Resources ACOG American Congress of Obstetricians and Gynecologists www.acog.org/for_patients patient information in the form of frequently asked questions is available according to categories: pregnancy, gynecology, labor/delivery, postpartum www.marchofdimes.com select category- pregnancy Cary Obstetrics and Gynecology Pregnancy Guide 919-389-3447 Trianglebreastfeeding.com 28 PHYSICIANSPHYSICIANS Pediatricians There are a number of outstanding pediatricians in the area. We are happy to give you suggestions for offices in the geographic area. Your best reference source is friends and colleagues with newborns and toddlers. Apex Pediatrics 919-290-1090 Care Pediatrics 919-858-0600 Cary Children’s Clinic 919-852-3456 Cary Pediatric Center 919-467-3211 Cornerstone Pediatric and Adolescent Medicine Dr.Dr. Michael Michael Anthony Anthony Dr.Dr. Anne Anne Bond Bond Bonpain Bonpain 919-460-0993 Excel Pediatrics 910-891-5437 Holly Springs Pediatrics 919-249-4700 Internal Medicine/Pediatric Associates 919-380-7531 Jeffers, Mann and Artman Pediatrics 919-786-5001 R and R Pediatrics 919-367-9833 Rex Pediatrics of Cary 919-387-3160 Shifa Pediatric Clinic 919-300-7726 Tots N Teens Pediatrics 919-362-7155 Triangle Pediatric Center 919-467-5543 Dr. Noemi Maydew Dr. Gilberto Rodrigo Dr. Noemi Maydew Dr. Gilberto Rodrigo Village Pediatrics 919-469-1989 Western Wake Pediatrics 919-859-9991 27 Dr.Dr. Elita Elita Wyckoff Wyckoff AshleyDr. Jennifer Head, Fraley NP Is vaginal bleeding in pregnancy normal? N Cngralaions on your renancy han you or Hoever ainal leeding can e cased rm normal rsing ur pracice o rvide care for you dring your eenssiaions Implantaion your ferilized e prenancy r al is to prvide you and your ay can case vainal sotting ieise stting can occur ih he es care e ill d all e can o ensre your aer eercise and inercourse due to he increased prenancy is hapy, healhy and sae. his is ne o he blood low o he cervi mos memorale and imporan eeriences o a woman’s life. We are overjoyed that you chose us. Am I in labor? You may no n hen laor eins e recmend you call he oice hen conracions are every 5 minues or one hour draion y Office Information deiniion laor is hen he conracions are casing r ice is open Monday hrugh hursday am-4pm your cervi o hin and dilae open Please note ha and riday 8am-12noon or schedled oice isis We losing your mucus lug is no an indicaion laor is are convenienly locaed wihin a bloc rom he beinning s here is no need o conac he docr if hosial aeMed Cary r address is 50 e his hapens aerly Place Suie 00, Cary NC 7518 ll appointmens are made in advance r ain ice hne ner is 919-467-5941. If we don’t answer or you need o conac us on he eeends r aer ice hours lease call he answering service a 1-888-828- 7182 e hae eerienced sa ale o rvide advice during regular ice hurs rearding your renancy Voicemails le or he riae nurse are addressed ihin a hour ime draion oever for rgen concerns laor or leaing luid infor he receionis dring he call e assred one f ur hysicians is on-call every nigh and ill e ale o resnd o any ren isses he ansering service ill ae your informaion and reason for call. he on-call hysician ill call you rmply ai 15 minues or a reurn call eore calling he ansering service aain Thrughou he nigh e are delivering aies eroring emerency sreries ansering hone calls and rying o e some res in 26 3 between. If your uestion is not of an urent nature Frequently asked questions: please wait until reular office hours. he office staff What should I do if I get in a car accident? all the will have better access to your medical record doctor immediately. he accident may require fetal electronic rescribing system and resources to research monitoring in the hosital. your concern. Do I have to sleep on the left side? No. It’s not Office Visits recommended that you slee on your ac after 20 ffice visits are recommended every wees until 30 wees. he large lood vessels etending u the ac wees then more freuently as determined y your can e compressed y the enlaring uterus thus doctor generally every wees until 6 wees then decreasing the amount of blood oing to the fetus. weely until delivery. n anatomic survey of the ay However, it doesn’t matter which side you sleep on. is done between 18-20 wees. he se of the bay may be identified at that time. No other ultrasounds are How many people are allowed in the delivery room? scheduled if the prenancy rogresses without he number of eople in the delivery room deends on complications. the type of delivery and if it is a routine delivery. his is generally dictated y hosital