Call Us: 732-287-3643

Obstetrics

Welcome to pregnancy care at the Durham Women’s Center. Our goal is to help you through pregnancy with the least amount of stress and the ultimate goal of delivering a healthy baby at term. We would like to emphasize that when you are pregnant and healthy, we treat you like you’re pregnant and healthy. In the absence of complications, you may pursue normal work, leisure activity, and sexual relations!

If you have questions and don’t want to wait until your scheduled check-up, the best time to call for non-emergencies is weekday mornings. This gives us a chance to get back to you, bring you in to the office if necessary, or send you a prescription. For emergencies, after the office is closed, you may call the same phone number which will connect to our answering service. You may expect a call back within 30 minutes. Out of consideration for our physicians, please limit after hours calls to urgent matters. Only our main number, 732-287-3643, is answered by the answering service.

In general, after the initial pregnancy visit you will be seen every four weeks. The visit will consist of checking your weight, urine, blood pressure, hearing the baby’s heartbeat (after 11 weeks) and measuring the size of the uterus (after 20 weeks). Your monthly check-up is a good time to discuss concerns and questions you have for the doctor. Many of our patients prefer to bring a list of questions to their visits. Visits are scheduled more frequently after 28 weeks.

It is prudent to avoid medications during pregnancy unless they are clearly needed. It is better to inquire before taking any medication or herbal product. Please understand that the first trimester of pregnancy is a crucial stage when the baby is forming. This is a time when medication is generally avoided unless there is an urgent need.

During a routine pregnancy, you will have blood taken several times after the initial visit.  Click here to learn more.

It is our policy to check for pregnancy diabetes and anemia between 24-28 weeks of pregnancy. You will be offered screening tests for Down syndrome between 11 and 18 weeks of pregnancy; certain conditions may require additional blood tests; this will be explained by the doctor. Based on your ethnic background or race, certain other tests may be indicated. The state of New Jersey requires testing for sexually transmitted infections, including HIV/AIDS.

We will order at least two ultrasounds after pregnancy is confirmed. At approximately 20 weeks, you will be referred for a level 2 ultrasound. This is a comprehensive look at the baby’s organs performed by a specialist in Maternal-Fetal Medicine. At that time, if you desire, you may learn the baby’s sex. Toward the end of pregnancy (about 36 weeks) you will have a final ultrasound to check the baby’s size and position. This attempts to minimize “surprises” in labor, such as breech babies, large babies, or small babies. Additional ultrasounds may be required as appropriate.

Nutrition during pregnancy is a matter of common sense; you should eat a balanced diet. The precise recommendation for weight gain is dependent on the weight at which you begin pregnancy. Please see the separate handout entitled “Pregnancy and Weight Gain.” For women of normal weight this works out to about one pound a week after the first trimester, so you should not gain more than 4 pounds between visits, less if you are overweight.

You should supplement good eating with a vitamin containing folic acid. Extra calcium, such as 3 to 4 TUMS daily, is good for you and the baby.

Based on limited data, you should avoid eating processed, uncooked foods (such as lunch meats), and soft cheeses. Because of a concern over mercury, tuna should not be eaten more than twice weekly (although tuna is a very good low calorie source of protein).

Alcohol use is to be avoided. No one should use tobacco products. Limited data suggests that small amounts of caffeine (e.g. 1-2 cups of coffee daily) are safe.

It is good to exercise during pregnancy and it helps to control weight gain; women who routinely engage in cardiovascular exercise have better labors; You should not exercise to exhaustion, and probably shouldn’t exceed a heart rate of 140. Common sense also dictates that as your abdomen grows, you must pay attention to your balance so as not to fall.

We deliver babies at St Peters University Hospital in New Brunswick and JFK Medical Center in Edison. You may choose the hospital at which you wish to deliver but since the doctor can only be in one place at a time, these requests can usually, but not always, be honored. This is also a reason why you should not go to the hospital without first speaking to the doctor! Certain circumstances may determine your delivery hospital despite your preferences. For example, babies born more than 6 weeks prematurely should be born at St Peters, while mothers desiring post-partum sterilization must go to JFK.

Prior to the end of pregnancy, it is your responsibility to select a pediatrician (doctor for your baby). It should be a doctor who is in your insurance network and who goes to your delivery hospital. We can help you choose a pediatrician if you bring us a list of who is in your network.

We also strongly encourage childbirth classes, particularly if you are delivering for the first time. We find the classes to be especially helpful as an orientation to labor and delivery. They help to alleviate some of the fear of the unknown. There are many sources of childbirth classes, including St. Peters and JFK.

Vaccinations: if you are going to be pregnant during influenza (“flu”) season (October through March), it is strongly recommended that you be vaccinated. Contracting the “flu” can be dangerous to pregnant women, and being vaccinated will also protect your newborn. We offer “flu” vaccine in this office before and during “flu” season.

Since pertussis (whooping cough) has become a serious problem for newborn babies, it is now recommended that pregnant women be vaccinated against it during each pregnancy. You will be offered then Tdap vaccine in the third trimester.

Finally, I would once again stress that we are here for you. Don’t be afraid to ask questions. Good luck!

Our Location:

Durham Women's Center
4 Ethel Rd., Suite 402 | Durham Center | Edison, New Jersey 08817
732-287-3643 | Fax: 732-287-3406

Affiliate:

Affiliated With:

Saint Peter's University Hospital
254 Easton Ave | New Brunswick, NJ 08901
(732) 745-8600

JFK Medical Center
65 James St. | Edison, NJ 08820
(732) 321-7000

Mediplex Surgery Center
98 James St | Edison, NJ 08820
(732) 632-1600