Pregnancy Obstetrical Care
At the Women’s Clinic of South Texas, we proudly offer comprehensive, board-certified obstetric services for you and your baby. You will receive personalized physician care throughout your pregnancy, including your delivery and any follow-up visits.
Our institution takes great pride in providing obstetrical care with emphasis to the special needs of high-risk pregnancies.
We offer our patients a 4D Ultrasound/Sonogram and DVD recording in real-time for $50. The 4D-Ultrasound recorded on a DVD is taken, between the 24th week and the 28th week of pregnancy. All patients will receive a real-time recording of the procedure in the form of an unedited DVD.
Birthing/Lamaze Classes Information
The ABC’s for a healthy pregnancy
Cord Blood Banking
Baby Name Finder
Pregnancy Development Calendar
Build a Free Website for Your Baby
Download Fetal Kick Count Chart(English /Espanol)
- Prenatal Counseling
- Care of the high-risk or complicated pregnancy
- Sonograms/Ultrasound (including our advanced 3D Ultrasound and 4D Sonogram)
- Amniocentesis Testing
- Vaginal birth after cesarean section for selected candidates
- Family Planning
Note: The 4D Ultrasound or Sonogram Service is not intended to serve as a diagnostic tool or study. The sole purpose of this service is to provide our patients with an entertaining memento/DVD of the pregnancy. Although this technique may be used in certain clinical settings, the Women’s Clinic of South Texas is not performing this service with a clinical indication, purpose, or for interpretation, it is only used as an entertainment tool.
Hospital Information for Pregnancy/Obstetrics
Our preferred hospital is Women’s Doctors Hospital, located in Dove and McColl Rd, Edinburg.
In the event of any emergencies for pregnancies beyond 20 weeks or 5 months gestation, please present to the Triage Department of the Women’s Doctors Hospital.
For pregnancies of 19 weeks or less or less than 5 months gestation, report to the Emergency Room of the main hospital, across the street, at Doctors Hospital at Renaissance.
Childbirth Classes/Lamaze Classes: Available at the hospital, free of charge. For details, times and frequency, please call 956-688-4689.
For Tours of the hospital with emphasis on Labor and Delivery and Postpartum Suites, call 956-688-4000.
We need your feedback on hospital services, as well as suggestions and identification of areas for improvement. If you have any suggestions, report them at http://www.dhr-rgv.com/?page_id=57.
Birthing /Lamaze Classes
Classes are free. They are available in both, English and Spanish. For more information call, Doctors Hospital at Renaissance at (956) 688-4689. The classes are typically every other Saturday from 1:00pm-6pm. Snacks are served during classes and they are held in the conference room. Extended classes for couples are also available on certain dates.
Want to learn more…?
If you are having a child for the first time, it is easy to feel overwhelmed by questions, fears, and just not knowing what to expect. Many new parents find that birthing classes can really help calm their worries and answer many questions.
These classes cover all kinds of issues surrounding childbirth including breathing techniques, pain management, vaginal birth, and cesarean birth. They can help prepare you for many aspects of childbirth: for the changes that pregnancy brings, for labor and delivery, and for parenting once your baby is born.
Typically, new parents take birthing classes during the third trimester of the pregnancy, when the mother is about 7 months pregnant. But there are a variety of different classes which begin both sooner and later than that. It’s a good idea to talk with your doctor about the different kinds of classes that are offered in your community.
Benefits of Taking a Childbirth Class
A childbirth class can provide you with a great forum to ask lots of questions and can help you make informed decisions about key issues surrounding your baby’s birth. Some of the information you can find out from a birthing class includes:
how your baby is developing
healthy developments in your pregnancy
warning signs that something is wrong
how to make your pregnancy, labor, and delivery more comfortable
breathing and relaxation techniques
how to tell when you are in labor
pain relief options during labor
what to expect during labor and delivery
the role of the coach or labor partner
Many classes also address what to expect after the baby is born, including breastfeeding, baby care, and dealing with the emotional changes of new parenthood.
