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 Preconception Care |
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- Advice and Help Achieving Lifestyle
Changes
- Give up smoking
- Eliminate alcohol
- Do not use recreational drugs
- Weight and Nutrition
- Creating a healthy diet and exercise
regimen together
- Screening
- Check if you are immune to Rubella (German measles)
as Rubella puts babies at risk of blindness, deafness and
mental retardation.
Women who are susceptible to rubella should be offered
rubella vaccination before they become pregnant.
- Check if your cervical smear
(PAP test) is in date.
- Check if you have a high blood pressure.
- Check if you are
anemic.
- Check if you are diabetic (indicated by sugar in the
urine).
- Check if you have kidney disease (indicated by
protein in the urine).
- Check if you have a genital infection
or sexually transmitted infection
- Check your dental health.
- Folic Acid
- It is advisable that women who are contemplating
pregnancy should take folic acid, one tablet a day (400
mcg). This
will decrease the risk of neural tube defects such as spina bifida.
- If
you do not wish to take folic acid tablets you need to
eat foods which are rich in folic acid such as spinach,
green
beans,
fortified cornflakes and oranges.
- Referral to Fertility
specialists when needed
| Pregnancy
Care |
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- At your first visit:
- Ask you about
your health, your partner’s health, and
the health of your close family
- Identify medical problems.
- Discuss with you any medications
you are taking.
- Do a physical exam and a pelvic (internal)
exam.
- Weigh you.
- Check your blood pressure.
- Check a urine sample for infection.
- Do some blood tests to
check for blood type, anemia, and see if you have had
certain infections (rubella,
hepatitis, HIV, or syphilis).
- Do a pap smear to check
for cervical cancer and other tests for vaginal infections
- Figure out your due date: an estimate of the day your
baby will be born. Most babies are
born within
two weeks
(before or after) their due date.
- Make sure
you're taking a prenatal vitamin with folic acid.
- During later prenatal visits:
- Weigh you.
- Check your blood pressure.
- Measure your belly to see how
the baby is growing.
- Check your hands, feet, and face for swelling.
- Listen for
the baby’s heartbeat (after the 12th week
of pregnancy).
- Feel your abdomen to assess the
baby’s
position (later in pregnancy).
- Do any tests that are needed,
such as blood tests or ultrasound.
- Ask you if you have any
questions or concerns. It’s
a good idea to write down your questions and bring a list with
you so you don’t forget.
- Typical Prenatal Care Schedule
- Weeks 4 to 28 of pregnancy:
1 visit per month (every 4 weeks)
- Weeks 28 to 36 of pregnancy:
2 visits per month (every 2 weeks)
- Week 36 to birth: 1 visit
per week
- Same day appointments for problems are always available
- Referrals to other health care professionals
- Childbirth classes
- Chiropractors
- Massage therapists
- Lactation consultants
- Pregnancy friendly exercise classes
- Pregnancy photographers
- Convenient, Personalized Prenatal Care
- No rushed appointments,
questions encouraged
- Time spent teaching how optimize pregnancy
health
- Laboratory Services
- In office ultrasound
| Labor
and Birth
Care |
 |
- Family Centered Labor and Birth
- Natural (unmedicated) Childbirth
- Mother directed care, deciding on a birth plan
together as a team
- Having family and friends involved in the
labor and birth process
- Epidural and/or IV pain medication upon
request
- 24 hour OB/Gyn back-up
- Births attended at St. Rose hospital
- Experienced, caring nursing
staff
- Spacious, private labor rooms
- Private bathroom with tub and
shower
- On staff lactation consutants
- Private postpartum rooms with
area for family to stay over night
- Referrals to other
health professionals
- Chiropractors specializing in pregnant
women
- Lactation consultants
- Childbirth Educators (Bradley, Hypno birthing,
Lamaze, and others)
- Massage therapists
- Birth photographers
| Post
Partum Care |
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- Complete Post Partum care
- Breastfeeding support
- Screening for postpartum depression
- Safe exercises in the
postpartum period
- Family Planning
- Natural Family Planning Method
- IUD insertion
- Diaphragm fitting
- Birth control pills/patches
| Gynecological Care |
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- Well Woman Care
- Annual exams
- Pap smears
- Breast exams
- STD screening
- Contraception
- Birth control pills, patches, shots
- IUD’s
- Tubal ligation
- Diaphragm fitting
- Menopause and peri-menopause care
- Hormone replacement (pharmaceuticals or bioidentical)
- Osteoporosis screening
- Obstetrical Care
- Personalized prenatal care with birthing at St. Rose de Lima and Siena hospitals
- Complete postpartum care including pain relief post delivery if needed and help with breastfeeding
- Gynecological Surgery
- Advanced and minimally invasive procedures and surgeries
- All surgeries performed by Rafael Juarez, M.D. a board certified gynecologic surgeon
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