Obstetric Services

General Obstetrical Care

We provide comprehensive obstetrical care from preconception to postpartum. Our experienced doctors provide general services to guide women through each and every step of their pregnancy to ensure proper growth and development, as well as a successful delivery. Our facilities are also fully equipped with the most advanced technology and equipment to help make your pregnancy as simple and efficient as possible.

During your pregnancy, you will visit your doctor on a regular basis for physical examinations, blood tests and ultrasounds in order to monitor the growth and development of your baby. We will also discuss with you your options for the delivery process, and then work with you to ensure that labor and delivery is comfortable and stress-free. Postpartum care is also available to help women become acclimated to the motherhood lifestyle while maintaining their health as well.

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High Risk Obstetrical Care

In addition to our general obstetrical services, we also provide care for high risk pregnancies, including women with pre-existing medical conditions, multiple births or abnormal pregnancies that carry an increased risk of complications. Our doctors strive to develop strong, trusting relationships with their patients to help them experience a smooth pregnancy.

Some conditions that may increase the risk of complication during pregnancy or delivery include diabetes, high blood pressure, thyroid disorders, heart disease, cancer and more. Complications during pregnancy, such as gestational diabetes, premature birth and recurrent miscarriages can also be treated by our specialists. For these women, we provide frequent monitor exams and special delivery techniques to ensure a healthy pregnancy.

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Infertility

The standard definition of infertility is the inability to conceive after 12 months of unprotected sexual intercourse. Today, this has been modified to take age into account, and now women over 35 may be considered infertile if they have failed to conceive after trying for six months.

Infertility means that a couple is not sterile but for some reason has not been able to conceive a child. Once a couple is diagnosed as infertile, the doctor will perform tests to determine the cause or causes. Then treatment can begin. Today’s technology often allows even truly infertile couples to conceive a child, sometimes with the assistance of a third party donor or surrogate.

People who consider undergoing IVF or other assisted reproductive techniques (ART) often do so after they have failed to conceive for 12 months. Others who have known risk factors for infertility or for having a child with a genetic disorder seek treatment sooner. Reasons for this include:

  • The female partner is over 35 years old.
  • Either partner has received injuries or been diagnosed with conditions that affect fertility (endometriosis, pelvic infection, polycystic ovarian syndrome, undescended testicles).
  • Either partner has a family history of genetic disorders (Tay-Sachs disease, thalassemia).
  • The couple has not been helped by ovulation induction or infertility treatments.
  • The female partner has had multiple unsuccessful pregnancies for other reasons.

Single women may also seek professional assistance when attempting to conceive a child.

Infertility Evaluation 

There are three conditions that need to be met for conception to be possible: sperm must be present, the fallopian tubes must be open, and ovulation must be able to occur. If one or more of these conditions is compromised, the couple suffers from "true infertility." If all three conditions are met but the couple has failed to conceive, the diagnosis is "sub-fertility."

Initial evaluations are individually tailored to each patient and couple, but there are a few standard tests performed to evaluate these three critical factors. These include measurements of the hormones that regulate ovulation and egg quality, imaging tests of the fallopian tubes, and semen analysis (volume, sperm count, motility and morphology).

For about 10-20% of infertile couples, even with a thorough evaluation a cause for infertility can’t be determined. This is called "unexplained infertility" and may be caused by intermittent symptoms such as irregular ovulation or variable sperm count, or by other factors that we don’t yet understand or can’t test for. Some couples with unexplained infertility successfully conceive after treatment or even without treatment.

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In Office Sonography

Our office is equipped with the latest and most advanced ultrasound machines and is accredited by the American College of Radiologist (ACR) and the American Institute of Ultrasound in Medicine (AIUM). The convenience of our accredited facility allows the patient to receive a high quality exam from one of our registered sonographers and to have the results interpreted by the physician during the same office visit. We have provided a TV monitor for the patient to view sonogram during the exam. This procedure requires the sonographer to place gel on your lower abdomen and move a transducer across to produce ultrasound images. A sonogram takes about 30 – 60 minutes and requires the patient to have a full bladder.

In gynecological evaluations, pelvic sonograms can be used for routine ovarian screenings: a valuable tool in the detection of ovarian cancer. We also use pelvic sonograms to determine the cause(s) of problems such as pelvic pain, uterine fibroids, ovarian cysts, and irregular bleeding.

During pregnancy, we will use sonograms to look at the growth and development of your baby. An early sonogram in the first trimester confirms the accuracy of your baby’s due date. At around 20 weeks of gestation, we provide a detailed evaluation of the baby’s anatomy and can determine the gender of your little one! Additional sonograms may be necessary in high risk patients.

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