You might also find support from other expectant couples at a childbirth class. Who would better understand the ups and downs of pregnancy than couples who are going through them, too? Many people find friends in their childbirth class who last long past the birth of their child.
If your birth coach is also the baby’s father, taking a class together can mean his increased involvement in the pregnancy, and can act as a good bonding experience. Like the mother, the father can also benefit from knowing what to expect when the mother goes into labor – and how to assist in that process. Some classes have one session just for fathers, where men can discuss their own concerns about pregnancy and birth. There are also classes geared just for new fathers. Some classes even offer a special session for new grandparents, which is a great way to get them involved in the process and to make sure they’re up on the latest in baby care techniques and safety.
Of course, some people get more out of childbirth classes than others do. But even if you find the techniques you’re taught don’t work for you when you finally go into labor, you may get other benefits from the class. The common goal of all birthing classes is to provide you with the knowledge and confidence you need to give birth and make informed decisions. This includes reducing your anxiety about the birth experience, as well as providing you with a variety of coping techniques to aid in pain management. Remember that the ultimate goal is to have a healthy mom and healthy baby.
What Types of Classes Are Available?
Many childbirth classes embrace a particular philosophy about pregnancy and birth. The two most common methods of childbirth breathing, relaxation, and exercise in the United States are the Lamaze technique and the Bradley method.
The Lamaze technique is the most widely used method in the United States. The Lamaze philosophy holds that birth is a normal, natural, and healthy process and that women should be empowered through education and support to approach it with confidence. The goal of Lamaze is to explore all the ways women can find strength and comfort during labor and birth. Classes focus on relaxation techniques, but they also encourage the mother to condition her response to pain through training and preparation (this is called psychoprophylaxis). This conditioning is meant to teach expectant mothers constructive responses to the pain and stress of labor (for example, controlled breathing patterns) as opposed to counterproductive responses (such as holding the breath or tensing up). Other techniques, such as distraction (a woman might be encouraged to focus on a special object from home or a photo, for example) or massage by a supportive coach, are also used to decrease a woman’s perception of pain.
Lamaze courses don’t advocate for or against the use of drugs and routine medical interventions during labor and delivery, but instead educate mothers about their options so they can make informed decisions when the time comes.
When Should I Start Taking a Birthing Class?
In addition to offering many techniques and curricula, birthing classes also vary greatly in terms of duration. You’ll find classes that begin during the first trimester and focus on all the changes that pregnancy brings; 5- to 8-week courses offered late in pregnancy aimed at educating parents mostly about labor, delivery, and postpartum issues; and one-time-only refresher courses for repeat parents. Most parents opt for a course that meets about six or seven times in the last trimester for 1 1/2 to 2 hours per session, or for full-day versions that take place over one or two weekends. What’s important to remember is that a variety of options are often offered, so be sure and find one that fits your needs.
Choosing a Birthing Class
The type of class that’s right for you depends on your personality and beliefs, as well as those of your labor partner. There is no one correct method. If you’re the kind of person who likes to share and is eager to meet people, you might like a smaller, more intimate class designed for couples to swap stories and support each other. If you don’t like the idea of sharing in a small group, you might want a larger class, where the teacher does most of the talking.
Birthing /Lamaze Classes
Las clases son gratis y estan disponsibles en español e inglés. Para mas información pueden llamar al (956) 688-4689 en el Doctors Hospital at Renaissance. Las clases se ofrecen los Sábados dos veces al mes.
Quiere aprender mas..?
Si está esperando un hijo por primera vez, es posible que se sienta abrumada por tener tantas preguntas, miedos o, simplemente, por no saber qué esperar. Muchos padres primerizos consideran que las clases de preparación para el parto pueden ayudarlos a calmar sus preocupaciones y responder a varias preguntas.
Estas clases abarcan todo tipo de temas relacionados con el parto, incluyendo las técnicas de respiración, el control del dolor, el parto vaginal y el parto por cesárea. Pueden ayudarla a prepararse en varios aspectos del parto: los cambios que producirá el embarazo, el trabajo de parto y el parto en sí mismo, y la crianza del bebé una vez que haya nacido.
