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Nasha Reddy M.D Obstetrics & Gynecology
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New Braunfels OB/GYN

Obstetrics

Dr. Reddy and her staff are privileged that you have chosen us to guide you through your pregnancy and prenatal care. We understand all the physical and emotional changes that come with pregnancy, and we are here to support you through this life-changing experience.

New Braunfels OB/GYN - FuturePresident

Every birth is a special event. We are delighted to share this time with you and your family. Our ultimate goal in providing obstetrical care is the mother’s continued good health and the delivery of a healthy, beautiful newborn. Knowledge and preparation are essential to enjoying pregnancy. We make every effort to keep you informed and answer all of your questions to enhance understanding.

We provide obstetrical care that begins with initial pregnancy confirmation, prenatal visits through delivery and delivery evaluation.

Additional obstetrical services we provide are:
  • In office ultrasound
  • High risk pregnancy referrals
  • Physical therapy referrals
  • Non-stress test
  • Fetal Heart Rate monitoring (3rd trimester) via NST to ensure fetal well being

Ultrasound exam

First trimester ultrasound is performed to confirm pregnancy location in the uterus and gestational age to determine your due date. You maybe referred to the specialist for Nuchal Translucency (NT) testing to search for genetic problems. The test combines the results of an ultrasound to measure the neck (nuchal) thickening on your growing baby, a blood test and your age. NT is performed between 11-13 weeks of gestation.

Genetic screening

Blood tests performed during your first trimester will screen for certain genetic disorders or conditions, such as cystic fibrosis, sickle cell disease, Tay-Sachs and Canavan’s, spinal defects or hemolytic disease caused by the Rh factor.

Nutrition, weight gain and exercise will also be discussed along with Physician examination and Pap smear. Appointments will occur monthly. A due date will be assigned.

Pregnancy

First Trimester (conception to 12 weeks):

First Trimester

Conception - week 4:
In the earliest weeks of pregnancy, you may not feel different yet -- you may not even notice you’re pregnant. In your uterus, the amniotic cavity and placenta are forming. Your baby is still very small, about 0.04 inches. Right now, it is a collection of multiplying cells and does not yet resemble a human, but the development process is already underway.

Weeks 05 - 08:
In the second month of pregnancy, you may be experiencing common symptoms such as morning sickness, cramping in your abdomen and tingling or tenderness in your breasts. During this time, your baby will grow to about the size of a grape. The heart and lungs are becoming more developed and fingers, toes and eyes are forming.

Weeks 09 - 12:
By the end of the third month. The fatigue, moodiness and nausea you felt at first may be fading. By the end of week 12, your baby is fully formed and will now continue getting bigger and stronger. This also marks the end of the most critical phase of its development, and chances of miscarriage drop considerably.

Second Trimester (13 weeks to 27 weeks):

Second Trimester

Weeks 13 - 16:
In your fourth month, your skin and muscles are starting to stretch to accommodate your growing baby. As your uterus grows, you might notice sharp side aches that come with sudden movements such as coughing or sneezing. These are normal and are called round ligament pain.

Weeks 17 - 20:
By the end of this time you’ll have reached the midpoint of your pregnancy. You’ll most likely be feeling the baby move, called quickening. By the end of the 20th week, the baby weighs about 9 ounces. It’s moving often, and can hear sounds, make facial expressions and even get the hiccups. Screening ultrasound are scheduled between 18 - 20 weeks to evaluate fetal brain, heart, kidneys and other major organs. If your baby is cooperative we maybe able to determine the sex at this time.

Weeks 21 - 24:
In your sixth month, your pregnant stomach is definitely noticeable. Your baby is becoming more proportioned now and is starting to resemble a newborn.

Weeks 25 - 27:
You may notice stretch marks as your uterus continues to expand. You’ll be gaining about one pound each week. With the added weight, you may experience changes in your balance or mobility. The hands are active and the baby may suck its thumb.

Appointments will occur monthly.

Quadruple screen - In the second trimester, around 15 - 20 weeks of pregnancy, you will have the option of doing this blood test to check for fetal Down’s Syndrome, Trisomy 18 or Open Neural Tube defects. Positive test does not indicate that the baby is abnormal but does denote increased risk of abnormality. If your test results are abnormal, you will be referred to the Maternal Fetal Medicine (MFM) for further evaluation.

Gestational Diabetes - During pregnancy, hormone changes can affect insulin and cause gestational diabetes. To test for diabetes, your glucose level is measured in a blood sample that is taken after you drink a sugar solution between 24 - 28 weeks. If your glucose level is elevated, an additional diagnostic test will be performed to detect diabetes.

Third Trimester (weeks 28 to delivery):

Third Trimester

Weeks 28 - 31:
With the growing baby, you may feel discomfort in your pelvis and abdomen and notice swelling, difficulty sleeping or shortness of breath. Some women start to experience Braxton Hicks contractions during this time. It can hear and distinguish sounds like familiar voices and music.

Weeks 32 - 35:
By now your navel is probably protruding from you abdomen. You’ll start seeing your doctor more often as your due date nears. The lungs and brains are rapidly developing now. The baby is continually gaining fat to help it keep warm outside of the womb.

Weeks 36 - 38:
You’re in the final stretch of pregnancy and seeing your doctor weekly. You may not be gaining more weight, but you might feel more uncomfortable. The baby is now developed enough to be born. It may drop lower in your abdomen and it will usually assume a head-down position in the pelvis.

Weeks 39 and beyond:
You are now in the final stage of your pregnancy. You may be feeling quite uncomfortable and clumsy due to the shift in your center of gravity. Only 5% of babies are born on their exact due date, so be patient. Labor that occurs naturally in a healthy pregnancy is safest for mother and baby. If you have not delivered by your due date, Dr. Reddy will discuss a plan for delivery with you.

Appointments will occur once every 1 - 2 weeks.

NST: Non Stress Test - belts are placed around the abdomen. High risk pregnancies will be monitored routinely after 32 weeks to ensure fetal well being and uterine activity. You will be monitored for 15 - 20 minutes at every visit.

Ultrasound: As needed to check fetal growth and presentation.

Postpartum

After delivering your baby, the fluctuation in hormones can cause many symptoms, including “baby blues”, swelling, hot flashes and night sweats. The most serious symptom is postpartum depression. Take time to care for your baby by taking care of yourself. Sleep when the baby sleeps and accept help from your partner, family and friends. If you or your family notices that symptoms of depression exist, call Dr. Reddy immediately.

You will need a follow up visit 6 weeks after delivery. The visit will include an exam, establishing a birth control plan and any other concerns that need to be addressed.

Dr. Nasha Reddy OBGYN Testimonials

After having our 4th baby, my husband and I decided our family was complete. Essure was the least invasive form of birth control, and made the most sense to my husband and I. The procedure was done in the office and was virtually painless other than mild cramping for a few hours following.

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