Obstetrics

Dr. Rudman currently takes a maximum of 5 pregnant patients a month. This allows her to spend much more time with each pregnant patient. Her goal is to educate you about your body during the pregnancy and have you be a very active participant in your care. She will try to help you make your pregnancy and delivery all that you have hoped for, while making sure that you and your baby are as healthy as possible. She is supportive and encouraging of all women who want natural childbirth as well as those who choose to have epidurals and even elective cesarean sections. Once you have a positive pregnancy test, please call and schedule your new OB appointment for 6 weeks from the first day of your last period. If you have any bleeding or pain before then, she will see you right away. Your pregnancy visits will typically follow this schedule:

6 weeks – You will have a complete physical exam and ultrasound. Labs will be ordered.
We encourage your partner to come to this 1 hour appointment.
We will discuss the latest options for genetic testing.
If you are interested in genetic testing, we will help you schedule this appointment at
the Perinatal Center for 12 weeks.
You will need to register at the hospital before going to the Perinatal Center.

12 weeks – We will try to hear your baby’s heartbeat out loud for the first time.
When you reach this gestation, the chance of miscarriage is 1% or less.
First time mothers will receive a pregnancy book published by the American College of
OB/GYN’s.

16 weeks – Usually your nausea has resolved, but often ligament pain begins.
We will describe this pain to you so that you do not become too concerned about this
normal discomfort of pregnancy.
Often some repeat blood work is done.

20 weeks – Most women will begin to feel fetal movement at this time. You will have an
ultrasound at the Perinatal Center this week which will evaluate fetal anatomy. This
is the time that you must stop lying on your back.

24 weeks – At this visit you will discuss the importance of keeping track of your babies movement.
You will also learn about Braxton Hicks contractions and the importance of being
aware of contractions that could indicate preterm labor or delivery.

27 weeks – After this visit you will need to go get your glucola blood test, to make sure you do not
have gestational diabetes. Your iron will also need to be rechecked to make sure you
are not anemic.

30 weeks – First time mothers will be encouraged to begin a childbirth preparation class this week

32 weeks

34 weeks

36 weeks – At this visit, first time mothers will meet for a lengthy appointment to talk about
labor and delivery questions. We will discuss any wishes or hopes that you have
for your delivery. Your spouse/partner/labor support should be at this appointment.

37 weeks – An ultrasound will be done to make sure the head is down and that the amniotic fluid is
adequate.

38 weeks – Cervical exams will begin for some women (first time mothers can wait one more week).

39 weeks

40 weeks – On your due date, we will schedule fetal monitoring that begins 3-4 days after your
due date. This is done at the Perinatal Center. In addition, we will discuss how long past
your due date that it will be safe to remain pregnant. This date varies from 41-42
weeks.

Since Dr. Rudman takes only a few patients a month, this allows her to plan on delivering all of her patients. Although no doctor can ever guarantee that they will be there for your delivery, it is typical for her to deliver all of her patients unless she is out of town. If she is out of town, Dr. Soffici will be available for your delivery or any other medical care needed. You will meet him at least once during the pregnancy, for your 20 week ultrasound, and often twice if you choose to do genetic testing at 12 weeks.