Obstetrics – Fair Oaks Women’s Health

We provide a full range of obstetrics services including normal and high-risk pregnancy, genetic testing and screening, and full-time in-office 3D and 4D ultrasound department.

Normal and High-Risk Pregnancy

Most of our patients are normal, healthy, happy and excited to be pregnant. Some are worried due to their history. Some are high risk due to their health or other factors. We can handle it all.

High-Risk Pregnancy

As a group, we have delivered over 300 sets of twins. We see pregnant patients of all ages, including over age 50. We see patients pregnant after IVF, after years of infertility, or after multiple miscarriages. We see pregnant patients who have had organ transplants, who are on multiple prescription medications, or have uterine anomalies or incompetent cervix. We can manage patients with insulin-dependent diabetes, high blood pressure, lupus, thyroid disease and other medical disorders.

We offer:

• Routine pre-natal care – we go out of our way to help you learn everything you need to know about having a healthy pregnancy and and we help you prepare for a safe and memorable hospital-based birth!
• High-Risk Pregnancy – fetal monitoring, cervical length ultrasound, cerclage procedures, fetal growth scans, bio-physical profiles, non-stress tests…we can provide all these services on-site in our office (cerclage is done in L&D).
• Genetic Carrier testing for moms and dads to-be. Check for invisible mutations that could be passed on to your baby.
• MaterniT21 Plus – a blood test (NIPT) on the mother’s blood for fetal DNA at 9 weeks. (Learn fetal gender, other chromosomal conditions, results by 10-11 weeks).
• Nuchal Translucency (NT) Screening – ultrasound exam for possible birth defects at 12 weeks, sometimes with a blood test also. All 3 of our RDMS sonographers are certified by the Fetal Medicine Foundation for NT scanning.
• Glucose testing for Gestational diabetes – in our office.
• Testing for vaginal Group B Strep bacteria (GBS) – all patients get this test usually about 36 weeks.
• 3D and 4D obstetrical ultrasound – You can “see” the baby’s face before it’s born. Ideal time is 28 weeks.
• Fetal Non-Stress Tests (NST’s) done on site – fetal monitoring done to verify placental function and fetal well-being.
• Cord Blood Banking – we have kits on-site for CBR and Stem-Cyte cord blood banks.
• Cesarean Section (C/S) upon request – not a common request but it is an option for some people.
• Blood draws done on-site is provided as a convenience.
• 24 hour emergency on-call OB coverage – there is always an Ob/Gyn doctor available day or night.

Educational Handouts

Prenatal tests

This handout summarizes the types of prenatal genetic testing and birth defect testing available during your pregnancy.

Twins Handout

Congratulations on being pregnant with multiples! The road ahead will be exciting, but probably a bit scary as well. Our practice has developed special expertise and protocols for the management of twins and triplets, which are discussed in this booklet.

Get the Epidural

by Jessi Klein, a comedian and television writer, the author of “You’ll Grow Out of It,” from which this essay is adapted.

Pregnancy Guide

Download a PDF version of our OB Guidebook

Preparing for Delivery Handout**

We provide this handout around the 6th month to help patients with their birthing preparations. **Updated with changes due to coronavirus.

NST Instructions and High-Risk Program

Read this handout if you will be having NST’s in the final weeks of your pregnancy. An NST is a non-stress test, a type of fetal monitoring done in our office to help assess fetal well-being.

Here is a handout describing our NST protocol, usually twice a week from 32 weeks until delivery.

The “5-1-1” Handout

For first timers: When should you go to Labor and Delivery or when should you page the on-call Ob doctor? This handout can help.

Dear C/S Patient

This is a “letter” written to you, our scheduled C/S patient, describing the events before, during and after your “Big day”!

Speak Up – Postpartum Depression

Perinatal depression is the number one complication of pregnancy. In the US, 15% to 20% of new moms, or about 1 million women each year, experience perinatal mood and anxiety disorders, and some studies suggest that number may be even higher.