Seattle OB/GYN group understands that having a baby is a transformative life experience and each pregnancy is unique. At Seattle OB/GYN group we are an independent all-women practice offering midwifery and physician care during pregnancy and childbirth. Our unique partnership of physicians and Certified Nurse Midwives (CNMs) allows patients to have individualized high-quality care that focuses on the best practices for a woman, her pregnancy and childbirth. We are a private practice associated with Swedish Medical Center and all of our patients will deliver at Swedish Medical Center, First Hill.
If you are considering pregnancy and would like to schedule a pre-conception visit, please contact our office to make an appointment.
- You should take prenatal or multivitamins with a minimum of 400mcg of folic acid approximately 3 months before trying to become pregnant.
- Have a dental exam and complete any necessary repairs.
- See your primary care provider or specialist if you have any pre-existing medical conditions.
- Make sure you are up to date on all of your vaccines.
- If you need vaccines, make sure you receive them at least one month prior to attempting pregnancy.
- Male partners should avoid hot tubs.
- You and your partner should avoid travel to any known areas with risk of Zika infection for at least 6 months prior to attempting pregnancy.
Nutrition during pregnancy
- In pregnancy, you’ll need approximately 300 additional calories per day.
- Have a combination of 5 servings of fruits and vegetables daily.
- Focus on whole grains and lean proteins and minimize sodium and starch intake.
- Dairy products fortified with vitamin A&D can provide your daily calcium and potassium needs.
- It is recommended that you consume no more than 200mg of caffeine daily (approximately 1-2 cups of coffee/day).
Exercise in pregnancy
- Pregnancy is not the time to start a new exercise program.
- At the beginning of pregnancy, you may feel tired and experience nausea, which might prevent you from exercising.
- If you stop exercising, it is okay to pick up where you left off once you feel better.
- Avoid excessively vigorous exercise, extreme and impact sports such as skiing and skydiving, and exercise in heated rooms such as hot yoga or pilates.
Foods and Substances to Avoid
- Pregnant women should not consume alcohol, recreational drugs or tobacco products.
- Do not eat shark, swordfish, king mackerel, or tilefish while pregnant. They are high in mercury content.
- Avoid raw or undercooked meat and fish (may contain Toxoplasmosis).
- Avoid unpasteurized cheeses (may contain Listeria).
- Avoid hotdogs and deli meat unless they are cooked to steaming hot (may contain Listeria).
In Vitro Fertilization
- Fertility specialists perform IVF but once you are pregnant, physicians and midwives at Seattle OB/GYN are happy to manage your pregnancy.
- If you become pregnant via IVF and are being seen at a fertility clinic, we recommend making your first OB visit at Seattle OB/GYN between 8 and 10 weeks in order to establish care and begin your prenatal screening.
- We recommend bringing a copy of your fertility records with you to your first OB visit.
Healthy and low-risk pregnancy
- The majority of pregnancies are considered low-risk and you have the option of midwifery or physician care at Seattle OB/GYN.
- All of our providers aim to have a safe vaginal delivery.
Physician or Midwifery care
- We offer physician or midwifery care during your pregnancy.
- Seattle OB/GYN is a partnership of female physicians that are all board certified. Physicians enjoy caring for women with both low and high-risk pregnancies and support each woman in making her own decision about what is right for her labor and delivery. The physician’s patients guide the level of intervention and medication that they prefer at their births. The physicians help facilitate labor to maximize the changes for an uncomplicated vaginal delivery, but are also trained in operative vaginal delivery such as vacuum and/or forceps if this should become necessary. As a group, our physicians have a lower than national-average cesarean section rate and encourage our patients to try for a vaginal birth after a cesarean section when appropriate. Each doctor sees her own patient’s for the majority of the patient’s prenatal visits to provide continuity of care and makes every reasonable effort to be present for her own patient’s labor and delivery experience. As a collaborative practice, our physicians have a similar style of practice and trust each other implicitly to take care of our patients at the time of their birth.
- The midwives at Seattle OB/GYN are certified nurse midwives (CNMs). The educational background of a CNM is an undergraduate degree in nursing and a graduate degree in midwifery. Each CNM is board certified and licensed in the state of WA. Our midwives manage healthy, low-risk pregnancies and births. The midwives take a team approach to your prenatal care and encourage you to meet each midwife during your pregnancy so you will know the provider delivering your baby. The midwives at Seattle OB/GYN deliver at the Swedish Medical Center First Hill Hospital. Should a CNM patient require a cesarean section or need to be seen by a physician at any point in her pregnancy, there is a supportive Seattle OB/GYN physician available at all times.
Management of Labor
- Our physicians and midwives will manage your labor from the time you are admitted to the hospital until your delivery. Midwives are trained in labor support and will assist you through active labor and the birth of your baby.
Vaginal and Cesarean Section Births
- Physicians and Certified Nurse Midwives (CNMs) manage vaginal deliveries. Physicians perform cesarean section (c-section) deliveries when necessary and CNMs are able to assist alongside the physicians with cesarean section surgery.
- TOLAC means a “Trial of labor after a Cesarean section (c-section) birth”. If you desire a vaginal delivery both our physicians and midwives will strongly encourage a TOLAC if it is safe and healthy for your pregnancy.
- VBAC means a “Vaginal Birth After a Cesarean section (c-section) birth” and is a successful trial of labor after a Cesarean section (TOLAC)
High Risk Pregnancy
- Our physicians manage high-risk pregnancies including but not limited to gestational hypertension, gestational diabetes, pre-eclampsia in pregnancy, a patient with a history of bariatric surgery, endocrine disorders in pregnancy and twin pregnancies.
- Our physicians can manage patients enrolled in the Bloodless Program.
Limited Ultrasound Studies
- At Seattle OB/GYN, we have bedside ultrasounds and can perform limited ultrasound studies in our office..
- In low-risk pregnancies there are typically two ultrasounds performed. You can expect to receive an ultrasound at your first OB visit.
- We may recommend and order a "formal" ultrasound performed at the radiology department or certain indications that cannot be completed in our office.
- In the postpartum period, it is routine for you to see a provider 6-8 weeks following delivery for a full physical exam.
- We will review normal physical changes following delivery and discuss returning to normal activities.
- It is important that all women are assessed for postpartum depression.
- At this visit, we will also review your birth experience, discuss breastfeeding support and postpartum birth control.
- We offer infant circumcision in our office following delivery of your baby. The procedure is usually performed 1-2 weeks following delivery.