Your BIRTH should be empowering…
SeeBaby Perinatal is dedicated to providing options and support to women in the community! Doula support is encouraged to help provide the following perinatal options:
As part of your evaluation, we will indulge you with Antigo swing glide chairs (NST), examination tables with memory foam comfort system, warm scanning solutions, thermo-infused hand towels for personal maintenance, all capped off by a refreshing beverage of your liking.
SeeBaby Perinatal Services
Our OB ultrasound examinations provide reassurance and detailed information regarding the condition of your pregnancy. The most common way to image your baby is with 2D diagnostic ultrasound. Our facility also provides 3D/4D ultrasound giving a “special” look at the baby, as an option. This is the basis of our practice also allows it to be a site for innovative development in the field; training and education for physicians, technologists and nurses. We offer only state of the art technology and have always had early access to new advances participating in application and development. See Baby steadfastly collaborates with MindRay ultrasound technology and MedStreaming image archiving system to bring a cutting edge evaluation to pregnancy and care of the patient. Thereby allowing the patient to “Experience Excellence”.
SeeBaby Perinatal Procedures
This type of test is designed to help women who would like to know, as accurately as possible, with little or no risk to their pregnancy (a routine blood draw), if their baby has an extra chromosome (e.g., Down Syndrome, Trisomy 13, Trisomy 18 and Trisomy 21). Gender determination can also be provided by this type of testing. The test may be an option for you to consider if you fit into one of the following categories:
- Prenatal ultraosund showing specific changes to the baby’s growth and/or development
- Abnormal or “positive” first trimester or second trimester maternal serum screening
- Personal or family history of chromosomal condition
- AMA (Advanced Maternal Age > 35 y.o.)
This procedure is often performed between 14 – 22 weeks EGA, to identify or exclude chromosomal abnormalities. Amniocentesis is often offered as an optional test when risks or concerns are suspected for genetic problems. This procedure is brief and usually requires 10 minutes to complete. Unfortunately, there is a 1/200 or 0.5% risk of miscarriage or fetal loss. This procedure can also be performed after 24 weeks EGA, however carries a risk of preterm delivery of 1/500. Results typically take 7-10 days.
This is a simple medical procedure used to obtain a small amount of the amniotic fluid surrounding the fetus. An ultrasound is performed with the amniocentesis to check the position of your baby and to locate pockets of fluid. The doctor will insert a needle through the abdominal wall into the amniotic sac to remove a ~ 4 teaspoons (20 cc) of fluid for testing. The test usually takes ~ 1 minute, and most patients experience very little discomfort. The fluid that is withdrawn typically reaccumulates within 12 – 24 hours. Amniotic fluid contains cells from the fetus that can be tested to yield a diagnostic result.
This procedure is performed to assess fetal lung maturity. The information obtained from these results will help aid your doctors in deciding the best time to deliver your baby. An amniocentesis is performed to obtain a small amount of the amniotic fluid surrounding the fetus. An ultrasound is performed during the amniocentesis to check the position of your baby and to locate pockets of fluid. The doctor will insert a needle into the amniotic sac to remove a small amount of fluid for testing. After your amniocentesis, you may be placed on a fetal monitor for a non-stress test (see below).
When CVS is performed, a small sample of cells is taken from the placenta where it attaches to the wall of the uterus. Chorionic villi are tiny parts of the placenta, formed from the fertilized egg. Therefore, they have the same genes as the fetus. An ultrasound is also performed with CVS to facilitate appropriate sampling and safety.
There are 2 approaches or techniques used to collect the sample:
- Transabdominal, which is similar to amniocentesis
- Transcervical, which is perform using a speculum as it would be for a Pap test. Then, a very thin, plastic tube is inserted through the vagina and into the cervix. With ultrasound, the tube is guided to the placenta and a small sample is removed. The sample is then sent to the lab for genetic testing.
This decision regarding which approach to use is typically made at the time of your appointment after ultrasound assessment of the placental location. This will be discussed with you before any procedure is performed. This procedure usually takes 20 minutes to complete.
- A blood test, drawn from either your arm or your finger
- A detailed ultrasound examination of your baby
The first phase, or Part I of First Trimester Screening, allows an early risk assessment for Down syndrome (Trisomy 21), Trisomy 18, & Trisomy 13.
By having your blood drawn between 11.3 – 13.3 weeks EGA couple with a limited fetal ultrasound assessment (nuchal translucency NT) a genetic risk result can be obtained with ~ 85% accuracy.
Increasing the accuracy to approx. 93% a second phase, or Part II, can be completed. Also, MSAFP screening for neural tube defect (NTD) is perfomred. This occurs between 16 – 22 weeks EGA.
The Perinatologist will conduct and interpret your ultrasound examination to provide you withWater a final calculation of your risk for Down syndrome, Trisomy 18 and Trisomy 13. In the event of an “at risk” result, we will provide you with additional consultation, genetic counseling and testing options as clinically indicated and per your desire.
Patients with a history of second trimester loss or currently diagnosed with significant cervical changes are candidates for cervical cerclage. Briefly, the procedure invloves securing and reinforcing the cervix wtih a suture under anesthesia. The cerclage is typically placed between 12 – 20 weeks EGA. It is also done as an outpatient procedure. Afer placement, patients are continuously monitored to ensure successful pregancy outcome!
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