Por lo general, los futuros padres toman las clases de preparación para el parto durante el tercer trimestre del embarazo, aproximadamente cuando la madre está en el sexto mes de gestación. Pero existe una variedad de clases que comienzan tanto antes como después de ese trimestre. Es aconsejable que hable con su médico sobre los diferentes tipos de clases que se ofrecen en su comunidad.
Los beneficios de tomar una clase de preparación para el parto
Una clase de preparación para el parto puede proporcionarle un ámbito adecuado para hacer muchas preguntas y ayudarla a obtener información que le permitirá tomar decisiones con cierto fundamento sobre temas clave relacionados con el nacimiento de su bebé. Las clases de preparación para el parto le brindarán información sobre los siguientes temas:
Cómo va desarrollándose el bebé
Cambios normales que ocurren en el embarazo
Síntomas que indican que existe algún problema
Cómo hacer que su embarazo y parto resulten más llevaderos
Técnicas de respiración y relajación
Cómo diseñar un plan de parto
Cómo saber cuándo está en trabajo de parto
Opciones para el control del dolor durante el parto
El papel que cumple su pareja o acompañante
Muchas clases también abordan el tema de qué sucede una vez que nace el niño, incluyendo cómo amamantarlo, cómo cuidarlo y cómo enfrentar los cambios emocionales que traen aparejadas las responsabilidades de ser padres por primera vez.
También es posible que encuentre apoyo en otras parejas que asisten a las clases de preparación para el parto. ¿Quién mejor para comprender los altibajos emocionales del embarazo que una pareja que también está pasando por lo mismo? En estas clases de preparación para el parto, mucha gente hace amigos con los que entabla una relación que continúa por muchos años.
Si la persona que estará con usted durante el parto es también el padre del bebé, tomar la clase juntos puede ser una buena oportunidad para que él tenga una mayor participación en el embarazo. El padre, al igual que la madre, también puede beneficiarse de saber qué esperar cuando la madre comienza el trabajo de parto y cómo ayudarla durante este proceso. Algunas clases tienen una sesión sólo para padres, donde los hombres pueden conversar sobre sus propias preocupaciones sobre el embarazo y el nacimiento. También existen clases especialmente diseñadas para padres primerizos. Algunas clases hasta ofrecen una sesión especial para abuelos, lo cual es una excelente manera de involucrarlos en el proceso, así como de garantizar que estén actualizados y conozcan las técnicas más nuevas relacionadas con el cuidado del bebé y su seguridad.
Por supuesto, es natural que a cierta gente el curso le resulte más valioso que a otra. Pero aunque se dé cuenta de que las técnicas que le enseñaron no fueron útiles durante el parto, es posible que el curso haya sido beneficioso en otro aspecto. El objetivo común de todas las clases de preparación para el parto es proporcionarle el conocimiento y la confianza necesarios para el parto y para tomar decisiones con cierto fundamento. Esto incluye ayudar a reducir la ansiedad relacionada con la experiencia del parto, como también proporcionar técnicas para el control del dolor. Recuerde que el objetivo final es que tanto la madre como el bebé estén sanos.
¿Qué tipo de clases se ofrecen?
Muchas clases de preparación para el parto adoptan una filosofía particular sobre el embarazo y el parto. Los dos métodos más comunes de respiración, relajación y ejercicios de parto en los Estados Unidos son la técnica Lamaze y el método Bradley.
La técnica Lamaze es el método más utilizado en los Estados Unidos. La filosofía Lamaze sostiene que el parto es un proceso normal, natural y sano, y que se debe educar y ayudar a las mujeres para que lo puedan afrontar con plena confianza. La meta del método Lamaze es explorar todas las formas en las que una mujer puede encontrar fortaleza y confort durante el trabajo de parto y el parto en sí mismo. Las clases se concentran en el uso de las técnicas de relajación, pero también alientan a las madres a preparar la respuesta de su cuerpo al dolor a través del entrenamiento y la práctica (esto se denomina psicoprofilaxis). Esta preparación persigue el objetivo de enseñar a las futuras madres a tener reacciones constructivas ante el dolor y el estrés del parto (por ejemplo, secuencias respiratorias) en lugar de reacciones contraproducentes (como estar tensionada o aguantar la respiración). También se utilizan otras técnicas, como la distracción (se le dice a la mujer que se concentre en un objeto que trajo de su casa o una foto, por ejemplo) o un masaje, realizado por la persona que la acompaña, para disminuir la sensación de dolor que tiene la mujer.
