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.
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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
About 12 Weeks
About 16 Weeks
About 20 Weeks
About 24 Weeks
About 28 Weeks
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About 30 Weeks
About 32-36 Weeks
About 36 Weeks
About 38-40 Weeks
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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.
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Nausea: |
½ of a 25mg Unisom tablet & 25mg Vitamin B6 |
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Sinus Symptoms/Allergies: |
1st Trimester – Benadryl, Claritin,
Guaifenisin, Saline Mist Nasal Spray |
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Cough or Minor Sore Throat: |
Robitussin (Plain or DM), Guaifenesin (Musinex), Cloraseptic throat spray, Throat Lozenges |
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Headache / Body Aches: |
1st Trimester , Tylenol / Acetaminophen
Extra Strength MAXIMUM 6 pills PER DAY |
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Upset Stomach/Heartburn: |
Mylanta, Tums, Maalox, Gaviscon, Riopan, Pepcid AC |
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Gas: |
Zantac 75 or Tagamet HB. (Liquid or Tablet), Mylicon 80, Phazyme |
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Diarrhea: |
Clear liquids for 24 hrs, Imodium AD or Kaopectate |
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Constipation: |
Miralax, Colace, Metamucil, Milk of Magnesia, Citrucel, Fibercon |
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Hemorrhoids: |
Anusol HC, Preparation H,Tucks Medicated Pads, Warm Soak Baths |
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Lice: |
Nix |
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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)