Obstetrical Care


What to Expect

Your first appointment will be scheduled with one of our medical assistants at which time she will take a comprehensive medical history and give you a welcome packet that contains many useful and helpful items. During this visit necessary laboratory testing will be ordered including an ultrasound if needed. Your next visit, approximately 2 weeks later, will be your first visit with the physician. At this visit the physician will review the medical history taken at your first visit and perform a pelvic examination and additional testing such as a pap smear if indicated. Your weight, blood pressure and urine will also be checked at this visit and all future visits.

Your next visit with the physician, 4 weeks later, begins your prenatal visits. During the course of your prenatal visits, you will see all 4 physicians in the practice. Because the physicians rotate their call schedule, there is no guarantee that a certain physician will be available at the time of your delivery and rotating with the physicians allows you the opportunity to become familiar with all of them prior to your delivery. You will be seen every 4 weeks until your 28th week, every 2 weeks from 28-36 weeks and weekly from 36 weeks until delivery. Please keep in mind, however, certain circumstances might necessitate the need to deviate from this schedule.


OB Services Provided

Family Planning

Family planning encompasses a host of services and even if we don't offer the service you may require, we're knowledgeable and happy to assist you in any way we can.

We offer oral contraceptive pills, IUD's (Paragard, and Mirena), injectable medications (Depo-Provera), as well as implants (Implanon) located under the skin. For those patients who desire a more permanent solution and have completed their child-bearing, we offer the no-incision Essure procedure. Please note that no method of contraception is 100% effective. If you are considering contraception, please feel free to schedule an appointment to discuss which method may best suit your need.

Genetic Testing

We have access to a full complement of the most advanced testing and screening currently recommended for genetic screening prior to and during your pregnancy. We utilize the services of several high-risk specialists when required and they are affiliated with Christ Hospital, Rush University Hospital, and the University of Illinois-Chicago.

More on Genetic Testing


Ultrasonography

A first trimester ultrasound may be performed to visualize your baby’s heart beat and to confirm your due date. We will also offer an ultrasound examination to be done when you are between 20 and 22 weeks. The purpose of the ultrasound is to screen for major birth defects, determine the position of the placenta and assess the growth of your baby.

Laboratory Testing

HPV Vaccine: HPV (Human Papilloma Virus) is a sexually transmitted disease and the spread of some types of the virus are associated with cervical cancer. We offer the Gardisil vaccination to prevent infection with those types of the virus most associated with leading to cervical cancer.

CBC: Complete blood count identifies different types of anemia and platelet abnormalities.

Blood Type and Antibody Screen: looks for potential blood group (Rh) incompatibility between your blood and your baby's blood.

HIV: the human immunodeficiency virus (HIV) causes AIDS and testing is offered and strongly recommended. Identification of an HIV infection will aid the prevention of transmission to your newborn.

Rubella (German Measles): testing is performed to confirm immunity to German Measles (rubella). If you are non-immune, you should avoid exposure to infected individuals. A rubella vaccination should be obtained after delivery.

Varicella (Chicken Pox): testing is recommended if you are unsure whether or not you have had chicken pox. If you do not have immunity to varicella, you should avoid contact with infected individuals. It is recommended you receive a Varicella vaccination after delivery.

Syphilis: testing is important. Syphilis can cause severe birth defects if it is not detected during your pregnancy, therefore testing is mandatory.

Hepatitis B: the Hepatitis B virus can lead to liver disease and liver cancer. Special precautions are taken at the time of delivery to prevent transmission to your baby if you are found to be a carrier.

Hepatitis C: testing for the Hepatitis C virus will be performed for those patients interested in a water birth.

Gonorrhea and Chlamydia: DNA probes are used to screen for gonorrhea and Chlamydia infections of the cervix which can infect a newborn.

Urine Culture: tests for urinary tract infections, infections, which are more common in pregnancy, usually less symptomatic and can lead to kidney infections if left untreated.

Bacterial Vaginosis: This type of vaginal infection that may cause preterm delivery.

Group B Streptococcus Culture: is performed between 35 and 37 weeks. This form of infection is caused by a bacterium commonly found in the human gastrointestinal and genitourinary tracts which can infect a newborn during delivery. We follow the guidelines recommended by the American College of Obstetricians and Gynecologists to administer antibiotics during labor for all pregnancies at risk for an infection.

Cystic Fibrosis is a life-long illness that is usually diagnosed in the first few years of life. This disorder causes problems with breathing and digestion. Cystic Fibrosis does not affect intelligence. Cystic Fibrosis testing may not be covered by your insurance. The estimated carrier risk is as follows: Ashkenazi Jewish 1/25, Non-Hispanic Caucasian 1/25, African American 1/65 and Hispanic-American 1/46.

If your occupation or social circumstances predispose you to other infectious diseases such as Tuberculosis, Fifth Disease or Toxoplasmosis, additional testing may be appropriate.

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