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.

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 includes initial pregnancy confirmation, prenatal visits through delivery, delivery, and postpartum care.

Ultrasound exam

First trimester ultrasound is performed to confirm pregnancy location in the uterus and gestational age to determine your due date. You may be referred to a 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 testing is performed between 11-13 weeks gestation.

Genetic screening during pregnancy paragraph

New Braunfels OB/Gyn is proud to introduce the latest in genetic screening to our pregnant patients. The Panorama Prenatal Screen we offer is a DNA screening test that provides you with essential genetic information about your baby. Panorama is a non-invasive test performed through a simple blood draw. During pregnancy some of the DNA from the baby crosses into the mother’s bloodstream. Panorama looks at this DNA to see if there is evidence of certain genetic conditions that could affect the baby’s health such as:

• Down syndrome
• Edwards syndrome
• Patau syndrome
• Certain sex chromosome abnormalities
• Triploidy

In addition to these chromosomal abnormalities, you can optionally screen for five microdeletion syndromes. Panorama can also tell you the baby’s gender, if you so choose. For more information about this test please visit www.panoramatest.com

FMLA Paperwork

We are more than happy to assist with the completion of FMLA paperwork. These forms, which are required by your employer, are an additional $20.00 each time you present us with them. To reduce fees, please give us all forms at one time. FMLA paperwork is completed by our nurses on Monday mornings so we typically have your forms to your employer the Monday after you present them to us.

What to expect at office visits during your pregnancy

Call us for your first appointment when you have a positive pregnancy test and begin using a prenatal vitamin. We typically want to see you in the office for the first time when you are approximately 7-9 weeks from the first day of your last period. If you experience any bleeding or spotting or have a history of early miscarriages please share this information with us.

7-13 weeks gestation visit:

Dr. Reddy will perform an ultrasound to determine the presence of a gestational sac, a yolk sac, and cardiac motion. This ultrasound will also confirm your baby’s due date. If the due dates calculated by your last menstrual period and your ultrasound measurements do not agree, you may be asked to return for a follow-up ultrasound. At this visit Dr. Reddy will discuss nausea management and offer optional genetic screening tests such as NT testing and Panorama.

14-17 weeks gestation visit:

At this visit your OB Workup will take place. The OB Workup includes a detailed review of your medical history, your partner’s medical history, and your previous pregnancy history. Your partner is encouraged to attend with you so he can answer questions regarding his family medical history. Dr. Reddy will perform a breast exam, pelvic exam, and a pap smear. Please be aware that an ultrasound will not be performed at this visit, but at this visit and all future visits Dr. Reddy will use a hand-held Doppler to listen to the fetal heart beat. Dr. Reddy will give you goals regarding weight gain and exercise, diet restrictions, travel restrictions, and information regarding the use of over-the-counter medicines. A screening test for Cystic Fibrosis will be discussed and offered. Dr. Reddy’s office manager will sit down with you at this visit and discuss your insurance benefits as well. Following this visit, you will be asked to take an order for blood work to the lab and have a blood sample drawn.

18-20 weeks gestation ultrasound visit:

If you are not having regular ultrasounds performed by a maternal fetal specialist, then between 18 and 20 weeks gestation our ultrasound technician will perform a detailed anatomy scan of your growing baby. More often than not the gender of the baby can be determined at this time.

16-24 weeks gestation visit(s):

At these visits Dr. Reddy’s nurses will take your vitals and test your urine for the presence of glucose or protein and Dr. Reddy will measure baby’s heart rate and your fundal height. At this visit information will be shared regarding hospital birthing classes and hospital tours. Dr. Reddy will review second trimester precautions with you and an optional second trimester test called the Quadruple Screen will be offered.

24-28 weeks gestation visit(s):

At these visits Dr. Reddy’s nurses will take your vitals and test your urine for the presence of glucose or protein and Dr. Reddy will measure baby›s heart rate and your fundal height. Dr. Reddy will review pre-term labor precautions with you and you will be asked to take an order to the lab at your convenience for a glucose tolerance test that tests for gestational diabetes. Please be aware that you will need to allow at least an hour for this test. If you have an Rh negative blood type you will receive a RhoGAM injection at 28 weeks.

27-34 weeks gestation visit(s):

At these visits Dr. Reddy’s nurses will take your vitals and test your urine for the presence of glucose or protein and Dr. Reddy will measure baby’s heart rate and your fundal height. A Tdap vaccine will be recommended and administered. You will be taught how to perform fetal kick counts and third trimester precautions will be reviewed.

35-36 weeks gestation visit:

At this visit Dr. Reddy’s nurses will take your vitals and test your urine for the presence of glucose or protein and Dr. Reddy will measure baby’s heart rate and your fundal height. Additionally, if a vaginal delivery is expected, Dr. Reddy will perform a test to see if you are a carrier of Group B Strep.

37-40 weeks gestation visit(s):

At these visits Dr. Reddy’s nurses will take your vitals and test your urine for the presence of glucose or protein and Dr. Reddy will measure baby’s heart rate and your fundal height. Dr. Reddy will perform a cervical exam if a vaginal delivery is anticipated and she will give you guidelines so you know when you should report to labor and delivery.

Postpartum visit:

Six weeks following delivery, Dr. Reddy will want to see you for a postpartum visit. At this visit Dr. Reddy will perform a pelvic exam and a pap smear, discuss family planning, and follow up with any post pregnancy concerns.