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At Baywest Wellness Clinic located in Montego Bay Jamaica, our physicians specialize in Internal Medicine, Family Practice, Obstetrician Gynaecologist, Pediatrics and General Surgery. We invite you to experience the difference of care we provide each patient.  Please visit our      Health Services section to see all the different medical services we provide.  If you would like to book an appointment to see one of our friendly doctors please click on the  REQUEST APPOINTMENT link.

 

Pregnant? Congratulations! 

 
Trimester means "3 months.”

A normal pregnancy is around 9 months and has 3 trimesters.

The first trimester starts when your baby is conceived. It runs through week 14 of your pregnancy. Your health care provider may talk about your pregnancy in weeks, rather than in months or trimesters.

Your First Prenatal Visit:

You should schedule your first prenatal visit soon after you learn that you are pregnant. Your doctor or will:

  • Draw your blood.
  • Perform a full pelvic exam.
  • Do a Pap smear and cultures to look for infections or problems.

Your doctor will listen for your baby’s heartbeat, but may not be able to hear it. Most often, the heartbeat cannot be heard until at least 6 - 7 weeks.

During this first visit, your doctor will ask you questions about:

  • Your overall health
  • Any health problems you have
  • Past pregnancies
  • Medicines, herbs, or vitamins you take
  • Whether or not you exercise
  • Whether you smoke or drink alcohol
  • Whether you or your partner have genetic disorders or health problems that run in your family
You will have many visits to talk about birthing plan, but you can discuss it with your doctor at your first visit.

The first visit will also be a good time to talk about eating healthy, exercise, and lifestyle changes you will need to make while you are pregnant. You will also be given prenatal vitamins with iron and FOLIC ACID if you are not already taking them.

Follow-up Prenatal Visits:

In your first trimester, you will have a prenatal visit every month. The visits may be quick, but they are still important. It is okay to bring your partner or labor coach with you.

During your visits, your doctor most likely will:

  • Weigh you
  • Measure your abdomen to see if your baby is growing as expected
  • Check your blood pressure
  • Take a urine sample to test for sugar or protein in your urine. If you have either, it could mean you have gestational diabetes or high blood pressure caused by pregnancy.

At the end of each visit, your doctor will tell you what changes to expect before your next visit. Tell your doctor if you have any problems or concerns. Speak up even if you do not feel they are important or do not relate to your pregnancy.

Lab Tests:

At your first visit, your doctor will draw blood for a group of tests known as the prenatal panel. These tests are done to find problems or infections early in the pregnancy.
This panel of tests includes, but is not limited to:

  • A complete blood count (CBC)
  • Blood typing (including Rh screen)
  • Rubella viral antigen screen (this shows how immune you are to the disease Rubella)
  • Hepatitis panel (this shows if you are positive for hepatitis A, B, or C)
  • Syphilis test
  • HIV test (this test shows if you are positive for the virus that causes AIDS)
  • Cystic fibrosis screen (this test shows if you are a carrier for cystic fibrosis)
  • A urine analysis and culture

Ultrasounds

An ultrasound is a simple, painless procedure. A wand that uses sound waves will be placed on your belly. The sound waves will let your doctor see the baby.
You may have an ultrasound done in the first trimester if there are problems, or if there are questions about your due date.


When to Call your Doctor

  • If there are any signs or symptoms that are not normal
  • Before you start any new medications, vitamins, or herbs
  • If you have bleeding or cramping
  • If you have increased vaginal discharge or a discharge with odor
  • If you have a fever, chills, or pain when passing urine
  • If you have any questions or concerns


Prenatal care in your second trimester

What Is the Second Trimester?

Trimester means 3 months. A normal pregnancy is around 9 months, and has 3 trimesters.
Your health care provider may talk about your pregnancy in weeks, rather than months or trimesters. The second trimester is from week 14 through week 28.

Routine Prenatal Visits

In your second trimester, you will have a prenatal visit every month. The visits may be quick, but they are still important. It is okay to bring your partner or labor coach with you.

During your visits, your doctor may:
  • Weigh you
  • Measure your abdomen to see if your baby is growing as expected
  • Check your blood pressure
  • Sometimes your urine is checked for sugar or protein.

If you have either, it could mean you have gestational diabetes (high blood sugar caused by pregnancy).
At the end of each visit, your doctor will tell you what changes to expect before your next visit. Tell your doctor if you have any problems or concerns. Speak up even if you do not feel they are important or do not relate to your pregnancy.

