Pregnancy, birth and post-partum life can be scary, simply because it is unknown territory for many people. If you are planning on starting a family, or if the process is already underway, you have probably done your research on obstetricians in your area. Pregnancy, birth and post-partum life can be scary, simply because it is unknown territory for many people. If you are planning on starting a family, or if the process is already underway, you have probably done your research on obstetricians in your area.

Dr. Penkar offers complete obstetric care from preconception counseling through the post partum period. Dr. Penkar also manages high-risk conditions such as gestational diabetes, chronic hypertension, gestational hypertension and pre-eclampsia. Each pregnancy is different and Dr. Penkar offers personalized prenatal care to fit your pregnancy.

Dr. Penkar will be with you through every step of your pregnancy. Let’s break down what you can expect from Dr. Penkar throughout each trimester.

First Trimester (Less Than 14 Weeks)

During this time period, your baby can be tested for a number of chromosomal abnormalities.

These tests include:

• CVS (Chorionic Villus Sampling) This test can be done around 10-12 weeks. A small sampling of cells will be taken form the placenta.
• Nuchal Translucency/Ultra Screen This minimally invasive test is generally performed around 9-13 weeks from the last menstrual period. This test is done to detect Downs Syndrome and Trisomy 18.
• Cystic Fibrosis This is a test to detect cystic fibrosis, a recessive genetic disease affecting the lungs, pancreas and intestine.
• Cousyl This is a preconception carrier screen that can detect more than 100 single gene disorders in parents. This gives you an idea of anything that could be passed onto your child.
• Amniocentesis This is a medical procedure in which a small amniotic fluid sample is taken. This sample contains fetal tissues and can be used in prenatal diagnosis of chromosomal abnormalities and fetal infections.

During your first trimester, many medications will be off-limits. However, there are still some medications you can use should you need them. You should talk to your doctor before using any medications, no matter how mild you perceive them to be.

Second Trimester (14 Weeks, 0 Days Through 27 Weeks, 6 Days)

During this time, you can undergo more testing to gauge the health of yourself and your baby.

These include:

• Blood Testing Blood tests will be performed to diagnose gestational diabetes and anemia.
• Level 2 Ultrasound This ultrasound will be performed at 19-21 weeks. This is a detailed examination of the fetal anatomy, and an opportunity to find out the sex of the baby.

Third Trimester (28 Weeks Through Delivery)

During your third trimester, you will undergo a couple more tests and prepare for your birth.

These tests include:

• Group B Strep Culture GBS is a kind of bacteria that lives in the intestine and vagina and can be passed onto your baby.
• Repeat HIV Test HIV is a lentivirus that can cause AIDS. HIV can be passed onto your baby during delivery.

Postpartum Care

Dr. Penkar also specializes in postpartum care. Taking home a new baby can be equal parts exciting and nerve-wracking. Luckily, you have a team of professionals to help you along the way.

• Get as much rest as you can. At first, you may find that it is impossible to find time to do anything other than eat, sleep and care for your baby. That is ok!
• You will experience spotting and bleeding for up to six weeks.
• Common postpartum symptoms include: swelling, constipation, tender or uncomfortable breasts (even if not breastfeeding) and menstrual-like cramping.
• Abstain from sexual intercourse for four to six weeks after birth.

Postpartum depression is also a common experience after giving birth. If feel unable to care for yourself and your baby, this may be postpartum depression.

Approximately 10% of women experience this after giving birth.

Symptoms include:

• Disinterest in your baby or yourself
• Insomnia
• Loss of appetite or overeating
• Thoughts of harming yourself or your baby
• Feeling guilty or hopeless
• Panic attacks

If you experience these symptoms, you should contact help immediately. Your doctors have the experience and understanding to support you through this period. They can also refer you to receive additional help.

Dr. Penkar is a skilled OB/GYN located in Houston and Sugarland Texas. Contact our office today to schedule your appointment!