Pregnant or experiencing pregnancy symptoms? We will have you come to our office, Associates in Women’s Health in Youngstown, OH to determine the stage of your possible pregnancy. Once your pregnancy has been confirmed, we will schedule a series of check-ups during your pregnancy to prevent potential health problems for you and your baby. Recurring ultrasounds, blood work, physical exams, and pelvic exams help us monitor yours and the baby’s health. If you are interested in vaginal birth after C-section, Dr. Hill can discuss your options. Identifying pregnancy symptoms such as the cause of cramping during pregnancy, helps us determine if it is due to a serious condition or not. Prenatal care also includes prenatal coaching on the following topics:
- Prenatal lifestyle changes
- Pregnancy symptoms
- Prenatal nutrition
- Benefits of breastfeeding
- Illness prevention
- Injury & illness prevention
- The birthing process
- Vaginal birth after C-section
- Basic skills for taking care of a newborn
- How to prevent injury during pregnancy
What can you expect for your prenatal care appointments when you visit Dr. Hill's office in Youngstown, OH? This is best answered by breaking down the appointments by week and trimester.
First Trimester Pregnancy
Your appointments for your first trimester will be at our office in Youngstown, OH, and will consist of preliminary tests for you and your baby. This will give Dr. Hill and Nurse Practitioner Carol Holmes or Cynthia Daniels a chance to learn more about your health, and what you can expect for your pregnancy. During this time, we will also discuss pregnancy symptoms you may experience. Early pregnancy symptoms include missed periods, becoming fatigued, nausea, and vomiting. Other possible early pregnancy symptoms that may occur are swelling and tenderness of breasts, mood changes, increased urination, tiredness, headaches, darkening areolas, and lower back pain.
We will have you come to Dr. Hill's office in Youngstown, OH for the first appointment at the 7-week mark for a test to see if you are, in fact pregnant. Once your pregnancy is confirmed, we will get information on your health history, genes, and find out all we need to know going forward.
At this 7 or 8-week appointment, we will also perform an ultrasound and confirm your expected due date.
We will do lab work to see what risk factors your pregnancy has if any. The prenatal lab work will tell us about many important factors in pregnancy, such as your blood count, blood type, Rubella Titer, Rh factor, Syphilis screening, Hepatitis B screening, and an optional HIV test.
Dr. Hill or Nurse Practitioner Carol Holmes or Cynthia Daniels will also give you a prescription for prenatal vitamins. While making sure your baby gets all the vitamins it needs is very important, it’s also important to be careful about what you’re putting into your body. Certain vitamins and natural products could be harmful to your pregnancy. That’s why we prescribe you the vitamins you need. Never take a vitamin during pregnancy without talking to Dr. Hill first.
When you visit our office in Youngstown, OH for your 10-week appointment, we will do more testing. Dr. Hill or Nurse Practitioner Carol Holmes or Cynthia Daniels will talk to you about screenings that can be done later in the pregnancy. In some cases, if you are at a higher risk for these issues, earlier screenings can be done.
Your next appointment will be in our office in Youngstown, OH between 11 and 13 weeks. This is when genetic screening can be done. Tests for Trisomy and Down’s Syndrome will happen at this appointment.
After this, you are through your first trimester! Dr. Hill will talk to you about your second trimester, and what you can expect each step of the way.
Second Trimester Pregnancy
Your second-trimester appointments will be exciting! This trimester is where different tests and screenings will be conducted to see the health of your baby. Your appointments at Dr. Hill's office in Youngstown, OH during this trimester will allow you to hear your baby’s heartbeat, and find out the gender, if you want to know.
Your first second trimester appointment will be between your 12 and 16-week mark. This appointment will just make sure you’re doing okay, with some routine screenings. You will also hear the fetal heart rate and find out how many times your baby’s heartbeats per minute. Dr. Hill or Nurse Practitioner Carol Holmes or Cynthia Daniels will check your blood pressure. They will also do a urine dipstick to check for gestational diabetes, make sure you don’t have a bladder infection, and check your protein.
Your next visit to our office in Youngstown, OH will be between your 15 and 20-week mark. Dr. Hill will measure the uterine growth. This is measured through blood work. They can also test your baby for Spina Bifida if you wish. That test is also done through blood work.
Between 18 and 24 weeks, you should have two visits with Dr. Hill in his office in Youngstown, OH. These will be routine checkups, with an OB Ultrasound. At these appointments, you can learn the sex of your baby if you want to. The ultrasound can tell you the sex of your baby, and it also will tell you how the baby is developing.
The final appointment of your second trimester will be between your 26 and 28-week mark in your pregnancy. At this visit, you will have a routine checkup and a diabetes screening. At your last appointment, Dr. Hill or his Nurse Practitioner would have given you a glucose drink. You ingest this one hour before getting your blood drawn at this appointment. You will have directions to know exactly when and how to drink this.
At this last appointment, you will also be told to start planning for the arrival of your baby! Dr. Hill or Nurse Practitioner Carol Holmes or Cynthia Daniels will tell you about all you need to plan and discuss before your baby arrives!
