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:
SeeBaby Perinatal Overview
SeeBaby Perinatal Services
SeeBaby Perinatal Procedures
- 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.)
- 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!