BRAMPTON OB/GYN OFFICE

USEFUL INFORMATION - PREGNANCY

​​​YOUR PRENATAL CARE:​


TRIAGE IN HOSPITAL IS STAFFED 24/7 AND CAN BE REACHED AT

BRAMPTON CIVIC HOSPITAL :  905-494-6516

ETOBICOKE GENERAL HOSPITAL : 416-747-3361


YOUR OFFICE VISITS WILL BE  BOOKED AS IN-PERSON 


THE OBSTETRICIAN WILL DISCUSS WITH YOU THE PLAN OF CARE. 

Let us know if your status changes and we will alter your schedule accordingly.


YOUR ANTENATAL CARE WILL HAVE THESE MILESTONES:

1) Enhanced pregnancy screening (EFTS) is performed around 11-13 weeks. Your family doctor may have initiated that test. If you missed EFTS then ask your family doctor to order Materna Serum Screening (MSS)


2) You continue following your family doctor until we take over care.

​3) Ultrasound for anatomy scanning is performed around 19-20 weeks. This can be booked in any place. We will see you in the office after the ultrasound is done. Sometimes the ultrasound may have to be repeated.​

4) Blood sugar testing is planned around 26 weeks. The forms will be given at 21-22 weeks' visits. 


​5) If your blood group is Rh negative, you will receive RhoGAM at 28 - 30 weeks. This is arranged by our office but administerred in the hospital. Please sign consent and get the forms completed at the 22-26 week visits.


6) You will be seen every 4 weeks until 28 weeks. You will be seen every 2 weeks until 36 weeks gestation. Then every week till delivery.

7) The third-trimester ultrasound is not routinely done. Ultrasound may be requested at  32-34 weeks to check for baby growth on clinical grounds. 

​8) GBS swab is done at 35 - 37 weeks. We will give you the forms and sample collection at 33-34 weeks visit. You drop it at the next visit.


WHAT YOU NEED TO DO:  

These are the tasks we ask you to complete at home.

BLOOD PRESSURE:

a. Every visit you will have your Blood Pressure measured. It might be wise to purchase a blood pressure arm cuff monitor from Amazon, Costco,  Shoppers Drug Mart, or from a similar retailer. We can provide you with a prescription if you’re covered by insurance.


b. Many pharmacies (such as Shoppers Drug Mart or Rexall) have blood pressure
monitors on site, which you can use for self blood pressure measurement. Blood pressure should be taken every visit. Your doctor may ask you to measure your blood pressure more frequently. Please remember to record the readings. 


If your blood pressure reads more than
140/90  mmHg, then notify your physician’s office. If you have a headache, abdominal pain or visual disturbance please go to labour room Triage. If you think you might need help using your machine, please bring it with you to your next appointment and we will help you.

FETAL MOVEMENTS:

We ask that you track fetal movements. For detailed instructions on how to keep track of fetal movements, click here. Here are the options:

a. Use a phone application to help track fetal movements. You can find many on both Apple and Android devices.


b. If you cannot use one of these apps, use this 


Tracking should be done regularly from 28 weeks and if you are concerned that you do not have 6 movements in 2 hours please visit or call  the labour room. 


GO TO TRIAGE IF THE BABY IS NOT MOVING OR YOU HAVE VAGINAL LEAKING, BLEEDING OR ABDOMINAL PAIN.


PHONE APPOINTMENTS:
Your physician will be available on a day for you on a weekly basis to answer questions that you might have. These appointments should be scheduled through the secretary. 

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