We consult and collaborate with Dr. David Lubetkin, a Board-certified obstetrician/ gynecologist who supports midwifery practice. If any complications arise during your pregnancy or labor, he may be involved in your care.
We have arranged our practice to have longer visits that allow time for teaching, education, and questions. Please bear in mind that last-minute cancellations on our behalf are sometimes inevitable due to the unpredictable nature of childbirth. We apologize in advance for any inconvenience this may cause.
Your initial appointment with us will involve a complete medical history, discussion of lab tests, as well as a physical exam and pap smear if needed.
Blood work is drawn in-house for your convenience. Initial tests include: Blood Type, Antibody Screen, Rubella Status, Hepatitis, RPR (to test for syphilis), HIV, Complete Blood Count, Urinalysis and Urine Culture. You may also need Cystic Fibrosis, Jewish Panel, Toxoplasmosis, and Varicella.
Between 24 and 28 weeks gestation, a Glucose test will be recommended to screen for gestational diabetes. At this time, we also check a blood count and re-screen for syphilis, hepatitis B and HIV.
At 36 weeks, we will perform a vaginal/rectal swab to test for Group B Strep.
An in-house ultrasound will be performed on your first OB visit to confirm the due date. Follow up ultrasounds will be done at a maternal-fetal specialist’s office. A complete anatomy scan will be performed around 20 weeks to check growth and anatomy of the baby. Around 34 weeks, an ultrasound will be performed to assess the growth and position of the baby as well as to evaluate the amniotic fluid levels.