Los cursos de Lamaze no recomiendan o rechazan el uso de drogas o las intervenciones médicas de rutina durante el parto, sino que les enseñan a las madres cuáles son sus opciones para que ellas puedan tomar una decisión con cierto fundamento cuando llegue el momento.
¿Cuándo debo comenzar a tomar clases de preparación para el parto?
Las clases de preparación para el parto, además de ofrecer varios programas y técnicas, tienen diferente duración. Encontrará clases que cubren el primer trimestre del embarazo y se concentran en todos los cambios que ocurren en esta etapa; cursos de 5 a 8 semanas que abarcan el final del embarazo, cuyo principal objetivo es enseñarles a los padres todo lo relacionado con el trabajo de parto, el nacimiento y el posparto, y cursos de repaso para los padres que ya han tenido hijos antes. La mayoría de los padres eligen un curso que consiste en unas seis o siete sesiones de una hora y media o dos horas, durante el último trimestre, o cursos de todo el día durante uno o dos fines de semana. Recuerde que existe una variedad de opciones, y asegúrese de elegir la que más satisfaga sus necesidades y preferencias.
Cómo elegir una clase de preparación para el parto
Su personalidad y sus creencias, así como las de su pareja, son las que determinarán cuál es la clase adecuada para usted. No hay un único método adecuado. Si usted es el tipo de persona a la que le gusta participar y conocer gente nueva, es posible que prefiera asistir a clases de grupos más pequeños, diseñados para parejas que desean compartir historias y ayudarse unos a otros. Si no le gusta la idea de participar en charlas en un grupo pequeño, elija uno más grande, donde el instructor sea quien esté a cargo de la charla.
ABC’s… Pregnancy Tips (A-Z)
- Avoid exposure to toxic substances and chemicals — such as cleaning solvents, lead and mercury, some insecticides, and paint. Pregnant women should avoid exposure to paint fumes.
- Be sure to see your doctor and get prenatal care as soon as you think you’re pregnant. It’s important to see your doctor regularly throughout pregnancy, so be sure to keep all your prenatal care appointments.and…Breastfeeding is the healthiest choice for both you and your baby. Talk to your doctor, your family and friends, and your employer about how you choose to feed your baby and how they can support you in your decision.
- Cigarette smoking during pregnancy increases the chances of premature birth, certain birth defects, and infant death. Women who smoke during pregnancy are more likely than other women to have a miscarriage and to have a baby born with a cleft lip or cleft palate–types of birth defects. Smoking is one of the causes of problems with the placenta and can cause a baby to be born too early and have low birth weight. Smoking is also one of the causes of Sudden Infant Death Syndrome (SIDS).
- Drink extra fluids (water is best) throughout pregnancy to help your body keep up with the increases in your blood volume. Drink at least 6 to 8 glasses of water, fruit juice, or milk each day. A good way to know you’re drinking enough fluid is when your urine looks like almost-clear water or is very light yellow.
- Eat healthy to get the nutrients you and your unborn baby need. Your meals should include the five basic food groups. Each day you should get the following: 6-11 servings of grain products, 3-5 servings of vegetables, 2-4 servings of fruits, 4-6 servings of milk and milk products, 3-4 servings of meat and protein foods. Foods low in fat and high in fiber are important to a healthy diet.
