Where prenatal visits with YOUR DOCTOR are the RULE, not the exception.
At Generations, our philosophy is that prenatal care is best when provided mainly by the primary doctor for each patient; so, through the course of the pregnancy we each see our own patients for most if not all of their prenatal visits. Our physicians have extensive experience in routine and high-risk pregnancy and delivery. We work closely with the Labor and Delivery nurses and staff to ensure a meaningful and memorable experience for patients and their families. If necessary, we also consult with perinatal specialists at either Fort Sanders Regional or the University of Tennessee medical centers. Our main objective is a healthy mother and a healthy baby. We have a full range of obstetrical services to offer, including:
Generations provides obstetrical and gynecologic ultrasound with state of the art 3D/4D equipment. Our technologists are registered diagnostic medical sonographers. Generations is accredited by the American Institute of Ultrasound Medicine (AIUM) to ensure the highest quality.
Done in first trimester prior to initial OB visit to confirm the due date and to identify potential problems early.
Detailed anatomic evaluation done at 20 weeks in accordance with AIUM standards to identify structural abnormalities.
Done primarily in the late second and third trimester to assess fetal well-being in high risk pregnancies.
Fetal Doppler Ultrasonography
Done primarily in the late second and third trimester to assess fetal well-being particularly in pregnancies complicated by fetal growth restriction.
Prenatal Testing and Genetic Screening
For more detail regarding these options see Screening for Birth Defects.
First Trimester Screen
Blood tests combined with ultrasound performed between 11 and 14 weeks are used to screen for trisomy 21 (Down syndrome) and trisomy 18 (Edward’s syndrome), as well as potential problems in third trimester.
Second Trimester Screen
Blood tests drawn between 15 and 21 weeks are used to screen for trisomy 21 (Down syndrome) and trisomy 18 (Edward’s syndrome), as well as spina bifida and abdominal wall defects.
First Trimester and Second Trimester Screen are combined to improve detection.
Cell-free DNA Screen
Blood test drawn any time after 10 weeks is used to screen for trisomy 21, 18 and 13, as well as sex chromosome abnormalities and can include gender determination if desired.
A test done later in pregnancy to evaluate fetal wellness in which the fetal heart rate is monitored in response to fetal movement over time. “Non-stress” means nothing is done to place stress on the fetus in contrast to a contraction “stress” test in which fetal heart rate is monitored in response to contractions.