Obstetrics


 

First Trimester

Most miscarriages occur early in pregnancy. At-risk pregnancies are monitored by testing the levels of human chorionic gonadotropin (HCG) and progesterone, as well as performing ultrasounds to ensure the development of the fetus. Our endocrinology lab can provide timely testing of HCG and progesterone. Some miscarriages are preventable by progesterone support. A daily supplement of folic acid can decrease some birth defects.

At the 16 week visit, a complete medical history, physical examination, pap smear and blood work are obtained. Our patients are provided with a copy of "What to Expect When You're Expecting" or  the American College of Obstetricians and Gynecologists "Your Pregnancy and Childbirth".

 


 

Second Trimester

Many birth defects are diagnosable. We routinely perform an ultrasound survey of the fetus at 12 weeks, 20 weeks, and 24 weeks. About 50% of major birth defects can be detected this way. Additionally, serum testing of the mother can diagnose 90% of spina bifida and 50% of Down's syndrome. With the reassurance of a normal test result, each mother can feel more at ease.

At Olympia Women's Health, birthing is not considered a strictly female event. We are in the business of building families. Paternal involvement and bonding are encouraged at every turn, from the shared experiences of ultrasounds, prenatal visits, prenatal classes, and coaching, to birth and post-natal home life. We believe paternal involvement is essential to the well-being of the newborn and the future family.

 


 

Third Trimester

Visits to our office become more frequent in the third and final trimester of pregnancy. Parturients are carefully monitored for Rh type, diabetes of pregnancy, evolving hypertension, group B streptococcus colonization, and growth of fetus. Pregnancies going past the due date are monitored twice weekly with fetal heart tracings and sonographic measurement of the amniotic fluid.

Birthing is at your choice of hospital, either Capital Medical Center or Saint Peter Hospital. Both are equipped with family birthing rooms and 24-hour epidural anesthesia. Dr. Moruzzi assists in the final stages of labor and delivery. After birthing, we celebrate this joyous event with photos and a gift certificate.

At the postpartum visit each of our patients receive a "Your Baby's First Year" book.