You should be evaluated anytime you are concerned that something is wrong with you or your baby. Here are some examples of situations which require evaluation.
Your water breaks – This would usually feel like a large “gush” of water. Once the water breaks you will continue to have leaking of fluid. The fluid is usually clear however it can have a yellow or green color.
You have heavy bleeding – A small amount of red or brown mucus may be the “bloody show” which can be normal and it does not mean you have to go to the hospital. Heavier bleeding like a period is not usual and should be evaluated.
You do not feel the baby move – You should feel regular movements every day after 28 weeks. Check for “kick counts” if you feel less movements or no movements by finding a quiet place to lay down on your side and place a hand on your belly. You should be able to count 10 kicks or movements within an hour and a half otherwise the baby needs to be evaluated.
You have strong contractions – Contractions generally feel like your belly gets very tight and the baby feels like a ball. Occasional contractions are normal after 36 weeks however if you notice these contractions getting stronger and more regular take note. If you notice the contractions are every 5-7 minutes apart for 1 hour you should be evaluated. If you notice the contractions go back to 10 minutes or even 15 minutes apart this may be “false labor”.
Once you arrive at labor and delivery you will be placed on a fetal monitor. The labor nurse will evaluate you and then call the doctor.
An episiotomy is a controlled “cut” the doctor makes at the time of delivery at the vagina in order to facilitate delivery and/or avoid a large tear. It is not mandatory and is a last minute decision if you need one or not. It is the philosophy of this office to avoid an episiotomy if possible.
No. A circumcision is the removal of the foreskin of penis. It is a cosmetic (or religious) procedure desired by some parents. If the child is taught proper hygiene and how to retract his foreskin he should have no problems in the future.
If you desire a circumcision for your son please inform us after the delivery. We will obtain consent in the hospital prior to discharge home. Generally, the circumcision is done the day of or day before discharge.