There’s nothing more fulfilling than a baby of your own, and there is no group of doctors who know this better than the prestigious team of specialists at Women’s Health & Wellness.
From the first baby ever delivered at Brandon Regional Hospital’s maternity unit (a healthy baby girl), the physicians at Women’s Health & Wellness have offered a personal approach to the mother and child’s overall health that starts well before childbirth and embraces the total you. Selecting the doctor who will guide you through your pregnancy and childbirth is one of the most important decisions you will make as a parent.
Congratulations on your pregnancy! We hope that your pregnancy is joyful, and healthy. Occasionally, pregnancy doesn’t go as smoothly as prospective parents would hope. These situations can be frightening, but rest assured that the doctors and staff at Women’s Health & Wellness will be there to help you through any difficulties that might arise during your pregnancy.
We have listed some common pregnancy conditions below. If you have specific questions please ask your physician or contact us through the PATIENT PORTAL.
Gestational Diabetes: Gestational diabetes is a form of diabetes that occurs during pregnancy. The woman’s body is unable to maintain her blood sugar within the normal range. This relative increase in blood sugars is managed with diet and sometimes medication. You will be given diet instruction and taught to check your own sugars daily. With close monitoring of sugars and fetal testing a healthy baby is likely. A sample diet for gestational diabetes can be found here.
Incompetent Cervix: A normal cervix stays tightly shut during a pregnancy and only opens through the normal course of delivery. If a cervix is incompetent, it is unable to contain the weight of the growing uterus in pregnancy. This causes the cervix to open and can cause second trimester miscarriage or premature delivery later on. If there is any suspicion of incompetent cervix, ultrasound is used to measure cervical length. Sometimes a stitch is placed around the cervix at 14-20 weeks to keep it from opening. Prior cervical surgery can cause an incompetent cervix, but many cases are unexplained.
Placenta Abruptio: Placenta abruptio is a condition in which the placenta begins to separate from the inner wall of the uterus before the baby is born. This can be a serious condition for both the mother and fetus. It is suspected when there is unusual pain and bleeding, often associated with labor. It requires close monitoring in the hospital and may need emergency cesarean section.
Placenta Previa: Usually in pregnancy, the placenta is attached to the top portion of the uterus. Placenta previa is a condition in which the placenta lies low in the uterus, partially or completely covering the cervix. This is fairly common early in pregnancy and no intervention may be required. As the uterus enlarges the placenta often moves away from the cervix. If it does not by mid-pregnancy then sex will be restricted, one may be placed on bedrest and any bleeding requires immediate evaluation. If previa persists at term, cesarean section may be required.
Premature Rupture of Membranes (PROM): PROM is defined as a rupturing of the amniotic sac before 37 weeks of pregnancy. Usually this rupture occurs before contractions begin. Once the sac opens, there is a leak of amniotic fluid. This leak may come out as a small trickle of fluid or as a gush of fluid. Infection may set in so if you think that maybe your “water has broken,” please go to the hospital and/or call our office.
Toxemia or Preeclampsia: Preeclampsia is a disease of pregnancy in which there is high blood pressure, water retention and protein found in the urine. Although we do not know the cause of preeclampsia we know a lot about how to control it and prevent it from becoming severe or progressing to eclampsia. Severe preeclampsia and Eclampsia are associated with abnormalities in other major organ systems of the body and can be dangerous for both mother and baby. Preeclampsia can occur at any time during the second half of pregnancy. It is treated with careful observation, monitoring of the mother and the fetus aand may req1uire hospitalization. It is generally cured by delivery.
TWIN pregnancy: Twin pregnancies are twice the miracle of a single childbirth! But, they require close supervision. During the pregnancy serial ultrasounds will be performed to follow fetal growth to watch for signs that one is not growing larger at the expense of the other. We will be checking for signs of preeclampsia and/or gestational diabetes during the pregnancy as these are a little more common with twins. Finally as the uterus is much bigger we watch for signs of preterm labor starting at 6-7 months and treat accordingly.