fetal Medicine. After each appointment you have with them they will send the results of your visits to our office so we will have those ultrasound results.