We accept both low-risk and high-risk patients for complete prenatal and delivery care.  Deliveries take place at BC Women’s Hospital.  We also accept referrals from primary care physicians and midwives for obstetrical consultation for specific issues.  Shared prenatal visits with the primary care provider can be arranged in appropriate situations.  

We appreciate you sending the BC Antenatal Record forms (Part 1 and 2) if these have been completed.  It is also beneficial if you can arrange for your patient to have her routine Prenatal Bloodwork (CBC, group and screen, rubella titre, HBsAg, HIV serology, and RPR) and urine culture done before her first appointment here. 

Please note that major changes to the screening options for Down Syndrome, Trisomy 18 and Open Neural Tube Defects occurred on February 16, 2009.  Please consult the full guideline for details, or visit the BC Prenatal Genetic Screening Program website.  In summary, the Triple Marker Screen (done at 15w0d-20w6d) has been improved to the Quadruple Marker Screen (done within the same time frame).  However, all pregnant women are now also eligible for the Serum Integrated Prenatal Screen (SIPS), consisting of two sets of blood tests (done at 10w0d-13w6d and 15w0d-20w6d) and selected women are also eligible for a Nuchal Translucency (NT) ultrasound (done at 10w0d-13w6d).  The bottom line is that if you are not familiar with all of the screening options and would like us to address prenatal screening with your patient, you need to refer her early.  Otherwise, she may miss out on some of her options.  The other major change is that amnio for Advanced Maternal Age (AMA) is now only offered to women who will be 40 years old or greater at delivery (35 years old for twins).