Choosing a Maternity Care Provider

Choosing a Maternity Care Provider


(gentle instrumental music) – Congratulations on your pregnancy. When it comes time to choose where you’ll get your prenatal care
you have wonderful options. The provider types we will discuss today include obstetrician,
certified nurse-midwife, family medicine physician,
and maternal fetal medicine or perinatology specialist. At the end we’ll review helpful questions to ask when choosing a healthcare provider for your pregnancy and birth. Let’s meet the team. – I’m Gina Frugoni and
I’m an obstetrician. An obstetrician is a medical doctor who has completed a
four-year residency training after medical school in
obstetrics and gynecology. An obstetrician or OB-GYN cares
for women during pregnancy, birth, post-partum and often continues gynecologic care after delivery. Obstetricians care for women
with low- and high-risk pregnancies and they’re trained to be able to perform a vacuum or
forceps assisted delivery, as well as a cesarean
delivery if necessary. Here at UC San Diego
Health, medical students, nursing students and residents may be part of your treatment team. Residents are medical doctors who are pursuing further training
in their chosen field. They are supervised by
attending physicians, but also have considerable experience in obstetrics and may be working collaboratively with your provider. – I am Janna Ekholm and I’m
a certified nurse-midwife. A certified nurse-midwife has
completed a Master’s degree and is certified and licensed
in both nursing and midwifery. We have expertise in
providing pre-natal care to women with normal, healthy pregnancies, as well as care during labor and birth. If concerns arise, we work
together with our physicians to ensure the health of mother and baby. At UC San Diego midwives care for women in both a traditional
labor and delivery unit, as well as a unique spa-like birth center. – Hello, my name is Rebecca Rosen and I’m a family medicine doctor. A family medicine physician
is a medical doctor who is trained to care for
all members of the family, including babies, children,
parents and grandparents. Some family medicine physicians
provide obstetrical care and perform vaginal deliveries, and some even perform caesarian sections. Family medicine provides
a comprehensive approach for the whole family and
allows for continuity of care. Most often the same doctor
will be able to follow you through your prenatal care, your delivery, your post-partum care,
and your newborn’s care. Family medicine physicians typically work with low-risk pregnancies, but we are also able to address
common medical problems that affect many pregnant
women such as asthma, diabetes, allergies and
headaches, to name a few. We thrive on helping you and
your growing family thrive. – I’m Sandy Ramos and I’m
perinatologist here at UC SD. A perinatologist is also
known as a maternal-fetal medicine physician or a
high-risk obstetrician and it’s a specialist obstetrician who cares for women with
very high-risk pregnancies. Typically you are referred
to a perinatologist by your pregnancy provider if
your pregnancy is high-risk enough to warrant this
type of specialized care. A perinatologist can also be assessed at any point during pregnancy
if medical complications arise and some of us also have our specialty clinics where we see
high-risk pregnancies. Perinatologists have
special training in fetal ultrasonography and here
at UC San Diego Health, all our patients are offered
an anatomy ultrasound where a perinatologist is evaluating the fetus between 18 to 22
weeks of gestational age. – Now that you know your options here are some helpful questions to ask when considering which provider to choose. Who is likely to be delivering my baby? Many providers form a call
pool with other providers in their group who may
actually be the ones to deliver you if you go into labor when your provider is not on call. Where do you deliver your patients? It’s important to find
out about the hospital or birthing center where you
will be delivering your baby. Some questions to considers include how close the hospital is to your home, if they offer on-site lactation support, if there are private post-partum rooms, and if they offer vaginal
birth after cesarean section. For midwives and family
practice physicians it’s also helpful to ask if
my labor becomes complicated who will you consult if I
need a cesarean section? Most importantly, make sure you feel comfortable with your provider. You deserve to be cared for by someone you trust during your pregnancy. (gentle instrumental music)

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