Pregnancy can be both an exciting and overwhelming time. At Open Arms OB/GYN in Toronto, we are extensively trained in prenatal care, as well as Labour & Delivery, and can offer the full spectrum of obstetrical support. We practice evidence-based medicine and are up to date on current guidelines and standards of practice. We also believe in patient-centered care and that your pregnancy and birth experience should be individualized and on your terms.
Obstetrics is the branch of medicine having to do with pregnancy, childbirth, and the postpartum period. Obstetricians are medical and surgical specialists with expertise in both uncomplicated and complicated pregnancy, as well as natural, operative, and cesarean birth.
At your first prenatal visit, a detailed pregnancy and medical history will be taken. We will try to determine accurate dating of your pregnancy through reviewing your menstrual history and any ultrasounds you may have had. You will be offered routine prenatal testing including baseline routine blood tests and immune statuses, as well as the options to screen the pregnancy for genetic conditions. An additional ultrasound may be ordered. Detailed counseling will be done and you will be given the chance to ask as many questions as you have.
Typically, subsequent visits will be every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, then every week until delivery. Other testing will include an anatomy ultrasound, gestational diabetes testing, Group B Streptococcus testing, and potentially further ultrasounds if necessary. At any time in your pregnancy, we can connect you to any community or specialist resources you require.
Each visit usually includes checking blood pressure, checking the growth of your abdomen and baby’s position, and listening to the baby’s heart rate. You may then be given requisitions to complete blood work, an ultrasound, or other tests. We encourage you to keep a notebook with any questions you may have and these will be reviewed at each visit.
Dr. Ornstein, Dr. Raymond, and Dr. Frecker all deliver babies at Michael Garron Hospital (MGH), formerly Toronto East General Hospital. The Family Birthing Centre is on the 7th floor of the J Wing. After 20 weeks, you will register at MGH, and copies of your prenatal records will be kept at the hospital so that the on-call providers will have your pregnancy information if you need to be seen there. If and when you go into labour, break your water, or have any concerning symptoms like bleeding or decreased baby movements, you can come to Maternal Triage on the 7th floor.
If you aren’t sure if you should come in, simply phone Maternal Triage and speak to a nurse 24/7. MGH is fully equipped for any type of delivery, has 24/7 anesthesia access for epidural, and is fully welcoming of partners, families, and labour support people. For situations where a C-section has to be scheduled, for instance for breech babies or previous C-sections, we can often offer skin-to-skin cesarean birth!