Obstetrical Services

Obstetrical Care

At Teverbaugh, Croland, and Mueller OBGYN & Associates, we offer complete obstetrical care encompassing the prenatal, delivery and post-partum periods.

We typically schedule your first obstetrical visit around 8 weeks of gestation, however if you are unsure of your last menstrual period or have had any prior history of miscarriage, we would like to see you for a "confirmation of pregnancy" visit. Please contact our office to schedule this appointment as soon as you have missed a period or have a positive home pregnancy test.

At your initial obstetrical visit, you will see your baby for the first time on ultrasound and be able to listen to his / her heartbeat. After that, you will meet with one of our certified nurse midwifes. She will review your health history as well as basic procedures you can expect throughout your pregnancy. Once you are finished talking with her, you will head to our in office lab where you will have some basic blood work drawn.

After your initial obstetrical visit, you can make the choice between a nurse midwife or a physician for your prenatal care and delivery. Our midwifery service started in 2011 and is a popular option with our patients. Certified nurse-midwives (CNMs) are licensed healthcare practitioners educated in the two disciplines of nursing and midwifery and are certified by the American Midwifery Certification Board. The physicians and nurse midwives work together in a collaborative fashion to provide you with a safe, competent and positive prenatal and birth experience.

In addition to management of the normal prenatal course, we also specialize in the following obstetrical services:

  • Ultrasounds for dating, growth, anomalies and fetal well-being
  • Non-stress tests to measure fetal well-being
  • Screening tests for chromosomal anomalies and spina bifida
  • Rhogam for the Rh negative woman in order to protect her fertility
  • Versions to turn breech babies
  • Cerclage for the weakened or incompetent cervix
  • Management of high risk pregnancies including: pregnancies complicated by hypertension, diabetes, thyroid disease, and multiples (twins, triplets…)

At our practice, your care doesn't end after delivery. We recognize that the postpartum period can be difficult for many women and provide many services that can make this a more enjoyable time for you, your baby, and your family. We offer services such as:

  • Breastfeeding education and assistance
  • Screening and treatment for postpartum depression
  • Options for family planning

We also have a financial counselor on staff who will help to coordinate your benefits with your insurance company. She will answer any financial questions you may have throughout your pregnancy.

External Cephalic Version

External cephalic version, or version, is a procedure used to turn a fetus from a breech position or side-lying (transverse) position into a head-down (vertex) position before labor begins, generally around 36 to 37 weeks. When successful, version makes it possible for you to try a vaginal birth.

Serious complications are rare during external cephalic version, but they can happen. This is why a version is performed in a hospital where your doctor can perform an emergency C-section if needed.

While the uterus is relaxed, your doctor will attempt to turn the baby. With both hands on the surface of your abdomen-one by the baby’s head and the other by the buttocks-the doctor pushes and rolls the baby to a head-down position. You may feel discomfort during a version procedure, especially if it causes the uterus to contract. The amount of discomfort depends on how sensitive your abdomen is and how hard the doctor presses on your abdomen.

If a first attempt at version is not successful in turning the fetus, your doctor may suggest another attempt, possibly with epidural anesthesia to help you relax and make you more comfortable. Studies suggest that epidural anesthesia increases the success of repeated version attempts.

The success rate of an external cephalic version is approximately 58%. Version is most likely to succeed when the mother has already had at least one pregnancy and childbirth, the baby has not dropped down into the pelvis (has not engaged), the baby is surrounded by a normal amount of amniotic fluid, and the procedure is performed after 36 weeks of pregnancy and before labor starts.

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