Please print and fill out this health history  BEFORE your visit.  

• If you have had previous care for this pregnancy (i.e., ultrasound, prenatal visits, etc.), it would help us provide better care and service if we have those records available before or on the day of your first visit. You can do this by signing a release of records either in our office or at the facility where you received your care. 
• If you have any chronic/longstanding medical condition or are on any medications, please let the appointment personnel know this before making your OB appointment. 
• Please bring any medications that you are currently taking or have taken during this pregnancy. (You may bring the empty bottle if you have finished the medication.) 

If possible, please try to find out if your husband/partner has any significant medical history (personal and family). 

On the morning of your appointment, please eat a normal breakfast prior to coming for your first visit. 

At your first visit, several things will be happening, and we ask that you allow at least three to four hours to complete this visit. 

Please Bring: 

• Verification of your household income (i.e., two most recent paycheck stubs) 
• Verification of your address (i.e., utility bill, driver's license, state identification card) 
• Current Medicaid or insurance card. 

Your first visit will include the following, if indicated: 

• Registration and collection of financial information 
• Collection of urine and/or blood for lab evaluation 
• Collection of blood pressure, weight, height and initial history 
• Prenatal health education by the LPN/CNA 
• Review of the medical history 
• Complete physical and collection of specimens for pap smear and other cultures 
• Completion of a dating ultrasound (this depends on how far pregnant you are and other factors from your history) 
• Discussion of the availability of ancillary services: 
  • Social Worker/Maternity Care Coordinator 
  • Nutritionist/WIC program 
  • Medicaid/application process 

During your prenatal care, your visits will be carried out by various medical personnel: registered nurses (enhanced role-trained), nurse practitioners, physician assistants and the physician. 

The care you receive follows the standard of care described by the American College of Obstetrics and gynecology and the Women's Health Branch of the State of North Carolina. 

In addition to our regular daytime hours, for your convenience, the main clinic offers evening clinic on Monday and Thursday nights. We also offer Saturday morning clinic once per month. 

Prenatal Care is also available at two outlying clinics: 

• Northern Regional Center (Wake Forest) 
• Southern Regional Center (Fuquay-Varina)

During the course of your prenatal visit, please remain in the waiting area, unless labs or social visits are taking place, so that we may be able to begin your visit in a timely manner. 

Different types of visits may be happening at any one time, which may make it appear that a patient is being seen out of order. 

We have a partnership with WakeMed (New Bern Avenue location) and ask that you go to this facility anytime labor or emergency services are needed. 

Within our practice, we schedule ultrasounds for medical indications/reasons only. We cannot order them to determine the sex of your baby. 

If you are running late for an appointment, please call the receptionist area at 919-250-4701. 

We hope this information helps to clarify any questions you may have, and we look forward to meeting you at your upcoming appointment. 

• Vaginal bleeding 
• Swelling of face/abnormal swelling 
• Dizziness or blurring of vision/spots before your eyes 
• Severe or continuous headache 
• Chest pain 
• Abdominal pain/tightening with persistent vomiting 
• Fever, chills 
• Painful urination 
• Escape of fluid from vagina 

If you are receiving your prenatal care at the Public Health Center (Clinic G – Health Department): 

Call: 919-250-4696 
You will hear a voicemail that will give further instructions. 

If you are receiving your Prenatal Care at WakeMed Faculty Physicians (WakeMed High-Risk Clinic): 

Call: 919-350-7844, Monday – Friday 8 am – 5 pm  

Please leave a message on the answering machine and your call will be returned. Nights, Weekends or Holidays, call 919-350-8000. 

When calling the main hospital number, ask for the OB resident on-call. 

If you have any of the symptoms below, do not have sex until you check with your doctor or nurse: 

• Vaginal bleeding, itching or a change in your discharge 
• A gush or trickle of warm fluids out of the vagina that you cannot control (your "water breaks") 
• Concern that sex might cause a miscarriage 
• Vaginal or belly pain.

Remember, making love, including all the ways you share pleasure with and feel close to your partner, with or without intercourse, is very important to your relationship. Talking about sex during pregnancy is helpful. Share your feelings with your partner, no matter how silly you might think it is. 

