OB Experience

Welcome to the OB Experience! We hope this page is a guide and resource as you navigate through pregnancy. Click to explore by trimester below or search by keyword. If you have any questions or concerns regarding your pregnancy or gynecology treatment, please contact us at 919-788-4444. Call 911 for any life-threatening emergencies.

Please note this information is intended for educational and informational purposes only. It should not be used in place of an individual consultation, examination or the medical advice of your doctor.

Call our office immediately if experiencing:  severe abdominal pain, cramping, or vaginal bleeding; persistent contractions or vomiting; COVID-like symptoms; pain or burning with urination.

What to Expect

This appointment is your welcome visit and is required for all expectant mothers. In this appointment your nurse will ask about medical history and you’ll likely get several lab tests done, including but not limited to:

  • CBC
  • Blood Type and RH
  • Antibody Screen
  • Syphilis
  • Hepatitis B
  • Hepatitis C
  • HIV
  • Rubella
  • Urine Culture
  • Vaccination Discussions

Routine Visits

Routinely, you will be seen every 4 weeks until you’re 28 weeks pregnant, every 2 weeks until you’re 35 weeks pregnant, then weekly until you deliver. Note: 37 weeks is considered a full-term pregnancy.

Tips

  • Take a prenatal vitamin
  • Drink plenty of water
  • Cut down on caffeine (up to 1 cup per day)
  • Avoid uncooked meats or harmful foods

Checklist

  • Write down questions and bring a list to your first appointment
  • Review genetic screening info
  • Contact insurance company for benefits
  • Confirm Patient Portal access

Schedule an Appointment

Initial OB Visit

During this appointment, an ultrasound will be performed then the doctor will complete a full physical examination. Additional tests may be done, like:

  • Pap Smear
  • Chlamydia/Gonorrhea Check
  • MSAFP
  • Carrier Screening/Foresight
  • NIPS

What's Happening with Your Body

From the size of a mustard seed to a lemon, the baby is developing quickly even if you’re not showing quite yet.

Common Symptoms

  • Tender or swollen breasts
  • Nausea (“morning sickness”)
  • Exhaustion or lack of energy
  • Food cravings or aversions

Tips

  • Drink plenty of water
  • Purchase a belly balm or lotion
  • Consider sharing the news with family and friends
  • Rest as needed

Checklist

  • Watch genetic screening and prenatal info videos

Preventative Care Topics

  • Preventative Care Topics
  • Vaccines
  • Seatbelt Safety
  • Weight Gain/Loss During Pregnancy

Routine Visit

Routine visits will occur every 4 weeks until you’re 28 weeks pregnant, every two weeks until 35 weeks pregnant, then weekly until you deliver. You can expect various tests at each visit:

  • Mom’s Vitals
  • Mom’s Height/Weight
  • Blood Sugar Urine Sample
  • Fetal Heart Tone

Common Symptoms

  • Mood swings
  • Weight gain
  • Rashes or dry skin

What's Happening with Your Body

One trimester down, two to go! At 14 weeks, baby is the size of a lemon and is 3-4 inches in length. If you’re lucky, you may be able to see the baby sucking his/her thumb at your next ultrasound. Some women feel like they’ve “popped”, or that their bump has started to show around this time.

Tips

  • Drink plenty of water
  • Eat a nutrient-rich diet
  • Apply lotion on belly

Routine Visit

At your routine visit, you can expect to have your weight checked, vitals taken, a urine sample collected, fetal heart tone checked, and your belly measured.

Common Symptoms

  • Belly button turn from innie to outie
  • Dark line down abdomen
  • Trouble sleeping
  • Round ligament pain

What’s Happening with Your Body

Congratulations, you’re halfway there! At this time, the baby is the size of a mango and your uterus is the size of a soccer ball. The sex of your baby is now visible by ultrasound and baby is growing nails on its fingers and toes.

Tips

  • Apply sunscreen
  • Rest when needed

Examinations & Tests

  • Anatomy Scan
  • Abdominal Exam
  • Early Glucola

Checklist

Routine Visit

At your routine visit, you can expect to have your weight checked, vitals taken, a urine sample collected, fetal heart tone checked, and your belly measured.

Common Symptoms

  • Insomnia
  • Stretch marks
  • Swelling in ankles or feet
  • Headaches or migraines
  • Restless Leg Syndrome
  • Carpal Tunnel Syndrome

What's Happening with Your Body

You’ll be happily surprised to see that your baby finally starts to look like – a baby! By now his/her, eyes, lips, and nose have taken shape. The light flutters will turn into obvious kicks as your baby’s muscles develop and they start moving more and more. Also at this time, the baby will have developed its major organs and will start to hear your voice.

