As soon a patient thinks they are pregnant, they should schedule their first prenatal appointment. Ample time should be allowed for that first visit. If possible, the patient’s partner should be included in this visit.
Medical history - Gynecological history and menstrual cycle, past pregnancies, medications already in use, personal and family medical history, and lifestyle choices (use of alcohol, tobacco, and caffeine) are investigated.
Physical exam - Body mass index (BMI) is determined in order to advise the recommended weight gain a mother needs for a healthy pregnancy. Heart rate, blood pressure, and breathing rate are a part of a comprehensive physical exam. The physician examines the vagina and opening to the uterus (cervix) so that changes in their size confirm future stages of pregnancy. Blood work is done to determine:
Shorter follow-up visits take place about every four weeks of the first trimester. During these visits, we check a patient’s blood pressure and weight and ask if they have any concerns. At about the end of the first trimester - between nine and 12 weeks - a patient is often able to hear their child’s heartbeat during the examination.
Patients are encouraged to ask any questions about their pregnancy - including things that seem embarrassing or uncomfortable. Help is available whenever patients need it.
Johannes Ramirez, MD accepts most major medical insurance plans. Here is a short-list of just some of the most popular plans we accept. Please contact our office if you do not see your insurance provider listed.
"My wife sees Dr. Ramirez and all I can say is WOW! A doctor who actually listens & takes time with his patients figuring out their needs. Breath of fresh air!"