Lab Tests

Hemoglobin testing measures the amount of red blood cells in your blood. Too few red blood cells can mean that you have anemia, which is common in pregnancy and easy to fix.
Glucose tolerance testing checks for signs of diabetes that may begin during pregnancy. In this test, your doctor will give you a sweet liquid. An hour later, your blood will be drawn to check your blood sugar levels. If your results are not normal, you will have a longer glucose tolerance test. Other second trimester tests include an antibody screen if the mother is Rh negative.

Ultrasounds

You will likely have an ultrasound around 20 weeks into your pregnancy. An ultrasound is a simple, painless procedure. A wand that uses sound waves will be placed on your belly. The sound waves will let your doctor see the baby.

The ultrasound will help pinpoint the baby’s age, help your doctor spot problems, and show if there is more than one baby.

TESTING

Amniocentesis is a test sometimes done during pregnancy. It looks for birth defects and genetic problems in your baby.

This test is offered mainly to women who are 35 or older or who have a family history of genetic defects. Your doctor or caregiver will insert a needle through your belly and into the amniotic sac (bag of fluid surrounding the baby). A small amount of fluid will be drawn out and sent to a lab.
Women who have health problems may be offered other tests.

Make sure to speak up and ask any questions you have. Be sure to ask about risks of the tests, and what the results could mean for you and your baby.

When to Call the Doctor in Your Second Trimester

  • If there are any signs or symptoms that are not normal
  • Before you start taking any new medications, vitamins, or herbs
  • Any time you have bleeding
  • If you have increased vaginal discharge or a discharge with odor
  • If you have a fever, chills, or pain when passing urine
  • If you have cramping or low abdominal pain
  • If you have any questions or concerns
Prenatal care in your third trimester

What Is the Third Trimester?

Trimester means 3 months. A normal pregnancy is around 9 months and has 3 trimesters.

Your health care provider may talk about your pregnancy in weeks, rather than months or trimesters. The third trimester is from week 28 through week 40.

Routine Prenatal Visits

In your third trimester, you will have a prenatal visit every 2 weeks until you are 36 weeks. After that, you will see your doctor every week.

The visits may be quick, but they are still important. It is okay to bring your partner or labor coach with you.

During your visits, your doctor will:
  • Weigh you
  • Measure your abdomen to see if your baby is growing as expected
  • Check your blood pressure
  • Take a urine sample to test for protein in your urine if you have high blood pressure.
  • Your doctor may also give you a pelvic exam to see if your cervix is weak or dilating, most often when you are having contractions or use you are near your due date.
At the end of each visit, your doctor will tell you what changes to expect before your next visit. Tell your doctor if you have any problems or concerns. Speak up, even if you do not feel they are important or do not relate to your pregnancy.

Lab Tests and Ultrasounds

There are no other routine lab tests or ultrasounds that will be ordered for every pregnant woman in the third trimester. Certain lab tests and [tests to monitor the baby-60-485] may be done for women who:

  • Have a high-risk pregnancy, such as when the baby is not growing
  • Have a health problem, such as diabetes or high blood pressure
  • Have had complications (problems) in a prior pregnancy
  • Are overdue (pregnant for more than 40 weeks)


Checking Your Baby’s Movement

In between your appointments, you will need to keep an eye on your baby’s movement. As you get closer to your due date, and your baby grows bigger, you should notice a different pattern of movement than earlier in your pregnancy.

You will notice periods of activity and periods of more quiet. The activity periods will be more rolling and squirming movements and less very hard and strong kicks. You should still feel the baby move frequently during the day.

Watch for patterns in your baby’s movement. Take some notes or keep a pregancy journal to help you recall events later for the doctor. If you notice that, all of a sudden, the baby is moving less, eat a snack, then lie down for a few minutes. If you still don’t feel much movement, call your doctor.

As a rule of thumb, call any time you have any concerns or questions. Even if you think you are worrying over nothing, it is better to be on the safe side and call your doctor if you think something is wrong.

Call Your Doctor

  • If there are any signs or symptoms that are not normal
  • Before you start taking any new medications, vitamins, or herbs
  • Any time you have bleeding
  • If you notice more vaginal discharge than normal, or a discharge with odor
  • If you have a fever, chills, or pain when passing urine
  • If you have headaches
  • If you have changes or blind spots in your eyesight
  • If your bag of water breaks
  • If you start having regular, painful contractions

Patient Health Information Center

We have partnered with EMed Jamaica to provide our patients up to date information about their health.  We have added many tools to this website to allow our patients the ability to get the correct health information pertaining to their diagnosis.  Please explore this powerful, health information application and discover another reason Baywest Medical is rated the BEST by our patients.   Health Information Center
 
 

 

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