Midlands Family Medicine, North Platte Nebraskafamily practice, pediatric, obstetric and geriatric care.

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Midlands Family Medicine provides complete Obstetrical Care.
Midlands Family Medicine provides complete Pediatric Care.
Our clinic in Wallace, Nebraska.
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COMPLETE OBSTETRICAL CARE

Our goal at Midlands Family Medicine is to provide you with the best care possible for you and for your baby during your pregnancy and delivery.

When you chose Midlands Family Medicine for your obstetrical care you have a high rate of assurance that the doctor who knows and understands you, and who has worked closely with you throughout your pregnancy, will be there with you at the time of your delivery.

You will be able to see the doctor with whom you are most comfortable. We will not bounce you from doctor to doctor throughout your pregnancy and your delivery. This should give you and your doctor a high comfort level with each other and should help to provide continuity of your care, trust, confidence, and peace of mind.

 Midlands Family Medicine provides complete obstetrical care sevices.

While the obstetrical care provided is individualized to meet each patients needs and concerns, there are some basic similarities among all cases.

When you first believe that you may be pregnant, you should stop taking medications (ask your doctor if you have any questions) and start taking a folic acid supplement. If you are on prescription medications, you should contact your doctor or your doctor's nurse immediately to see if those medications could harm the baby. Please do not drink alcoholic beverages or smoke during your pregnancy. These substances can have a great impact on the health of your child.

We will need to perform a pregnancy test in our office to confirm the pregnancy. You do not need an appointment for this, just let the front desk know what you are here for. A nurse will administer the test and give you the results as soon as possible. If you are pregnant, she will provide you with a prescription for pre-natal vitamins and some literature. We will schedule you for some routine lab work, and then schedule you for an obstetrical physical.

Generally during your pregnancy, we will need to see you every four weeks to check on your progress and that of the baby's. If at any time during your pregnancy you feel that something may be happening that is a threat to the health of your baby or yourself, please contact us immediately!

After about the 28th week you will start being seen more frequently, every 2 – 3 weeks, until the 38th week, after which you will be seen weekly until delivery.

During your second trimester, you will have an opportunity to have an ultrasound done at Great Plains Regional Medical Center. Additional lab work will be done during the course of your pregnancy to ensure that you and the baby are maintaining good health.

In addition to the personalized care we provide to you during your pregnancy, we can perform the following women's care exams for you as needed: pap smears, colposcopy, cryotherapy, and dilation and curettage.

Additionally, we perform invitro fertilization. For those patients wishing to never become pregnant we can perform bilateral tubal ligation.

OBSTETRICAL CARE SCHEDULE

WEEKS
PREGNANT		 WHAT TO EXPECT AT THIS VISIT
When you first think you may be pregnant. You do not need an appointment. Come to the office and let one of the office staff know that you need a pregnancy test. If it is positive, we will schedule you for some lab work and a complete physical. You will be given a prescription for pre-natal vitamins.
10 - 12 Weeks OB physical, including results of lab work, a pap smear, nutritional and educational information.
16 Weeks OB check-up, additional lab work to check your baby's spinal cord and brain development.
16 - 18 Weeks Ultrasound performed to check baby's well-being and growth and to verify estimated delivery date.
20 Weeks OB check-up.
24 Weeks OB check-up and lab work to monitor your well-being as you progress in your pregnancy. A glucose challenge test is performed to screen for gestational diabetes.
28 Weeks OB check-up, (Rhogam injection if you have a RH- blood type).
32 Weeks OB check-up.
36 Weeks OB check-up.
38 Weeks OB check-up, vaginal culture to check for Group B homostrep virus.
39 Weeks OB check-up, weekly until delivery.
6 Weeks after delivery. Post-partum check-up, pap smear, discuss birth control options.

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