- Take 400 micrograms of folic acid daily both before pregnancy and during the first few months of pregnancy to reduce the risk of birth defects of the brain and spine. All women who could possibly become pregnant should take a vitamin with folic acid, every day. It is also important to eat a healthy diet with fortified foods (enriched grain products, including cereals, rice, breads, and pastas) and foods with natural sources of folate (orange juice, green leafy vegetables, beans, peanuts, broccoli, asparagus, peas, and lentils).
- Genetic testing should be done appropriately. It’s important to know your family history. If there have been problems with pregnancies or birth defects in your family, report these to your doctor. Also, genetic counselors can talk with you about the information you might need in making decisions about having a family. You can call a major medical center in your area for help in finding a board-certified genetic counselor.
- Hand-washing is important throughout the day, especially after handling raw meat or using the bathroom. This can help prevent the spread of many bacteria and viruses that cause infection.
- Take 30 milligrams of iron during your pregnancy as prescribed by your doctor to reduce the risk of anemia later in pregnancy. All women of childbearing age should eat a diet rich in iron.
- Join a support group for moms to be, or join a class on parenting or childbirth.
- Know your limits. Let your physician know if you experience any of the following: pain of any kind, strong cramps, uterine contractions at 20-minute intervals, vaginal bleeding, leaking of amniotic fluid, dizziness, fainting, shortness of breath, palpitations, tachycardia (rapid beating of the heart), constant nausea and vomiting, trouble walking, edema (swelling of joints), or if your baby has decreased activity.
- Legal drugs such as alcohol and caffeine are important issues for pregnant women. There is no known safe amount of alcohol a woman can drink while pregnant. Fetal alcohol syndrome , a disorder characterized by growth retardation, facial abnormalities, and central nervous system dysfunction, is caused by a woman’s use of alcohol during pregnancy. Caffeine, found in tea, coffee, soft drinks and chocolate, should also be limited. Be sure to read labels when trying to cut down on caffeine during pregnancy. More than 200 foods, beverages, and over-the-counter medications contain caffeine!
- Medical conditions/complications such as diabetes, epilepsy, and high blood pressure should be treated and kept under control. Ask your doctor about any medications that may need to be changed or adjusted during pregnancy. If you are currently taking any medications ask your doctor if it is safe to take them while you’re pregnant. Also, be sure to discuss any herbs or vitamins you are taking. They are medicines, too! Discuss with your doctor all medications, prescribed and over-the-counter, that you are taking.
- Now is the time to baby-proof your home. These are important tips for making your home a safer environment for your baby.
- Over-the-counter cough and cold remedies may contain alcohol or other ingredients that should be avoided during pregnancy. Ask your health care provider about prescription or over-the-counter drugs that you are taking or may consider taking while pregnant.
- Physical activity during pregnancy can benefit both you and your baby by lessening discomfort and fatigue, providing a sense of well-being, and increasing the likelihood of early recovery after delivery. Light to moderate exercise during pregnancy strengthens the abdominal and back muscles, which help to improve posture. Practicing yoga, walking, swimming, and cycling on a stationary bicycle are usually safe exercises for pregnant women. But always check with your doctor before beginning any kind of exercise, especially during pregnancy.
- Queasiness, stomach upset and morning sickness are common during pregnancy. Foods that you normally love may make you feel sick to your stomach. You may need to substitute other nutritious foods. Eating five or six small meals a day instead of three large ones may make you feel better.
- Rodents may carry lymphocytic choriomeningitis virus (LCMV). If a pregnant woman is infected with LCMV, it can pass to the unborn baby and cause severe abnormalities or loss of the pregnancy. Avoid all contact with rodents, including pet hamsters and guinea pigs, and with their urine, droppings and nesting materials throughout pregnancy. Mice in the home should be removed promptly by a professional pest control company or another member of the household. Pet rodents should be housed in a separate part of the house where other household members or friends can care for the pet and clean its cage. For more information, see http://www.cdc.gov/ncidod/dvrd/spb/mnpages/dispages/lcmv/qa.htm
- Saunas, hot tubs, and steam rooms should be avoided while you are pregnant. Excessive high heat may be harmful during your pregnancy.