Tips

  • Plan a baby shower (optional)
  • Start a registry (optional)
  • Limit direct sunlight or hot showers
  • Avoid overly salted or spicy foods

Routine Visit

At your routine visit, you can expect to have your weight checked, vitals taken, a urine sample collected, fetal heart tone checked, and your belly measured. You can also expect the following tests:

  • Glucola Test
  • Repeat Syphilis
  • 3-D Ultrasound
  • Gestational Diabetes Screen
  • TDAP Vaccine Recommended
  • Rhophylac/Rhogam Shot if applicable

Common Symptoms

  • Varicose veins
  • Urinary tract infection
  • Avoid direct sunlight

What’s Happening in Your Body

By 29 weeks pregnant, your baby weighs 2½ to 3 pounds now and measures 15½ to 16 inches long. The baby still has some pounds to put on these next few months. Baby’s kicks may start to feel more intense or even painful.

Tips

  • Take walks and stretch
  • Drink lots of water
  • Prepare the nursery

Checklist

  • Choose a pediatrician
  • Schedule repeat C-section (if applicable)
  • Purchase a breast pump

Routine Visit

Routine visits will increase from every 4 weeks to every 2 weeks. Common tests include:

  • Repeat CBC

Common Symptoms

  • Back aches
  • Braxton Hicks Contractions
  • Constipation or gas
  • Insomnia

What’s Happening with Your Body

By week 30, the baby is the size of an eggplant and is starting to master the art of breathing.

Tips

  • Eat plenty of healthy calories

Checklist

  • Begin thinking about your delivery plan

Routine Visit

After 36 weeks, you’ll continue seeing the doctor every 1-2 weeks. Common tests include:

  • Cervix Exam
  • Group B Strep Culture (week 36-37)
  • Repeat Gonorrhea / Chlamydia test (per NC law)

Common Symptoms

  • Discomfort
  • Heartburn
  • Trouble sleeping

What’s Happening with Your Body

You’re in the home stretch! At 36 weeks, the baby is the size of a head of romaine lettuce, measuring about 18.7 inches from crown to heel, and gaining up to an ounce of weight per day. At this point, the baby could arrive at any time. You may be experiencing Braxton Hicks contractions, or irregular cramping and pain in your abdomen, – these are normal, but contact your doctor if they are consistently occurring.

Tips

  • Rest
  • Map your route to the hospital
  • Freeze meals

Checklist

  • Pack your hospital bag

Routine Visit

  • Pelvic Exam
  • Breast Inspection
  • Incision Inspection

What to Expect Postpartum

Your bundle of joy is finally here! Enjoy these first few weeks with the baby, take it easy as your body heals, and sleep when you can. About 4-6 weeks after delivery you can expect a postpartum appointment to discuss X. It’s very common to feel a range of emotions postpartum. If you’re experiencing depression-like symptoms, please contact your doctor.

Common Symptoms

  • Bleeding
  • Pain or soreness
  • Depression [link to questionnaire]

Resources & Forms

  • Birth Control Info
  • Pelvic Floor Rehab
  • Signs of Depression

Schedule an Appointment

Contact Us

COVID-19 UPDATE

Due to the current COVID-19 pandemic, our policies and restrictions are being updated frequently.

We are once again offering all services in both our Raleigh and Holly Springs locations. As always, our patient’s health and safety are a top priority, especially during this challenging time. Our office is taking several steps to ensure all Federal, State, and Local safety measures are adhered to. This includes:

  • Screening all patients upon arrival
  • Requiring masks be worn over the nose and mouth at all times throughout the appointment
  • Modifying schedules to allow for social distancing
  • Requiring patients attend appointments alone; no visitors or children allowed at this time
  • Continuing to offer telehealth (telemedicine) appointments when applicable to existing patients

If you have an appointment and have COVID-19, have symptoms of COVID-19, or are concerned you may have been exposed to COVID-19 within the past 21 days, please call our office at 919-788-4444 for instructions. We may reschedule, adjust, or convert your visit to telehealth.

Our office supports the vaccinating of all patients against COVID-19, including pregnant and lactating women. For more information please visit the American College of Obstetricians and Gynecologists (ACOG) or the North Carolina Department of Health and Human Services (NCDHHS).

For questions or concerns regarding COVID-19 symptoms, testing, vaccinations, or updates, please visit the NCDHHS or call the UNC Helpline at 888-850-2684.

For latest developments including COVID-19 vaccine information:

CDC NCDHHS ACOG