BRAMPTON OBGYN OFFICE

Pregnancy

​​YOUR PRENATAL CARE HAS BEEN MODIFIED:​


Our priority for staffing must be our labour and delivery unit, so out of necessity we have to reduce the number of routine visits in low risk pregnancies. 


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 REDUCED BUT REPLACED AND BOOKED AS  PHONE APPOINTMENTS.

THE OBSTETRICIAN WILL ASSESS THE NEED FOR FURTHER VISITS. 

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

KEEP US INFORMED BY BOOKING PHONE APPOINTMENTS.


YOUR ANTENATAL CARE HAS BEEN MODIFIED AS FOLLOWS:

1) Enhanced pregnancy screening is performed around 12 weeks. Your family doctor may have initiated that test. Otherwise we will email you the forms for it.


2) You may get a phone consultation between 12-19 weeks from your doctors office or your doctor.

​3) Ultrasound for anatomy scanning is performed around 19-20 weeks. This can be booked in any place. We will see you one time at 21 weeks in the office after 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 weeks visit. Follow up done by phone visit.


​5) If your blood group is Rh negative, you will receive RhoGAM at 28 - 30 weeks​. This is arranged by our office but given in hospital. Sign consent and get the forms completed at the 21 week visit.


6) Your next visit to office will be at 28 and 34 weeks. We will do phone call visits in between.

7) Ultrasound may be requested at  34 weeks to check on baby growth and presentation. 

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


9) 36-41 Weeks, weekly visits may be provided as needed.


WHAT YOU NEED TO DO:  

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

BLOOD PRESSURE:
You will need to monitor your blood pressure. Here are the options:


a. Purchase a blood pressure arm cuff monitor from Amazon, Shoppers Drug Mart

or from a similar retailer. We can provide you 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 four weeks until you are 32 weeks, then every two weeks until 36 weeks, and then every week until you are 41 weeks. 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 come to 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 fetal movement count sheet.


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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