A common fear is that having sex will harm your unborn baby. Fortunately, in almost every case, sex during pregnancy is safe. The body is designed to provide protection. It is almost impossible to hurt your baby by having sex. 

Many women feel changes in their sexual desire due to physical and hormonal changes. These feelings are different for every woman. Early in pregnancy, you may not have much desire for sex. Desire for sex may increase in mid-pregnancy. You may feel even higher levels of desire than before you were pregnant. Due to increased blood flow to pelvic areas, some pregnant women may become aroused more quickly and intensely. But for some women, an orgasm does not completely take care of their sexual desires. 

 During the later months of pregnancy, your belly may get hard during sex and stay that way for about a minute, especially after an orgasm. This is normal and your belly soon gets soft again. The baby may also get very active. This is all right. Sex does not bother the baby. 

Toward the end of pregnancy, you may lose your desire for sex. You may feel big and awkward. It's hard to feel sexy if you're tired, sick to your stomach, or feeling sad and grumpy. Most partners find their pregnant mates attractive, but sometimes they have less desire because they are thinking a lot about the future. They may also feel left out. Set aside time to be together and talk about your feelings and plans for the future. 

If sex is painful or awkward, try changing positions. Positions for lovemaking can be changed to suit your pregnant body. Avoid belly-to-belly contact. Try side to side, woman on top, woman semi-sitting position on edge of bed, and other positions that allow the woman to control the direction and depth of penis penetration. 

Use a condom if you or your partner have sex with other partners. 

You can still get a sexually transmitted infection when you are pregnant. 

Unless your doctor or nurse advises against it, sex is safe while pregnant. 

• Never blow air into the vagina. This can be very harmful. If you have questions, ask your nurse. 
• No objects other than the penis should be placed in the vagina. 
• If you have anal sex, wash the man's penis or use a condom before his penis enters your vagina. Or, use one condom for anal sex and a new one before vaginal sex. 

• Reduces your chances of getting a sexually transmitted infection such as: 
  • Chlamydia 
  • Genital Herpes 
  • Gonorrhea 
  • HIV/AIDS 
  • Syphilis 
  • Vaginitis 
  • Yeast Infection – not always sexually transmitted 
  • Protects your baby from getting these infections 
• Condoms offer you and your partner a responsible way to share and maintain good health. They don't cost a lot of money, are easy to get, and you don't have to see a doctor to get them. 

Although no condom or contraceptive can guarantee 100% effectiveness, using latex condoms will help. They will help to reduce the risk of getting the HIV infection (AIDS) or other sexually transmitted diseases (chlamydia, genital Herpes, genital warts, gonorrhea, Hepatitis B and syphilis). Latex condoms can also prevent pregnancy without the serious side effects sometimes associated with some other methods. 

• Never use a condom more than once. 
• Keep condoms in a cool, dry place! 
• Latex condoms are much more effective than natural-skin condoms such as lambskin. 
• Condoms coated with spermicide should not be used during pregnancy. 

• Use a new condom before each use. 
• Squeeze tip of condom to remove air (excess air could cause condom to break). 
• When the penis is erect, place condom on tip and roll down all the way (before sexual contact). 

• After ejaculation, withdraw penis while still erect. 
• Hold onto rim of condom as you withdraw so nothing spills. 
• Avoid further sexual contact with your partner until both of your sex organs and any other area that came in contact with body fluids have been cleaned. 

• If more lubrication is needed, use KY Jelly or other water-based or silicone lubricant. 
• Do not use oil-based lubricants such as petroleum jelly (e.g., Vaseline), mineral oil, vegetable oil or cold cream, as these could break the condom. 

• If you or your partner sense burning or itching, discontinue use of this condom and try another type of condom. 
• If the condom breaks or semen spills or leaks out, you and your partner should wash wherever you had sexual contact right away. 
• If the condom is sticky, brittle, loose or damaged, do not use it. 
• Store at room temperature. Protect latex condoms against prolonged periods of exposure to extremely low or high temperatures, moisture, direct sunlight and fluorescent light.