- Toxoplasmosis is an infection caused by a parasite that can seriously harm an unborn baby. Avoid eating undercooked meat and handling cat litter, and be sure to wear gloves when gardening.
- Uterus size increases during the first trimester, which, along with more efficient functioning of your kidneys, may cause you to feel the need to urinate more often. You may also leak urine when sneezing, coughing or laughing. This is due to the growing uterus pressing against your bladder, which lies directly in front of and slightly under the uterus during the first few months of pregnancy. If you experience burning along with frequency of urination, be sure to tell your doctor.
- Vaccinations are an important concern for pregnant women. Get needed vaccines before pregnancy. CDC has clear guidelines for the use of vaccines during pregnancy. Review the list and be sure to discuss with your doctor.
- Being overweight or underweight during pregnancy may cause problems. Try to get within 15 pounds of your ideal weight before pregnancy. Remember, pregnancy is not a time to be dieting! Don’t stop eating or start skipping meals as your weight increases. Both you and your baby need the calories and nutrition you receive from a healthy diet. Be sure to consult with your doctor about your diet.
- Avoid X rays. If you must have dental work or diagnostic tests, tell your dentist or physician that you are pregnant so that extra care can be taken.
- Your baby loves you, and you should show your baby that you love her, too. Give your baby a healthy environment to live in while you are pregnant. Infants and children require constant care and guidance. Their health and safety should be carefully watched at all times. Refer to the link above for tips on safe and healthy child care.
- Get your ZZZZZZZZZ’s…Be sure to get plenty of rest… Resting on your side as often as possible, especially on your left side is advised, as it provides the best circulation to your baby and helps reduce swelling.
Cord Blood Banking
The following information lists the various blood banking companies as well as useful links.
Cord blood banking is an once-in-a-lifetime opportunity for parents to collect and preserve the stem cells from their baby’s umbilical cord blood for potential medical uses.
By saving your baby’s stem cells, your child and family can have access to better medical treatment options or cures for cancers, as well as potential treatments for conditions such as brain injury and juvenile diabetes. If you choose not to bank your baby’s cord blood, it is discarded after birth.
Today, cord blood stem cells have been used successfully in the treatment of over 70 life-threatening diseases.
When you bank your baby’s cord blood, you are making a choice that could potentially provide a lifesaving treatment for your child or a family member.
Your baby’s cord blood is a valuable source of non-controversial stem cells; the building blocks of our blood and immune systems. Cord blood stem cells, like bone marrow stem cells, are free of political and ethical debate. The value and benefits of stem cells found in umbilical cord blood are clear; cord blood collection saves lives today and medical researchers are exploring new uses for umbilical cord blood stem cells for tomorrow, including diabetes, heart disease, and stroke.
Storing your newborn’s cord blood means that should there be a need, your baby will have a source of stem cells that is an exact match, with no risk of rejection. There is also a strong possibility that his/her siblings will be a match as well. This is important because clinical studies demonstrate that stem cell transplants are twice as successful when the stem cells come from a family member rather than from a non-relative (e.g., a public bank).
Cord blood preservation is a simple, painless procedure that can take place after a vaginal or cesarean birth. After you enroll you will receive a kit with everything you and your doctors need for a successful cord blood collection. You’ll keep your kit with your prepacked hospital luggage so it will be ready when the big day arrives.
After your baby is born, your obstetrician or midwife will clamp or cut the cord and then collect the cord blood. The blood will flow into the bag by gravity until it stops. The actual collection typically takes three to five minutes.
After the cord blood has been collected, the blood bag is then clamped, sealed, and clearly labeled for easy identification. Your baby’s cord blood will then be transferred to a processing facility by private medical courier for processing and storage. Collection, processing, and preservation methods vary depending on which cord blood company your family chooses.
Families who bank enjoy the peace of mind of knowing that their baby’s cord blood is available should the need for a medical transplant ever arise.
The process is simple, and once you decide which company to use, all you need to do is bring the kit to the hospital with you. The doctor will collect it for you free of charge and the hospital personnel will make the necessary arrangements for the pick up and mailing of the cord blood.