The following obstetrical care services provided by Ko’olau Women’s Healthcare focus specifically on the care and treatment of women before and during their pregnancy, at childbirth, and during the period of recovery following delivery.
Please, click on each service option to see the detailed information.
At Ko’olau Women’s Healthcare, we are partners with you throughout your pregnancy.
Regular prenatal visits with Ko’olau Women’s Healthcare are important to monitor your well-being and your baby’s health. We can identify issues before they become serious problems for you and your unborn child. The frequency of prenatal visits depends on how far along you are in the pregnancy and any known health conditions.
Your first prenatal visit should be scheduled as soon as you think you are pregnant. As the pregnancy progresses, prenatal checkups will happen more regularly and may include special tests.
A typical schedule for prenatal checkups is as follows:
If your pregnancy is high-risk, which depends on factors like the patient's age, weight, and other health problems or concerns, Ko'olau Women's Healthcare may recommend more frequent prenatal visits to closely monitor your pregnancy.
The earlier you start prenatal care, the better! Ideally, your first prenatal visit occurs when you are around eight weeks pregnant or four weeks after your missed period. If you are already past this point in your pregnancy, please call one of our offices so we can start your prenatal care as soon as possible..
During a prenatal checkup, your OBGYN will:
Other tests may be done to detect signs of possible health problems, including infection, congenital disabilities, gestational diabetes, or fetal distress.
At the end of the third trimester of pregnancy, your body will begin to show signs that it is time for your baby to be born. The process that leads to the birth of your baby is called labor and delivery. Every labor and delivery includes certain stages, but each birth is unique.
Giving birth to a baby is hard work. It can also be scary, thrilling, and unpredictable. Learning all you can ahead of time will help you be ready when your time comes.
An uncomplicated childbirth and a correctly executed birth are ideal. But we know that even the most carefully planned birth can take twists and turns. In those cases, it's important to be prepared for alternative delivery methods.
Vaginal delivery is the method of childbirth most health experts recommend for women whose babies have reached full term. There are three stages of labor:
A Cesarean section (C-section) is surgery to deliver a baby. The baby is taken out through the mother's abdomen. In the United States, almost one in three women has their babies this way. Some C-sections are planned, but many are done when unexpected problems happen during delivery.
Reasons to have a C-Section:
If you have had a cesarean delivery before, you may be able to deliver your next baby vaginally. This is called vaginal birth after cesarean, or VBAC. A woman who chooses VBAC is closely monitored. As with any labor, an emergency cesarean section is done if the mother or baby shows signs of distress. For many women, VBAC is an option. In fact, research on women who attempt a trial of labor after cesarean (TOLAC) shows that about 60 to 80 percent have a successful vaginal delivery.
Benefits of VBAC:
Risks of VBAC:
During vacuum extraction, a healthcare provider applies the vacuum — a soft or rigid cup with a handle and a vacuum pump — to the baby's head to help guide the baby out of the birth canal. This is typically done during a contraction while the mother pushes.
After a vacuum extractor delivery, there may be some bruising or swelling on the baby's scalp. This technique can only be used if the baby is born head first and is at full term; it can be dangerous for premature babies.
Anesthesia is routinely used to help relieve pain during a medical procedure, which often includes common occurrences like childbirth. Many individuals are familiar with epidurals and their primary use of reducing pain during the birthing process. Still, there are also a few other options available for expectant patients of Ko'olau Women's Healthcare.
Many women prefer to have a vaginal birth in comparison to a cesarean for a wide variety of reasons. A majority of those who have already delivered by C-section can still opt for a vaginal delivery with a later pregnancy, which is known as a vaginal birth after cesarean, or VBAC. The highly trained OBGYNs at Ko’olau Women’s Healthcare have extensive experience providing guidance around VBAC.
There are many decisions to make about labor and delivery. Before your last weeks of pregnancy, be sure to talk to your Ko'olau Women's Healthcare doctor or nurse-midwife about your birthing options and what you prefer.
It covers three months before pregnancy and up to one year after birth.
With Ko’olau Women’s Healthcare, you can rest assured that your body and your baby are in expert hands from before the start of your pregnancy until well after birth. Experience the Ko’olau Women’s Healthcare difference; we will strive to ensure all your needs are met during one of life’s most beautiful moments.
Ultrasound diagnostic imaging is used in a variety of medical settings, though many individuals are most familiar with this examination because of its consistent use throughout a woman's pregnancy. This particular type of ultrasound is referred to as a fetal ultrasound.
All ultrasounds are produced using sound waves that are delivered to a specified body area and then bounce back to a transmitting device that converts the length of the sound waves to create a detailed image of the patient's internal structures. This type of technology is extremely useful in the diagnosis of many medical conditions, or in this case, to routinely check in on the development of a fetus.
