Introduction to My Practice

Dear Patient:

Welcome to my practice. It will be my pleasure to look after you during your pregnancy as well as for the six weeks following your delivery.

The purpose of this guide is to help you through your pregnancy so you can enjoy the healthiest pregnancy possible. It also serves to alleviate some of the common fears and misconceptions about pregnancy and childbirth that often arise from the media, well-meaning friends and the Internet (capitalized). This guide is intended to be used along with other literature and information available on prenatal education.

My Philosophy

263x252I view pregnancy and childbirth as a natural part of a women’s life. It is not a medical event and should not be treated as such. My job as your obstetrician is to help guide you through your pregnancy.

I will attempt, as much as possible, to support all that you are doing to ensure the healthiest outcome possible for both you and your baby. It is also my job to order all the necessary tests and investigations but without making the process arduous or provoking anxiety. It is also my responsibility to detect any variances in your pregnancy so that they can be dealt with and to answer any questions and concerns that you or your partner may have.

Pregnancy, especially the first one, is a very special time in a woman’s life. Although nine months seems long, it will fly by faster than you can imagine.

Your job description during this time is to be the life support system for another human being, and this is the biggest job description out there. It is also a time where you will focus a lot of attention on yourself, in the way you look and feel, what you eat, how you exercise and how you cope with all the changes that happen to your body.

Over the course of the next nine months, pregnancy will be a torture tunnel for your body.

There will be incredible changes, both visible and internal changes, that will affect how you look, feel and function.

It may also change the way other people relate you. Some women may have a very easy and relatively asymptomatic pregnancy while other women may have a more difficult time.

Each woman will experience pregnancy in her own unique way.

Try not to compare yourself to other pregnant moms, and try, as much as possible, not to take comments from friends, family and passersby to heart. Any concerns you may have should be directed to me.

Beware of Dr. Google. He is not your physician!

Doctor’s Visits

In a first pregnancy, after 34 weeks I will see you every 2 weeks until 38 weeks, and from then on I will see you weekly until you deliver. The schedule of these visits can be adjusted according to how you are feeling. I am happy to see you more frequently if you would like me to or need to, especially if there are complications or issues that need to be dealt with.

At each visit, I am happy to answer any questions that you have. I usually inform you of the changes that should have occurred up to that point and what to expect from that visit until the next. I check your urine for sugar and protein. Weighing you is optional. I then check the growth of the baby by measuring the distance from your pubic bone to the top of the uterus.

This is an indicator of the growth of the fetus, and the measurements in centimetres should correspond to the number of weeks you are pregnant, e.g., 26 weeks of pregnancy should correspond to approximately 26 cm.

I then check the position of the baby, check the amount of amniotic fluid and listen to the fetal heartbeat. At the end of each visit, please make sure that you have an appointment for the following visit. I am happy to see your partner as well as family members. I do not rush you during these visits and I like to give you as much time as possible.

Please understand that I try to be as punctual as possible, but delays are inevitable, and I tend to run a little over time, especially towards the end of the day. If you are in a rush, please phone my office before to make sure that I do not keep you waiting unnecessarily.

Medical Tests

263x252Your family doctor will usually order the routine prenatal blood work. This is usually done very soon after finding out that you are pregnant.

You may also have a first trimester ultrasound to ensure that the pregnancy is viable and also to help determine if your dates are accurate. You will have a detailed ultrasound, or what is also called a level two ultrasound, at around 20 weeks. If you are at or over 20 weeks’ gestation, the technician may tell you the gender at the time of the scan. If you are under 20 weeks, the gender will be marked down on the result form for me to give to you once.

There are no more routine ultrasounds after the 20-week one but if I feel that there is a medical need for another ultrasound, one will be ordered. The 3D ultrasounds are for entertainment purposes only and have no medical benefit whatsoever. These scans are optional and are not covered under the Medical Services Plan. Tests for Down syndrome and other genetic tests. Please see prenatal services BC.

Tests for Downs’ syndrome and other genetic tests. Please see prenatal services BC

How to Contact Me

If you have a non-urgent issue or question that cannot wait to be addressed at your next visit, call my office at 604-874-6848. Leave a message with the secretary and I will return your call at the end of the working day. I am not in the office every day so there may be a delay in getting back to you. Please leave me your cell or home number so I can call you after work.

If you have an urgent question or issue that cannot wait, please call my on-call group at B.C. Women’s Hospital. There is always a doctor on call to deal with emergencies.

Call 604–875–2161 and ask for the LEVEL ONE DOCTOR ON CALL. If your call is not returned promptly, please call again.

If you feel the situation is urgent and you cannot wait for a phone call, come directly to B.C Women’s Hospital and we will be happy to see you there.