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Canandaigua Medical Group

Pregnancy and birth are normal events in a woman’s life. women should have choices in labor and ultimately the birth they desire. I strongly believe my role is to guide a woman with the most recent evidence in which she can make these important decisions for herself and family. I believe that the normalcy of pregnancy and birth should be supported and protected

Name(s) of Practitioner(s):

Jennifer Orcutt MS CNM

Contact Info.

Name of Practice: Canandaigua Medical Group
Address: 335 Parrish St Canandaigua NY 14424
Phone: 585-393-2888
E-mail: Jennifer.orcutt@frontier.edu
Website: http://canandaiguamedical.com/

Prenatal Care

How much time do you allot for prenatal visits?
30/15

What is your availability for questions between prenatal visits?
Always welcome by phone or email

What routine prenatal testing do you recommend to women?
Prenatal labs at first visit Genetic screening if desired GDM screening GBS

What kind of nutritional counseling do you provide?
Healthy, balanced diet, what to avoid. Nutritional counseling initiated at first visit

Do you have any unique protocols for women over 35?
No

Do you recommend routine ultrasounds?
At 18-20 weeks, only first trimester if dating unsure

During prenatal care, how you do approach screening for Down's Syndrome?


During prenatal care, how do you approach screening for Gestational Diabetes?
Screening is recommended at 28 weeks

During prenatal care, how do you approach screening for Group Beta Strep?
All women at 35-37 weeks

Do you discuss infant feeding with women prenatally? How do you approach this topic?
I begin discussing the benefits of breast feeding at the first visit. Women are encouraged to breast feed but ultimately their feeding choice is supported. I do not dispense formula samples

Labor and Delivery

What is your approach to post-dates delivery? At what point do you recommend induction?
41 weeks +

What methods do you prefer for labor induction?
Cervical ripening, Pitocin, Foley bulb but am open to natural methods

Does your practice attend women planning a vaginal birth after cesarean (VBAC)?
Yes

Continuous EFM offered?
Yes

Intermittent EFM offered?
Yes

Doppler offered?
Yes

Fetoscope offered?
Yes

What comfort measures do you provide for women during labor?
Continuous labor support, position change, jacuzzi, shower, birthing ball, ambulation, pressure points, massage. Doulas are welcome and encouraged.

Can women in your practice labor in water (shower or tub)?
Yes

Does your practice support birthing in water?
No

How long past rupturing of the membranes can women labor without augmentation?
12-24 hours

What methods of labor augmentation do you typically recommend when labor is slow or has stalled?
Rest, hydrotherapy, nipple stim. Pitocin or AROM dependent on situation and patient desire

Do you encourage women to eat and drink during labor?
Yes

Do you recommend the routine use of intravenous fluids?
No

Does your practice support women working with labor support doulas?
Yes

Do you support mobility and position changes during labor?
Yes

Are you familiar with the CIMS Mother-Friendly Childbirth Initiative?
Yes

If so, in what ways does your practice strive to be Mother Friendly?
Birth and pregnant are normal. Women should have choices and lead their labor and delivery. Care is evidence based and women are encouraged to be active participants in their health care.

Immediate Postpartum

Do you wait to cut the umbilical cord until after it has stopped pulsating?
Yes

Do you routinely administer pitocin during third stage/immediately postpartum?
No

What are the standard procedures in your practice for babies staying with or being apart from their mothers after birth?
Rooming in and skin to skin encouraged. The hospital has a Lactation consultant along with several RNs with additional breast feeding training

Postpartum Care

What is your schedule for postpartum care?
routine visits are at 4-6 or earlier if needed/requested

Do you provide breastfeeding support? Do you have a lactation consultant on staff?
Yes, one hospital LC and one in office as well as several breast feeding counselors

Statistics


% C-section:
% Instrumental Delivery:
% Inductions:
% Pitocin:
% Epidural/Intrathecal:
% Other Pain Meds:
% No Pain Meds:
% Episiotomies:
% AROM:
% Initiate Breastfeeding:
% BF Six Weeks:
% Transfers:

Additional Comments:

Our breast feeding rates are above 60% at 6 weeks.