Dr. Vick provides a full range of obstetrical
and fertility services for women, including
care and treatment for the following:
 
Family planning
Preconception counseling
Fertility Evaluation and treatment
Recurrent pregnancy loss
 Prenatal Counseling
Routine obstetrics
  Natural birth 
VBAC (vaginal birth after cesarean)
Post Partum Care
 
  Dr. Vick also manages high risk pregnancies:

       Diabetes/gestational diabetes
       Pregnancy induced hypertension
       Coagulation Disorders
       Autoimmune Disorders
       Multiple pregnancies-twins,triplets
Incompetent Cervix with Cervical Cerclage placement

SUMMARY OF PRENATAL VISITS

6 to 8 weeks

History and physicial examination including Pap smear.
Ultrasound to determine due date

Initial prenatal bloodwork Weight, blood pressure and urine screening.
Discuss prenatal vitamins. Insurance and financial counseling (bring insurance information)

Be prepared to spend about 90 minutes for this intial consultation and exam.

11 to 12 weeks

Discuss prenatal laboratory testing Listen for fetal
heart tones Weight, blood pressure and urine screening.
Suggested time for first trimester screening test
for Down’s Syndrome.  This test is called nuchal translucency screening .

It must be done between 11 weeks to 13 weeks 6 days. This screen can detect 90% of Down Syndrome and 97%
of Trisomy 13 or 18.  There is a 5% risk of false alarm.

Most insurance companies will pay for this test.

14 to 16 weeks

Weight, blood pressure and urine screening.

18 to 20 weeks

At 18-20 weeks we will be performing a diagnostic ultrasound.This is a 2 dimensional (2D) scan specifically done to look for any gross abnormality. The images are various shades of grayscale and much of the exam is spent on cross-sectional images of the various anatomy of your baby.  We will most likely be able to determine gender at this time.

Bring DVD (+ RW) if you desire ultrasound recordings

22 to 24 weeks

Listen for fetal heart tones and check uterine size.
Weight, blood pressure and urine screening

Patients who are interested in taking childbirth classes
should register for these classes with Tennova Medical Center.

26 to 28 weeks

Listen for fetal heart tones and check uterine size
Weight, blood pressure and urine screening
One hour glucose test and hematocrit is done
(You will drink a glucose solution and blood will be
drawn one hour after drinking the glucose. Fasting is
not necessary. )
A Rhogam shot is given to patients who have Rh negative blood type.
Discuss kick counts.
If desired, a 3D/4D Ultrasound may perfomed at this time.

 About 30 weeks

Listen for fetal heart tones and check uterine size
Discuss glucose test results Weight, blood pressure and urine screening

About 32 weeks

Listen for fetal heart tones and check uterine size
Weight, blood pressure and urine screening.
Check for the baby's position

 About 34 weeks

Listen for fetal heart tones and check uterine size
Check for the baby's position Weight, blood pressure
and urine screening.
One hour glucose test

About 36 weeks

Listen for fetal heart tones and check uterine size
Group B strep culture of the vagina is done.
Weight, blood pressure and urine screening
Check for the baby's position
Discuss Labor and Delivery
Cervical examination

37 - 39 weeks
 
Listen for fetal heart tones and check uterine size.
Check for the baby's position.
A cervical examination will be done
Weight, blood pressure and urine screening

40 weeks

Listen for fetal heart tones and check uterine size.
Weight, blood pressure and urine screening
Check for the baby's position.
Cervical examination.

Discuss management plan for delivery on an
individual basis

State-of-the-Art Ultrasound Imaging