The Best Birth Episode 13 - Bump Talk - A Physician's Discussion of the Second Trimester with Dr. Jonathan Crowther

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INTERVIEW OVERVIEW
Dr. Jonathan Crowther discusses prenatal care and screening during trimesters two and three. The goals of prenatal care are risk assessment, health promotion and education, and therapeutic interventions. Prenatal care should ideally start in the first trimester. Providers who specialize in prenatal care include midwives, family medicine doctors, obstetrician-gynecologists, and maternal fetal medicine subspecialists. Screening tests include blood tests, ultrasounds, and invasive procedures like chorionic villus sampling and amniocentesis. Other screenings include blood type, hemoglobin, urine tests, and mental health. It's important to report any concerning symptoms to your healthcare provider, such as vaginal bleeding, decreased fetal activity, abdominal pain, and high blood pressure. Telehealth can be used to consult with your provider. Increasing protein intake and following the Brewer's diet may help with high blood pressure, but medication may be necessary. Utilizing physical therapists, chiropractors, and acupuncture can help with musculoskeletal pains during pregnancy.

TAKEAWAYS
Prenatal care has three main goals: risk assessment, health promotion and education, and therapeutic interventions.
Prenatal care should ideally start in the first trimester and can be provided by midwives, family medicine doctors, obstetrician-gynecologists, and maternal fetal medicine subspecialists.
Screening tests during pregnancy include blood tests, ultrasounds, and invasive procedures like chorionic villus sampling and amniocentesis.
Other screenings include blood type, hemoglobin, urine tests, and mental health.
It's important to report any concerning symptoms to your healthcare provider, such as vaginal bleeding, decreased fetal activity, abdominal pain, and high blood pressure.
Telehealth can be used to consult with your provider, and additional support can be sought from physical therapists, chiropractors, and acupuncturists for musculoskeletal pains during pregnancy.

WORDS OF WISOM
Prenatal care has three main goals: risk assessment, health promotion and education, and therapeutic interventions.
Prenatal care should ideally start in the first trimester and can be provided by midwives, family medicine doctors, obstetrician-gynecologists, and maternal fetal medicine sub-specialists.
Screening tests during pregnancy include blood tests, ultrasounds, and invasive procedures like chorionic villus sampling and amniocentesis.

CHAPTERS
00:00Introduction and Background of Dr. Jonathan Crowther
01:30Trimester Two: Morning Sickness and Provider Options
10:26Screening Tests during Pregnancy
29:34Utilizing Telehealth and Additional Support for Prenatal Care

TALKING POINTS
prenatal care, screening, trimester two, trimester three, risk assessment, health promotion, education, therapeutic interventions, providers, midwives, family medicine doctors, obstetrician-gynecologists, maternal fetal medicine, screening tests, blood tests, ultrasounds, invasive procedures, chorionic villus sampling, amniocentesis, blood type, hemoglobin, urine tests, mental health, symptoms, telehealth, protein intake, Brewer's diet, physical therapists, chiropractors, acupuncture, musculoskeletal pains

RESOURCES

The Mama Natural Week by Week Guide to Childbirth by Genevieve Howland


Dr. Jonathan Crowther

Dr. Crowther is a husband, father of two beautiful girls.  In his spare time he is in his final year as an internal medicine resident physician. He lives in Castle Rock, CO and practices medicine out of three hospitals and a primary care clinic in Denver, CO as a resident physician. While he has resorted to specializing in internal medicine, he has a passion for supporting and encouraging women who are currently navigating through pregnancy, birth, and post partum. He had the great pleasure of delivering multiple babies during medical school, but of course his favorite experiences were helping to deliver his own two baby girls Kinsley (now age 3) and Raelynn (now age 1), whose birth stories were both unique and life changing.

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Sarah Ziroll

Sarah Ziroll