pregnant women hodling their bellies

Pregnancy brings excitement, joy and a lot of questions. It can be both a thrilling and scary time for a woman.

At Metropolitan OBGYN, we have provided care for 1000’s of women during their pregnancies in Denver. Each mom and baby are unique, that's why you will receive personalized care from our team of obstetricians and staff. We will help guide you throughout your pregnancy from your first prenatal checkup to delivery and postpartum. You and your baby's health and safety are our top priority.

Should I schedule a preconception checkup?

Yes. Your health prior to conceiving is important. Our providers will take an extensive history and may offer various preconception testing based on your age, family history and needs.

When should I see a doctor once I'm pregnant?

Your first visit is usually scheduled 8 weeks from the first day of your last menstrual period.

pregnant woman meets with her OBGYN doctor

What will the doctor do at my first visit?

Your first visit is usually scheduled 8 weeks from the first day of your last menstrual period. We will do a thorough review of your history and perform a physical exam. We will also perform a vaginal ultrasound to confirm dating. We will spend time orienting you to our obstetrical practice and provide information about different testing offered.

What should I expect during my prenatal visits?

After your first initial visit we typically see our patients at these gestational weeks:

Depending on the type genetic testing you have chosen, you will schedule either a

10 weeks: Your routine prenatal visits will include weight, blood pressure, urine testing and listening to fetal heart tones, we will draw the cell-free DNA test, CF, SMA, Fragile X, and your routine prenatal labs.

OR

12 weeks: Your routine prenatal visits will include weight, blood pressure, urine testing and listening to fetal heart tones. At your 12 week visit we will draw a set of routine prenatal labs.

16 weeks: Routine prenatal visit and optional quad screen.

ultrasound image of a baby

20 weeks: Routine prenatal visit at Metropolitan OBGYN. Ultrasound performed at Rose Antepartum Testing Unit to evaluate anatomy and growth. Call 303-320-7101 to schedule at 4500 E. 9th Ave., Suite 210.

24 weeks: Routine prenatal visit. We will provide you with a glucose (sugar) drink and instructions so that we can do your screen at your next visit. Arrange for prenatal classes and pre-register at the hospital.

28 weeks: Routine prenatal visit and gestational diabetes screen. We will also check a blood count and perform an antibody screen if you are Rh negative. You will receive your Tdap vaccination.

30 – 36 weeks: Routine prenatal visits are every two weeks. We will perform a Group B Strep vaginal culture at your 36 week visit.

36- 40 weeks: Weekly routine prenatal visits. We will often check your cervix starting at 37-38 weeks to see if you are dilated.

40-42 weeks: We will generally let you go 7-10 days beyond your due date so long as both you and baby are doing well. Between 40 and 42 weeks we often do some additional testing (non-stress test and ultrasound to check fluid) to ensure that your baby is doing well. An induction of labor is usually scheduled between 41-42 weeks. Yet this may vary depending on your cervical exam and personal history.

How should I track my pregnancy and what are the important milestones?

Pregnancy is usually tracked by trimesters, first trimester is gestational weeks 1-12. Second trimester is gestational weeks 13-28. Some people will wait to their loved ones that they are pregnant until they have reached their second trimester, at this point in the pregnancy the risk of pregnancy loss decreases to 1-2%. Third trimester is gestational weeks 29-40.

Every woman is unique therefore so are the milestones, what is important to one person may not be important to another. Just enjoy this magical time and embrace each moment as it comes.

When is the first ultrasound and why is it performed?

We will perform a vaginal ultrasound to confirm your due date at you first obstetrical visit.

What pregnancy symptoms should I expect, and how can I manage them?

Nausea and vomiting is the most common symptom in pregnancy. Most nausea decreases by the end of your first trimester. During this time, it is important for you and your baby to get adequate nutrition. Use these suggestions to help you during this time.

  • Eat 4-6 small, frequent meals.
  • Eat protein snacks before going to bed.
  • Try ginger- ginger tabs, ginger tea, ginger ale or ginger snaps.
  • Guard against dehydration- peppermint tea, ginger tea, Gatorade, 7-UP, ginger ale may help.
  • Avoid extreme hunger or fullness.
  • Avoid highly seasoned foods.
  • Avoid foods that give you gas (cabbage, broccoli, onions, sweet potatoes, buttermilk, pinto or pork beans).
  • Try low fat foods. They are easier to digest.
  • Nibble slowly on crackers or toast before getting out of bed.
  • Rise slowly from bed. Give yourself a few minutes to adjust.
  • Drink only small amounts of liquid with your meals. Sip on fluids in between meals, especially if you are vomiting.
  • Get plenty of fresh air.
  • Avoid strong odors. They may upset your stomach. Eating cold foods that do not need to be prepared may help. Also try cooking in well ventilated rooms.
  • If you need to, you may skip your prenatal vitamin for a few days or try Flintstones Complete chewable vitamins (as directed).
  • Try Acupressure Bands.

What foods, drinks and substances should I avoid if I'm pregnant?

We recommend avoiding all alcohol products, all recreational drugs, processed or cured deli meats, and any raw fish or meat. One or two 8 oz caffeinated beverages (tea, coffee, Coke/Pepsi) each day is considered safe during pregnancy. A large coffee from your favorite coffee store is probably too much.

What vitamins or supplements should I take once I'm pregnant?

We recommend our patients take a prenatal vitamin daily throughout their pregnancy. Your provider can prescribe one for you, or you can purchase an over-the-counter prenatal vitamin at your local drug store.

Are there any medications I should stop taking if I'm pregnant?

You and your provider will discuss the medications you take on a regular basis and determine if you should discontinue or not. Do not start or stop a prescribed medication without consulting your provider first.

What is considered a high-risk pregnancy?

Every woman and every pregnancy is different; you and your provider will discuss your past medical history and determine if your pregnancy is considered high-risk.

What is my pregnancy due date and how is it calculated?

Your due date is calculated using the first day of your last menstrual cycle. If you are unaware of that date we confirm by doing a vaginal ultrasound and checking the size of your baby.

pregnant couples attend a pregnancy class

What types of prenatal and pregnancy classes do you recommend for expecting mothers?

If this is your first baby, we highly recommend that you take a childbirth education class at 28 – 32 weeks. There are a variety of options available. Classes are offered at Rose Medical Center. Call (303) 320- ROSE or go to www.rosebabies.com for more information. Classes are also offered through Colorado Free University and at many neighborhood recreation centers. Try to register early for these classes (around 18-20 weeks), as the classes tend to fill up quickly. A variety of other classes are offered at Rose Medical Center, including breastfeeding and child safety.

Where will my baby be delivered?

We deliver all of pregnant patients at Rose Medical Center, Denver’s Baby Hospital.

When labor begins, at what point should I call my doctor?

You can call our office at any point for reassurance. Typical labor signs are regular, painful contractions 5 minutes apart, leaking of fluid, and vaginal bleeding. A small amount of blood tinged mucous is normal. You should always call if you are experiencing decreased fetal movement.

If you have any other questions or would like schedule an appointment with one of our obstetricians, please call us today.