Midwest ObGyn

913.829.5656

Services & Procedures

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Obstetrical Care

We are devoted to providing the full range of gynecologic and obstetrical services. If you would like more information on the services we provide, please call our office or speak with your provider.

Pregnancy Timeline

8-11 weeks: Please schedule your first OB visit during this time. At this visit, you will meet with Amy to discuss your pregnancy and what to expect in the nine months to come. In most cases, a pelvic exam will be done and a pap smear will be collected. If an ultrasound is performed in our office at your first visit, it will be brief to confirm the pregnancy and check the heart beat of the baby, but is not used for anatomical purposes. The ultrasound at your first visit may not be covered by your insurance policy. Prenatal labs will be collected at this first visit. A genetic screening lab for Cystic Fibrosis is recommended.

8-28 weeks: You will have an OB visit once every 4 weeks, until you reach the 28th week. Your growth progress will be monitored, and the fetal heart tones will be checked. Many mothers begin to feel kicking and fetal movement at approximately 20 weeks. Expect to have an ultrasound scheduled at approximately 18-20 weeks to check the anatomy of the baby. At about 24-28 weeks, a one hour glucose test will be scheduled to check your blood sugar levels during the pregnancy. If your blood type is Rh negative, you will receive a Rhogam shot at this visit.

28-36 weeks: Expect to schedule an OB visit every 2 weeks, until your 36th week. Fetal activity monitoring should begin at 30 weeks. At 36 weeks, a culture is done to check for Group B Strep in your pregnancy.

36 weeks- delivery: An OB appointment will be scheduled every week in our office, and a pelvic exam will be done starting at 37 weeks to check the dilation of your cervix. Please remember, no traveling once you reach 36 weeks in your pregnancy. In this last month, our office will do our best to set your mind at ease by answering any questions you may have. Also, if you have special requests for your delivery, please discuss these with Dr. Peck before you are 36 weeks along so we can be sure to give you the delivery experience you desire. In the last four weeks of your pregnancy, you should relax as much as possible and go to bed early. Women who are well rested tend to have an easier time in labor, while tired women tend to have difficulty during labor. Have your hospital bags packed and readily accessible. These last weeks can be a bit uncomfortable, but rest and relaxation will keep you happy and cherishing the remainder of your pregnancy.

Obstetrical Calendar

Initial Visit

  • Determine due date
  • Discuss prenatal vitamins
  • Order laboratory testing
  • Physical exam

About 12 Weeks

  • Check weight, BP, and urine
  • Discuss prenatal laboratory testing
  • Listen to fetal heart beat

About 16 Weeks

  • Check weight, BP, and urine
  • Listen to fetal heart beat and check uterine size
  • Discuss AFP Testing
  • Sign up for Childbirth Education Classes

About 20 Weeks

  • Check weight, BP, and urine
  • Listen to fetal heart beat and check uterine size
  • Perform Ultrasound

About 24 Weeks

  • Check weight, BP, and urine
  • Listen to fetal heart beat and check uterine size
  • Order one-hour glucose test (fasting is not necessary)
  • Distribute hospital pre-registration forms

About 28 Weeks

  • Check weight, BP, and urine
  • Listen to fetal heart beat and check uterine size
  • A Rhogam shot is given to patients who have Rh-negative blood type

About 30 Weeks

  • Check weight, BP, and urine
  • Listen to fetal heart beat and check uterine size
  • Discuss glucose test results

About 32-36 Weeks

  • Check weight, BP, and urine
  • Listen to fetal heart beat and check uterine size
  • Check for the baby's position
  • Group B strep culture of the vagina

About 36 Weeks

  • Check weight, BP, and urine
  • Listen to fetal heart beat and check uterine size
  • Non Stress test
  • Group B strep culture of the vagina

About 38-40 Weeks

  • Check weight, BP, and urine
  • Listen to fetal heart beat and check uterine size
  • Non Stress test
  • Cervical examination
  • Discuss plan for delivery

Medications Approved for Use During Pregnancy

You may take the following medications at anytime of your pregnancy without prior approval by your OB doctor. Take the medications as directed on the package regardless of pregnancy precautions. All medications listed can be used while breast feeding.

Nausea:

½ of a 25mg Unisom tablet & 25mg Vitamin B6

Sinus Symptoms/Allergies:

1st Trimester – Benadryl, Claritin, Guaifenisin, Saline Mist Nasal Spray
After 1st Trimester – Chlortrimeton, Plain Sudafed, Plain Actifed, Tylenol Sinus,
Plain Benadryl, Guaifenisin, Pseudoephedrine , Saline Mist Nasal Spray,
Vicks Vapor Rub, Claritin, Hydrocortisone cream (topically)

Cough or Minor Sore Throat:

Robitussin (Plain or DM), Guaifenesin (Musinex), Cloraseptic throat spray, Throat Lozenges

Headache / Body Aches:

1st Trimester , Tylenol / Acetaminophen Extra Strength MAXIMUM 6 pills PER DAY
Regular Strength Tylenol TWO every 4 hours
After 1st Trimester, may take Extra Strength Tylenol Two tablets Every 8 Hours

Upset Stomach/Heartburn:

Mylanta, Tums, Maalox, Gaviscon, Riopan, Pepcid AC

Gas:

Zantac 75 or Tagamet HB. (Liquid or Tablet), Mylicon 80, Phazyme

Diarrhea:

Clear liquids for 24 hrs, Imodium AD or Kaopectate

Constipation:

Miralax, Colace, Metamucil, Milk of Magnesia, Citrucel, Fibercon

Hemorrhoids:

Anusol HC, Preparation H,Tucks Medicated Pads, Warm Soak Baths

Lice:

Nix

Sleep Aid:

Benadryl, Ambien

Commonly Prescribed Medications in Pregnancy & Breast Feeding:

Amoxicillin, Augmentin, Keflex, Tylenol with Codeine, Zithromax, Ventolin (Proventil) Inhalers, Zyrtec, Claritin & Claritin D, Novacaine (At Dentist Office)