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OB-GYN Associates of Ithaca

The professionals at OB-GYN Associates of Ithaca support our patients to understand and flourish through each stage of her pregnancy. We know every woman is unique, with individual needs, concerns and her own responses to the changes throughout this time in her life. We live in a new era of women’s healthcare in which attention is aimed at prevention and wellness. We want to be as helpful as we can in establishing a sound and mutually respectful relationship with you, our patient. OB-GYN Associates of Ithaca provides personalized care with attention to education and counseling.

Name(s) of Practitioner(s):

Kathleen Gardner, MD
Steven Gelber, MD
Diane Georgeson, MD
Dvorah Milner, MD
Zohreh Nikkhah Abyaneh, MD
Phaelon Silva, MD
Lisa Benedetto, CNM
Amie Kennedy, CNM
Mahrie Moore, CNM
Kate Pierce, CNM
Pam Cronk, CNP-F
Lorene Jump, ANP-C

Contact Info.

Name of Practice: OB-GYN Associates of Ithaca
Address: 20 Arrowwood Drive Ithaca, NY 14850
Phone: 607-266-7800
E-mail: n/a
Website: http://www.ithacaobgyn.com

Prenatal Care

How much time do you allot for prenatal visits?
60 minute new ob intake, 20-30 minutes for subsequent visits

What is your availability for questions between prenatal visits?
On call provider 24/7 for emergencies. Advice nurse during business hours for routine questions.

What routine prenatal testing do you recommend to women?
Routine prenatal screening generally includes STD screening (HIV, hepatitis B, Syphilis, Gonorrhea chlamydia) and more as needed. Pap testing per current screening guidelines. Blood tests: Iron level, blood volume, platelet count, blood type and screen. Immunities: Rubella, varicella (if unknown history of disease), toxoplasmosis (if cat's in home or job)

What kind of nutritional counseling do you provide?
Review current research, weight gain guidelines in pregnancy, dietary recommendations in pregnancies. Referrals made to a nutritionist as needed for in depth teaching.

Do you have any unique protocols for women over 35?
Make an appointment to discuss with one of our providers.

Do you recommend routine ultrasounds?
Yes

During prenatal care, how you do approach screening for Down's Syndrome?
As per ACOG guidelines, we provide genetics counseling to all patients and offer screening tests (serum screening, SS, SIS, AFP4). Diagnostic testing options available. We can refer for CVS and amniocentesis.

During prenatal care, how do you approach screening for Gestational Diabetes?
We recommend our patients complete the 2 hour glucose testing between 24 and 28 weeks gestation.

During prenatal care, how do you approach screening for Group Beta Strep?
We recommend our patients have the screening for Group Beta Strep between 35 and 37 weeks gestation.

Do you discuss infant feeding with women prenatally? How do you approach this topic?
We provide teaching both ante partum and post partum. We review area resources for classes, one-on-one lactation support.

Labor and Delivery

What is your approach to post-dates delivery? At what point do you recommend induction?
We encourage women to make an appointment with a provider to discuss.

What methods do you prefer for labor induction?
We encourage women to make an appointment with a provider to discuss.

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?
Psychoprophylaxis: hydrotherapy (tub, shower), position changes, birth balls, rocking chairs, walking, therapeutic touch, compresses. Medical management of pain also available: IV pain medications, anesthesia options, epidural vs intrathecal.

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

Does your practice support birthing in water?
We encourage women to make an appointment with a provider to discuss.

How long past rupturing of the membranes can women labor without augmentation?
We encourage women to make an appointment with a provider to discuss.

What methods of labor augmentation do you typically recommend when labor is slow or has stalled?
We encourage women to make an appointment with a provider to discuss.

Do you encourage women to eat and drink during labor?
Yes, in the absence of anesthesia or high risk concerns.

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?
We encourage women to schedule an appointment with a provider to discuss.

Immediate Postpartum

Do you wait to cut the umbilical cord until after it has stopped pulsating?
as indicated by patient preference and condition of baby.

Do you routinely administer pitocin during third stage/immediately postpartum?
Case specific

What are the standard procedures in your practice for babies staying with or being apart from their mothers after birth?
In the absence of medical concerns newborns remain with parents and "room in" services encouraged.

Postpartum Care

What is your schedule for postpartum care?
We ask that our patients return 4-6 weeks post partum for an exam.

Do you provide breastfeeding support? Do you have a lactation consultant on staff?
On an individual basis.

Statistics

The 'statistics" portion of this survey would have to be obtained from Cayuga Medical Center.
% C-section: CMC
% Instrumental Delivery: CMC
% Inductions: CMC
% Pitocin: CMC
% Epidural/Intrathecal: CMC
% Other Pain Meds: CMC
% No Pain Meds: CMC
% Episiotomies: CMC
% AROM: CMC
% Initiate Breastfeeding: CMC
% BF Six Weeks: CMC
% Transfers: CMC

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