Preterm labor is labor that comes too early—between 20 and 37 weeks of pregnancy. In labor, the uterus contracts to open the cervix. This is the first stage of childbirth. In most pregnancies, this happens at 37 to 42 weeks. Preterm labor is also called premature labor.
Preterm labor doesn't always lead to preterm birth, but it may. A baby born too early may have serious problems, such as chronic lung disease. This is because many of the baby's organs, especially the heart and lungs, aren't fully grown yet. The earlier a baby is born, the higher the risk of problems.
Ko'olau Women's Healthcare is dedicated to helping parents-to-be who might be facing the challenge of low birth weight. Through expert care, we help parents better understand their options and feel empowered to make the best possible decisions for their family by providing supportive resources, such as educational materials that discuss the causes and risks associated with low birth weight. With Ko’olau Women’s Healthcare by your side, you can navigate this difficult time with confidence, knowing that you have a team of trusted professionals in your corner.
With Ko'olau Women's Healthcare, you can rest assured that your body and your baby are in expert hands from before the start of your pregnancy until well after birth. Come experience the Ko'olau Women's Healthcare difference; we will strive to make sure all your needs are met during one of life’s most beautiful moments.
Infertility is defined as the inability to become pregnant after a year or more of attempting to conceive. If a woman is over the age of 35, six months or more of trying to get pregnant may be an indicator of infertility. Women who are able to get pregnant, but can’t stay pregnant, could also be infertile.
At Ko’olau Women’s Healthcare, we will take the time to discuss all of the available infertility treatment options to help determine what is best for you and your growing family.
The female reproductive system is so complex that a large number of factors could affect a woman’s fertility.
If the ovaries are not releasing an egg, there is nothing for the sperm to fertilize. In many cases, issues with ovulation are the cause of infertility in women. The most common causes of disrupted ovulation include:
Fallopian Tube Swelling or Blockage
The fallopian tubes are responsible for carrying the fertilized egg to the ovaries. When the egg cannot move through the fallopian tubes, it cannot attach to the wall of the uterus.
The uterus nurtures the fertilized ovum as it develops into a fetus and continues to do so until the baby is ready for birth. The most common uterine causes of infertility include:
There are several contributing factors to a woman's reproductive function. While some causes cannot be prevented, reducing or eliminating certain behaviors can potentially improve the chances of becoming pregnant.
Generally, the first step will be to determine if the woman is ovulating each month. This could be accomplished by using a home ovulation test kit, a blood test, or even an ultrasound of the ovaries. If ovulation appears normal, the following tests are commonly performed:
The suggested treatment will depend on the problem type, age, and personal preferences. Each woman is unique, so not every treatment plan will be the same. The list below is far from comprehensive, but it introduces some of the most common forms of treatment.
Medications help treat ovulation issues. Typically, they will attempt to regulate hormone levels. Women who take fertility drugs have an increased risk of delivering multiple children (twins, triplets, etc.)
While medication typically solves fertility issues, surgery is an option for women with physical abnormalities in their reproductive system. A surgeon may be able to correct an irregular uterine shape, remove fibroids, and clear blocked fallopian tubes.
Discovering the cause of female infertility can be a long and emotional process, but Ko’olau Women’s Healthcare can help. We will make it our goal to find the right solution for you and your growing family.
Postpartum depression (PPD) is a form of depression that occurs specifically during pregnancy or after childbirth. This mental illness is very common and affects more than 800,000 women in the United States alone.
Postpartum depression often makes it difficult for these women to perform daily activities for themselves or others. Postpartum depression is not to be confused with the baby blues, which tends to be much milder.
Postpartum depression is affected by several different physical and emotional factors rather than by a single source.
After childbirth, a woman experiences a dramatic change in her hormone levels, which leads to an alteration of chemicals in her brain. These chemical changes often result in powerful mood swings.
Sleep deprivation is another key contributor to postpartum depression. As the body undergoes an enormous amount of stress during childbirth, it is understandable that it requires an incredible amount of rest in order to fully recuperate. However, many new mothers find it difficult to attain such needed rest, which can heavily impact common symptoms of postpartum depression-like exhaustion.
Postpartum depression typically creates feelings of extreme sadness, exhaustion, and anxiety in women for an extended period of time. Additional symptoms include:
More concerning symptoms, such as thoughts of harming oneself or the baby, can be signs of a rarer mental illness called postpartum psychosis, which should be treated immediately.
Treatment for postpartum depression is often handled using therapy, medication, or a combination of the two.
To speak with a specialist about the diagnosis or treatment of your postpartum depression, please request an appointment today. You can also talk with one of our physicians immediately by calling the Ko'olau Women's Healthcare office location nearest you.