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Maternity Care

Optional Testing

You will have the decision to test for the potential of genetic diseases. If you are interested in any optional tests, please check with your insurance plan to see if these tests are covered. Questions you may have regarding these optional tests can be discussed at your first appointment. There are risks associated with some of the testing. Please discuss with your provider.

Carrier Testing for Cystic Fibrosis, Tay-Sachs, Sickle Cell, Spinal Muscular Atrophy and Fragile X
Blood test performed in the office which determines if the mother is a carrier for any of these serious disorders. If the mother is positive, the baby’s father is tested. Carriers don’t show signs of disease. Only when the parents are carriers is there a chance of having an affected baby. Further testing is then required if the test is positive to find out if your baby has the disease.

Cell Free DNA Testing
This is a non-invasive blood test performed in the office during the pregnancy after 10 weeks or more to screen for Down Syndrome, trisomy 18 and trisomy 13 sex linked chromosomal abnormalities.

First Trimester screening/nuchal translucency
This ultrasound and blood test is performed between 11-13 weeks. The test determines high or low risk for Down Syndrome, Trisomy 13 and 18.

CVS (Chorionic Villus Sampling)
This screening is performed between 10-12 weeks. The test can determine abnormal genes associated with Down Syndrome as well as other trisomies. A needle is inserted through the mother’s abdomen or cervix and placental tissue, which is used for genetic testing.

AFP-4 (Quad screen)
This blood screening test is performed between 15-20 weeks. The test determines high or low risk for Down Syndrome, Trisomy 18 and birth defects of the spinal cord and skull.

Amniocentesis
optional-testingThis screening is performed after 16 weeks. The test can determine abnormal genes associated with Down Syndrome. A needle is inserted through the mother’s abdomen into the baby’s sac of fluid, which is removed for genetic testing.

Gender reveal
Want to know the sex of your baby? We offer a 5-minute gender reveal scan for $45. May be scheduled as early as 15 weeks gestation.

Ultrasounds
We recommend an ultrasound around 20-22 weeks in the pregnancy to evaluate fetal anatomy. Additional ultrasounds will be performed based on the medical need. Insurance will only cover this service if there is a medical need.

3D/4D Ultrasound
Want to see if your baby has your chin? We offer a 30-minute session with a CD
recording and B&W 4x4 thermal images to keep. $150 for session ($250 if twins)
between 26-32 weeks gestation.

Vaccinations
The Centers for Disease Control (CDC) recommends that women pregnant during the flu season receive the flu shot. Also, pregnant women who haven’t had a dose of Tdap (vaccine to protect mom and baby against tetanus, diphtheria and pertussis), will receive one before leaving the hospital after delivery or after 20 weeks gestation. Please visit acog.org or cdc.gov.

Prenatal vitamins
We recommend a prenatal vitamin that contains folic acid prior to conception, throughout pregnancy and postpartum while breastfeeding. Please check with your provider before taking any vitamins, herbs or other supplements as some may be unsafe during pregnancy.

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