First of all, congratulations! Pregnancy is celebrated at Carlos & Parnell, and we are honored you have chosen our practice to help you with this miraculous experience. Please remember, our doctors and their medical assistants are always available for any questions or concerns you may have. We are with you every step of the way!
Our in-office protocols for prenatal care include providing you with information packets, so you will be prepared for each step along the way. At your first visit, you will have an ultrasound to confirm the viability of your pregnancy, and to give you an accurate due date. You will then receive an individualized care plan, indicating the timing of each of your upcoming prenatal visits, and detailing what will be done. Completing your first visit, you will have ample opportunity to ask your doctor any questions or voice any concerns you might have.
We want you to leave feeling informed and excited about the fascinating journey to come. Starting with your first visit and continuing for each trimester of your pregnancy, you will have an ultrasound to monitor the development and growth of the baby. An optional nuchal translucency ultrasound at 12 weeks provides a non-invasive diagnostic test to rule out Down’s Syndrome.
We encourage your husband or partner to accompany you whenever possible, as well as other family members to come for special ultrasound visits.
We realize not every pregnancy is uneventful. Amniocentesis, non-stress tests, and biophysical profiles are additional in-office diagnostic tests which we use to monitor the baby and demonstrate fetal well being. Sometimes your history may suggest possible risk factors or at some step along the way you may develop a condition that will make your pregnancy more complicated. We then will help to optimize your care by consulting and co-managing your pregnancy with maternal-fetal medicine specialists.
First Trimester
The first few months of pregnancy — the first trimester — are marked by rapid changes for both you and your baby.
For you, first trimester physical changes may include breast tenderness, fatigue and nausea. Your emotions may range from excitement to anxiety. For your baby, the first trimester is a time of rapid growth and development. Your baby’s brain, spinal cord and other organs begin to form, and your baby’s heart begins to beat. Your baby’s fingers and toes even begin to take shape.
Your first appointment will be to confirm that you are pregnant. We will take an extensive medical history, we will do a number of blood tests, all to confirm that you and your baby are healthy and progressing. We may do a sonogram as well. We will be able to determine your approximate due date at this time.
Second Trimester
During the second trimester of pregnancy — from months four to six — you may feel better than you did at first. Now’s the time to enjoy your pregnancy!
During the second trimester, your baby may begin to seem more real. Second trimester signs and symptoms may include larger breasts, a growing belly and skin changes. For your baby, the second trimester often marks the ability to kick, make facial expressions and hear. By week 20, you’ll be halfway into your pregnancy.
We will see you in the office every 4 weeks. Between weeks 20-24 you will be scheduled for a 1-hour glucose test. You will also have a sonogram, which often allows you to learn the sex of your baby.
Third Trimester
The last few months of pregnancy — the third trimester — can be physically and emotionally challenging. Third trimester signs and symptoms may include backaches, swollen ankles and mounting anxiety.
During the third trimester, your baby will likely open his or her eyes and pack on the pounds. This rapid growth may lead to more pronounced fetal movements. By the end of week 37, your baby is considered full term.
During the third trimester, we will see you first every two weeks, and then once a week. We will begin to check your cervix and continue to monitor your baby’s development.