olicy. Billing Maternity enefits can e confusing. ur illing staff Can I travel? es. It is safe to travel u until 35 wees. and office manaer are availale to review insurance However, see not on ZIKA virus. coverae and answer illing uestions. Insurance When do I have to be induced? Induction typically claims for the lobal fee will e sumitted after delivery occurs if the due date has passed or there is a roblem for the bill. However services outside the lobal fee are with the maternal health or fetal health. uidelines billed at the time of service: ultrasounds injections and recommend delivery efore 42 wees. he ris to the nonstress tests. If you leave our care before delivery bay increases sustantially after that oint. you will e chared only for your office visits laoratory tests and other services performed. Can I have a dental exam? es. outine teeth cleaning is recommended ecause poor oral hyiene can cause problems in the renancy. If I had a previous csection, do I have to schedule another csection? ou have two choices a trial of laor after csection (TOLAC or a reeat csection 25 Postpartum Postpartum blues occur within the irst 2 wees NIN ollowin delivery. omen may eel depressed, anious and tearul. rying or no reason, dificulty sleeping and eelings o inadeuacy are also commonly eperienced. e deliver all obstetrical patients at ymptoms should dissipate completely within a couple wees. aeed ary ospital However, postpartum depression is much more severe. he intense eelings of sadness and aniety tend to 190 ildaire arm d impair the woman rom completin daily tass. Postpartum depression can occur up to year ater ary, N haing a bay ut typically starts within the irst 3 wees o childbirth. I you or your amily has concerns aout postpartum ll patients must prereister with the hospital prior to depression, we recommend that you consult your delivery. he prereistration orm can e found in the doctor. Medication is often used to control postpartum hospital older. depression. In reerence to breast feeding, drinin ample amounts o luids is essential to replace what is used or maing mil. emember atigue and dehydration may decrease the mil supply. astitis is the inection o the reast tissue resulting in reast pain, ever, body aches and redwarm reast. his is a common inection in reast eeding women. n ealuation y your doctor is needed i the signs o mastitis appear. Circumcision is removal o the outer sin o the penis oresin that covers the head of the penis. It is typically done on the irst or second day ater irth. hough this procedure has minimal riss, the decision to hae it done is personal. e respect your decision reardless. 24 5 Childbirth Classes two common techniques. he doctor will ultimately aeMed ary Hospital ofers childbirth and reast decide the best route. We don’t endorse inductions for eeding classes in addition to hospital tours. lasses convenience. tend to ill up uicly so we encourae you to enroll early in your prenancy. Cesarean sections sections are maor adominal sureries. Sometimes Ultrasounds they are scheduled due to the outcome of a previous enerally ultrasounds are done to evaluate the fetus delivery and other times, they are unplanned at the end and its development. Initially an ultrasound confirms o a difficult laor. I you are planning a csection, that a pregnancy is in the uterus. During this same visit, epect delivery in the 9th wee. e arrange the date a due date is established. The fetal sie is measured and time of csection around the 32nd wee oice isit. and if it coincides with your last menstrual period, your Planned cesarean sections are scheduled onday due date is confirmed. The ultrasound done at 8-20 through riday. oweer, i you o into laor prior to weeks looks at the baby’s organ development, sie, the planned csection date, you will likely have your placenta and fluid. Remember the earlier the csection the day you start laor. ultrasound, the more accurate the ultrasound for dating your pregnancy. Likely your due date will not change Vaginal birth after Cesarean (VBAC) after the initial ultrasound. As an aside, our practice ome women that delivered ia csection with their irst offers D ultrasounds for an additional fee. prenancy are interested in attempting a vainal delivery. his is called a trial o laor ater csection. andidates are limited to only one previous csection. nortunately we cannot uarantee a successul . here are seeral actors that can aect the potential Laboratory Tests success: reason or preious csection, maternal weightobesity, ailure to dilate cerix and need or First trimester induction.