services
“The way to achieve your own success is to be willing to help somebody else get it first.”
~ Iyanla Vanzant
Women’s Wellness/Preconception Care
Tracy provides full scope women's health services out of Premier Obgyn, LLC. She approaches women's wellness through addressing the 5 basic pillars of health; nutrition, movement, sleep, mindfulness, and relationships/community. We perform annuals, pap smears, abnormal paps, vaginal issues, preconception care, common women's health problems such as PCOS, Irregular periods, heavy periods, fibroids, endometriosis, pelvic pain, perimenopause, and menopause.
Maternity Care
Tracy approaches pregnancy care much like she treats wellness. Addressing maternal health issues, disease prevention, and health promotion. We utilize group pregnancy education alongside individualized care to help mothers navigate motherhood and prepare for birth. We use a collaborative approach where the majority of your health care is provided by the traditional midwifery model of care, with specialist such as OBGYN and MFM readily available for consult or treatment if needed. We use nutrition, sleep, movement, mindfulness, and community to help each woman walk through the transitions of motherhood.
Group Prenatal Class offered at Premier OBGYN, LLC.
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Pregnancy Prep- education on early pregnancy changes, trimesters, developing fetus, nutrition, sleep, and movement
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Mind and Movement Prep- movement/exercise practices, meditation and mindfulness, introduction to spinning babies, belly balancing, and getting in the mindset for birth.
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Postpartum Prep- everything bringing home baby, from expectations on mood, sleep, dietary needs, and recovering in the postpartum, introduction into Modern Day Mamas, our postpartum support community
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Birth Prep- Birth prep is a childbirth preparation course that I teach outside of routine visits (for fee). This course helps with setting expectations about birth, pain management options, labor support techniques, informed consent and evidence based practices. How to make empowered choices for you and your family. Our goal of birth prep is to prepare you mentally for birth and making informed decisions on the big day.
Post-Partum Care
Tracy knows that postpartum lasts a lifetime. She starts preparing mothers through group postpartum prep and birth prep to help the patients have the tools and resources they need to not only survive, but thrive in the postpartum period. Through individualized care, and screening we set realistic expectations for what the postpartum period looks like. We see our patients at 24 hours, 2 weeks, and 6 weeks. Through the helping mothers campaign many insurance providers have extended the postpartum period for one year to allow for continuous and extended coverage for mothers in the postpartum. We are committed to addressing all of social/behavioral changes as well as the physical and emotional changes that come along with motherhood.
Mental Health
The mind is a very powerful organ and a large part of a person's health. We believe in treating behavioral health concerns as seriously as we treat other medical issues. We want to do that in a warm, supportive environment where the patient feels safe and can share their issues.
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We work with a team of healthcare providers to provide complete care, from medication to therapy to care coordination, a team approach assures patients get the results they require.
Classes we offer
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ConceptionThe first day of your missed period is considered 4 weeks of pregnancy. Hopefully, you were anticipating pregnancy and have already started on a good prenatal vitamin. We ask you to get good rest, hydration, nutrition, and exercise at home. This is a perfect time to confirm your pregnancy visit with your midwife or OB. We ask that this appt is made between 7-8 weeks gestation.
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Weeks 7-10Confirmation of pregnancy will include a urine pregnancy test, U/S scan to confirm dates and early OB education and introduction to practice and pregnancy. You will be signed up for a pregnancy prep course that is 1.5 hrs of education on embryogenesis and the first trimester of pregnancy expectations.
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Weeks 11-14New Ob visit includes wellness exam, labs (CBC/Platelets/hemoglobin/hematocrit/Blood type/Antibody screen/syphilis/hepatitis/HIV/gonorrhea/chlamydia/trichomonas, and urine screen). There is an option for first-trimester screening (a maternal serum screen that test for markers that are associated with chromosomal abnormalities alongside an NT (Nuchal translucency test that measures the nuchal fold, which is a screening tool for chromosomal markers) there is also another screen called NIPS (Non-invasive perinatal screening) that is looking at fetal free cells in maternal serum, which is the most accurate of screening that looks for 3 specific chromosomal abnormalities as well as fetal sex chromosomes. These are options for screening that can be done after 10 weeks of gestation.
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Weeks 15-19Repeat OB visits; these are mama and belly checks where we are discussing the second trimester. We review body changes, common discomforts in the pelvis, and remedies/stretches. This is an introduction to spinning babies, and second-trimester testing is offered to r/o spinal defects if desired. We will schedule the anatomy US that looks at all the major organs and development to also screen for any abnormalities. We also do early diabetes screening and thyroid labs on patients with certain risk factors. This is the visit you will schedule for the mind and movement group class that reviews exercise, mind, and movement in the second trimester.
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Weeks 20-25Repeat OB visits where we check fundal height (uterine growth), weight, urine, blood pressure, and fetal heart tones. We address any concerns the mom may have and continue reinforcing dietary, exercise, sleep, and spirituality as a means of disease prevention in pregnancy. The patient will be signed up to attend a postpartum group class that sets expectations for postpartum behavioral health, caring for your baby, and brief breastfeeding tips
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Weeks 26-30Welcome to your third-trimester visit. In this visit, we review third-trimester precautions (Preterm labor, fetal movement). We discuss prepared childbirth classes, birth preferences, delayed cord clamping, vitamin K, erythromycin, golden hour, pediatricians, flu/covid/tdap vaccines recommendations, and introduce the three sisters of balance. Visits are now every 4 weeks in the 3rd trimester. This is the visit we routinely screen for gestational diabetes and repeat labs to recheck for anemia, blood type, and antibodies, and for some higher-risk patients rescreened for STIs such as vaginal and blood diseases. We reviewed prepared childbirth class options and highly recommended attending one in the early third trimester.
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Weeks 31-35Mama and baby are checked every 2 weeks in the third trimester for weight gain, blood pressure, FHTs, and fundal height. Depending on the risk and patient preference, some people choose to do a third-trimester scan that looks at the growth in the last trimester as well.
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Weeks 36-40Visits become weekly now in the last month of pregnancy. We follow mom and baby closely, helping to prepare for the upcoming birth experience through weekly belly and mama checks. We assure the baby is head down through hand maneuvers or bedside US scans. We review impending labor signs, warning signs, and mental preparation for birth.
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Weeks 41+I like to see my patients every 2-3 days in the 41st week of pregnancy to help the mother navigate the stressors that go along with the last few days or weeks of pregnancy. We often utilize non-stress tests or biophysical profiles to assess the fetus's well-being, which allows us to await with confidence the arrival of the baby patiently or have the necessary screenings to make informed decisions about the delivery plan.