Our OBGYN experts are proud to serve Wichita and the surrounding communities. We offer comprehensive treatment options for the high-risk pregnancy complications your obstetrician has identified. Our training and OB expertise allows us to tailor lab tests, diagnostic sonograms, genetic counseling, high-risk evaluations and other screening tests to meet the unique qualities of your high-risk pregnancy.
We consider our sonographers to be an extension of our providers, which is why the sonographers in our office are certified to the highest standards of both the American Registry for Diagnostic Medical Sonography (ARDMS) and the American Institute of Ultrasound in Medicine (AIUM). Each sonographer has undergone additional training beyond what is typically required for the position. The majority of patients seen in our office end up having at least one sonogram and in some cases, including high-risk pregnancies, may have a scan monthly or even weekly. Because our sonographers are so highly trained, you and your baby receive some of the best obstetrician-provided imaging in the region.
What should I do to prepare for my sonogram?
In order to obtain the highest quality images, we have to be able to look 'through' your bladder and into the uterus. If you are less than 16 weeks along in your pregnancy, drinking 20-30 ounces of water one hour before your sonogram will help your bladder expand enough to create the “window” our sonographers look through. If you are more than 16 weeks along, drinking 15-20 ounces one hour before your sonogram is sufficient.
Can I bring people into the room with me?
If you choose, this can be a family event and would love to have them too! Our rooms hold up to three additional people. If you plan on bringing children with you, please have an adult accompany you.
High-risk pregnancy consultation
Maternal-fetal physicians have specialized training in complications associated with pregnancy. Some conditions, like diabetes, hypertension and anemia are fairly common and may not require more than a visit or two. Other high-risk pregnancy conditions, like placenta previa, intrauterine growth restriction and fetal heart conditions may require more extensive follow-up. Regardless of the path your pregnancy takes, we will take as much time as necessary to answer all of your questions. We know this can be an anxiety-filled time, which is why we have made a habit of making sure you leave our office with a better understanding of your pregnancy. You can expect to spend 45 minutes or more with our providers. This specialized attention is a hallmark of our practice.
Some pregnancies are at increased risk for a variety of medical conditions. Our OB specialists take the time to explain the possible complications and offer the ability to screen for them. Not every patient and/or condition is a candidate for genetic screening including those that are high-risk. If this is a concern for you, please feel free to ask your OB specialist about it. Some of the tests we can perform are markers for first trimester down syndrome, alpha-fetoprotein and chromosomal anomalies. Learn more about the details. (link here)
Many women struggle with becoming pregnant. In some cases, it can be traced to genetics or medical conditions. Other times, it can involve lifestyle changes that improve your chance of conceiving. Regardless of your circumstances, we can help you develop a plan that gives you the best possible chance of success. Our OB specialists also provide counseling for moms-to-be who are at increased risk for genetic or medical abnormalities.
Amniocentesis (also called amnio) is a prenatal test used to diagnose certain birth defects and genetic abnormalities. They may cause health problems for a baby. The American College of Obstetricians and Gynecologists (ACOG) recommends that all pregnant women should have the option of having prenatal tests like amniocentesis.
What are some reasons for having an amnio?
- The risk of having a baby with certain birth defects, such as Down syndrome, increases as you get older.
- If you had a child or a pregnancy with a birth defect in the past.
- If you have abnormal results from a screening test. Most babies with abnormal screening test results are born healthy.
- If you or your partner has a certain genetic disease (a health condition that gets passed down to a baby from mom or dad), or a close family member with a disease such as cystic fibrosis or sickle cell disease you may want to have the test.
How is the test done?
Amniocentesis takes just a few minutes. First, we use a sonogram to find your baby, the placenta and pockets of amniotic fluid. Then, we clean your belly with an antibacterial liquid that destroys germs on your skin. Next, using sonographic guidance, we put a thin needle through your belly and uterus into the amniotic sac and remove about one ounce of fluid. Once the fluid sample is taken, we verify with sonogram that your baby’s heartbeat is healthy. Your baby’s amniotic fluid sample is sent to a lab, where it is examined and tested. Depending on the tests requested, results usually are available within one to two weeks.
Are there any risks?
Some women find the test painless. Others feel cramping when the needle enters the uterus, or pressure when the fluid is removed. One or two out of 100 women have cramping, spotting or leaking amniotic fluid after the test. Please avoid intense activity and take it easy for the rest of the day. Serious complications from amniocentesis are rare; however, the test does involve a small risk of miscarriage. According to ACOG, fewer than one in 200 women have a miscarriage after amniocentesis.
What happens after the test?
In most cases, amnio test results show your baby is healthy and without birth defects. If the test confirms your baby does have a birth defect, we will visit with you about them. There are conditions where your baby may be able to be treated with medicines or surgery before birth. There may also be treatments or surgery baby can have after birth. Knowing about a birth defect ahead of time may help you get ready emotionally to care for your baby. You also can plan your baby’s birth with your obstetrician. This way, your baby can get any special care right as soon as possible after delivery.