Mt Hood Women's HealthObstetrical Care

Prenatal Care

Congratulations on your pregnancy!  We are delighted to welcome you to Mt Hood Women’s Health for your prenatal care.  Our office has five physicians and three certified nurse midwives who provide compassionate, courteous, low and high risk obstetrical care.

ACOG logoMt Hood Women's Health, P.C. is a member of the American Congress of Obstetricians and Gynecologists (ACOG). We have included links to selected ACOG pamphlets whenever possible. Click a topic to learn more.

What to expect at your prenatal visits

» First trimester 0-12 weeks.

Your first visit will be with a provider to review your medical history, pregnancy and family history.  You will have a physical exam, pap test, vaginal and urine cultures, and possible blood work. 

In your first trimester you will have an ultrasound to document a viable pregnancy and confirm your due date.  You will be offered screening tests for birth defects including screening for cystic fibrosis and routine tests in pregnancy.  For women who will be over 35 at delivery or have a personal or family history of certain genetic problems, additional genetic screening tests for diagnosing birth defects and evaluating your risk for genetic disorders will be discussed.

All new patients recieve a complementary ACOG book titled, Your Pregnancy and Childbirth: Month to Month, Fifth Edition.

» Second trimester 13-27 weeks.

Each visit with your provider we will check your weight, blood pressure and urine sample.  We will also check the baby’s heartbeat and start fundal height measurements after 20 weeks.  These visits are typically scheduled every four weeks and give you an opportunity to ask questions and get to know your provider. 

Between 15-20 weeks an AFP or MSAFP blood test will be drawn to screen the fetus for birth defects and chromosome problems.  At 20 weeks you will have an in office ultrasound to evaluate the anatomy of the baby. 

This is also a good time to sign up for childbirth classes, if you are interested. You can register with Legacy Women’s Health by calling 503-413-4840 or online at Legacy's Prenatal Education.

Between 24-28 weeks you will have additional blood work to check for anemia and diabetes in pregnancy.  You will be given a one hour glucola drink to screen you for gestational diabetes.  See glucola screening instructions (PDF).

If you are Rh negative you will be given a Rhogam injection at 28 weeks. 

» Third trimester 28-42 weeks.

During the third trimester you will visit with your provider more often.  It is important to have your Legacy Mt Hood Medical Center registration forms filled out and mailed to the hospital.  To register at the hospital, you can fill in the Registration Form found in the hospital package given to you earlier.  If you have misplaced this packet, please request a new one from your medical assistant.  This is also a good time to find a pediatrician to care for your newborn after delivery. See this list of Pediatricians in the Gresham area (PDF).

Between 28 and 36 weeks you will have an appointment every two weeks, and then weekly from 36 weeks until the baby is born. During these visits we will check the baby’s heartbeat and measure fundal height. If you have had medical problems in past pregnancies or develop new conditions, you may need additional prenatal visits. We also recommend you pay close attention to your baby’s movements, which we refer to as kick counts.   

At your 35-37 week visit you will be screened for Group B Strep with a vaginal culture. Your provider will discuss your results with you at the following visit. She will also review with you signs and symptoms of labor and provide you with information as to when to call the hospital or our office. (See handout PDF: My last month of pregnancy “could this be labor?”) If your baby is breech your provider will discuss the option for external cephalic version or cesarean section with you. Cervical exams typically begin between 37-38 weeks to see if your cervix is dilated.

Timing of delivery often comes up at your visits. Unless there are medical problems, spontaneous labor is optimal. Women should wait until at least 39 weeks to schedule an induced labor or cesarean section to prevent possible prematurity related problems in their babies. Studies show that induction can increase your risk of cesarean delivery, particularly if this is your first pregnancy. Most women will go into labor within a week of their due date.


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24850 SE Stark St, Ste 200
Gresham, OR 97030