Third Trimester Pregnancy
This is your third and final trimester until your bundle of joy arrives! This is when you continue to solidify your plan, so you are prepared when labor starts. If you have any questions about labor or vaginal birth after C-section, you can talk to Dr. Hill about it at this appointment. You should also pack your hospital bag, and make sure you have the phone number for Dr. Hill for your baby delivery in Youngstown, Ohio.
Between 28 and 36 weeks, you will visit our office in Youngstown, OH every two weeks. These will just be routine checkups to see how you and baby are doing!
At 36 weeks, Dr. Hill or his Nurse Practitioner will perform a vaginal culture for Group Beta Strep. These bacteria are common, but if it is present during pregnancy, it will need to be treated with antibiotics during labor.
Between your 37 and 40-week mark, you will visit Dr. Hill each week. At these appointments, we will start checking your cervix to see if they are dilating.
- If you notice any decrease in movement
- If you get a sudden, severe headache
- If you experience swelling that doesn't go away after resting
- If you experience vaginal bleeding
- If you experience changes in your vision
- If you experience severe pain under your right breast
Yes, the same OBGYN doctor taking care of you during pregnancy also delivers your baby! Dr. Hill is committed to helping you have a wonderful birthing experience. The doctor:
- Co-creates a birth plan with you
- Talks about your plan if you are going forward with vaginal birth after C-section
- Admits you into the hospital for baby delivery Youngstown, Ohio
- Delivers your baby
- Follows up with a checkup in our office in Youngstown, OH 4-6 weeks after delivery (1-2 weeks if you have a C-section)
An improvement over traditional ultrasounds, onsite 3D & 4D ultrasounds performed in our office in Youngstown, OH allow for more precise prenatal care and a clear view of your baby’s face months before birth!
- Onsite in Youngstown, OH for your convenience
- See the baby moving
- See the baby’s face
- See the baby’s gender
- Take home a keepsake ultrasound photo (3D) or movie (4D)
Let us know which ultrasound you prefer when making an appointment!
Birth Control Options
Choosing birth control requires taking a look at the individual’s personal preferences. With all the options available, we’ll help you determine what type of birth control is right for you when you visit our office in Youngstown, OH! Dr. Hill and his Nurse Practitioner can tell you about birth control side effects and help you decide on the best option. Birth control options include:
- Female condom - a pouch that's inserted in the vagina or anus before sex for birth control and protection against sexually transmitted infection. It works like other condoms, except that it's worn on the inside.
- Male condom - a thin covering worn on the penis during sex to prevent pregnancy. Condoms are the only method of birth control that prevents sexually transmitted infections. Available with or without latex and spermicides.
- Vaginal ring - a small, flexible piece of plastic that's inserted into the vagina to provide birth control. It works like the pill, but only needs to be inserted once a month; contains a combination of estrogen and progestin. Ask Dr. Hill about this type of birth control, and find out what type of birth control side effects come along with it.
- Birth control pills - a prescribed daily medication that contains the hormone progestin or a combination of progestin and estrogen to prevent pregnancy.
- Birth control shot - an injection of the hormone progestin that provides birth control for 3 months. It can be administered at home or by a healthcare professional. Talk to Dr. Hill about this method, and to learn more about birth control side effects.
- Diaphragm - a dome-shaped, silicone cup that's inserted in the vagina hours before sex to prevent pregnancy. To work effectively, it must be used with spermicide to block sperm from reaching eggs.
- Patch - a thin, beige piece of plastic that looks like a square bandage, containing a combination of estrogen and progestin. The birth control patch is easy to use and works like the pill, but you only need to change your patch once a week.
- IUD - a little, t-shaped piece of plastic inserted into the uterus to provide birth control. The 3 types of IUDs that use the hormone progestin include Mirena, Skyla, and Kyleena. The IUD Paragard contains no hormones, ask Dr. Hill about what possible birth control side effects come with this method of birth control.
- Rhythm method - also called the fertility awareness method (FAM), the rhythm method is a strategy women can use to help prevent pregnancy. It involves tracking your natural cycle of fertility, or your menstrual cycle, and has no side effects. It takes a lot of effort and can be hard to get right, making it less effective than other methods.
- Tubal ligation - a medical sterilization procedure for women who are sure they don't want a future pregnancy.
- Emergency contraception - Morning after pills contain progestin and can be used after sex to stop a pregnancy before it starts.
Talk to Dr. Hill or Nurse Practitioner Carol Holmes or Cynthia Daniels about what birth control options are best for you. We can also talk about birth control side effects and benefits. Combining a hormonal method (like the birth control pill or shot) with a barrier method (like a female or a male condom) can offer a “backup” of birth control and protection against sexually transmitted infection. If using the rhythm method, you can use another form of birth control on your fertile days.
- Experiencing unusual discharge, itching or bumps
- Having pain in the pelvic area or low back
- Low sex drive (prescription medication: Addyi™ –“the female Viagra”)
- It is time for your annual physical exam
If you are looking for an infertility doctor in Youngstown, Ohio, call Dr. Hill. Our office will help you find out what is keeping you from having a baby and discover the best infertility treatments available according to your specific needs.
- Hormone treatments
- Fertility drugs
- Artificial insemination
- Ovulation induction
- In vitro fertilization