Richard Louis Suarez CNM PA
Midwifery Associates OB/GYN

Services

Obstetrics

 

  • Pregnancy Tests
  • Full Prenatal Care
  • Ultrasound (including standard 36-week scan for fetal positioning)
  • Non Stress Test (fetal testing)- in office
  • Genetic Amniocentesis
  • Inter-graded Screening and Ultrasound
  • High risk pre and post-natal care
  • All lab work drawn in office
  • All Natural Vaginal Delivery
  • AVOID a Cesarean Section by using a Certified Nurse Midwife
  • Lowest Cesarean Section Rate of all Miami Dade County

 

Gynecology

 

  • Annual pelvic exams and Well Woman Exams with Pap Smear
  • Uro-Gynocology, Urinary Incontinence Treatment
  • Essure Sterilization
  • In-Office Endometrial Ablations
  • Endometrial Biopsies
  • Treating menstrual problems and pelvic pain
  • Cervical disease diagnosis and treatment
  • Laser and laparoscopic surgery
  • Treatment for vaginal infections
  • IUD Placement in office with Anesthesia
Other Services
  • Menopausal Management
  • Bone Density Testing
  • Infertility
  • Family Planning including contraception injections and alternative methods
  • Sexual Dysfunction and Treatment 
  • STD's Testing in office 100% confidential
          -HIV
          -Hepatitis A, B, & C
          -Chlamydia
          -Gonorrhea
          -Chancroid
          -Syphilis
          -Trichimonosis
          -Bacterial Vaginosis
          -Herpes Virus I and II
          -HPV Human Papilloma Virus, Genital Warts
 

 

Rates

We accept all Private Insurances, Medicare, Tricare, HMO's, EPO's, POS's, PPO's.  Call the office to get more information.  (305) 598-2994

All Credit Cards, American Express, VISA, Master Card, Discover Card.

Payment Plans are also Available.

Gynecology/Well Women Exam Includes:

Pelvic Exam, Breast Exam, Pap Smear, Complete Blood Count, Urinalysis, Birth Control counseling all for only $150.00

HIV Test $158.00

Chlamydia Test $75.00

Gonorrhea Test $75.00

HPV Typing $260.00

Normal Vaginal Delivery $3500.00

Cesarean Section Delivery $4000.00

Routine Prenatal Labs $1500.00

Paragard T-380 IUD $750.00

Mirena IUD $950.00

Emergency Contraception Pill $50.00

Complete Blood Count $52.00

Call our office for our weekly Specials.

Prenatal Care Calender by weeks

Obstetrical Calendar

Weeks Gestation:

Discussion & Testing

6-8 weeks - Visit with nurse
  • Pre-natal blood work drawn
  • Obtain medical history from mother and father
  • Pregnancy education
  • Discuss testing options: 1st Trimester Screen (provide a more accurate assessment of a woman’s risk for carrying a baby with Down syndrome, than age alone) and AFP (Alpha-fetoprotein - screens for Down syndrome, Trisomy 18 and neural tube defects).
9 weeks
  • Dating Ultrasound – used to confirm your due date and to ensure the well-being of the baby.
8-10 weeks - Visit with Health Care Provider
  • Review results of Pre-natal blood work
  • Discuss 1st Trimester Screen if you wish to pursue
  • Discuss 9 week Dating Ultrasound
  • Discuss indication or need for Strong Memorial Hospital Genetics if High Risk or 35 and older for amniocentesis or CVS (Chorionic villus sampling) tests used to diagnose chromosomal abnormalities.
  • Full pelvic exam includes Pap smear and cultures. Please note, there is a possibility of spotting after the exam.
  • At each visit the following are checked:
    • Check Blood pressure
    • Check Urine
    • Check Weight
12 weeks
  • Discuss AFP Testing with provider.  AFP to be done between 15-22 weeks.
  • Check Fetal heart beat at each visit.
  • Check weight, Blood Pressure, and urine
  • Sign up for Childbirth Education Classes
16 weeks
  • Discuss AFP results
  • Urine culture to be obtained
  • Discuss results of 1st Trimester Screen
  • Listen to fetal heart beat and check uterine size
19-20 weeks
  • Detailed Fetal Anatomic Screening Ultrasound – during this Ultrasound, we take a detailed look at the anatomy of the baby.
20 weeks
  • Check weight, Blood Pressure, and urine
  • Listen to fetal heart beat and check uterine size
  • Review urine culture
  • Review results of 19-20 week ultrasound 
  • Review results of AFP if done later than 16 weeks
24 weeks
  • Check weight, Blood Pressure, and urine
  • Listen to fetal heart beat and check uterine size
  • Discuss 1-hour Glucose Test that sceens for Gestational Diabetes
  • Order blood work for Anemia, HIV Test.
  • Antibody screen to be checked only if Rh negative
28 weeks
  • Check weight, Blood Pressure, and urine
  • Listen to fetal heart beat and check uterine size
  • Discuss results of 1-hour Glucose Test , anemia and  HIV Test.
  • Discuss Rhogam injection Only if Rh negative  
  • Select a Pediatrician, if you haven’t already done so.

 

Starting every 2 weeks visits

30 weeks

  • Check weight, Blood Pressure, and urine
  • Listen to fetal heart beat and check uterine size
  • Answer any questions regarding Labor and Delivery
  • Discuss changes during pregnancy and what to expect.
32 weeks
  • Check weight, Blood Pressure, and urine
  • Listen to fetal heart beat and check uterine size
  • Address any additional questions or concerns you may have regarding labor and delivery, Hospital, etc.
  • Visit with OB nurse to discuss labor and delivery, circumcision, breast or bottle feeding, and to registered at South Miami Hospital or Kendall Regional Medical Center (unless this has already been done)
  • Discuss disability if needed
34 weeks
  • Check weight, Blood Pressure, and urine
  • Listen to fetal heart beat and check uterine size
  • Address any additional questions or concerns you may have regarding labor and delivery, Hospital, etc.

