WHO WILL DELIVER MY BABY?
We have scheduled 24hr periods on call at Abbotsford Regional Hospital. Whichever Dr is on call will look after you in hospital on that day
If you need to be seen urgently during our office hours, please call the office and we will speak with you directly, or arrange to see you in the office or at Abbotsford Regional Hospital
AFTER HOURS EMERGENCIES
If you have an urgent question, or need to be seen outside of our office hours, we ask that you call the Triage Nurse on the Maternity Ward at Abbotsford Regional Hospital. The phone number is 604-851-4814 You will be told to come into the hospital, or else you will be directed as to who is on call.
After each visit, your next appointment will be booked at our front desk. If you need to cancel or change the appointment, we ask that you please give us advance notice.
HOW OFTEN DO I NEED TO BE SEEN?
You will be scheduled for an appointment every 4 weeks until 32 weeks. You will then be seen every 2 weeks until 36 weeks, then weekly until delivery. When you leave hospital, we ask that you call us as soon as you return home to schedule an appointment for you and your baby within 1 week.
WHAT ABOUT PRESCRIPTION DRUGS AND OVER-THE-COUNTER MEDICATION?
Make sure you check with us regarding any medication you are on, or what is safe to take. There are some medications which you definately need to avoid.
CAN I EXERCISE WHEN I'M PREGNANT?
Exercise is encouraged during pregnancy except in certain circumstances such as if you have bleeding or are at risk of premature delivery.
HOW MANY ULTRASOUNDS WILL I GET?
A dating scan to confirm your dates will be arranged at your first appointment and is booked anytime before 14 weeks. You will also have a detailed scan around 18-20 weeks gestation.
CAN I FIND OUT THE SEX OF MY BABY?
Valley Medical Imaging will ask you at your detailed scan if you would like to know the gender of your baby. This information will not be revealed to you during your scan but will be included on the result sent to our office.
HOW MANY BLOOD TESTS WILL I HAVE?
You will have initial blood work done, then again at 24-26 weeks.
HOW DO I KNOW IF I HAVE GESTATIONAL DIABETES?
You will have an hour long blood test between 24-26 weeks. If your blood sugar is high, you will do a 2 hour confirmation test. If this is positive for diabetes, you will be referred to the a Diabetic Clinic either at Abbotsford Regional Hospital or Surrey Memorial Hospital. We will monitor your blood sugars to make sure you and your baby stay healthy.
WHAT IS GROUP B STREP?
Group B Strep is a bacteria present in the vaginal and rectal area of approximately 25-30% of women. It is of little concern to the mom; however, it can pose a risk to your baby during birth. For this reason you will have a vaginal rectal swab done at your 36 week visit, and if it is positive, you will receive antibiotics intravenously during labour.
WHAT DO I DO IF MY WATER BREAKS?
If you think your water has broken, you should contact our office, or come to the hospital if it is after hours. We would examine you to confirm this and then decide whether or not to keep you in the hospital.
WHAT DO I DO IF I START HAVING CONTRACTIONS?
If this is your first pregnancy, we encourage you to stay at home until your contractions are every 3 minutes or you require something for the pain. If you have had a baby before, once you know you are in labour, you should come to Abbotsford Regional Hospital, as you may progress very quickly.
WHAT IF I HAVE BLEEDING?
If you have vaginal bleeding during office hours, call and we will be happy to arrange to see you. If it is after hours, please go to Abbotsford Regional Hospital. If you are more than 20 weeks gestation go directly to Maternity (Cheam 4) and we will see you there. Vaginal bleeding may indicate a threatened miscarriage or else a problem with the placenta. If your blood type is Rh negative you may require an injection after you bleed.
DO I NEED A BIRTH PLAN?
You may make a birth plan if you wish, however, as you know, labour is very unpredictable. During your labour we will make every effort to communicate all options to you, so that you are part of the decision-making process. Most women do not have a written out birth plan.
WHAT HAPPENS IF I DON'T DELIVER BY MY DUE DATE?
If you do not go into labour on your own, we will plan to induce labour at 7-10 days past your due date. This is done at Abbotsford Regional Hospital. Sometimes we induce labour earier for reasons such as high blood pressure, gestational diabetes, or if your baby is no longer growing as expected.
WILL I GET SOMETHING FOR MY PAIN DURING LABOUR?
We will try to help make your labour as manageable for you as possible. One way to do this is to offer pain control medications. The common medications used include Morphine injections, intravenous Fentanyl, Nitrous Oxide gas, and epidurals. The timing of obtaining an epidural is somewhat dependant on the availability of the Anaesthesiologist, except for when Dr Kornelsen is on call, as he is also qualified to administer epidurals.
WHAT ABOUT EPISIOTOMIES?
An episiotomy is an incision made in the skin and muscle near the vaginal opening to make room for the baby right at delivery. We do not do routine episiotomies, as research tells us that it is usually less traumatic for the skin to stretch and to let tears occur naturally. There are times however, when we do recommend an episiotomy, and in these instances, we would first discuss it with you.
HOW WILL YOU KNOW IF I NEED A CESAREAN SECTION?
About one out of five babies is delivered by Cesarean section. The common reasons include breech presentation, failure to progress in labour, and if the baby is not tolerating the contractions. Most times we do not reach this decision until you have been in labour for some time. If you do need a C-section, it will be done by the Obstetrician on call, with our assistance.
WHAT ABOUT FORCEPS OR VACUUM DELIVERIES?
Most babies are delivered with very little help needed. Occasionally, we may need to use a vacuum cup or forceps to deliver a baby, often for some of the same reasons as mentioned for C-sections. This procedure would only be done if your baby is very close to being delivered and after discussion with you.
HOW LONG DO I STAY IN HOSPITAL?
After a normal delivery, most moms stay in hospital for 1 night. After a C-section, the usual stay is 2 nights.
DO YOU RECOMMEND CIRCUMCISION?
We do not recommend circumcision, as it is thought not to be medically necessary.