Obstetrics - New Braunfels OBGYN


Our physicians and staff would be privileged 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.

Additional obstetrical services we provide are:

  • In office ultrasound
  • High risk pregnancy referrals
  • Physical therapy referrals
  • Fetal Heart Rate monitoring (3rd trimester) via NST to ensure fetal well being
  • 3D and 4D ultrasound (not covered by medical insurance)

Ultrasound Examinations

Routine Ultrasounds

New Braunfels OB/GYN has invested in the latest ultrasound technology.  A two-dimensional, first trimester ultrasound is performed to confirm pregnancy location in the uterus and gestational age to determine your due date.  A second trimester ultrasound will also be performed, but this time by our ultrasound technician who will take a detailed look at the baby’s anatomy.

Optional 3D/4D Ultrasound Imaging

In addition to the routine ultrasounds covered by insurance as part of your OB care, New Braunfels Ob/Gyn is proud to offer additional, optional ultrasound imaging packages to our expectant families.  3D ultrasound technology is used to produce 3D images and 4D colorized movies of your baby.  An optimal time for a 3D/4D ultrasound is between 28 and 32 weeks gestation, although it can be done at any time during pregnancy.  We offer multiple packages ranging from a basic 2D package to a deluxe 3D/4D package.  View our 3D/4D Ultrasound Imaging promotional flyer by clicking here: 3D/4D Ultrasound Brochure

Screening during pregnancy

New Braunfels OB/Gyn is proud to introduce the latest in genetic screening to our pregnant patients.

Panorama Prenatal Screen

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 once pregnancy is confirmed.  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
  • Edward’s Syndrome
  • Patau Syndrome
  • Triploidy
  • Certain sex chromosome abnormalities

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.

NT Testing

NT testing, or nuchal translucency testing, is an optional first trimester screening.  Similar to other screenings, results indicate your baby’s risk of certain birth defects, such as Down syndrome, Edward’s syndrome (trisomy 18), trisomy 13, and many other chromosomal abnormalities, as well as heart problems.  The screening involves bloodwork and a special ultrasound.  The blood test checks for levels of two substances — pregnancy-associated plasma protein-A (PAPP-A) and human chorionic gonadotropin. A specialized ultrasound called a nuchal translucency screening then measures the back of the baby’s neck.  Results are interpreted by a maternal fetal medicine specialist (MFM).

Quadruple Screen

The quadruple screen, or quad screen, is a blood test performed during the second-trimester that can be used instead of the Panorama Prenatal Screen.  A quad screen checks for the following four things in your blood that influence the development of the baby’s brain, spinal cord and neural tissues:

  • Alpha-fetoprotein (AFP): Your baby’s liver produces AFP. Levels higher than expected could mean the baby has a neural tube defect, such as spina bifida or anencephaly. Low AFP levels could mean a higher risk of having a baby with Down syndrome.
  • Unconjugated estriol (UE): Your baby and placenta (the structure providing nutrients to your baby) produce this hormone. Low levels indicate a higher risk of having a baby with Down syndrome.
  • Human chorionic gonadotropin (hCG): The placenta makes a hormone called hCG, which the screening detects. Levels that are higher than expected could mean an increased risk of having a baby with Down syndrome.
  • Inhibin-A: Your placenta and ovaries produce this protein. The risk of having a baby with Down syndrome increases with higher-than-expected levels of this protein.

AFP Blood Test

Unborn babies normally make alpha-fetoprotein (AFP) which shows up in their mother’s blood. Checking the level of AFP in a mom-to-be around four months of pregnancy can show if their baby may have problems with their neural tube, what will become the brain and spinal cord.  The AFP Blood Test can be performed in patients who also opted for Panorama prenatal screen.

Horizon Carrier Screening

The Horizon genetic carrier screening helps couples determine the risk of passing on serious genetic conditions to their child. It can be performed either preconception (ideally) or during pregnancy.  Using the latest technologies, including next-generation sequencing, Horizon screens for up to 274 genetic conditions, including commonly screened conditions such as cystic fibrosis, spinal muscular atrophy, fragile X syndrome, and sickle cell anemia.  Advanced technology and unmatched support make Horizon unique among DNA screening tests. The test is easy to take. Results are presented clearly, directly, and can pave the way to critical action steps. Visit www.natera.com to learn more about this screening.


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.

Our doctors 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 our doctors will discuss nausea management and offer optional genetic screening tests such as NT testing or Panorama.

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. Our doctors 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 our doctors will use a hand-held Doppler to listen to the fetal heart beat. Goals regarding weight gain and exercise, diet restrictions, travel restrictions, and information regarding the use of over-the-counter medicines will be shared. A screening test for Cystic Fibrosis will be discussed and offered. Our 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.

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.

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

At these visits our  nurses will take your vitals and test your urine for the presence of glucose or protein and our doctors will measure baby›s heart rate and your fundal height. Our doctors 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.

At these visits our  nurses will take your vitals and test your urine for the presence of glucose or protein and our doctors 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. Click here to view printable instructions for how to perform fetal kick counts. 

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

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

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

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