Starting Weekly Visits

35-36 weeks

  • Check weight, Blood Pressure, and urine
  • Listen to fetal heart beat and check uterine size
  • We will obtain a Cervical Culture to check for Group B-Strep, Chlamydia and Gonorrhea.
  • Prepare for a cervical exam at subsequestional every visit 
  • Please note, there is a possibility of spotting after the exam
  • Repeat HIV test (if indicated)
37 weeks
  • Check weight, Blood Pressure, and urine
  • Listen to fetal heart beat and check uterine size
  • Cervical Exam
38 weeks
  • Check weight, Blood Pressure, and urine
  • Listen to fetal heart beat and check uterine size
  • Discuss 36 week culture results
  • Cervical Exam
39 weeks
  • Check weight, Blood Pressure, and urine
  • Listen to fetal heart beat and check uterine size
  • Cervical Exam
40 weeks
  • Check weight, Blood Pressure, and urine
  • Listen to fetal heart beat and check uterine size
  • You may have a non stress test (NST) and/or ultrasound to check the status of your baby
  • Cervical Exam
41 weeks
  • Check weight, Blood Pressure, and urine
  • Listen to fetal heart beat and check uterine size
  • You may have a non stress test (NST) and/or ultrasound to check the status of your baby
  • Provider may discuss and schedule induction prior to 42 weeks.
  • Cervical Exam

 

Genetic Testing

Genetic Testing

During the course of your pregnancy, you may be offered prenatal genetic testing.  In addition to the information you receive from our providers and nurses, this page is intended to serve as an extra resource.  We are happy to answer any questions you may have about genetic testing.  If we can be of any assistance, please do not hesitate to contact us.

What is Prenatal Genetic Testing?

Prenatal genetic testing refers to tests that are done during pregnancy to either screen for (see below) or diagnose a birth defect.  The goal of prenatal genetic testing is to provide expectant parents with information to make informed choices and decisions.  Genetic testing also assists our providers in providing the best care and management of your pregnancy.  It is important to remember that all genetic testing is optional. 

There are two types of prenatal genetic tests: screening tests and diagnostic tests. 

Screening tests do not diagnose a birth defect, they only determine if a fetus is at high or low risk for a specific condition.  Examples of screening tests:

  • First Trimester Screening (nuchal translucency)
  • Cystic Fibrosis Carrier Screening
  • Modified Sequential Screening

Diagnostic tests can diagnose certain fetal conditions with a high degree of accuracy.  Examples of diagnostic tests:

  • Amniocentesis
  • Chorionic Villus Sampling (CVS)

Who should have prenatal genetic testing?

The American College of Obstetricians and Gynecologists (ACOG) recommends that all pregnant women, regardless of their age, be offered screening for Down Syndrome (First Trimester Screening).  With the exception of the First Trimester Screening, genetic testing is generally offered to couples or individuals who are identified as being at risk for a particular genetic condition. 

What are the Prenatal Genetic Tests that I may be offered?

 

First Trimester Screening:  This is a combination of a blood test and ultrasound examination to help identify babies who may have Down Syndrome, Trisomy 18 or Trisomy 13.  This test is performed in perinatal office. 

Modified Sequential Screening:  This test is a follow up to the First Trimester Screening (Ultra-Screen).  It may be recommended to some patients, in order to provide more information to those women that are considered higher risk on the first trimester screening. 

Cystic Fibrosis Carrier Screening:  This blood test is used to tell women and men if they are carriers for Cystic Fibrosis. 

 

Chorionic Villus Sampling (CVS):  This test involves obtaining a sample of the tissue surrounding the sac where the fetus develops.  A sample of the cells from this tissue provides chromosomes and other material that may then be tested to diagnose chromosomal abnormalities, genetic birth defects, and other conditions.  

Amniocentesis:  During this test, an obstetrician will use a thin needle to remove a small amount of amniotic fluid (the fluid surrounding the fetus).  This fluid will be tested for chromosomal abnormalities, genetic birth defects and other conditions.

 

Again, please remember that we are here to help.  If we can answer any questions for you, please do not hesitate to contact us. 

Medication :  Over the Counter Medications that are SAFE in pregnancy

Approved OTC Medications in pregnancy

If needed, you may use these over the counter medications. However, we advise you to avoid taking any unnecessary medications during the first 12 weeks of pregnancy. If you have questions or concerns, please call our office or speak with your provider.

Pain Medication

Nausea

Tylenol (acetaminophen) or Extra Strength Tylenol
DO NOT USE: Aspirin, Motrin , Advil (Ibuprofen), Aleve (unless specifically told to by your healthcare provider)
Try small frequent meals.
Ginger Ale, Vitamin B6, Sea Bands
Unisom 25mg tablets NOT capsules (1/2 tablet 30 minutes before breakfast, before lunch, before dinner. 1 tablet at bedtime.)

Anthistamines

Heartburn, Indigestion, Gas

Benadryl 25 mg twice a dayTums , Rolaids , Gas-X , Mylanta (safe to use for first 12 weeks), Zantac, Maalox, Prilosec OTC, Pepcid
DO NOT USE: Pepto-Bismol

Decongestants

Cough/Colds

Nyquil, DayquilRobitussin (cough)

Insomnia

Yeast Infections

Unisom 25mg tablets NOT capsules (1 tablet at bedtime) Monistat 3 or 7 vaginal

Hemorrhoids

Constipation

Preparation H, Tucks, Witch Hazel Colace, FiberCon, Citrucel, Metamucil,
Milk of Magnesia, Fiberall