Prenatal Care

Preconception Visit
If you’re thinking about getting pregnant, a preconception appointment will give you a chance to talk with your obstetricians about your medical history and address any potential concerns. This may include medications you are taking that can affect a healthy pregnancy, and recommended lifestyle changes such as starting prenatal vitamins and limiting smoking or alcohol use.

Your OB Appointments
Many people use a home pregnancy test to learn they are pregnant four to six weeks after conception. You will be seen for your first OB appointment during the first trimester of your pregnancy. You’ll see one of our obstetricians, certified nurse-midwives, or nurse practitioners regularly until the 28th week. We’ll perform routine prenatal testing in our offices to monitor your baby’s growth and your overall health. Later in the pregnancy, you will be seen more frequently. You will be seen weekly during the last month of your pregnancy.

Why You See Each OB at the Clinic You Choose
During your pregnancy, your monthly appointments will be with different OB providers at our practice. Our providers perform deliveries on a rotating basis, so meeting each of our providers during your pregnancy ensures you'll be comfortable with the obstetrician who delivers your baby.

Certified Nurse-Midwives at Duke Health OB-GYN Clinics and Hospitals
Our certified nurse-midwives are experts in routine labor and birth, and support you, your baby, and your family during postpartum recovery. They can be part of your care team at these practices:

• Duke Women's Health Green Level in Cary
• Durham Obstetrics and Gynecology South Durham
• Harris & Smith OB-GYN in Durham
• Harris & Smith OB-GYN at Patterson Place

CenteringPregnancy® Program
The CenteringPregnancy® program replaces routine individual visits with group visits of eight to 12 pregnant people who are due around the same time. These two-hour visits include a one-on-one assessment with a provider, plus group sharing and discussions. Group sessions include a facilitated discussion of pregnancy, birth, and newborn care as well as overall health, stress management, and more.

Preterm Risk Prevention
Preconception consultations can identify and reduce risks if you had a preterm delivery in the past, or have risk factors or a medical condition that puts you at high risk for preterm labor. Identifying potential concerns before your next pregnancy and adopting prescribed activities may help reduce your risk of having a premature delivery.

High-Risk Pregnancy Consultations
Many factors may influence whether your pregnancy will be considered high risk. These include your age, weight, lifestyle habits, and whether you have existing medical conditions. During a high-risk pregnancy consultation, our perinatologists (also referred to as maternal-fetal medicine specialists), genetic counselors, and other specialists can work with you to plan your pregnancy and address any special needs you may have during your pregnancy and delivery.

If Your Pregnancy Is High-Risk
Our perinatologists are specially trained in high-risk pregnancy care and will be involved in your ongoing care through delivery at Duke University Hospital. This may be the case if you are carrying multiple babies, have a history of pregnancy complications (miscarriage, preterm delivery, or cervical insufficiency), or have a preexisting medical condition, such as diabetes, elevated body mass index, heart disease, lupus, a bleeding disorder, or a seizure disorder.

Our obstetricians deliver babies at several hospitals throughout the Triangle. Your options include:

The Birthing Center at Duke University Hospital
Duke University Hospital’s Birthing Center handles normal deliveries and emergency situations 24/7. Our labor and delivery suites feature labor-delivery-recovery (LDR) rooms in which you give birth and recover. The Duke Neonatal Intensive Care Unit (NICU) Level IV nursery is staffed by neonatologists and providers who care for premature and sick newborns.

The Birth Place at Duke Regional Hospital
Duke Regional Hospital is a community hospital; its birth facilities are primarily for people who expect to have routine deliveries. We work closely with you to minimize interventions, and we offer nonmedical amenities to help manage labor pain. Neonatologists in our special care nursery provide care for preterm babies and full-term babies who need extra help. If you or your baby have complications, our relationship with Duke University Hospital gives you immediate access to specialized care.

The caring staff at Duke hospitals delivers thousands of babies every year. Watch this video to help you decide where you'd like to deliver your baby.

Prenatal Care Throughout the Triangle
Our ob-gyn specialists provide care before, during, and after your pregnancy at ob-gyn clinics in Durham, Wake, and Alamance counties. Where you deliver your baby depends on where you receive your prenatal care.

• Obstetric providers at our Durham-based ob-gyn clinics deliver babies at Duke University Hospital and Duke Regional Hospital.
• If you receive your care at Blue Ridge Ob-Gyn or Duke Women's Health Heritage, you may have your baby at WakeMed North Family Health and Women’s Hospital.
• You can see a Duke ob-gyn or certified midwife in Holly Springs or Cary and have your baby at WakeMed Cary Hospital. 
• Duke OBs and certified midwives at Duke Kernodle Clinic in Burlington deliver at Alamance Medical Center.
• High-risk pregnancies are delivered at Duke University Hospital.